Abstract：
:Local public health departments traditionally have been supported as providers of preventive care and, in some jurisdictions, as guarantors of other essential services to vulnerable populations that usual providers do not reach. In the 1980s, the responsibility for allocating federal grants for public health shifted to the states, and those funds were reduced by about 20 percent. These circumstances, coupled with a deep recession, raised questions about the capacity of public health agencies to guarantee basic medical services for their constituent populations. Comparing information obtained in 1978-1979 with that obtained in 1982-1983 from 15 local health departments geographically dispersed throughout the United States, we found that, in the aggregate, the capacity of the departments to provide and guarantee personal health services had diminished. These departments had maintained what a panel of experts judged to be notable personal health services programs in the late 1970s. However in 1982-1983 (with some exceptions) the departments as a group had smaller budgets and staffs than they'd had four years earlier, had undergone extensive turnovers in leadership, found their relationships with the private sector increasingly strained, experienced a greater demand for their services, accentuated income-producing services, and were realigning themselves politically to interact more with state and local governments than with federal agencies. One department ceased to function as a guarantor of care; the capacity of four others to fulfill this role was jeopardized. The resourcefulness and adaptability of the remaining departments enabled them to continue to guarantee basic medical care for their service populations.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Brooks EF,Miller CAsubject
Has Abstractpub_date
1987-05-01 00:00:00pages
134-41issue
3eissn
0749-3797issn
1873-2607journal_volume
3pub_type
杂志文章abstract：INTRODUCTION:The U.S. Surgeon General has concluded that aerosol from electronic vapor products, such as e-cigarettes, can contain harmful and potentially harmful constituents. This study assessed the prevalence and determinants of U.S. adult attitudes toward electronic vapor product use in indoor public places. METHO...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2018.08.022
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND:Convincing pregnant women who smoke to give up this behavior is one of the few universally agreed upon methods for improving pregnancy outcomes. An exploratory study was conducted to determine what public and quasi-public facilities serving pregnant women were doing to assist pregnant smokers in quitting, th...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(03)00117-x
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abstract：BACKGROUND:Well-being encompasses physical, psychological, and social aspects of health and predicts healthcare utilization and expenditures. Despite their potential clinical impact, interventions that leverage social network effects to target well-being are uncommon. PURPOSE:Using a pragmatic design, to evaluate the ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.amepre.2013.08.018
更新日期：2014-01-01 00:00:00
abstract：BACKGROUND:Children with chronic conditions have an increased risk of complications from influenza and have low influenza vaccination rates. PURPOSE:To assess the feasibility and effectiveness of using a statewide immunization information system (IIS) for seasonal influenza vaccine reminders from local health departme...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.amepre.2011.09.028
更新日期：2012-01-01 00:00:00
abstract：OBJECTIVE:Recently, end-of-life (EOL) issues have captured the attention of the public health community. This study reports a project to help state health departments better understand their potential role in addressing EOL issues and develop initial priorities for EOL activities. METHODS:The project involved two stud...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2005.08.014
更新日期：2005-12-01 00:00:00
abstract：BACKGROUND:This study characterizes the healthcare visits at which children receive vaccinations, including the number of these visits and the number of vaccinations that are administered. METHODS:The 1999 National Immunization Survey (NIS) is a nationally representative sample of children aged 19 to 35 months, verifi...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(01)00282-3
更新日期：2001-05-01 00:00:00
abstract：OVERVIEW:Based on a review of the current literature and recommendations, the American College of Preventive Medicine presents a public policy statement on needle-exchange programs. ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(99)00136-1
更新日期：2000-02-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2012.04.019
更新日期：2012-08-01 00:00:00
abstract：INTRODUCTION:Public health research on cancer and socioeconomic status (SES) has shown that higher SES is related to greater access to services. Using neighborhood-level measures of SES, we test hypotheses related to stage of breast and cervical cancer diagnosis. METHODS:SEER data on women diagnosed with breast or cer...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1996-09-01 00:00:00
abstract：CONTEXT:"Youth-friendly" family planning services, services tailored to meet the particular sexual and reproductive health needs of young people (aged 10-24 years), may improve reproductive health outcomes, including reduction of unintended pregnancy. The objectives of this systematic review were to summarize the evide...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.amepre.2015.03.019
更新日期：2015-08-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2008.03.022
更新日期：2008-07-01 00:00:00
abstract：INTRODUCTION:Improving the timeliness and completion of vaccination is the key to reducing under-5 childhood mortality. This study examines the prevalence of delayed vaccination for doses administered at birth and age 6 weeks, 10 weeks, 14 weeks, and 9 months and its association with undervaccination among infants in S...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2020.10.003
更新日期：2021-01-01 00:00:00
abstract：BACKGROUND:Many infectious disease outbreaks, including those caused by intentional attacks, may first present insidiously as ill-defined syndromes or unexplained deaths. While there is no substitute for the astute healthcare provider or laboratorian alerting the health department of unusual patient presentations, susp...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(02)00490-7
更新日期：2002-10-01 00:00:00
abstract：BACKGROUND:Few successful treatment modalities exist to address childhood obesity. Given Latinos' strong identity with family, a family-focused intervention may be able to control Latino childhood obesity. PURPOSE:To assess the feasibility and effectiveness of a family-centered, primary care-based approach to control ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.amepre.2012.11.026
更新日期：2013-03-01 00:00:00
abstract：BACKGROUND:Health care provider encouragement for particular preventive behaviors is associated with patient adherence, but it is unclear whether a provider's overall prevention approach influences whether patients engage in recommended preventive measures. We examined whether older women who perceived that their healt...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(00)00184-7
更新日期：2000-08-01 00:00:00
abstract：:Between 1987 and 1997, the tobacco industry used the issue of cigarette excise tax increases to create a political partnership with the Coalition of Labor Union Women (CLUW), a group representing female trade unionists in the U.S. This paper documents how the industry created this relationship and the lessons tobacco-...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
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更新日期：2009-08-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1016/s0749-3797(99)00031-8
更新日期：1999-07-01 00:00:00
abstract：INTRODUCTION:Studies reporting on the cost-effectiveness of cancer screening usually account for quality of life losses and healthcare costs owing to cancer but do not account for future costs and quality of life losses related to competing risks. This study aims to demonstrate the impact of medical costs and quality o...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2019.07.027
更新日期：2019-12-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2018.07.037
更新日期：2019-01-01 00:00:00
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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更新日期：2013-08-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
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更新日期：1995-11-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(99)00019-7
更新日期：1999-05-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
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更新日期：1999-02-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
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更新日期：2003-02-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2003.12.012
更新日期：2004-05-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
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更新日期：2018-03-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章,meta分析,评审
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更新日期：2009-03-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
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更新日期：2006-09-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2020.05.007
更新日期：2020-10-01 00:00:00
