Abstract:
OBJECTIVES:We analyzed the relationship between physician migration from developing source countries to more developed host countries (brain drain) and the developmental and global health profiles of source countries. METHODS:We used a cross-section of 141 countries that lost emigrating physicians to the 4 major destinations: the United States, Canada, Australia, and the United Kingdom. For each source country, we defined physician migration density as the number of migrant physicians per 1000 population practicing in any of the 4 major destination countries. RESULTS:Source countries with better human resources for health, more economic and developmental progress, and better health status appear to lose proportionately more physicians than the more disadvantaged countries. Higher physician migration density is associated with higher current physician (r=0.42, P< .001), nurse (r=0.27, P=.001), and public health (r=0.48, P=.001) workforce densities and more medical schools (r=0.53, P<.001). CONCLUSIONS:Policymakers should realize that physician migration is positively related to better health systems and development in source countries. In view of the "train, retain, and sustain" perspective of public health workforce policies, physician retention should become even more important to countries growing richer, whereas poorer countries must invest more in training policies.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Arah OA,Ogbu UC,Okeke CEdoi
10.2105/AJPH.2006.095844subject
Has Abstractpub_date
2008-01-01 00:00:00pages
148-54issue
1eissn
0090-0036issn
1541-0048pii
AJPH.2006.095844journal_volume
98pub_type
杂志文章abstract:OBJECTIVES:Overall and cause-specific mortality among persons with diabetes in North Dakota was estimated and compared with estimates from previous population-based studies. METHODS:Data were derived from North Dakota death certificate data, which included unique information on decedents' diabetes status and Behaviora...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.1.84
更新日期:2001-01-01 00:00:00
abstract::Data were employed from confirmed measles case reports and an immunization survey to estimate the apparent effectiveness of measles vaccine in Los Angeles County in 1976. We evaluated the age-specific proportions of our case load arising from persons erroneously thought to possess immunity. Thirty five per cent of our...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.10.1055
更新日期:1979-10-01 00:00:00
abstract::An epidemic of morbidity and mortality has swept across the United States related to the use of prescription opioids for chronic noncancer pain. More than 100,000 people have died from unintentional overdose, making this one of the worst manmade epidemics in history. Much of health care delivery in the United States i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302367
更新日期:2015-03-01 00:00:00
abstract::To assess the current extent of programs and policies to facilitate smoking cessation among employees, we queried 128 large employers in Massachusetts in mid-1978. Eighty-four (66 per cent) responded. Fifty-four (64 per cent) of the respondents had designated jobs or work areas in which smoking was prohibited usually ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.6.629
更新日期:1980-06-01 00:00:00
abstract:OBJECTIVES:This study determined infection risk for HIV, hepatitis B virus (HBV), and hepatitis C virus (HCV) from needle reuse at a phlebotomy center that possibly exposed 3810 patients to infection. METHODS:We used a model for the risk of infection per blood draw, supplemented by subsequent testing results from 1699...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.4.636
更新日期:2001-04-01 00:00:00
abstract:OBJECTIVES:We used participatory design methods to develop and test guidebooks about health care choices intended for 600 000 English-, Spanish-, and Chinese-speaking seniors and people with disabilities receiving Medicaid in California. METHODS:Design and testing processes were conducted with consumers and profession...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.155648
更新日期:2009-12-01 00:00:00
abstract::Certificates of 1,454 deaths occurring over 11 months were retrieved from the Civil Register in Valencia, Spain. Relevant medical information was systematically gathered from hospital records, questionnaires, and Coroner reports. We compared the underlying cause of death (UCD) from the original death certificate, and ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.10.1352
更新日期:1989-10-01 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::For systematic reviews to have an impact on public health, they must report outcomes that are important for decision-making. Systematic reviews of public health interventions, however, have a range of potential end users, and identifying and prioritizing the most important and relevant outcomes represents a considerab...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.306061
更新日期:2021-01-21 00:00:00
abstract::We examined refusal rates for sensitive demographic questions to determine whether questions on sexual orientation are too sensitive for routine use on public health surveys. We compared the percentage of active refusals in New Mexico for a sexual orientation question and 6 other sensitive demographic questions. In 20...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.186270
更新日期:2010-12-01 00:00:00
abstract::Public health asks of systems science, as it did of sociology 40 years ago, that it help us unravel the complexity of causal forces in our varied populations and the ecologically layered community and societal circumstances of public health practice. We seek a more evidence-based public health practice, but too much o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.066035
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVES:This study was designed to determine the prevalence of at-risk drinking using varying alcohol use criteria. METHODS:A period prevalence survey was conducted in 22 primary care practices (n = 19372 adults). RESULTS:The frequency of at-risk alcohol use varied from 7.5% (World Health Organization criteria) to...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.1.90
更新日期:1998-01-01 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
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::Many people (40 per cent) receive each year some personal health service provided by local health departments. A substantial number of poor children (50 per cent) look to public agencies including health departments for all or part of their medical care. A number of departments including those represented in this stud...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.1_suppl.15
更新日期:1981-01-01 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 examined factors associated with completing, initiating, or intending to pursue voluntary national accreditation among local health departments (LHDs). METHODS:We examined National Association of County and City Health Officials 2010 and 2013 profile data in a pooled cross-sectional design with bivariate...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302503
更新日期:2015-08-01 00:00:00
abstract:OBJECTIVES:The influx of Southeast Asians into the United States allows for the study of this special population and contributes to a broader understanding of reproductive health. METHODS:We used information on birth certificates to identify 1937 Hmong children born 1985 through 1988 in California, and we compared bir...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.10.1361
更新日期:1992-10-01 00:00:00
abstract:OBJECTIVES:A 10-month direct mail campaign was implemented to increase use of emergency medical services via 911 calls and to reduce prehospital delay for individuals experiencing acute myocardial infarction symptoms. METHODS:This prospective, randomized, controlled trial involved three intervention groups (receiving ...
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.87.10.1705
更新日期:1997-10-01 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
doi:10.2105/ajph.82.3.358
更新日期:1992-03-01 00:00:00
abstract::Workplace violence is becoming increasingly recognized as a serious problem in health care settings. All 628 workers' compensation assaults claimed by minority Los Angeles County health care workers from 1986 through 1990 were abstracted. Population-at-risk data from county personnel computer tapes provided denominato...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.7.1011
更新日期:1995-07-01 00:00:00
abstract::Affirmative action programs of all types are under attack legally and politically. Although medical schools have not been specifically targeted, their affirmative action programs, like others in higher education, are potentially in danger. This article examines the current legal status of affirmative action in medical...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.8.1256
更新日期:1999-08-01 00:00:00
abstract:OBJECTIVES:This study describes the costs and outcomes of community-based tuberculin screening programs conducted between 1987 and 1991 in Montreal, Quebec, Canada. METHODS:Follow-up information was abstracted from hospital records of all reactors detected in tuberculin screening of students in grades 6 and 10, of fir...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.6.786
更新日期:1995-06-01 00:00:00
abstract:OBJECTIVES:To describe changes in suspected heroin overdose emergency department (ED) visits. Methods. We analyzed quarterly and yearly changes in heroin overdoses during 2017-2018 by using data from 23 states and jurisdictions (including the District of Columbia) funded by the Centers for Disease Control and Preventio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305053
更新日期:2019-07-01 00:00:00
abstract::This commentary argues that 100 years after the deadly Spanish flu, the public health emergency community's responses to much more limited pandemics and outbreaks demonstrate a critical shortage of personnel and resources. Rather than relying on nonpharmaceutical interventions, such as quarantine, the United States mu...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2018.304682
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:Recent recommendations for Americans aged 2 and older call for a reduction in the average saturated fat intake to less than 10% of calories. METHODS:Using 24-hour dietary recalls collected from mothers of 4- to 7-year-old urban Latino children, we identified foods and dietary behavior patterns that distingu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.6.810
更新日期:1992-06-01 00:00:00
abstract::The emergence in 1988 of ciprofloxacin-resistant methicillin-resistant Staphylococcus aureus (MRSA) in New York City was studied in nine hospitals and eight nursing homes. Of the 43 hospitalized patients studied, 21 were admitted from home, while nine of the 12 nursing home patients were transferred from a hospital. T...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.7.810
更新日期:1990-07-01 00:00:00
abstract::After being randomly assigned to receive policy effectiveness information expressed as attributable benefit, attributable risk, or relative risk, 318 graduate students were asked to indicate their preferences for the current voluntary seat belt use policy, a mandatory seat belt policy, or mandatory passive restraints....
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.75.4.354
更新日期:1985-04-01 00:00:00
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
更新日期:2002-05-01 00:00:00
abstract:OBJECTIVES:We examined whether the distinctive components of job control-decision authority, skill discretion, and predictability-were related to subsequent acute myocardial infarction (MI) events in a large population of initially heart disease-free industrial employees. METHODS:We prospectively examined the relation...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.122382
更新日期:2008-12-01 00:00:00