Abstract:
:Public health and private providers and facilities may shape the future of the US health system by engaging in new ways to deliver care to patients. "Accountable care" contracts allow private health care and public health providers and facilities to collaboratively serve defined populations. Accountable care frameworks emphasize health care quality and cost savings, among other goals. In this article, I explore the legal context for accountable care, including the mechanisms by which providers, facilities, and public health coordinate activities, avoid inefficiencies, and improve health outcomes. I highlight ongoing evaluations of the impact of accountable care on public health outcomes.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Ramanathan Tdoi
10.2105/AJPH.2014.302161subject
Has Abstractpub_date
2014-11-01 00:00:00pages
2048-51issue
11eissn
0090-0036issn
1541-0048journal_volume
104pub_type
杂志文章abstract:OBJECTIVES:We determined the sustainability of effects of a school-based intervention to improve health behaviors and cardiovascular risk factors among middle school children. METHODS:We administered a questionnaire and health screenings to 5 schools in Ann Arbor and 2 schools in Ypsilanti, Michigan. We assessed demog...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302835
更新日期:2015-12-01 00:00:00
abstract::Objectives. To examine state-level factors associated with late-stage HIV diagnoses in the United States.Methods. We examined state-level factors associated with late-stage diagnoses by estimating negative binomial regression models. We used 2013 to 2016 data from the National HIV Surveillance System (late-stage diagn...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305273
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVES:This study compared success in smoking cessation by sex, ethnic status, and birth cohort. METHODS:African and European American respondents to the 1996 Current Population Survey (tobacco supplement) and the 1987 National Health Interview Survey (cancer control and cancer epidemiology supplements) constitute...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.6.961
更新日期:2002-06-01 00:00:00
abstract::To assess the association with birthweight of prenatal medical care, length of gestation, and other prenatal factors, birth certificate data were studied for babies born in 1978 to mothers who were residents of Alameda or Contra Costa counties, California. Using multiple regression data analytic techniques, adequate p...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.9.1003
更新日期:1984-09-01 00:00:00
abstract:OBJECTIVES:Despite the importance of community health workers (CHWs) in strategies to reduce health disparities and the call to enhance their roles in research, little information exists on how to prepare CHWs involved in community-academic initiatives (CAIs). Therefore, the New York University Prevention Research Cent...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300429
更新日期:2012-12-01 00:00:00
abstract::The relationship of physical activity to the development of definite coronary heart disease was examined separately in middle-aged (45-64 years) and elderly men (65-69 years) participating in the Honolulu Heart Program. After 12 years of follow-up, results indicate that increased levels of physical activity reported a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.6.683
更新日期:1988-06-01 00:00:00
abstract::As successes mount in reducing commercial tobacco use, an alarming disparity has taken shape in Minnesota. Recent studies revealed that overall smoking rates have dropped to 14%, whereas American Indians' rates remain higher than 50%. With support from ClearWay Minnesota, the organization created from the state's toba...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303125
更新日期:2016-07-01 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:This study evaluated the effectiveness of a community coalition to prevent severe injuries to children in Central Harlem, New York, NY. It was hypothesized that injury incidence rates would decline during the intervention (1989 through 1991) relative to preintervention years (1983 through 1988); that the dec...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.4.580
更新日期:1994-04-01 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:We sought to examine trends in hepatitis B virus (HBV) vaccination among high-risk adults and assess the potential effect vaccinated adolescents have on these trends as they age. METHODS:We used data from the National Health Interview Survey 2000, 2002, and 2004 to examine trends in HBV vaccination among hi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.116046
更新日期:2008-05-01 00:00:00
abstract::Few data are available on human immunodeficiency virus (HIV) infection and risk behaviors among lesbians and bisexual women. A total of 498 lesbians and bisexual women was sampled from public venues in San Francisco and Berkeley, Calif, during 1993. The overall HIV seroprevalence was 1.2%. Ten percent of participants ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.11.1549
更新日期:1995-11-01 00:00:00
abstract::For more than 40 years, the tobacco industry prevailed in lawsuits brought by injured smokers, despite overwhelming epidemiological evidence that smoking caused lung cancer. Tobacco lawyers were able to create doubt about causation. They sought to persuade jurors that "everybody knew" smoking was harmful but "nobody k...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.063917
更新日期:2006-01-01 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::The unusual resistance of the "unconventional viruses" to inactivation by the commonly used disinfectants has led to a high degree of apprehension regarding patients with any form of dementia. The rapid adaptation of a newly acquired isolate of the agent of Creutzfeldt-Jakob Disease (CJD) to mice made possible this la...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.6.661
更新日期:1983-06-01 00:00:00
abstract::The classification of disease burdens is an important topic that receives little attention or debate. One common classification scheme, the broad cause grouping, is based on etiology and health transition theory and is mainly concerned with distinguishing communicable from noncommunicable diseases. This may be of limi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.3.384
更新日期:2004-03-01 00:00:00
abstract::The average number of visits to a physician made by a sample of 351 residents of homes insulated with urea formaldehyde foam insulation in Montreal in the one year period before exposure was 5.25, and in the year following 5.62, an increase of 7 per cent (odds ratio 1.07, 95% CI = 1.00, 1.15). The increase in visits i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.11.1489
更新日期:1988-11-01 00:00:00
abstract:OBJECTIVES:We examined the effects of market income inequality (income inequality before taxes and transfers) and income redistribution via taxes and transfers on inequality in longevity. METHODS:We used life tables to compute Gini coefficients of longevity inequality for all individuals and for individuals who surviv...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302849
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:Prospectively gathered data were used to reexamine and to strengthen previously described observations about education and the risk of alcohol abuse and dependence. The hypothesis was that individuals who dropped out of high school and those who entered college but failed to get a college degree might be at ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.6.830
更新日期:1993-06-01 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::We assessed the proportion and characteristics of patients who do not regularly visit general health care providers but do visit dentists and whose unaddressed systemic health conditions could therefore be identified by their dentist. Of the 26.0% of children and 24.1% of adults that did not access general outpatient ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300420
更新日期:2012-02-01 00:00:00
abstract::Potable drinking water is essential to public health; however, few studies have investigated income or racial disparities in water infrastructure or drinking water quality. There were many case reports documenting a lack of piped water or serious water quality problems in low income and minority communities, including...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2011.300189
更新日期:2011-12-01 00:00:00
abstract::We evaluated the risks of brain cancer in relation to employment history in a case-control study of 312 cases and 1,248 cancer controls. Subjects were identified through the Missouri Cancer Registry for the period 1984 through 1988. Job classification was based on data routinely abstracted from hospital records. Eleva...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.2.169
更新日期:1990-02-01 00:00:00
abstract::Objectives. To assess if historical redlining, the US government's 1930s racially discriminatory grading of neighborhoods' mortgage credit-worthiness, implemented via the federally sponsored Home Owners' Loan Corporation (HOLC) color-coded maps, is associated with contemporary risk of preterm birth (< 37 weeks gestati...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305656
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVES:This study evaluated the effectiveness of dietary advice in primary prevention of chronic disease. METHODS:A meta-analysis was conducted of 17 randomized controlled trials of dietary behavior interventions of at least 3 months' duration. Results were analyzed as changes in reported dietary fat intakes and b...
journal_title:American journal of public health
pub_type: 杂志文章,meta分析
doi:10.2105/ajph.87.9.1415
更新日期:1997-09-01 00:00:00
abstract:OBJECTIVES:The common operation of fuel-powered resurfacing equipment in enclosed ice skating rinks has the potential for producing high concentrations of carbon monoxide and nitrogen dioxide. Exposures to these gaseous combustion products may adversely affect the health of those inside the rink. Little information is ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.3.429
更新日期:1994-03-01 00:00:00
abstract::The accepted wisdom about the US overdose crisis singles out prescribing as the causative vector. Although drug supply is a key factor, we posit that the crisis is fundamentally fueled by economic and social upheaval, its etiology closely linked to the role of opioids as a refuge from physical and psychological trauma...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.304187
更新日期:2018-02-01 00:00:00
abstract::Objectives. To compare the flood impacts experienced by Harris County, Texas, hospitals with Federal Emergency Management Agency (FEMA) flood hazard areas and Hurricane Harvey's inundation boundary.Methods. One year following Hurricane Harvey, we created a novel data set of Hurricane Harvey's flood impacts in Harris C...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305520
更新日期:2020-04-01 00:00:00
abstract::A random sample of employees was surveyed 20 months after a non-smoking policy was implemented at the New England Telephone Company in 1986. Overall, 21 percent of respondents who were smoking at the time they heard about the policy had quit smoking; 42 percent of quitters said they stopped smoking because of the poli...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.2.202
更新日期:1991-02-01 00:00:00
abstract::Nutrient intakes were investigated for Blacks and Whites using data from the NHANES II survey (1976-80). Intake of energy, total fat, saturated fat, dietary cholesterol, P/S ratio, and per cent of calories derived from total and saturated fat are examined by sex and age, both in absolute terms and per unit of body wei...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.9.1150
更新日期:1988-09-01 00:00:00