Abstract:
:The demands of equity and efficiency require a program of universal health insurance in the United States through which all workers will be provided by their employers with health insurance for themselves and their dependents, unemployment will no longer result in the loss of health insurance protection, and federal standards for Medicaid eligibility will be instituted. Issues raised by the assessment of insurance coverage and establishment of uniform standards are discussed within the context of the ethical foundations of medical necessity, schemes for sharing the burden of cost, and the conflict between technological advances and the limitation of resources. Cost containment measures now most prominently on the public agenda represent an unfortunate trend toward exacerbating inequalities by making the patient the main cost container. Moral priority must be given to remedying the patterns of inequality that characterize the American health care system.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Bayer R,Callahan D,Caplan AL,Jennings Bdoi
10.2105/ajph.78.5.583subject
Has Abstractpub_date
1988-05-01 00:00:00pages
583-8issue
5eissn
0090-0036issn
1541-0048journal_volume
78pub_type
杂志文章abstract:OBJECTIVES:We assessed attitudes and opinions of members of newborn blood screening (NBS) advisory committees regarding the storage and secondary research use of residual specimens from NBS. METHODS:We conducted focus groups in 2008 and 2009 with NBS advisory committees (4 focus groups; n = 39 participants) in the Mou...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.200485
更新日期:2011-11-01 00:00:00
abstract::We analyzed data from a survey of occupational factors and pregnancy outcome to examine the effects of cigarette, alcohol, and coffee consumption on pregnancy outcome. Clear and statistically significant associations were found between cigarette and alcohol consumption and spontaneous abortion. There was a weaker but ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.1.85
更新日期:1992-01-01 00:00:00
abstract::The geographic distribution of newborn human immunodeficiency virus seroprevalence at zip code level was compared with the distribution of four sociodemographic variables. For New York City significant univariate correlations were found between HIV and low birthweight, drug use (as measured by hospital discharges), ma...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.suppl.25
更新日期:1991-05-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to assess changes in health insurance and food assistance enrollment following passage of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996. METHODS:Extant data sources were used to calculate changes in Temporary Assistance for Needy Families (TANF), M...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.9.1441
更新日期:2002-09-01 00:00:00
abstract::Whether the traditional definition of small for gestational age (SGA) is an appropriate marker of risk for populations that have relatively lower birthweight is unclear. We determined proportions of White and Asian Indian SGA infants and those admitted to the special care nursery. Compared with White infants, Asian In...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.165001
更新日期:2010-05-01 00:00:00
abstract::To evaluate helmet use in California before and after the introduction of an unrestricted helmet use law on January 1, 1992, observations of motorcycles and their riders were made at 60 locations in seven California counties, twice before and four times after the law was introduced. Helmet use increased from about 50%...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.1.96
更新日期:1995-01-01 00:00:00
abstract::Programs and contraceptive use continuation rates were obtained for a rural Georgia family planning clinic. Program continuation is a measurement of maintenance of clinic attendance, while use continuation is related to actual use of effective contraceptives regardless of clinic activity status. Program continuation r...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.65.7.693
更新日期:1975-07-01 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::To avoid exploitation of host communities, many commentators argue that subjects must receive the best methods available worldwide. Others worry that this requirement may block important research intended to improve health care, especially in developing countries. To resolve this dilemma, we propose a framework for th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.6.923
更新日期:2004-06-01 00:00:00
abstract::Understanding mental health issues faced by young homeless persons is instrumental to the development of successful targeted interventions. No systematic review of recent published literature on psychopathology in this group has been completed. We conducted a systematic review of published research examining the preva...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2013.301318
更新日期:2013-06-01 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:OBJECTIVES:Healthy People 2010: Understanding and Improving Health lists 6 areas of disparity in minority health services: infant mortality, cancer, cardiovascular disease, HIV/AIDS, diabetes, and immunizations. This study compiles existing Asian American and Pacific Islander (AAPI) health data to establish a baseline....
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.12.2093
更新日期:2003-12-01 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::Electronic health records and electronic health information exchange are essential to improving quality of care, reducing medical errors and health disparities, and advancing the delivery of patient-centered medical care. In the US correctional setting, these goals are critical because of the high numbers of Americans...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301845
更新日期:2014-05-01 00:00:00
abstract::This study considered days missed from work or usual activities for emotional reasons associated with a range of specific psychopathologic disorders, psychosocial distress, and persons found to be asymptomatic. Analyses were performed with the presence or absence of emotional disability days as the dependent variable ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.8.1304
更新日期:1994-08-01 00:00:00
abstract::A case-control study, using data abstracted between 1983 and 1987 from a large perinatal registry, was conducted to explore the relationship between smoking and ectopic pregnancy. Women with ectopic pregnancy (n = 634) seen at University of Illinois Perinatal Network Hospitals were compared to women who were delivered...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.9.1239
更新日期:1989-09-01 00:00:00
abstract::US national elections, which draw sizable numbers of older voters, take place during flu-shot season and represent an untapped opportunity for large-scale delivery of vaccinations. In 2012, Vote & Vax deployed a total of 1585 clinics in 48 states; Washington, DC; Guam; Puerto Rico; and the US Virgin Islands. Approxima...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302628
更新日期:2015-06-01 00:00:00
abstract:OBJECTIVES:This study examined the relationship of sociodemographic factors and use of substances other than cocaine to cocaine use from 1987 to 1992 in a cohort of Black and White men and women 20 to 32 years of age. METHODS:Data were collected as part of the Coronary Artery Risk Development in Young Adults study. Se...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.86.12.1736
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVES:The incidence, type, severity, and costs of crash-related injuries requiring hospitalization or resulting in death were compared for helmeted and unhelmeted motorcyclists. METHODS:This was a retrospective cohort study of injured motorcyclists in Washington State in 1989. Motorcycle crash data were linked to...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.1.41
更新日期:1996-01-01 00:00:00
abstract::We systematically reviewed randomized controlled trials of interventions to improve the health of people during imprisonment or in the year after release. We searched 14 biomedical and social science databases in 2014, and identified 95 studies. Most studies involved only men or a majority of men (70/83 studies in whi...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2014.302498
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVES:We investigated the feasibility of combining an online chain recruitment method (respondent-driven detection) and participatory surveillance panels to collect previously undetected information on infectious diseases via social networks of participants. METHODS:In 2014, volunteers from 2 large panels in the ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302717
更新日期:2015-08-01 00:00:00
abstract::This study was designed to assess the effects of the North Carolina Improved Pregnancy Outcome (IPO) Project on use of prenatal care and incidence of low birthweight among its primarily Black registrants . Weighted least squares and stratified analysis procedures were used to scrutinize vital statistics data for subpo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.6.549
更新日期:1984-06-01 00:00:00
abstract:OBJECTIVES:This study evaluated the association of physical activity with serum lipoprotein(a) [La(a)] levels in individuals according to whether they had a family history of coronary heart disease (CHD). METHODS:Lp(a) levels in 332 healthy Spanish men aged 20 to 60 years were measured. Physical activity and family hi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.3.383
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVES:We examined the impact of a change in New York tax law on the numbers of untaxed cigarettes bootlegged from Native American reservations and resold in the South Bronx. METHODS:Discarded cigarette packs were systematically collected in 30 randomized South Bronx census tracks before and after the amended tax ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302340
更新日期:2015-04-01 00:00:00
abstract::The newborn screening program mandated by the New York State Public Health Law requires that every baby born in the state be tested for eight conditions including sickle cell anemia. Although sickle cell screening of newborns has been in operation since 1975, the follow-up program for case retrieval to obtain repeat b...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.3.249
更新日期:1983-03-01 00:00:00
abstract::From 1978 to 1983, researchers at the University of North Carolina conducted a National Evaluation of Rural Primary Care Programs. Thirty years later, many of the programs they studied have closed, but the challenges of providing rural health care have persisted. I explored the histories of 4 surviving rural primary c...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.146050
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVES:We estimated the number and cost of syphilis-attributable HIV cases among African Americans. METHODS:A mathematical model of HIV transmission was used to estimate the number of partnerships consisting of HIV-discordant African Americans in which infectious syphilis was present and the number of new HIV case...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.6.943
更新日期:2003-06-01 00:00:00
abstract:OBJECTIVES:We assessed the effectiveness of a 2-year multicomponent, school-based intervention designed to reduce tobacco use rates among adolescents in an urban area of India. METHODS:Students from 32 schools in Delhi and Chennai, India, were recruited and randomly assigned to an intervention or control group. Baseli...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/AJPH.2008.145433
更新日期:2009-05-01 00:00:00
abstract::My experiences as a mentor of young investigators, along with conversations with a diverse pool of mentees, led me to question the ability of conventional research methods, problem formulation, and instruments to address the unique challenges of studying racial and ethnic minorities. Training of new investigators shou...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.135996
更新日期:2009-04-01 00:00:00
abstract::From mid-June through early August 1980, an outbreak of gastrointestinal illness in Red Lodge, Montana affected approximately 780 persons, as estimated from attack rates of 33 per cent and 15 per cent in urban and rural residents, respectively. Giardia lamblia was identified in stool specimens from 51 per cent of 47 p...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.8.868
更新日期:1983-08-01 00:00:00