Abstract：
:To measure the extent of disagreement on roles between nurse practitioners (NPs) and physicians working together and to look for characteristics of joint practices that are associated with disagreement, patient vignettes were sent to 15 NP/M.D. dyads, and both M.D.s and NPs were asked how appropriate it would be for them and for their co-practitioner to provide care for the problem presented in each vignette. Measures of disagreement on patient care roles were developed by comparing responses within the dyad. For all practices, there was moderate agreement on roles, and this agreement seemed to favor a complementary practice. Disagreement on the NP's role was most often in the direction of NP feeling capable of providing more care than the M.D. felt she could provide. Various factors, such as job satisfaction, age differences between providers, and training level of the NP, were associated with the disagreement that was found. Some disagreement on roles exists between NPs and M.D.s practicing together. Resolution of these differences may lead to greater job satisfaction and more effective interaction between providers.
journal_name
J Community Healthjournal_title
Journal of community healthauthors
Davidson RA,Fletcher RH,Earp JAdoi
10.1007/BF01323228subject
Has Abstractpub_date
1981-01-01 00:00:00pages
93-102issue
2eissn
0094-5145issn
1573-3610journal_volume
7pub_type
杂志文章abstract：:The results of a four year demonstration project of preventive services for Medicare managed care enrollees suggest that health promotion programs can impact health behaviors and outcomes. The study provided selected preventive services to 1,800 Medicare enrollees in a managed care environment. Participants were rando...
journal_title：Journal of community health
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1023/a:1025176531596
更新日期：1997-12-01 00:00:00
abstract：:In 2010, at the same time as the national roll out of the Free Health Care Initiative (FHCI), which removed user fees for facility based health care, trained community health volunteers (CHVs) were deployed to provide integrated community case management of diarrhea, malaria and pneumonia to children under 5 years of ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-015-0107-0
更新日期：2016-04-01 00:00:00
abstract：:The purpose of this study was to examine self-care behaviors of adults with type 2 diabetes mellitus living in the Metropolitan Area of Thessaloniki in Northern Greece. The Summary of Diabetes Self-Care behaviors measurement was administered to 215 patients, out of which 177 were eligible to participate (87 males). Pa...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-014-9841-y
更新日期：2014-10-01 00:00:00
abstract：:According to hope theory, hope is defined as goal-directed thinking in which people perceive that they can find routes to desired goals and the motivation to use those routes. The purpose of this study was to explore relationships between hope and body mass index and hope and self-rated health among women completing a...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9390-6
更新日期：2011-12-01 00:00:00
abstract：:The purpose of this study was to describe the perceived health of the homeless, and to measure the effect of time homeless on perceived health status, after controlling for sociodemographic characteristics and health conditions. The design was cross-sectional; the population was a representative sample of homeless in ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1023/a:1025152403545
更新日期：1997-08-01 00:00:00
abstract：:Most people living with HIV/AIDS (PLWHA) disclose their serostatus to their sexual partners and take steps to protect their partners from HIV. Prior research indicates that some PLWHA portray themselves to their sexual partners as HIV-negative or otherwise misrepresent their HIV status. The aim of this study was to do...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9529-5
更新日期：2012-10-01 00:00:00
abstract：:Using a sample of 13,500 adolescents (53% female and 47% male) who participated in all four waves of the National Longitudinal Study of Adolescent Health, this study used multilevel regression to examine the influence of early structural community adversity (as measured by rates of community poverty, single-parent hea...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9511-2
更新日期：2012-08-01 00:00:00
abstract：:Providers and non-physician staff in primary care settings have reported barriers to full electronic health record (EHR) utilization. This study evaluates the effectiveness of EHR use for accurately documenting cervical cancer screening in a community healthcare setting, and proposes strategies to improve documentatio...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-014-9822-1
更新日期：2014-06-01 00:00:00
abstract：:Significant differences in adult obesity prevalence exist between rural and urban settings throughout the world. Here, we estimate and evaluate the prevalence of adult obesity in rural Independent Samoa, rural American Samoa, and urban American Samoa in 2009. Volunteers over the age of 40 years were weighed and measur...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-010-9338-2
更新日期：2011-08-01 00:00:00
abstract：:Influenza and related pneumonia continue to cause significant amounts of morbidity and mortality despite the availability of effective vaccines. Two comparable counties in Massachusetts served as project areas of a national trial to see if reimbursement for immunizing Medicare-B eligible recipients against influenza w...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01557999
更新日期：1996-06-01 00:00:00
abstract：:Unmet social needs contribute significantly to health outcomes, yet they are not routinely assessed in health care settings. Identifying modifiable social needs and feasible tools to assess them may improve health and decrease costs. We conducted 18 focus groups with 115 participants, stratified by age (18-35, 36-64, ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-017-0396-6
更新日期：2018-02-01 00:00:00
abstract：:More than 58 million nonsmokers in the U.S. encounter secondhand smoke that leads to tobacco-related diseases and deaths every year, making voluntary household smoking bans an important public health goal. American Indians/Alaska Natives are rarely included in research related to household smoking bans. Further, most ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-018-0479-z
更新日期：2018-08-01 00:00:00
abstract：:Throughout the 1980's, HIV antiretroviral therapy was non-existent or insufficient, and patients admitted to hospitals were frequently terminal. In 1988 we evaluated the HIV related hospitalizations at the Lutheran Medical Center in Brooklyn, New York, and found that only 1.3 % of the patients had an advanced directiv...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-012-9645-x
更新日期：2013-06-01 00:00:00
abstract：:Colorectal cancer (CRC) remains a leading cause of morbidity and mortality in the U.S. Disparities in access to care contribute to advanced CRC stage at diagnosis, and these disparities are most pronounced among underserved populations and ethnic minorities. We aim to evaluate race/ethnicity-specific disparities in CR...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-016-0309-0
更新日期：2017-08-01 00:00:00
abstract：:This study aimed to evaluate the level of knowledge concerning HIV transmission and the attitudes towards AIDS among a rural semi-nomadic community in Somaliland. Cross-sectional survey. Questionnaire-based interviews were conducted via a household survey in Sharmake, a village in the Hargeisa district, Somaliland. 14...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-012-9606-4
更新日期：2013-04-01 00:00:00
abstract：:Arthritis and other rheumatic conditions comprise the leading cause of disability in the United States. In 1990, an estimated 16.7% of Missourians had arthritis. By 2020, an estimated 20% of Missourians will have this condition. We examined Missouri's prevalence of self-reported physician-diagnosed arthritis, chronic ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1023/a:1014557016281
更新日期：2002-04-01 00:00:00
abstract：:During the past 20 years, suicide rates in the United States have risen consistently. The upward trend has been particularly pronounced for adolescents and males. The availability of a complete data set on all suicides that occurred between 1925 and 1979 in Sacramento County, California, allowed us to compare trends i...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01318930
更新日期：1983-10-01 00:00:00
abstract：:Human papillomavirus vaccination (HPV) remains low in the United States. The inpatient postpartum setting provides an innovative opportunity to vaccinate eligible patients. This study evaluated two different interventions to improve HPV vaccination rates in hospitalized postpartum patients: a nurse based protocol and ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-019-00755-1
更新日期：2020-06-01 00:00:00
abstract：:China is experiencing one of the fastest growing human immunodeficiency virus (HIV) epidemics in the world. Condom use is consistently low among Chinese college students. The purpose of this study was to identify the predictors that determine the intention to use condoms among Chinese college students applying the the...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-013-9816-4
更新日期：2014-08-01 00:00:00
abstract：:It appears that the specialty of preventive medicine is declining as a viable specialty, with inadequate numbers of practitioners and with a declining number of physicians entering residency training programs. However, additional data are needed to make rough estimates of the level of need in the future. Even without ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01326704
更新日期：1984-04-01 00:00:00
abstract：:Epidemiologic studies of sudden infant death syndrome (SIDS) in the United States have found a particularly high incidence among American Indians and Alaska Natives compared with whites. This report shows that there is a remarkable difference in the incidence of SIDS between Northern Indians and Southwestern Indians. ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01350256
更新日期：1990-06-01 00:00:00
abstract：:The current study aimed to (1) offer a large-scale enumeration of college students' lifetime sexual behaviors and sexual behaviors at last event, and (2) apply a gender discrepancy lens to college students' sexual behaviors in order to examine potential gender differences in heterosexual college students' experiences....
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-013-9728-3
更新日期：2013-12-01 00:00:00
abstract：:Due to its rapid economic development, China is facing a huge health, social, and economic burden resulting from injuries. The study's objective was to examine Safe Communities in China as a strategy for injury prevention and safety promotion programmes in the era of rapid economic growth. Literature searches in Engli...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-012-9594-4
更新日期：2013-02-01 00:00:00
abstract：:Virtually all large employers engage in corporate philanthropy, but little is known about the extent to which it is directed toward improving community health. We conducted in-depth interviews with leaders of corporate philanthropy from 13 of the largest manufacturing companies in the US to understand how giving decis...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-017-0452-2
更新日期：2018-06-01 00:00:00
abstract：:This paper presents a baseline evaluation of four demonstration family support programs located in communities identified as having a disproportionate number of families at risk for malfunctioning. In this baseline evaluation, a one year cohort of 422 family support participants were assessed along key dimensions of p...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01321513
更新日期：1986-07-01 00:00:00
abstract：:Latinas have the highest incidence of cervical cancer. Latino parents' perceptions of the human papillomavirus (HPV) and willingness to have their sons and daughters vaccinated in Utah is largely unknown. Latino parents/guardians of children ages 11-17 years were recruited from two community organizations (N = 52) to ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-014-9949-0
更新日期：2015-06-01 00:00:00
abstract：:Sexual violence in conflict situations is gaining worldwide recognition as a human rights issue. There is growing awareness and concern about the risks associated with sexual violence against women. This study was conducted in order to explore the perceptions and experiences of the risk of sexual violence in the Democ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-015-9992-5
更新日期：2015-08-01 00:00:00
abstract：:We investigated whether hard-of-hearing older adults were more likely to report difficulties and delays in accessing care and decreased satisfaction with healthcare access than those without hearing loss. The Wisconsin Longitudinal Study (2003-2006 wave, N = 6,524) surveyed respondents regarding hearing, difficulties/...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9369-3
更新日期：2011-10-01 00:00:00
abstract：:Women with disabilities have lower screening rates for breast and cervical cancer with some evidence suggesting that people with disabilities experience higher cancer mortality and may receive a different course of treatment. This study examined whether women with and without disabilities using Montana Cancer Control ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-015-0141-y
更新日期：2016-06-01 00:00:00
abstract：:This study compared the effects of a community-based lay home visiting initiative for pregnant adolescents, the Norfolk Resource Mothers Program, with the effects of a more traditional clinic-based program. The Resource Mothers Program (RMP) supports disadvantaged teens through the use of para-professional home visito...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF02260520
更新日期：1994-02-01 00:00:00
