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 developed by Bernard Turnock and Arden Handler. RESULTS:The conceptual framework consists of 5 components that can be considered in relationship to each other: macro context, mission, structural capacity, processes, and outcomes. Although the availability of measures for each of these components varies, the framework can be used to examine the performance of public health systems as well as that of agencies and programs. CONCLUSIONS:A conceptual framework that explicates the relationships among the various components of the public health system is an essential step toward providing a science base for the study of public health system performance.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Handler A,Issel M,Turnock Bdoi
10.2105/ajph.91.8.1235subject
Has Abstractpub_date
2001-08-01 00:00:00pages
1235-9issue
8eissn
0090-0036issn
1541-0048journal_volume
91pub_type
杂志文章abstract::A parasitic surveillance of farm workers of Puerto Rican background and their children revealed a high prevalence rate (35.5%) of parasites in this population. This high prevalence rate, however, was expected in view of the fact that other researchers have found a high degree of parasitosis in Puerto Rican populations...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.10.1103
更新日期:1980-10-01 00:00:00
abstract:OBJECTIVES:We compared cervical cancer incidence, stage at diagnosis, and survival in Medicaid-insured and non-Medicaid-insured populations. METHODS:We stratified the sample by age and used ordered logistic regression to predict stage at diagnosis and used Cox proportional hazards regression to predict survival. RESU...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.12.2098
更新日期:2004-12-01 00:00:00
abstract::Advances in genomics and neuroscience have ushered in unprecedented opportunities to increase our understanding of the biological underpinnings of mental disorders, yet there has been limited progress in translating knowledge on genetic risk factors to reduce the burden of these conditions in the population. We descri...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.304948
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVES:Many adolescent girls fail to meet national guidelines for physical activity, and the prevalence of obesity is increasing among this group. Our study examined the effects of a comprehensive school-based intervention on physical activity among high-school girls. METHODS:A group-randomized controlled field tr...
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.2004.045807
更新日期:2005-09-01 00:00:00
abstract::We examined the association between telomere length and prenatal tobacco exposure (PTE) in 104 children aged 4 to 14 years. Salivary telomere length (STL) was determined from salivary DNA using quantitative polymerase chain reaction. Of the children, 18% had maternal reported PTE. Mean STL was significantly lower amon...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301208
更新日期:2013-10-01 00:00:00
abstract::The past quarter century has seen an explosion of concern about widening health inequities in the United States and worldwide. These inequities are central to the research mission in 2 arenas of public health: social epidemiology and community-engaged interventions. Yet only modest success has been achieved in elimina...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.140988
更新日期:2011-05-01 00:00:00
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::We conducted a phone survey of 1,669 San Francisco Hispanics ages 15 to 64 years. The age-adjusted overall smoking prevalence was 25.4 per cent (95% CI = 23.3, 27.5) with more men (32.4 per cent) smoking than women (16.8 per cent). Age-adjusted smoking rates were higher among the less acculturated males (37.5 vs 26.7 ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.2.196
更新日期:1989-02-01 00:00:00
abstract:OBJECTIVES:We evaluated the effectiveness of the Community Relapse Prevention and Maintenance (CRPM) program, developed by Correctional Service Canada to better meet the needs of women offenders with drug problems. METHODS:Using survival analysis, we investigated the association between exposure and nonexposure to CRP...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.300094
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVES:The study examined the unique and combined contributions of race/ethnicity, income, and family structure to adolescent cigarette smoking, alcohol use, involvement with violence, suicidal thoughts or attempts, and sexual intercourse. METHODS:Analyses were based on the National Longitudinal Study of Adolescen...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.12.1879
更新日期:2000-12-01 00:00:00
abstract::Of the 47 states that participated in a 1983 survey of State Health Departments, 30 were found to have public health standards in place or started. Most states' standards emphasize the range of services to be provided, but substantial variations were found in how standards are formulated, adopted, and used by state an...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.6.649
更新日期:1985-06-01 00:00:00
abstract:OBJECTIVES:We examined whether characteristics of local health departments (LHD) and their geographic region were associated with using Facebook and Twitter. We also examined the number of tweets per month for Twitter accounts as an indicator of social media use by LHDs. METHODS:In 2012, we searched for Facebook and T...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301166
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:There are no published population-based studies of occupational carpal tunnel syndrome (OCTS) using a strict case definition. Most studies are either industry specific or present patient self-report of symptoms. METHODS:We conducted a population-based incidence study of OCTS using the Washington State Worke...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.6.741
更新日期:1991-06-01 00:00:00
abstract::The average number of visits to a physician made by a sample of 351 residents of homes insulated with urea formaldehyde foam insulation in Montreal in the one year period before exposure was 5.25, and in the year following 5.62, an increase of 7 per cent (odds ratio 1.07, 95% CI = 1.00, 1.15). The increase in visits i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.11.1489
更新日期:1988-11-01 00:00:00
abstract:BACKGROUND:In Oregon, adult foster care (AFC) homes, which are private residences where a live-in manager cares for one to five disabled residents, have been covered by Medicaid since 1981 and seem to offer a mainstream alternative to nursing homes. They house almost 6000 older people, two thirds of which pay privately...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.9.1113
更新日期:1991-09-01 00:00:00
abstract:OBJECTIVES:This study evaluated the efficacy of radiographic screening for tuberculosis in correctional facilities. METHODS:Inmates at an admission facility in New York, NY, were screened for tuberculosis by registry cross-match, symptom interviews, tuberculin testing, and chest radiography. RESULTS:Thirty-two cases ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.8.1335
更新日期:1997-08-01 00:00:00
abstract::We examined the roles of Doctors of Podiatric Medicine (DPMs) and orthopedic surgeons in the provision of foot surgery by analyzing the 1982 computerized claims of over 1.1 million federal employees, retirees, and family members. We found that DPMs provided over 60 per cent of all elective insured foot surgery. Withou...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.8.987
更新日期:1987-08-01 00:00:00
abstract::The development of body fatness and leanness is examined in an ongoing prospective nutrition and growth study. Individual skinfold thicknesses, relative weights, weight gains, activity levels, and caloric intakes were examined at seven ages between 6 months and 9 years. Changes in body fatness in this group of childre...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.9.968
更新日期:1984-09-01 00:00:00
abstract::The Center for Disease Control (CDC), Atlanta, Georgia implemented an eight-month prospective surveillance system in 24 hospitals distributed among states with and without public funding for abortion. Out of 3,157 visits for abortion-related complications, only 10 women gave a history of non-physician or self-induced ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.9.945
更新日期:1979-09-01 00:00:00
abstract:OBJECTIVES:The incidence, type, severity, and costs of crash-related injuries requiring hospitalization or resulting in death were compared for helmeted and unhelmeted motorcyclists. METHODS:This was a retrospective cohort study of injured motorcyclists in Washington State in 1989. Motorcycle crash data were linked to...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.1.41
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVES:We sought to determine the prevalence of and risk factors associated with Mycoplasma genitalium infection in a nationally representative sample of young adults in the United States. METHODS:Urine specimens from 1714 women and 1218 men who participated in Wave III of the National Longitudinal Study of Adoles...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.074062
更新日期:2007-06-01 00:00:00
abstract::The evolution of the emergency medical services system in the United States accelerated rapidly between 1960 and 1973 as a result of a number of medical, historical, and social forces. Current emergency medical services researchers, policy advocates, and administrators must acknowledge these forces and their limitatio...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2004.048793
更新日期:2006-03-01 00:00:00
abstract::Improving oral health is a leading population health goal; however, curricula preparing health professionals have a dearth of oral health content and clinical experiences. We detail an educational and clinical innovation transitioning the traditional head, ears, eyes, nose, and throat (HEENT) examination to the additi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302495
更新日期:2015-03-01 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:OBJECTIVES:We examined the marketing strategies for local vapor stores in a large metropolitan area in Oklahoma. METHODS:Vapor store owners or managers (n = 33) participated in individual interviews regarding marketing practices in 2014. We asked owners about their marketing strategies and the groups they targeted. We...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302610
更新日期:2015-06-01 00:00:00
abstract::Data from the 1981 Child Health Supplement to the National Health Interview Survey were used to examine relationships between family and child characteristics and regular use of seatbelts or child restraints. Only for a third of children less than seven years old was regular seatbelt use reported. They were more likel...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.12.1425
更新日期:1986-12-01 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::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:This study identified behavioral and psychosocial/interpersonal factors in young adolescence that are associated with handgun carrying in later adolescence. METHODS:A sample of 2200 high school students was surveyed at 9th grade and again at 12th grade. RESULTS:Multivariate logistic regression analyses ind...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.6.960
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVE:This study reports the results of a behavior change intervention offered to women at high risk for human immunodeficiency virus (HIV) infection seen in an urban primary health care clinic. METHODS:Participants were 197 women randomly assigned to either an HIV/acquired immunodeficiency syndrome (AIDS) risk re...
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.84.12.1918
更新日期:1994-12-01 00:00:00