The impact of DRGs on community-based service providers: implications for the elderly.

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 Health

authors

Wood JB,Estes CL

doi

10.2105/ajph.80.7.840

subject

Has Abstract

pub_date

1990-07-01 00:00:00

pages

840-3

issue

7

eissn

0090-0036

issn

1541-0048

journal_volume

80

pub_type

杂志文章
  • Vaginal douching and reduced fertility.

    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

    authors: Baird DD,Weinberg CR,Voigt LF,Daling JR

    更新日期:1996-06-01 00:00:00

  • Sexual minority status and self-rated health: the importance of socioeconomic status, age, and sex.

    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

    authors: Thomeer MB

    更新日期:2013-05-01 00:00:00

  • Putting the lamentations of epidemiologists in perspective.

    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

    authors: Hershey N

    更新日期:1982-10-01 00:00:00

  • Impact of targeted programs on health systems: a case study of the polio eradication initiative.

    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

    authors: Loevinsohn B,Aylward B,Steinglass R,Ogden E,Goodman T,Melgaard B

    更新日期:2002-01-01 00:00:00

  • Hidden in plain sight marketing prescription drugs to consumers in the twentieth century.

    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

    authors: Greene JA,Herzberg D

    更新日期:2010-05-01 00:00:00

  • Using the HIV surveillance system to monitor the National HIV/AIDS Strategy.

    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

    authors: Mahle Gray K,Tang T,Shouse L,Li J,Mermin J,Hall HI

    更新日期:2013-01-01 00:00:00

  • Screening, brief intervention, and referral to treatment: public health training for primary care.

    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

    authors: Marshall VJ,McLaurin-Jones TL,Kalu N,Kwagyan J,Scott DM,Cain G,Greene W,Adenuga B,Taylor RE

    更新日期:2012-08-01 00:00:00

  • Twitter-Based Detection of Illegal Online Sale of Prescription Opioid.

    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

    authors: Mackey TK,Kalyanam J,Katsuki T,Lanckriet G

    更新日期:2017-12-01 00:00:00

  • The impact of a parental notification law on adolescent abortion decision-making.

    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

    authors: Blum RW,Resnick MD,Stark TA

    更新日期:1987-05-01 00:00:00

  • Serum ascorbic acid and other correlates of gallbladder disease among US adults.

    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

    authors: Simon JA,Hudes ES

    更新日期:1998-08-01 00:00:00

  • The impact on breastfeeding and pregnancy status of household contraceptive distribution in rural Haiti.

    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

    authors: Bordes A,Allman J,Verly A

    更新日期:1982-08-01 00:00:00

  • Standardization of State Definitions for Neonatal Abstinence Syndrome Surveillance and the Opioid Crisis.

    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

    authors: Chiang KV,Okoroh EM,Kasehagen LJ,Garcia-Saavedra LF,Ko JY

    更新日期:2019-09-01 00:00:00

  • Toward justice in health care.

    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

    authors: Bayer R,Callahan D,Caplan AL,Jennings B

    更新日期:1988-05-01 00:00:00

  • Consistency between increasing trends in added-sugar intake and body mass index among adults: the Minnesota Heart Survey, 1980-1982 to 2007-2009.

    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

    authors: Wang H,Steffen LM,Zhou X,Harnack L,Luepker RV

    更新日期:2013-03-01 00:00:00

  • Detection of excess influenza severity: associating respiratory hospitalization and mortality data with reports of influenza-like illness by primary care physicians.

    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

    authors: van den Wijngaard CC,van Asten L,Meijer A,van Pelt W,Nagelkerke NJ,Donker GA,van der Sande MA,Koopmans MP

    更新日期:2010-11-01 00:00:00

  • An epidemiologic study of gypsy moth rash.

    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

    authors: Tuthill RW,Canada AT,Wilcock K,Etkind PH,O'Dell TM,Shama SK

    更新日期:1984-08-01 00:00:00

  • Prevalence of genital chlamydial infection in young women entering a national job training program, 1990-1997.

    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

    authors: Mertz KJ,Ransom RL,St Louis ME,Groseclose SL,Hadgu A,Levine WC,Hayman C

    更新日期:2001-08-01 00:00:00

  • Stigmatization of AIDS patients by physicians.

    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

    authors: Kelly JA,St Lawrence JS,Smith S Jr,Hood HV,Cook DJ

    更新日期:1987-07-01 00:00:00

  • Racial/ethnic differences in cigarette smoking initiation and progression to daily smoking: a multilevel analysis.

    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

    authors: Kandel DB,Kiros GE,Schaffran C,Hu MC

    更新日期:2004-01-01 00:00:00

  • A dangerous curve: the role of history in America's scoliosis screening programs.

    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

    authors: Linker B

    更新日期:2012-04-01 00:00:00

  • Protecting the public from mercury exposure: success through microexchange events.

    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

    authors: Shoemaker PA,Ghaemghami J

    更新日期:2003-12-01 00:00:00

  • Predictors of medical or surgical and psychiatric hospitalizations among a population-based cohort of homeless adults.

    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

    authors: Chambers C,Katic M,Chiu S,Redelmeier DA,Levinson W,Kiss A,Hwang SW

    更新日期:2013-12-01 00:00:00

  • Impact of Improving Home Environments on Energy Intake and Physical Activity: A Randomized Controlled Trial.

    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

    authors: Kegler MC,Haardörfer R,Alcantara IC,Gazmararian JA,Veluswamy JK,Hodge TL,Addison AR,Hotz JA

    更新日期:2016-01-01 00:00:00

  • Geographic and gender variations in total tobacco use.

    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

    authors: Shopland DR,Niemcryk SJ,Marconi KM

    更新日期:1992-01-01 00:00:00

  • The teaching of occupational health in US medical schools: little improvement in 9 years.

    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

    authors: Burstein JM,Levy BS

    更新日期:1994-05-01 00:00:00

  • Awareness, opinion and behavioral intention of urban women regarding mammography.

    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

    authors: Berkanovic E,Reeder SJ

    更新日期:1979-11-01 00:00:00

  • Improving utility of evidence synthesis for healthy public policy: the three Rs (relevance, rigor, and readability [and resources]).

    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

    authors: Thomson H

    更新日期:2013-08-01 00:00:00

  • Exercise prescription: a clinical trial.

    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

    authors: Reid EL,Morgan RW

    更新日期:1979-06-01 00:00:00

  • Viva la Vida: helping Latino Medicare beneficiaries with diabetes live their lives to the fullest.

    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

    authors: Olson R,Sabogal F,Perez A

    更新日期:2008-02-01 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