Abstract:
:Compared with other developed countries, the United States has an inefficient and expensive health care system with poor outcomes and many citizens who are denied access. Inefficiency is increased by the lack of an integrated system that could promote an optimal mix of personal medical care and population health measures. We advocate a health trust system to provide core medical benefits to every American, while improving efficiency and reducing redundancy. The major innovation of this plan would be to incorporate existing private health insurance plans in a national system that rebalances health care spending between personal and population health services and directs spending to investments with the greatest long-run returns.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Chernichovsky D,Leibowitz AAdoi
10.2105/AJPH.2008.156588subject
Has Abstractpub_date
2010-02-01 00:00:00pages
205-11issue
2eissn
0090-0036issn
1541-0048pii
AJPH.2008.156588journal_volume
100pub_type
杂志文章abstract::Using claims data from 443 employee groups in North Carolina, this study examines the acute care hospital utilization rates of hospital employees and their dependents and compares them to employee groups in non-hospital settings. Results show that hospital employee groups account for 28 per cent more hospital days tha...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.9.1021
更新日期:1981-09-01 00:00:00
abstract::National rates of unintended births are a major public health concern. The availability of highly effective long-acting contraceptives has prompted some public officials to promote the coercive use of these methods to reduce such problems as intergenerational poverty and child abuse. Broad-brush public policies that r...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.86.6.787
更新日期:1996-06-01 00:00:00
abstract:OBJECTIVES:This study examined the relationships between wealth and income and selected racial and ethnic differences in health. METHODS:Cross-sectional data on a national sample of 9744 men and women aged 51 through 61 from the 1992 Health and Retirement Survey were analyzed to examine the association between socioec...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.5.805
更新日期:1997-05-01 00:00:00
abstract::Three hundred seventy-two (63%) of 590 enrollees in nine smoking cessation workshops held over a five-year period responded to a follow-up survey. Outcome data were collected retrospectively for six-month intervals from workshop to follow-up. Forty nine per cent of all enrollees graduated, and 56% of the respondents q...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.7.725
更新日期:1980-07-01 00:00:00
abstract::We studied the effect of legislation requiring deposits for beverage containers on the incidence of lacerations in urban children. Records of emergency room visits for lacerations and fractures were reviewed for three years pre-legislation (1980-82) and the immediate post-legislation period (1983). The incidence of to...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.10.1243
更新日期:1986-10-01 00:00:00
abstract:OBJECTIVES:This study investigated the effect of moderate prenatal alcohol exposure on psychomotor development of preschool-age children in a longitudinal study. METHODS:Pregnant women were interviewed about their alcohol consumption at their first visit to the maternity hospital in Roubaix, France. Alcohol consumptio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.12.1654
更新日期:1995-12-01 00:00:00
abstract:OBJECTIVES:We estimated the number of deaths attributable to secondhand smoke (SHS), years of potential life lost (YPLL), and value of lost productivity for different US racial/ethnic groups in 2006. METHODS:We determined the number of SHS-related deaths among nonsmokers from 2 adult and 4 infant conditions using an e...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300805
更新日期:2012-11-01 00:00:00
abstract::Because there has been a recent trend toward delay of childbearing in the United States, women in the birth cohort of 1945-49 will have an estimated 5 per cent greater incidence of breast cancer, and those in the cohort of 1950-54 an estimated 9 per cent greater incidence compared with the cohort of 1935-39, which had...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.4.495
更新日期:1987-04-01 00:00:00
abstract::Small, immigrant-owned businesses, such as auto repair shops and nail salons, often face barriers to environmental and occupational health compliance and may be a source of neighborhood pollution complaints. The Boston Public Health Commission established the Safe Shops Project to improve safety and environmental prac...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.176511
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVES:To examine trends and socioeconomic disparities for preventable dental-related emergency department (ED) visits in Nevada. METHODS:We pooled retrospective data containing 66 267 ED visits involving dental conditions from Nevada hospital ED databases from 2009 to 2015. The dependent variable was nontraumatic...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.304242
更新日期:2018-03-01 00:00:00
abstract::Between December 2009 and January 2010, we conducted a nationally representative telephone survey of US adults (n = 1001; completion rate = 52.9%) to explore perceptions of risks associated with peak petroleum. We asked respondents to assess the likelihood that oil prices would triple over the next 5 years and then to...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300230
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVES:We investigated how persons from key populations at higher risk of HIV exposure interpreted the process and outcomes of the Step Study HIV-1 vaccine trial, which was terminated early, and implications for willingness to participate in and community support for HIV vaccine research. METHODS:We used qualitati...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300208
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVES:This study characterized changes in sexual and reproductive behaviors from 1985 through 1995 among American females aged 15 to 19 years and related these changes to family factors. METHODS:Nationally representative sample survey data from the 1995 National Survey of Family Growth were analyzed with Weibull ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.9.1421
更新日期:2000-09-01 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::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:BACKGROUND:Little population-based information is available on the use of chiropractic services. METHODS:We analyzed data from the RAND Health Insurance Experiment (HIE), a community-based study of the use of health services. Insurance claim forms for all fee-for-service patients who completed the study were examined ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.4.439
更新日期:1991-04-01 00:00:00
abstract:BACKGROUND:Brazil is the world's fifth largest and sixth most populous nation. Its economy is varied, with strong manufacturing, agriculture, mining, and service sectors. Therefore, a wide variety of workplace hazards confronts its work force. This paper describes Brazil's occupational safety and health regulatory sche...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.12.1619
更新日期:1991-12-01 00:00:00
abstract::The globalization of public health is both real and relevant throughout the United States and to Americans traveling or residing abroad. US public policy responses are evolving, but a crisper and more comprehensive global perspective is needed. I suggest four timely US actions to address today's competing realities o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300644
更新日期:2012-06-01 00:00:00
abstract::This article examines the role of Black American nurses during the 1918-1919 influenza pandemic and the aftermath of World War I. The pandemic caused at least 50 million deaths worldwide and 675 000 in the United States. It occurred during a period of pervasive segregation and racial violence, in which Black Americans...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2019.305003
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Drug overdose is an important, yet an inadequately understood, public health problem. Global attention to unintentional drug overdose has been limited by comparison with the scope of the problem. There has been a substantial increase in drug overdose incidence and prevalence in several countries worldwide ov...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2015.302843
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVES:Our study tested the effectiveness of network methods for identifying opinion leaders and for constructing groups. METHODS:Three conditions-random, teacher, and network--ere randomly assigned to 84 6th-grade classrooms within 16 schools. Pre- and postcurriculum data on mediators of tobacco use were collecte...
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.93.11.1837
更新日期:2003-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.suppl.36
更新日期:1990-12-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300131
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVES:We analyzed smoking survey data across communities in Chicago, Ill, to explore community-level variations in smoking behavior. METHODS:We conducted a health survey of 6 racially and ethnically diverse Chicago communities during 2002-2003. The survey included questions about current smoking, smoking history,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.051169
更新日期:2005-06-01 00:00:00
abstract:OBJECTIVES:We assessed the structure and functions of state health departments throughout the United States and compared our findings with those from a previous national assessment conducted in 1990. METHODS:In 2001, we sent a survey to the state health officers of all 50 states. The survey asked about the structure a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.053439
更新日期:2006-01-01 00:00:00
abstract::Information regarding all patient and staff exposures to varicella-zoster virus (VZV) was prospectively accumulated from 1/1/86 to 12/31/86 at North Carolina Memorial Hospital. During this period of time 37 sources of exposure to VZV were reported: 10 outside and 27 within the hospital. Index cases for nosocomial expo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.1.19
更新日期:1988-01-01 00:00:00
abstract:OBJECTIVES:We examined how Hispanic parents' income and education, combined with their nativity status, influenced the body mass index (BMI) of their children, compared with non-Hispanic White children and their parents. METHODS:We used data from the Early Childhood Longitudinal Study, Kindergarten Class of 1998-99 to...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.116103
更新日期:2009-12-01 00:00:00
abstract::The health risks from low-dose sparsely ionizing (low-LET) radiation have been the subject of continued debate. At present, quantitative estimates of risk are extremely uncertain due to the controversy surrounding both the dosimetry for A-bomb survivor data and the choice of mathematical models for extrapolating risk ...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.72.6.585
更新日期:1982-06-01 00:00:00
abstract::In suicidal behavior emergency room admissions of 13- to 17-year olds at the Brockton Hospital (Massachusetts), females predominated over males by almost two to one. For subclassification of life-threatening behaviors, frequency was about the same for males and females, but for suicide attempts and suicide gestures, f...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.1.90
更新日期:1985-01-01 00:00:00
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
更新日期:2001-08-01 00:00:00