Abstract:
:Conventional methods for classifying patients with respect to utilization of health care resources are based almost exclusively on diagnostic criteria. We review a new severity of illness index which is generic to most medical and surgical conditions in a hospital, and which has been found to produce subgroups of patients more homogeneous with respect to hospital resource use (as assessed by total charges, length of stay, routine charges, and laboratory charges) than diagnostic-related groups, staging, and generalized patient management paths. We use the severity of illness groups to compare total charges and length of stay across hospitals. We find that charges and length of stay in an academic teaching hospital are similar to those in community hospitals with and without teaching programs when controlling for severity of illness. (Am J Public Health 1983; 73:25-31.)
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Horn SDdoi
10.2105/ajph.73.1.25subject
Has Abstractpub_date
1983-01-01 00:00:00pages
25-31issue
1eissn
0090-0036issn
1541-0048journal_volume
73pub_type
杂志文章abstract:OBJECTIVES:We examined local public health agencies' involvement in community illicit drug policy advocacy and provision related to youths to determine the extent to which public health agencies were involved in local drug policy activities and could potentially provide an infrastructure for policy alternatives. METHO...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.112524
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVES:To examine maternal folic acid supplementation and plasma folate concentrations in the Boston Birth Cohort, a predominantly urban, low-income, minority population in Boston, Massachusetts. METHODS:This report includes 7612 mothers with singleton live births (3829 Black, 2023 Hispanic, 865 White, and 895 oth...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304355
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVES:We evaluated the impact of school-based health centers-which provide essential health care for students by aiming to eliminate many access barriers-on health care access disparities and conducted a cost-benefit analysis. METHODS:We employed a longitudinal quasi-experimental repeated-measures design. Primary...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.185181
更新日期:2010-09-01 00:00:00
abstract::We evaluated a community-based 12-week healthy lifestyle program in Moloka'i, HI, called Ke 'Ano Ola, which was developed to decrease chronic disease risk through health education emphasizing weight loss, exercise, and risk factor reduction. Program leaders' strong commitment and positive role modeling, along with soc...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.176222
更新日期:2010-05-01 00:00:00
abstract::More than 100 years ago, public health began as an organized discipline, its purpose being to improve the health of populations rather than of individuals. Given its population-based focus, however, public health perennially faces dilemmas concerning the appropriate extent of its reach and whether its activities infri...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.11.1776
更新日期:2001-11-01 00:00:00
abstract::The French health system combines universal coverage with a public-private mix of hospital and ambulatory care and a higher volume of service provision than in the United States. Although the system is far from perfect, its indicators of health status and consumer satisfaction are high; its expenditures, as a share of...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.1.31
更新日期:2003-01-01 00:00:00
abstract::For both clinical and economic reasons, the increasing number of persons living with chronic conditions represents a public health issue of growing importance. Emphasizing patient responsibility, and acting in concert with the provider community, self-management represents a promising strategy for treating chronic con...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2014.302041
更新日期:2014-08-01 00:00:00
abstract::State-level income inequality has been found to have an effect on individual health outcomes, even when controlled for important individual-level variables such as income, education, age, and gender. The effect of income inequality on health may not be immediate and may, in fact, have a substantial lag time between ex...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.134940
更新日期:2008-12-01 00:00:00
abstract::We analyzed the variation in the risk of AIDS in US Blacks, Hispanics, and other racial/ethnic groups relative to that in Whites (non-Hispanic) by geographic area and mode of acquiring HIV infection, based on data reported between June 1, 1981 and January 18, 1988 to the Centers for Disease Control and 1980 US census ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.12.1539
更新日期:1988-12-01 00:00:00
abstract::The status of mammography screening experience and factors related to utilization were examined in six towns serviced by physician staffs at five hospitals. Data were collected via random digit dial telephone interview of a probability sample of 1184 women, aged 45-75 years. The results showed that 55% of the women re...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.11.1499
更新日期:1989-11-01 00:00:00
abstract::Factors related to preschool child receipt of vitamin A during the first year of a semi-annual vitamin A capsule delivery program were investigated in 229 villages in Aceh, Indonesia. Coverage was higher in villages which were more rural and less economically developed. Highest performance was achieved by village dist...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.7.847
更新日期:1989-07-01 00:00:00
abstract:OBJECTIVES:This study examined the association between leisure time physical activity and cause-specific mortality among male Whitehall Study participants with chronic bronchitis. METHODS:Rate ratios were calculated for 4 mortality outcomes, according to level of activity and baseline bronchitis status, in a 25-year f...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.5.817
更新日期:2003-05-01 00:00:00
abstract::We addressed the positive and negative factors that influence the health and wellness of urban Aboriginal youths in Canada and ways of restoring, promoting, and maintaining the health and wellness of this population. Fifty-three in-service professionals, care providers, and stakeholders participated in this study in w...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302481
更新日期:2015-05-01 00:00:00
abstract::During the early stages of an influenza pandemic, a pandemic vaccine likely will not be available. Therefore, interventions to mitigate pandemic influenza transmission in communities will be an important component of the response to a pandemic. Public-housing residents, single-parent families, and low-income populatio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.165134
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVES:To describe disparities in HIV infection and syphilis among gay, bisexual, and other men who have sex with men (MSM) in US states through ratio-based measures and graphical depictions of disparities. METHODS:We used state-level surveillance data of reported HIV and syphilis cases in 2015 and 2016, and estim...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304762
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVES:Research on child labor and its effect on health has been limited. We sought to determine the impact of child labor on children's health by correlating existing health indicators with the prevalence of child labor in selected developing countries. METHODS:We analyzed the relationship between child labor (de...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.066829
更新日期:2007-02-01 00:00:00
abstract:OBJECTIVES:We sought to determine whether severe psychological distress (SPD) and serious mental illnesses (SMIs) are associated with a specific set of chronic medical conditions (CMCs) and the association between SPD-SMIs and increasing levels of medical multimorbidity and complexity (i.e., from 1 to 3 or more CMCs). ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302165
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:Smoking among young women is associated with a variety of negative health outcomes. Gender specific influences on smoking, quitting and attempting to quit are hypothesized to occur and may have implications for cessation programs. METHODS:Telephone surveys were conducted in a large (n = 6,711) cohort of you...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.3.324
更新日期:1991-03-01 00:00:00
abstract:OBJECTIVES:We examined the contribution of hospital type and quality of care to perinatal mortality rates in the city of Belo Horizonte, Brazil. METHODS:We used a cohort study of all births (40953) and perinatal deaths (826) in Belo Horizonte in1999. After adjusting for maternal education and birthweight, we compared ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.075986
更新日期:2007-05-01 00:00:00
abstract::Concern about suicide in US military and veteran populations has prompted efforts to identify more effective prevention measures. Recent expert panel reports have recommended public communications as one component of a comprehensive effort. Messaging about military and veteran suicide originates from many sources and...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300905
更新日期:2013-01-01 00:00:00
abstract::Marked diversity in policies and practices for discontinuation of the PKU diet in the U.S. was found in a nationwide survey. Seventy-two of the 78 identified clinical centers treating PKU provided data. No clinicians are currently considering diet discontinuation at ages earlier than their present policy or practice. ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.5.498
更新日期:1980-05-01 00:00:00
abstract::Subsidized rural clinics and providers have long depended on the rural hospital for the care of some of their patients; the hospital has also been a source of revenue for these providers and programs. We studied a representative national sample of 116 subsidized rural clinics, focusing on the impact on rural clinic co...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.7.749
更新日期:1985-07-01 00:00:00
abstract::We studied the effect of legislation requiring deposits for beverage containers on the incidence of lacerations in urban children. Records of emergency room visits for lacerations and fractures were reviewed for three years pre-legislation (1980-82) and the immediate post-legislation period (1983). The incidence of to...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.10.1243
更新日期:1986-10-01 00:00:00
abstract::From 1919 to 1952, approximately 20 000 individuals were sterilized in California's state institutions on the basis of eugenic laws that sought to control the reproductive capacity of people labeled unfit and defective. Using data from more than 19 000 sterilization recommendations processed by state institutions over...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2016.303489
更新日期:2017-01-01 00:00:00
abstract::The Protection of Lawful Commerce in Arms Act (PLCAA), enacted in 2005, grants the firearm industry broad immunity from liability. The PLCAA not only prevents most people from receiving compensation for their firearm-related injuries, it erodes litigation's ability to serve its public health role of providing manufact...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.092544
更新日期:2007-11-01 00:00:00
abstract::To study the effects of a comprehensive, multifaceted intervention program to reduce fireworks-related injuries during the Italian New Year's holiday season, active surveillance was conducted in the 18 public emergency rooms of Naples, Italy, before and after implementation of the program. Preintervention data collect...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.1.84
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVES:Our community-academic partnership employed community-based participatory research to develop and pilot a simple, peer-led intervention to promote weight loss, which can prevent diabetes and eliminate racial/ethnic disparities in incident diabetes among overweight adults with prediabetes. METHODS:We recruit...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2009.170910
更新日期:2010-04-01 00:00:00
abstract::Sexual assault in the workplace and the related factors have not been well studied. Workers' compensation claims data were used to describe work-related sexual assaults in Washington State between 1980 and 1989. Sixty-three cases of work-related rape were identified during this study period. The occupations of the rap...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.4.640
更新日期:1994-04-01 00:00:00
abstract:OBJECTIVES:We estimated the costs associated with reducing class sizes in kindergarten through grade 3 as well as the effects of small class sizes on selected outcomes such as quality-adjusted life-years and future earnings. METHODS:We used multiple data sets to predict changes in the outcomes assessed according to le...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.105478
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVES:The reported prevalence of occupational allergy to natural rubber latex is 8% to 17%, and that of latex-induced occupational asthma is 2.5% to 6%. Conversion of medical facilities to "latex-safe" can reduce employee sensitization, impairment, and disability. The purpose of this study was to determine the cos...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.7.1024
更新日期:1999-07-01 00:00:00