Physicians and non-physician health practitioners: the characteristics of their practices and their relationships.

Abstract:

:Six primary care practices which utilize both physician and non-physician practitioner types were studied to measure differences between practitioner types in the care of patients. By chart review 1,369 patient-practitioner encounters were examined. Physicians identified less symptoms and signs in their patients and prescribed less non-drug therapies than did non-physicians. Likewise, at follow-up visits, physicians tended to document less follow-up of these types of problems and therapies than non-physicians. When examining the interaction between practitioners, the highest rates of follow-up of all types of problems and therapies were found when the same practitioner saw the patient at two successive visits to the same clinic. When a physician saw a patient following a previous visit to a nurse practitioner, there was a significant drop-off in the follow-up rate of problems and therapies. However, when a nurse practitioner saw the patient following a previous visit to a physician, the drop-off in follow-up rates was not as striking. These findings indicate that the skills of physician and nonphysician practitioners are potentially complementary. However, this potential is not fully exploited, particularly by physicians.

journal_name

Am J Public Health

authors

Simborg DW,Starfield BH,Horn SD

doi

10.2105/ajph.68.1.44

subject

Has Abstract

pub_date

1978-01-01 00:00:00

pages

44-8

issue

1

eissn

0090-0036

issn

1541-0048

journal_volume

68

pub_type

杂志文章
  • Factors influencing return to work following hospitalization for traumatic injury.

    abstract::This paper describes the employment experience of 266 individuals one year after traumatic injury severe enough to require hospitalization. Of those working full-time prior to their injury, 56 per cent were employed full-time at one year; an additional 5 per cent were working part-time. Those sustaining a severe head ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.77.3.329

    authors: MacKenzie EJ,Shapiro S,Smith RT,Siegel JH,Moody M,Pitt A

    更新日期:1987-03-01 00:00:00

  • Uruguay on the world stage: how child health became an international priority.

    abstract::The evolution of international health has typically been assessed from the standpoint of central institutions (international health organizations, foundations, and development agencies) or of one-way diffusion and influence from developed to developing countries. To deepen understanding of how the international health...

    journal_title:American journal of public health

    pub_type: 杂志文章,评审

    doi:10.2105/AJPH.2004.038778

    authors: Birn AE

    更新日期:2005-09-01 00:00:00

  • Racial/ethnic differences in the likelihood of cesarean delivery, California.

    abstract:OBJECTIVES:The purpose of this study was to determine whether women's sociodemographic characteristics are independently associated with cesarean delivery. METHODS:A retrospective review was conducted of hospital discharge data for singleton first births in California in 1991. RESULTS:After insurance and personal, co...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.85.5.625

    authors: Braveman P,Egerter S,Edmonston F,Verdon M

    更新日期:1995-05-01 00:00:00

  • Concerns of newborn blood screening advisory committee members regarding storage and use of residual newborn screening blood spots.

    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

    authors: Rothwell EW,Anderson RA,Burbank MJ,Goldenberg AJ,Lewis MH,Stark LA,Wong B,Botkin JR

    更新日期:2011-11-01 00:00:00

  • Characteristics of physically active smokers and implications for harm reduction.

    abstract:OBJECTIVES:We sought to establish the prevalence of physical activity among smokers, whether or not physically active smokers were more likely to attempt cessation, and who these physically active smokers were. METHODS:We used logistic regression to contrast physically active and inactive smokers in a secondary data a...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2007.120469

    authors: Deruiter WK,Faulkner G,Cairney J,Veldhuizen S

    更新日期:2008-05-01 00:00:00

  • City-Level Measures of Health, Health Determinants, and Equity to Foster Population Health Improvement: The City Health Dashboard.

    abstract:OBJECTIVES:To support efforts to improve urban population health, we created a City Health Dashboard with area-specific data on health status, determinants of health, and equity at city and subcity (census tract) levels. METHODS:We developed a Web-based resource that includes 37 metrics across 5 domains: social and ec...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2018.304903

    authors: Gourevitch MN,Athens JK,Levine SE,Kleiman N,Thorpe LE

    更新日期:2019-04-01 00:00:00

  • Population density and the rate of mental illness.

    abstract::An examination of age specific rates of psychiatric admissions within Brooklyn, New York, indicated that population density may function as an intervening variable in the production of mental illness. Measures of household and family contact were found to be significantly correlated to four rates of hospital utilizati...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.67.12.1165

    authors: Schweitzer L,Su WH

    更新日期:1977-12-01 00:00:00

  • Screening for colorectal neoplasia: physicians' adherence to complete diagnostic evaluation.

    abstract::This prospective study was done in a health maintenance organization colorectal cancer screening program to determine whether 166 persons found to have abnormal fecal occult blood test results typically underwent complete diagnostic evaluation (i.e., either colonoscopy or barium enema x-ray plus flexible sigmoidoscopy...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.83.11.1620

    authors: Myers RE,Balshem AM,Wolf TA,Ross EA,Millner L

    更新日期:1993-11-01 00:00:00

  • Latino populations: a unique opportunity for the study of race, genetics, and social environment in epidemiological research.

    abstract::Latinos are the largest minority population in the United States. Although usually classified as a single ethnic group by researchers, Latinos are heterogeneous from cultural, socioeconomic, and genetic perspectives. From a cultural and social perspective, Latinos represent a wide variety of national origins and ethni...

    journal_title:American journal of public health

    pub_type: 历史文章,杂志文章

    doi:10.2105/AJPH.2005.068668

    authors: González Burchard E,Borrell LN,Choudhry S,Naqvi M,Tsai HJ,Rodriguez-Santana JR,Chapela R,Rogers SD,Mei R,Rodriguez-Cintron W,Arena JF,Kittles R,Perez-Stable EJ,Ziv E,Risch N

    更新日期:2005-12-01 00:00:00

  • The Pregnancy Risk Assessment Monitoring System (PRAMS): Overview of Design and Methodology.

    abstract::Data System. The Pregnancy Risk Assessment Monitoring System (PRAMS) is an ongoing state-based surveillance system of maternal behaviors, attitudes, and experiences before, during, and shortly after pregnancy. PRAMS is conducted by the Centers for Disease Control and Prevention's Division of Reproductive Health in col...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2018.304563

    authors: Shulman HB,D'Angelo DV,Harrison L,Smith RA,Warner L

    更新日期:2018-10-01 00:00:00

  • Eight-year follow-up results of an adolescent smoking prevention program: the North Karelia Youth Project.

    abstract::In the North Karelia Youth Program five to 10 classroom sessions over two years taught skills to resist pressures to start smoking to 13 to 15 year old students. Compared to students from comparison schools, the treatment groups reported less smoking immediately after the intervention and in a four-year follow-up surv...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.80.1.78

    authors: Vartiainen E,Fallonen U,McAlister AL,Puska P

    更新日期:1990-01-01 00:00:00

  • Mortality and cancer incidence among sawmill workers exposed to chlorophenate wood preservatives.

    abstract:OBJECTIVES:This study examined the association between exposure to chlorophenates and the risk of soft tissue sarcoma; non-Hodgkin's lymphoma; Hodgkin's disease; and cancers of the lung, nose, and nasopharynx. METHODS:A retrospective cohort study was conducted of 26487 workers employed for at least 1 year between 1950...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.87.1.71

    authors: Hertzman C,Teschke K,Ostry A,Hershler R,Dimich-Ward H,Kelly S,Spinelli JJ,Gallagher RP,McBride M,Marion SA

    更新日期:1997-01-01 00:00:00

  • Health Behaviors and Outcomes Associated With Personal and Family History of Criminal Justice System Involvement, New York City, 2017.

    abstract::Objectives. To quantify the association between personal and family history of criminal justice system (CJS) involvement (PHJI and FHJI, respectively), health outcomes, and health-related behaviors.Methods. We examined 2017 New York City Community Health Survey data (n = 10 005) with multivariable logistic regression....

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2019.305415

    authors: Baquero M,Zweig K,Angell SY,Meropol SB

    更新日期:2020-03-01 00:00:00

  • Prevalence of Injecting Drug Use and Coverage of Interventions to Prevent HIV and Hepatitis C Virus Infection Among People Who Inject Drugs in Canada.

    abstract::Objectives. To determine the number of people who inject drugs (PWID) in Canada and the annual coverage of opioid agonist treatment (OAT) and needle-and-syringe provision for PWID.Methods. We estimated the number of PWID in 11 of 13 Canadian provinces and territories in 2011 by using indirect multiplier methods based ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2019.305379

    authors: Jacka B,Larney S,Degenhardt L,Janjua N,Høj S,Krajden M,Grebely J,Bruneau J

    更新日期:2020-01-01 00:00:00

  • The evolution of changes in primary care delivery underlying the Veterans Health Administration's quality transformation.

    abstract:OBJECTIVES:Suffering from waning demand, poor quality, and reform efforts enabling veterans to "vote with their feet" and leave, the Veterans Health Administration (VA) health care system transformed itself through a series of substantive changes. We examined the evolution of primary care changes underlying VA's transf...

    journal_title:American journal of public health

    pub_type: 杂志文章,多中心研究

    doi:10.2105/AJPH.2007.115709

    authors: Yano EM,Simon BF,Lanto AB,Rubenstein LV

    更新日期:2007-12-01 00:00:00

  • Why the World Will Never Be Tobacco-Free: Reframing "Tobacco Control" Into a Traditional Tobacco Movement.

    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

    authors: Boudreau G,Hernandez C,Hoffer D,Preuss KS,Tibbetts-Barto L,Villaluz NT,Scott S

    更新日期:2016-07-01 00:00:00

  • Low-level air pollution and hospital admissions for cardiac and cerebrovascular diseases in Helsinki.

    abstract:OBJECTIVES:This study investigated whether low concentrations of ambient air pollutants are associated with hospital admissions for ischemic cardiac and cerebrovascular diseases. METHODS:Associations between daily concentrations of sulfur dioxide, nitric oxide, nitrogen dioxide, ozone, and particulates and daily hospi...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.86.9.1273

    authors: Pönkä A,Virtanen M

    更新日期:1996-09-01 00:00:00

  • US health educators' likelihood of adopting genomic competencies into health promotion.

    abstract:OBJECTIVES:We examined US health educators' likelihood of adopting genomic competencies--specific skills and knowledge in public health genomics--into health promotion and the factors influencing such likelihood. METHODS:We developed and tested a model to assess likelihood to adopt genomic competencies. Data from 1607...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2007.122663

    authors: Chen LS,Kwok OM,Goodson P

    更新日期:2008-09-01 00:00:00

  • Transitions in state public health law: comparative analysis of state public health law reform following the Turning Point Model State Public Health Act.

    abstract::Given the public health importance of law modernization, we undertook a comparative analysis of policy efforts in 4 states (Alaska, South Carolina, Wisconsin, and Nebraska) that have considered public health law reform based on the Turning Point Model State Public Health Act. Through national legislative tracking and ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2008.140913

    authors: Meier BM,Hodge JG Jr,Gebbie KM

    更新日期:2009-03-01 00:00:00

  • The microbiologic quality of drinking water in North Carolina migrant labor camps.

    abstract::A two-year study of the microbiological quality of drinking water in 27 randomly selected North Carolina migrant labor camps yielded total and fecal coliform prevalences of 44 percent and 26 percent, respectively in 1988 and similar but higher prevalences in 1989. Preoccupancy testing by county sanitarians had found v...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.81.6.762

    authors: Ciesielski S,Handzel T,Sobsey M

    更新日期:1991-06-01 00:00:00

  • Emotional disability days: prevalence and predictors.

    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

    authors: Kouzis AC,Eaton WW

    更新日期:1994-08-01 00:00:00

  • Variations in Asian Americans: How Neighborhood Concordance Is Associated With Health Care Access and Utilization.

    abstract::We examined associations of different levels of same-ethnicity neighborhood concordance with health care access and utilization among all Asian American, Chinese, Filipino, and Vietnamese adults (aged 18-64 years) using the 2005, 2007, and 2009 California Health Interview Survey and the 2010 US Census. Although associ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2014.302275

    authors: Chang E,Chan KS

    更新日期:2015-01-01 00:00:00

  • A conceptual framework to measure performance of the public health system.

    abstract:OBJECTIVES:This article describes a unifying conceptual framework for the public health system as a way to facilitate the measurement of public health system performance. METHODS:A conceptual framework for the public health system was developed on the basis of the work of Donabedian and a conceptual model previously d...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.91.8.1235

    authors: Handler A,Issel M,Turnock B

    更新日期:2001-08-01 00:00:00

  • Effect of birth cohort on risk of hip fracture: age-specific incidence rates in the Framingham Study.

    abstract:OBJECTIVES:This study examined the effect of birth cohort on incidence rates of hip fracture among women and men in the Framingham Study. METHODS:Age-specific incidence rates of first hip fracture were presented according to tertile of year of birth for 5209 participants of the Framingham Study, a population-based coh...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.92.5.858

    authors: Samelson EJ,Zhang Y,Kiel DP,Hannan MT,Felson DT

    更新日期:2002-05-01 00:00:00

  • Family allowance and family planning in Chile.

    abstract::Family allowances designed to promote maternal and child health and welfare could be self-defeating if they stimulated otherwise unwanted births, as often assumed. That assumption, with its public health and demographic implications, needs testing. An attempt to test it was made in Chile in 1969--1970 through intervie...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.68.10.989

    authors: Plank SJ

    更新日期:1978-10-01 00:00:00

  • Onset of natural menopause in African American women.

    abstract:OBJECTIVES:This study assessed predictors of the onset of natural menopause in African American women. METHODS:We used mailed questionnaires to collect data at baseline in 1995 and during follow-up from Black Women's Health Study participants. Cox proportional hazards regression was used to assess potential predictors...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.93.2.299

    authors: Palmer JR,Rosenberg L,Wise LA,Horton NJ,Adams-Campbell LL

    更新日期:2003-02-01 00:00:00

  • Body fatness and risk for elevated blood pressure, total cholesterol, and serum lipoprotein ratios in children and adolescents.

    abstract:BACKGROUND:Recent studies have shown considerable variation in body fatness among children and adolescents defined as obese by a percentile rank for skinfold thickness. METHODS:We examined the relationship between percent body fat and risk for elevated blood pressure, serum total cholesterol, and serum lipoprotein rat...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.82.3.358

    authors: Williams DP,Going SB,Lohman TG,Harsha DW,Srinivasan SR,Webber LS,Berenson GS

    更新日期:1992-03-01 00:00:00

  • Swimming pool drownings among US residents aged 5-24 years: understanding racial/ethnic disparities.

    abstract:OBJECTIVE:We examined circumstances surrounding swimming pool drownings among US residents aged 5 to 24 years to understand why Black males and other racial/ethnic groups have high drowning rates. METHODS:We obtained data about drowning deaths in the United States (1995-1998) from death certificates, medical examiner ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2004.057067

    authors: Saluja G,Brenner RA,Trumble AC,Smith GS,Schroeder T,Cox C

    更新日期:2006-04-01 00:00:00

  • The natural history of drug use from adolescence to the mid-thirties in a general population sample.

    abstract:OBJECTIVES:This study sought to describe patterns of initiation, persistence, and cessation in drug use in individuals from their late 20s to their mid-30s, within a broad perspective that spans 19 years from adolescence to adulthood. METHODS:A fourth wave of personal interviews was conducted at ages 34-35 with a coho...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.85.1.41

    authors: Chen K,Kandel DB

    更新日期:1995-01-01 00:00:00

  • Secondhand Smoke Exposure Among Nonsmoking Adolescents in West Africa.

    abstract:OBJECTIVES:We estimated the prevalence and determinants of secondhand smoke (SHS) exposure among nonsmoking adolescents in 9 West African countries. METHODS:We conducted a pooled analysis with nationally representative 2006 to 2009 Global Youth Tobacco Survey data. We used descriptive statistics to determine the preva...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2015.302661

    authors: Mamudu HM,Veeranki SP,John RM,Kioko DM,Ogwell Ouma AE

    更新日期:2015-09-01 00:00:00