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 Healthjournal_title
American journal of public healthauthors
Simborg DW,Starfield BH,Horn SDdoi
10.2105/ajph.68.1.44subject
Has Abstractpub_date
1978-01-01 00:00:00pages
44-8issue
1eissn
0090-0036issn
1541-0048journal_volume
68pub_type
杂志文章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
更新日期:1987-03-01 00:00:00
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
更新日期:2005-09-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.5.625
更新日期:1995-05-01 00:00:00
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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: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
更新日期:2008-05-01 00:00:00
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
更新日期:2019-04-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.67.12.1165
更新日期:1977-12-01 00:00:00
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pub_type: 杂志文章
doi:10.2105/ajph.83.11.1620
更新日期:1993-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2005.068668
更新日期:2005-12-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304563
更新日期:2018-10-01 00:00:00
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
更新日期:1990-01-01 00:00:00
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更新日期:1997-01-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305415
更新日期:2020-03-01 00:00:00
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journal_title:American journal of public health
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doi:10.2105/AJPH.2019.305379
更新日期:2020-01-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/AJPH.2007.115709
更新日期:2007-12-01 00:00:00
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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
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.9.1273
更新日期:1996-09-01 00:00:00
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
更新日期:2008-09-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.140913
更新日期:2009-03-01 00:00:00
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journal_title:American journal of public health
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更新日期:1991-06-01 00:00:00
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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
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journal_title:American journal of public health
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更新日期:2001-08-01 00:00:00
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journal_title:American journal of public health
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更新日期:2002-05-01 00:00:00
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
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更新日期:1978-10-01 00:00:00
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
更新日期:2003-02-01 00:00:00
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
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更新日期:1992-03-01 00:00:00
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
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更新日期:2006-04-01 00:00:00
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journal_title:American journal of public health
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更新日期:1995-01-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302661
更新日期:2015-09-01 00:00:00