Abstract:
:Historically, quality assurance studies have received scant ethical attention. The advent of information systems capable of supporting research-grade continuous quality improvement projects demands that we clearly define how these projects differ from research and when they require external review. The ethical obligation for the performance of quality assurance projects, with its emphasis on identifiable immediate action for a served population, is a critical distinction. The obligation to perform continuous quality improvement is a deliverable of the social contract entered into implicitly by patients and health care providers and systems. In this article, the authors review the ethical framework that requires these studies, evaluate the differences between quality assurance studies and classic research, and propose criteria for requiring external review.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Bellin E,Dubler NNdoi
10.2105/ajph.91.9.1512subject
Has Abstractpub_date
2001-09-01 00:00:00pages
1512-7issue
9eissn
0090-0036issn
1541-0048journal_volume
91pub_type
杂志文章,评审abstract:OBJECTIVES:To develop a smoking indicator that combines the popularity and duration of smoking and the quantity and quality of consumed cigarettes, factors that vary dramatically over time and across generations. METHODS:We used retrospective reports on smoking behavior and a time series of cigarette tar yields to sta...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303130
更新日期:2016-07-01 00:00:00
abstract::Objectives. To evaluate how lowering the blood lead level (BLL) intervention threshold affects childhood lead testing policy.Methods. We geocoded 4.19 million Illinois lead testing records (2001-2016) and linked to 2.37 million birth records (2001-2014), data on housing age, industrial emissions, and roads. We used mu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305566
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVES:We performed a case-control study to determine if participants with herpes zoster had fewer contacts with persons with varicella or zoster, and with young children, to explore the hypothesis that exposure to persons with varicella zoster virus (VZV) results in "immune boosting." METHODS:Participants were pa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.160002
更新日期:2010-06-01 00:00:00
abstract::The relationship of physical activity to the development of definite coronary heart disease was examined separately in middle-aged (45-64 years) and elderly men (65-69 years) participating in the Honolulu Heart Program. After 12 years of follow-up, results indicate that increased levels of physical activity reported a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.6.683
更新日期:1988-06-01 00:00:00
abstract:OBJECTIVES:To evaluate how met need for accessibility and availability of primary care among nonelderly individuals in Georgia will be affected by the Patient Protection and Affordable Care Act (ACA) over the next 10 years. METHODS:We used a stock-and-flow model to predict the number of available visits from 2013 to 2...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303222
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:Studies of adolescent smoking suggest that the causes of smoking initiation may differ for Blacks and Whites. METHODS:Correlates of smoking initiation were examined among 1,277 nonsmokers, ages 12-14, who completed questionnaires in their homes. The analyses examined relationships between smoking initiation...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.7.854
更新日期:1991-07-01 00:00:00
abstract::We review the current status as well as the risks and benefits of a recently developed DNA test of risk for Alzheimer's disease: the apolipoprotein E genotype. While apolipoprotein E genotypes may indicate a degree of susceptibility, the gene is neither necessary nor sufficient to cause the disease; thus, many questio...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.85.9.1280
更新日期:1995-09-01 00:00:00
abstract:OBJECTIVES:The World Health Organization's Regional Office for Europe has undertaken a large study to evaluate housing and health in 7 European cities. METHODS:Survey tools were used to obtain information about housing and living conditions, health perception, and health status from a representative sample of the popu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.9.1559
更新日期:2003-09-01 00:00:00
abstract::Current theoretical approaches to bioethics and public health ethics propose varied justifications as the basis for health care and public health, yet none captures a fundamental reality: people seek good health and the ability to pursue it. Existing models do not effectively address these twin goals. The approach I e...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.143651
更新日期:2010-01-01 00:00:00
abstract::We describe the behavioral characteristics and sexually transmitted disease (STD) prevalence of Chinese men who have sex with men (MSM) (n = 41) from a national probability sample of men (n = 1861). Most MSM were partnered with females (97%) and had a low rate of consistent condom use (7%). More MSM than heterosexual ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.150037
更新日期:2009-11-01 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::Objectives. To examine relationships among actionable drivers and facilitators of stigma and nurses' intentions to provide the standard of maternal care recommended by the Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) for incarcerated women.Methods. We conducted a Web-based survey of perinatal...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305408
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVES:The objective of this study was to partition the change in US life expectancy into those major causes of death and age groups that contributed most to the decline in life expectancy for Black males and females and to the increase in life expectancy for White males and females in the period from 1984 through ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.6.938
更新日期:1994-06-01 00:00:00
abstract:OBJECTIVES:We quantified the relationship between gonorrheal infection rates in California and a measure of poverty status and investigated how this relationship and the spatial dispersion of cases varied among the 4 dominant racial/ethnic groups in the state. METHODS:We geocoded gonorrhea cases reported in California...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.172965
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVES:We investigated sociodemographic disparities in alcohol environments and their relationship with adolescent drinking. METHODS:We geocoded and mapped alcohol license data with ArcMap to construct circular buffers centered at 14 595 households with children that participated in the California Health Interview...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.122077
更新日期:2009-02-01 00:00:00
abstract::To estimate the seroprevalence and investigate risk behaviors for HIV (human immunodeficiency virus) infection in intravenous drug users in Los Angeles County, a stratified, random sample of 790 clients, enrolled in either methadone maintenance or detoxification programs, were studied. Thirteen study participants (1.8...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.1.81
更新日期:1989-01-01 00:00:00
abstract::A federal standard for fuel tank integrity in cars was applied to 1977 and subsequent models. National data indicate that fatalities per 10,000 occupants in rear-end crashes of small cars, where fire was the most harmful event, were reduced by approximately 57% if the fuel tank was located behind the rear axle and 77%...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.8.1168
更新日期:1993-08-01 00:00:00
abstract::The soviet Union has experienced an increase in the incidence of coronary heart disease over the last 15 years sufficient to result in an overall deterioration in the health of adults. The distribution of coronary risk factors, and the secular trends in diet and cigarette consumption, provide a potential explanation f...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.5.431
更新日期:1982-05-01 00:00:00
abstract:OBJECTIVES:To evaluate the impact of the partial repeal of Michigan's universal motorcycle helmet law on helmet use, fatalities, and head injuries. METHODS:We compared helmet use rates and motorcycle crash fatality risk for the 12 months before and after the April 13, 2012, repeal with a statewide police-reported cras...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303525
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVES:We investigated whether eating behaviors were concordant among diverse sets of social ties. METHODS:We analyzed the socioeconomic and demographic distribution of eating among 3418 members of the Framingham Heart Study observed from 1991 to 2001. We used a data-classification procedure to simplify choices in...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300282
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVES:We identified barriers and facilitators to the state-level implementation of primary stroke center (PSC) policies, which encourage the certification or designation of specialized stroke treatment facilities and may address concerns such as transportation bypass, telemedicine, and treatment protocols. METHOD...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.197954
更新日期:2011-03-01 00:00:00
abstract::Objectives. To describe partnerships between US local health departments (LHDs) and community organizations and assess the relationship between the types of activities performed in these partnerships and LHD engagement in population-based activities to prevent mental health conditions.Methods. Data were derived from 4...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305646
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVES:We sought to quantify the potential health impact of selected medical and nonmedical policy changes within the United States. METHODS:Using data from the 1997-2000 National Health Interview Surveys (linked to mortality data through 2002) and the 1996-2002 Medical Expenditure Panel Surveys, we calculated age...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.165019
更新日期:2010-09-01 00:00:00
abstract::We verified a random sample of 50 references in the May 1986 issue of each of three public health journals. Thirty-one per cent of the 150 references had citation errors, one out of 10 being a major error (reference not locatable). Thirty per cent of the references differed from authors' use of them with half being a ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.8.1011
更新日期:1987-08-01 00:00:00
abstract::The Occupational Safety and Health Act of 1970 (OSHAct) declared that every worker is entitled to safe and healthful working conditions, and that employers are responsible for work being free from all recognized hazards. Thirty-eight years after these assurances, however, it is difficult to find anyone who believes th...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2007.117382
更新日期:2008-03-01 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::This study examines the professional relationships between midwives and physicians providing obstetrical care in Washington State. Four hundred ninety-six randomly sampled family physicians and obstetrician-gynecologists and 211 certified nurse, licensed, and lay midwives were surveyed to learn more about midwife/phys...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.2.262
更新日期:1992-02-01 00:00:00
abstract::A nine-year representative, longitudinal study of 1,598 urban elderly shows that two to eight times as many impaired or disabled are cared for in the community as in institutions. Younger age, male gender, better income, and living with others, especially children, favor continuing care in the home. ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.9.1207
更新日期:1991-09-01 00:00:00
abstract::Surveys concerning the risk communication practices and needs of state health agencies were completed by agency commissioners and designated staff of 48 states and territories. These data indicate that agencies are expending more effort on responding to requests for information than on initiating dialogues with intere...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.4.489
更新日期:1991-04-01 00:00:00
abstract:OBJECTIVES:This paper measured the extent to which human immunodeficiency virus (HIV) infection has spread among the male working-class population of Santos, Brazil. METHODS:Questionnaires on risk behaviors and blood tests were administered to a random sample (n = 395) of male port workers employed by the Santos Port ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.8_pt_1.1158
更新日期:1996-08-01 00:00:00