Abstract:
:We investigated changes in community-based agencies following the implementation of the Medicare prospective payment system for hospitals utilizing DRGs (diagnosis-related groups). Data were collected in 1986 and 1987 from 771 community service providers. There were five major findings: 1) hospital discharge planners, nursing homes, and home health agencies experienced DRG effects before other types of community providers studies; 2) the "reach" of DRG impact is widespread; 3) providers report a change in clientele toward a heavier-care client; 4) the impact of DRGs affects the types of services agencies provide; and 5) community providers have experienced a decrease in their ability to refer their clients both to hospitals and to each other.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Wood JB,Estes CLdoi
10.2105/ajph.80.7.840subject
Has Abstractpub_date
1990-07-01 00:00:00pages
840-3issue
7eissn
0090-0036issn
1541-0048journal_volume
80pub_type
杂志文章abstract:OBJECTIVES:This study investigated douching and reduced fertility. METHODS:The monthly probability of conception for douchers and nondouchers was compared in a sample of 840 married, parous women in King County, Washington. Data on the number of months required to conceive were analyzed. RESULTS:In comparison with no...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.6.844
更新日期:1996-06-01 00:00:00
abstract:OBJECTIVES:I examined how sexual minority status, as indicated by sex of sexual partners, is associated with self-rated health and how socioeconomic status suppresses and age and sex moderate this association. METHODS:I used multinomial logistic regression to analyze aggregated data from the 1991 to 2010 General Socia...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301040
更新日期:2013-05-01 00:00:00
abstract::Epidemiologists have expressed concern about constraints upon the conduct of epidemiological research imposed by Institutional Review Boards (IRBs), attorneys, and both institutional and individual health services providers. The epidemiologists assert that these constraints, not necessarily required by law or sound po...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.10.1155
更新日期:1982-10-01 00:00:00
abstract::The results of 2 large field studies on the impact of the polio eradication initiative on health systems and 3 supplementary reports were presented at a December 1999 meeting convened by the World Health Organization. All of these studies concluded that positive synergies exist between polio eradication and health sys...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.1.19
更新日期:2002-01-01 00:00:00
abstract::Although the public health impact of direct-to-consumer (DTC) pharmaceutical advertising remains a subject of great controversy, such promotion is typically understood as a recent phenomenon permitted only by changes in federal regulation of print and broadcast advertising over the past two decades. But today's omnipr...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2009.181255
更新日期:2010-05-01 00:00:00
abstract:OBJECTIVES:To report on indicators of the National HIV/AIDS Strategy, we analyzed data collected through the national HIV surveillance system. METHODS:We analyzed data from adults and adolescents aged 13 years or older diagnosed with HIV in 13 US jurisdictions that have laboratory reporting of CD4+ T-lymphocyte (CD4) ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300859
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to elucidate changes in attitudes, experiences, readiness, and confidence levels of medical residents to perform screening, brief intervention, and referral to treatment (SBIRT) and factors that moderate these changes. METHODS:A cohort of 121 medical residents received an educa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300802
更新日期:2012-08-01 00:00:00
abstract:OBJECTIVES:To deploy a methodology accurately identifying tweets marketing the illegal online sale of controlled substances. METHODS:We first collected tweets from the Twitter public application program interface stream filtered for prescription opioid keywords. We then used unsupervised machine learning (specifically...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303994
更新日期:2017-12-01 00:00:00
abstract::In 1984, we investigated the impact of a parental notification statue with judicial bypass procedures in Minnesota. Subjects were interviewed on the day of their abortion at four Minnesota and two Wisconsin clinics. Relatively few were aware of the statute in Minnesota. Parental notification rates were similar in Minn...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.5.619
更新日期:1987-05-01 00:00:00
abstract:OBJECTIVES:This study examined the correlates of clinical gallbladder disease among US adults and whether serum ascorbic acid levels are associated with a decreased prevalence of gallbladder disease. METHODS:Cross-sectional analyses of data from the Second National Health and Nutrition Examination Survey were conducte...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.8.1208
更新日期:1998-08-01 00:00:00
abstract::This paper presents data from an experimental project which distributed oral contraceptives, foam, and condoms to households in three rural areas of Haiti between January 1978 and March 1980. The contraceptive distribution had little apparent impact on traditional, prolonged breastfeeding patterns, and the percentage ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.8.835
更新日期:1982-08-01 00:00:00
abstract::Rates of neonatal abstinence syndrome (NAS) have increased fivefold in the past decade. To address this expanding and complex issue, state public health agencies have addressed the opioid crisis affecting newborns in diverse ways, leading to a variety of methods to quantify the burden of NAS.In an effort to understand...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2019.305170
更新日期:2019-09-01 00:00:00
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 s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.5.583
更新日期:1988-05-01 00:00:00
abstract:OBJECTIVES:We described 27-year secular trends in added-sugar intake and body mass index (BMI) among Americans aged 25 to 74 years. METHODS:The Minnesota Heart Survey (1980-1982 to 2007-2009) is a surveillance study of cardiovascular risk factors among residents of the Minneapolis-St Paul area. We used generalized lin...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300562
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVES:We explored whether excesses in influenza severity can be detected by combining respiratory syndromic hospital and mortality data with data on influenza-like illness (ILI) cases obtained from general practitioners. METHODS:To identify excesses in the severity of influenza infections in the population of the...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.168245
更新日期:2010-11-01 00:00:00
abstract::In 1981, outbreaks of itchy skin rashes were reported accompanying the heavy infestation of gypsy moths (GM) in the Northeastern United States. The rash problem was widespread and a considerable public annoyance. In the spring of 1982, during the period of greatest contact with the caterpillars, a telephone survey was...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.8.799
更新日期:1984-08-01 00:00:00
abstract:OBJECTIVES:This analysis describes trends in the prevalence of genital chlamydial infection in economically disadvantaged young women entering a national job training program. METHODS:We examined chlamydia test data for May 1990 through June 1997 for women aged 16 to 24 years who enrolled in the program. The significa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.8.1287
更新日期:2001-08-01 00:00:00
abstract::A randomly selected sample of physicians in three large cities was asked to read one of four vignettes describing a patient. They then completed a set of objective attitude measures eliciting their reactions to the patient described in the vignette. The vignettes were identical except that the patient's illness was id...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.7.789
更新日期:1987-07-01 00:00:00
abstract:OBJECTIVES:We sought to identify individual and contextual predictors of adolescent smoking initiation and progression to daily smoking by race/ethnicity. METHODS:We used data from the National Longitudinal Study of Adolescent Health to estimate the effects of individual (adolescent, family, peer) and contextual (scho...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.1.128
更新日期:2004-01-01 00:00:00
abstract::In 2004, the US Preventive Services Task Force called for an end to scoliosis screening in US public schools. However, screening endures, although most nations have ended their screening programs. Why? Explanations range from America's unique fee-for-service health care system and its encouragement of high-cost medica...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2011.300531
更新日期:2012-04-01 00:00:00
abstract::Mercury is a growing environmental threat that can cause serious health problems and birth defects. Household thermometers are high-risk sources of mercury because most people lack the knowledge to properly dispose of one when it is broken. The Boston Public Health Commission's Environmental Health Office, with local ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.12.1997
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVES:We identified factors associated with inpatient hospitalizations among a population-based cohort of homeless adults in Toronto, Ontario. METHODS:We recruited participants from shelters and meal programs. We then linked them to administrative databases to capture hospital admissions during the study (2005-20...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301646
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVES:We assessed the effectiveness of an intervention targeting home food and activity environments to reduce energy intake and increase physical activity among overweight and obese patients from 3 community health centers in rural Georgia. METHODS:We conducted a randomized controlled trial (n = 349) from 2011 t...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2015.302942
更新日期:2016-01-01 00:00:00
abstract::This study is the first to provide complete information on prevalence rates by gender and geographic variation for each type of tobacco product used in the United States. Results indicate that, in nearly half of all states, total tobacco use in men exceeded 40% and, in four states, exceeded 50%. In women, only Nevada,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.1.103
更新日期:1992-01-01 00:00:00
abstract::A questionnaire survey of the 127 US medical schools was undertaken to assess the present status of occupational health teaching as a follow-up to two prior similar studies. The present study revealed that 78 (68%) of the 115 responding schools specifically taught occupational health during the 1991/92 academic year, ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.5.846
更新日期:1994-05-01 00:00:00
abstract::A representative sample of women living in metropolitan Los Angeles were asked what they heard and what they believed about mammography and whether they would obtain a mammogram if their doctor advised it. Forty percent of these women said they had not heard of mammography even after the procedure was described. Few o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.11.1172
更新日期:1979-11-01 00:00:00
abstract::Systematic reviews have the potential to promote knowledge exchange between researchers and decision-makers. Review planning requires engagement with evidence users to ensure preparation of relevant reviews, and well-conducted reviews should provide accessible and reliable synthesis to support decision-making. Yet, sy...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301400
更新日期:2013-08-01 00:00:00
abstract::To assess the effectiveness of physician prescribed exercise, health education, and patient self-monitoring, 124 firefighters were medically screened and randomly allocated to a control and two treatment groups. Physiologic and reporting methods were employed to assess adherence to regular exercise at three months and...
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.69.6.591
更新日期:1979-06-01 00:00:00
abstract::Viva la Vida (Live Your Life) is a call to action for older Latinos to take charge of their diabetes and live life to the fullest. Lumetra, California's federally designated Medicare quality improvement organization, developed the Viva la Vida project to improve diabetes care among Latino Medicare beneficiaries in 4 S...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.106062
更新日期:2008-02-01 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