Abstract：
:This study of 3,318 outpatient visits evaluated the influence of the physician-assessed level of patient motivation on the level of physician involvement in follow-up care. Data collected included patient demographics, health risk factors, physician-assessed level of patient motivation, and the disposition for follow-up care (return office visit or self-care). Physicians more frequently scheduled patients for a return office visit, regardless of assessed level of patient motivation, when they presented with a traditional biomedical problem. Patients with health promotion-disease prevention problems were more frequently relegated to self-care; patients physicians judged to be poorly motivated were four times as likely to be relegated to self-care. We discuss the implications of physician overuse of self-care strategies on the health status of poorly motivated patients. Factors influencing such physician behavior may include prior unrewarding experiences with poorly motivated patients, perceived lack of skill in affecting behavior change, time constraints, lack of reimbursement for preventive care services, and the actual process of physician education and professional socialization.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
McArtor RE,Iverson DC,Benken DE,Gilchrist VJ,Dennis LK,Broome RAsubject
Has Abstractpub_date
1992-05-01 00:00:00pages
147-9issue
3eissn
0749-3797issn
1873-2607journal_volume
8pub_type
杂志文章abstract：BACKGROUND:Sedentary behavior is associated with adiposity and cardiometabolic risk. PURPOSE:To determine the associations between sedentary behavior and measures of adiposity-associated inflammation. METHODS:Between 2002 and 2005, a total of 1543 Multi-Ethnic Study of Atherosclerosis participants completed detailed ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2011.09.023
更新日期：2012-01-01 00:00:00
abstract：BACKGROUND:Preparing for natural disasters has historically focused on treatment for acute injuries, environmental exposures, and infectious diseases. Many disaster survivors also have existing chronic illness, which may be worsened by post-disaster conditions. The relationship between actual medication demands and med...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2007.04.030
更新日期：2007-09-01 00:00:00
abstract：BACKGROUND:Recently, suicide exceeded motor vehicle crashes as the leading cause of injury death in the U.S. However, details of this change in suicide methods and the relationship to individual demographics, such as age and societal influences, have not been reported. PURPOSE:To determine the characteristics of the c...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2012.10.010
更新日期：2013-02-01 00:00:00
abstract：BACKGROUND:This study describes opportunistic smoking-cessation counseling and compares strategies used in general practice to experts' recommendations. METHODS:In this observational study we analysed 157 videotaped consultations with self-reported smokers, visiting 70 Australian general practitioners (GPs) who were r...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(97)00010-x
更新日期：1998-01-01 00:00:00
abstract：BACKGROUND:International debates are occurring about the effectiveness of minimum legal drinking age laws. Most minimum legal drinking age evaluation studies have focused on motor vehicle collision outcomes, but this literature is primarily based on naturalistic experiments involving legislation changes in the U.S. in ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2014.08.012
更新日期：2014-12-01 00:00:00
abstract：INTRODUCTION:To provide up-to-date substance use surveillance data among U.S. military veterans versus nonveterans, this study assesses current use of tobacco products, alcohol, marijuana, prescription pain relievers, tranquilizers, sedatives, stimulants, cocaine, heroin, methamphetamines, inhalants, and hallucinogens....
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2020.04.027
更新日期：2020-11-01 00:00:00
abstract：:To decrease adolescent morbidity and mortality and improve the quality of life, a violence-prevention consultation is offered to hospitalized victims of nondomestic violence. The context is a violence-prevention team approach to patient assessment, treatment, and follow-up. Psychoeducational counseling emphasizes the ...
journal_title：American journal of preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1996-09-01 00:00:00
abstract：CONTEXT:Concern over liability is a barrier to allowing community use of school property for the purpose of engaging in active sport and recreational activities. Recreational user statutes have the potential to limit liability for public schools when use occurs outside of regular school hours, reduce the fear of liabil...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.amepre.2010.02.019
更新日期：2010-07-01 00:00:00
abstract：:Suicide is a leading cause of death in the U.S. As both the rate and number of suicides continue to climb, the country struggles with how to reverse this alarming trend. Using population-based data from publically available sources including the Web-based Injury Statistics Query and Reporting System, National Survey o...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2014.05.024
更新日期：2014-09-01 00:00:00
abstract：OBJECTIVE:To conduct a systematic review of randomized controlled trials of smoking prevention interventions for youth delivered via medical or dental providers' offices. METHODS:Online bibliographic databases were searched as of July 2002, and reference lists from review articles and the selected articles were also r...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/s0749-3797(03)00214-9
更新日期：2003-11-01 00:00:00
abstract：BACKGROUND:Financially disadvantaged populations are more likely to live in communities that do not support healthy choices. This paper investigates whether certain characteristics of the built environment are associated with obesity or coronary heart disease (CHD) risk among uninsured low-income women. METHODS:Using ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2005.12.001
更新日期：2006-04-01 00:00:00
abstract：BACKGROUND:Few population-based studies have assessed the physical and mental health consequences of both psychological and physical intimate partner violence (IPV) among women or men victims. This study estimated IPV prevalence by type (physical, sexual, and psychological) and associated physical and mental health con...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(02)00514-7
更新日期：2002-11-01 00:00:00
abstract：:Rising obesity rates in the U.S. over the past several decades, particularly among children and adolescents, led to an increased focus on research addressing obesity prevention and public- and private-sector initiatives on healthy eating and physical activity. Groups conducting prevention initiatives recognized that t...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2017.12.001
更新日期：2018-03-01 00:00:00
abstract：BACKGROUND:Approximately 1% of U.S. women may have an undiagnosed bleeding disorder, which can diminish quality of life and lead to life-threatening complications during menstruation, childbirth, and surgery. PURPOSE:To understand young women's knowledge, attitudes, and perceptions about bleeding disorders and determi...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2014.07.040
更新日期：2014-11-01 00:00:00
abstract：INTRODUCTION:Leading professional organizations recommend cervical cancer screening for average-risk women aged 21-65 years. For average-risk women aged >65 years, routine screening may be discontinued if "adequate" screening with negative results is documented. Screening is recommended after age 65 years for women who...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2017.02.024
更新日期：2017-09-01 00:00:00
abstract：INTRODUCTION:Sickle cell disease (SCD) research is hampered by disparities in participation due in part to mistrust of research among racial/ethnic minorities. Beyond the historic context of research misconduct, little is known about the associations of social ecologic factors with mistrust and of mistrust with SCD cli...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2016.01.024
更新日期：2016-07-01 00:00:00
abstract：:The development of work on direct protective factors for youth violence has been delayed by conceptual and methodologic problems that have constrained the design, execution, and interpretation of prevention research. These problems are described in detail and actively addressed in review and analytic papers developed ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2012.04.019
更新日期：2012-08-01 00:00:00
abstract：BACKGROUND:Intimate partner violence (IPV) has been shown to have serious health consequences for both women and men, including poor general health, depressive symptoms, substance use, and elevated rates of chronic disease. Aside from crime surveys, there have been no large-scale IPV prevalence studies since the 1996 N...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2007.10.001
更新日期：2008-02-01 00:00:00
abstract：:In this article, we will provide an overview of the effects of witnessing violence on children and adolescents, discuss the importance of health clinicians inquiring about violence in the lives of children, and discuss the role of the clinician in educating parents about children's responses to violence. In addition, ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2005.08.023
更新日期：2005-12-01 00:00:00
abstract：BACKGROUND:Although adults with developmental disabilities are at high risk for obesity and its sequelae, few community-based lifestyle interventions targeting those with developmental disabilities exist. DESIGN:The study was a single group, community-based demonstration project with pre-post test evaluation conducted...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2009.08.005
更新日期：2009-12-01 00:00:00
abstract：CONTEXT:Stair climbing is an accessible activity that can be incorporated into one's daily lifestyle to increase physical activity levels and provide health benefits. This review summarizes the effectiveness of stair interventions and explores key differences that may influence intervention effectiveness. EVIDENCE ACQ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.amepre.2016.08.014
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:Weight-related problems, including obesity, eating disorders, and disordered eating, are major public health problems in adolescents. The identification of shared risk and protective factors for these problems can guide the development of relevant interventions to a broad spectrum of weight-related problems....
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2007.07.031
更新日期：2007-11-01 00:00:00
abstract：INTRODUCTION:The rapid increase in electronic cigarette (e-cigarette) smoking among U.S. youth requires data regarding the age pattern of initiation risk for effective tobacco use prevention. METHODS:Data from the 2014 National Youth Tobacco Survey (N=20,680, aged 11-19 years, 50.6% male) were analyzed using survival ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2017.02.011
更新日期：2017-09-01 00:00:00
abstract：OBJECTIVE:To review eHealth intervention studies for adults and children that targeted behavior change for physical activity, healthy eating, or both behaviors. DATA SOURCES:Systematic literature searches were performed using five databases: MEDLINE, PsychInfo, CINAHL, ERIC, and the Cochrane Library to retrieve articl...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.amepre.2007.05.007
更新日期：2007-10-01 00:00:00
abstract：OBJECTIVE:Recently, end-of-life (EOL) issues have captured the attention of the public health community. This study reports a project to help state health departments better understand their potential role in addressing EOL issues and develop initial priorities for EOL activities. METHODS:The project involved two stud...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2005.08.014
更新日期：2005-12-01 00:00:00
abstract：INTRODUCTION:Geographic and racial/ethnic variability in prostate cancer incidence rates and stage distribution may be partly attributed to differences in screening and early detection. METHODS:Using California Cancer Registry data we aimed to characterize variability in prostate cancer rates statewide and to examine ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(97)00014-7
更新日期：1998-02-01 00:00:00
abstract：:Factor analysis, combined with an evaluation of item difficulty and discrimination, can provide useful insights in questionnaire development. In 1993, as part of a study to develop a questionnaire to assess performance of the core functions of public health at a community level, 370 local health departments (LHDs) in ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1995-11-01 00:00:00
abstract：:Calls for more public health education for medical students date back at least 150 years. In recent years, medical schools have increased their required coursework in core public health topics such as epidemiology, biostatistics, and behavioral determinants of health. Some schools have created more in-depth alternativ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2011.06.020
更新日期：2011-10-01 00:00:00
abstract：BACKGROUND:The Council of State and Territorial Epidemiologists (CSTE) implemented the Applied Epidemiology Fellowship (AEF) in 2003 to train public health professionals in applied epidemiology and strengthen applied epidemiology capacity within public health institutions to address the identified challenges. The CSTE ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2014.07.022
更新日期：2014-11-01 00:00:00
abstract：BACKGROUND:Convincing pregnant women who smoke to give up this behavior is one of the few universally agreed upon methods for improving pregnancy outcomes. An exploratory study was conducted to determine what public and quasi-public facilities serving pregnant women were doing to assist pregnant smokers in quitting, th...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(03)00117-x
更新日期：2003-08-01 00:00:00
