Abstract：
:This paper examines the success in implementing a major program involving a partnership between public and private providers to deliver primary health care services to the poor. In 1985, the 69th Texas Legislature passed the Primary Health Care Services Act, authorizing the Texas Department of Health to contract for or directly provide primary health care services in those parts of the state that are medically underserved and have large numbers of people in poverty. This paper evaluates the potential impact of the projects with respect to access and cost. The study revealed that the basic concept of allowing local public and private providers to develop projects reflecting their community's unique needs and resources was successful. The approach lead to a wide variety of different types of projects, but the basic goals and activities of the projects are consistent with the legislation. The evaluation identified three major program areas that could be improved: (1) patient monitoring and follow-up to ensure the accessibility of the priority primary care services, (2) the need for the development of projects in other high need areas of the state, and (3) greater efficiency in service delivery.
journal_name
J Community Healthjournal_title
Journal of community healthauthors
Begley CE,Aday LA,McCandless Rdoi
10.1007/BF01321541subject
Has Abstractpub_date
1989-07-01 00:00:00pages
107-20issue
2eissn
0094-5145issn
1573-3610journal_volume
14pub_type
杂志文章abstract：:To better understand and promote physical activity on a newly constructed trail, the present study examined the demographic characteristics and physical activity behaviors of trail users; the demographic characteristics of trail users compared to the demographic profile Greenville County, South Carolina residents; tra...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9530-z
更新日期：2012-10-01 00:00:00
abstract：:Whereas, most cancer research data come from high-profile academic centers, little is known about the outcomes of cancer care in rural communities. We summarize the experience of building a multi-institution partnership to develop a cancer outcomes research infrastructure in Southwest Georgia (SWGA), a primarily rural...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-008-9123-7
更新日期：2009-02-01 00:00:00
abstract：:In Uganda malaria causes more morbidity and mortality than any other disease and children below 5 years contribute the biggest percentage of malaria related mortality. Insecticide treated nets (ITNs) are currently one of the most cost effective option for reducing malaria-related morbidity and mortality, however the f...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-012-9546-z
更新日期：2012-10-01 00:00:00
abstract：:Health disparities in access to antiretroviral therapy (ART) as well as the demands of long-term medication adherence have meant the full benefits of HIV treatment are often not realized. In particular, food insecurity has emerged as a robust predictor of ART non-adherence. However, research is limited in determining ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-014-9868-0
更新日期：2014-12-01 00:00:00
abstract：:The population of Greenland is diminishing and environmental and social shifts implicate food availability and the health of reproductive age women. There is little knowledge of the grocery store food environment in Greenland. To address this gap and provide baseline information the present study measured food availab...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-017-0400-1
更新日期：2018-02-01 00:00:00
abstract：:The purpose of this study was to explore the knowledge, attitudes and barriers to use of postpartum care service among rural communities in Uganda. Study was a part of a larger reproductive health evaluation project, and was cross-sectional in nature utilizing qualitative research methods using the narrative inquiry. ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-005-9003-3
更新日期：2006-04-01 00:00:00
abstract：:Improved pneumococcal vaccine (PPV) immunization for seniors is a national goal of the Medicare program. This study examined whether adding a simple telephone follow-up to an existing mailed physician performance feedback under the Medicare program would increase the impact on billed pneumococcal immunizations. Medica...
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/b:johe.0000016715.91811.4b
更新日期：2004-04-01 00:00:00
abstract：:In 2003, Seattle implemented an all-ages bicycle helmet law; King County outside of Seattle had implemented a similar law since 1994. For the period 2000-2010, the effect of the helmet legislation on helmet use, helmet-preventable injuries, and bicycle-related fatalities was examined, comparing Seattle to the rest of ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-016-0197-3
更新日期：2016-12-01 00:00:00
abstract：:Cambodian immigrants are over 25 times more likely to have evidence of chronic hepatitis B infection than the general US population. Carriers of HBV are over 100 times more likely to develop liver cancer than non-carriers. Liver cancer incidence is the second leading cancer for Cambodian men and the sixth for Cambodia...
journal_title：Journal of community health
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10900-010-9277-y
更新日期：2011-02-01 00:00:00
abstract：:Voluntary counseling and testing (VCT) has been recognized as the crux of HIV surveillance, prevention and treatment programs. Since 2000, Ghana government has launched a number of HIV prevention and treatment programs intended to increase VCT services. Despite these efforts, uptake of testing is still low, though man...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-010-9310-1
更新日期：2011-04-01 00:00:00
abstract：:Cancer is the leading cause of death for Korean Americans (KAs). Breast cancer (BC) is the most commonly occurring cancer among KA women, and its rate has been rapidly increasing. Low BC screening rates for KAs puts them at greater risk for late-stage breast cancer. We conducted a systematic review of the published li...
journal_title：Journal of community health
pub_type： 杂志文章,评审
doi：10.1007/s10900-016-0258-7
更新日期：2017-04-01 00:00:00
abstract：:A community-university partnership used community-based participatory research (CBPR) to design, implement, and evaluate a multi-cultural public health campaign to eliminate flammable products and reduce use of products high in volatile organic compounds (VOCs) in hardwood floor finishing in Massachusetts. Leading par...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9357-7
更新日期：2011-08-01 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：: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：:The number of reported outbreaks of typhoid fever in the United States has recently increased. Only six were reported from 1980-1989, but seven outbreaks were reported in 1990. In August 1990, health officials in Montgomery County, Maryland, were notified of two cases of typhoid fever among persons who had attended bo...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF02277062
更新日期：1995-12-01 00:00:00
abstract：:We conducted a 2-year pilot randomized controlled trial (N = 105) in a high HIV-prevalence area in rural western Kenya to test whether providing young orphan adolescents with uniforms, school fees, and community visitors improves school retention and reduces HIV risk factors. The trial was a community intervention, li...
journal_title：Journal of community health
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10900-012-9548-x
更新日期：2012-10-01 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：:This study was designed to test the hypothesis that follow-up rates for women with abnormal breast screening results would vary by age, ethnicity and initial screening results in California's Breast Cervical Cancer Control Program. The sample was composed of women in this screening program who had received abnormal cl...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01682303
更新日期：1996-04-01 00:00:00
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 t...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01323228
更新日期：1981-01-01 00:00:00
abstract：:Hospital closure, a devastating event in the life of small communities, can have long-lasting medical, economic, and psychological consequences. This study focuses on a 1991 closure that occurred in the rural North Dakota town of Beach that left local residents 40 and 61 miles away from the nearest hospitals. Two hund...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF02260496
更新日期：1995-02-01 00:00:00
abstract：:Asthma 1-2-3 is a newly-developed low-literacy multimedia education tool designed to promote asthma self-care concepts among African American adults. An expert panel (n = 10) informed content development for the tool. The video script and storyboard imagery were shown to 30 African Americans recruited from the America...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-009-9153-9
更新日期：2009-08-01 00:00:00
abstract：:Review of national programs in the past decade suggests that there is a developing consensus regarding the need for preventive services, but the proportion of them that physicians provide is decreasing. As teachers of preventive medicine, we should have a particular concern with the physician's performance in providin...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01324000
更新日期：1981-07-01 00:00:00
abstract：:The acceptance of age-appropriate cancer screening as an integral part of primary care has grown among physicians over the past decade. We conducted a mailed survey of all primary care physicians in New Mexico in order to better understand their current cancer screening practices. We found a high rate of self-reported...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1023/a:1018790104934
更新日期：1999-08-01 00:00:00
abstract：:Sugary drink consumption is associated with many adverse health outcomes, including weight gain, diabetes, and other chronic conditions. These beverages are widely marketed and ubiquitously available. This analysis explores sugary drink consumption across all age groups among New York City (NYC) residents using repres...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-018-0587-9
更新日期：2019-04-01 00:00:00
abstract：:Variability of heat stress illness (HSI) by urbanicity and climate region has rarely been considered in previous HSI studies. We investigated temporal and geographic trends in HSI emergency department (ED) visits in CDC Environmental Public Health Tracking Network (Tracking) states for 2005-2010. We obtained county-le...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-015-0064-7
更新日期：2016-02-01 00:00:00
abstract：:Medical services provided to vacationers and employees in Yellowstone National Park were reviewed for the years 1975 through 1977. Both ambulatory and inpatient data were obtained, including diagnoses, place of residence, medications prescribed, and methods of payment. The types of problems and modes of treatment did ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01323990
更新日期：1980-04-01 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：:The majority of programs designed to promote physical activity in older Hispanic women includes few innovative theory-based interventions that address cultural relevant strategies. The purpose of this report is to describe the design and baseline data for Mujeres en Accion, a physical activity intervention to increase...
journal_title：Journal of community health
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10900-011-9363-9
更新日期：2011-10-01 00:00:00
abstract：:The elimination of categorical grants and their replacement by block grants provides public health departments the opportunity to integrate their services and provide general primary care to the underserved. While some may consider this an opportunity long overdue such a change may generate considerable conflict with ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01326552
更新日期：1982-01-01 00:00:00
abstract：:Despite availability of a safe, effective vaccination, uptake and completion rates of human papillomavirus (HPV) vaccination remain low in the United States. This is particularly true in the southeast, which also sees some of the highest rates of HPV-associated (HPVa) cancers. We aimed to identify areas in Alabama in ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-019-00690-1
更新日期：2019-12-01 00:00:00
