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Planning for the economic and career impact of a sickle cell anemia program. 计划镰状细胞性贫血计划的经济和职业影响。
Pub Date : 1974-05-01
J J McNamara
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引用次数: 0
Administrative problems and solutions in screening for gonorrhea. 淋病筛查的管理问题及对策。
Pub Date : 1974-05-01
S A Khoury, L C Joyner
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引用次数: 0
Distribution of visual acuity in Egypt. 埃及视力的分布。
Pub Date : 1974-05-01
M E Said, H Goldstein, A Korra, K el-Kashlan
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引用次数: 0
Programs, Practices, and People. 程序、实践和人员。
Pub Date : 1974-05-01
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引用次数: 0
The Mount Sinai-HIP joint program. 西奈山- hip联合项目。
Pub Date : 1974-05-01 DOI: 10.2307/4595021
S. Bosch, H. Banta, R. Watkins, J. Eve, C. Josi
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引用次数: 1
Drug-related deaths in the United States--first decade of an epidemic. 美国与毒品有关的死亡——流行病的第一个十年。
Pub Date : 1974-05-01
D Hewitt, J Milner
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引用次数: 0
The challenge of neonatal mortality in an urban hospital. 城市医院新生儿死亡率的挑战。
Pub Date : 1974-05-01 DOI: 10.2307/4595028
N. Kendall
THE NEONATAL MORTALITY RATE in the United States was 18.7 per- 1,000 live births in 1960; 17.7 in 1965 (1), a decline of 5.3 percent; and 14.9 (provisional) -in 1970 (2), a fur7 ther decline of 15.8 percent. The major portion of this significant decline t20.3 percent) in the past decade occurred during the latter half. and the mortality rate This study was
1960年,美国的新生儿死亡率为每1000例活产18.7例;1965年(1)为17.7,下降5.3%;1970年(2),又下降了15.8%。在过去十年中,这一显著下降(20.3%)的主要部分发生在下半年。和死亡率这个研究
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引用次数: 4
The Mount Sinai-HIP joint program. 西奈山- hip联合项目。
Pub Date : 1974-05-01
S J Bosch, H D Banta, R Watkins, J Eve, C Josi
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引用次数: 0
A health education library for patients. 病人健康教育图书馆。
Pub Date : 1974-05-01 DOI: 10.2307/4595024
F. Collen, K. Soghikian
WITHIN THE TRADITIONAL framework of the physician-patient relationship, the primary concern of the physician is usually the diagnosis and treatment of a patient with a presenting problem. Underlying basic assumptions that are generally accepted are (a) responsible understanding by the patient of the medical advice given and (b) sufficient motivation for compliance with the physician's instructions because of the patient's desire to recover and stay well. Consequently, the area of specific educational mode and content; assessment of the patient's level of comprehension, ability or capability to concur or comply, or both; and recognition of the barriers to that end have received little attention. Thus, any determination of the patient's insights and educational needs before the possibility of any desirable behavioral change may have been overlooked or relegated to an office nurse, a family member, or a community resource. Recently, with more awareness of this distinction between medical advice and instructions and the patient's level of understanding and concomitant desire to comply, there has been an increasing use of audiovisual instructional aids in physician's examining offices and outpatient waiting rooms (1,2). Additionally, the trend today is toward more emphasis on the preventive and health maintenance aspects of medical care. The Oakland, Calif., facility of the Kaiser-Permanente Medical Care Program is a large prepaid group practice in an urban, ambulatory setting. A pilot program was developed at this facility to actualize a concept of a more rationally organized medical care delivery system (3) through allocation of medical resources according to needs of patients as detected by a health testing service. Within this system (fig. 1), incoming patients are triaged to sick care for discovered illness, to preventive maintenance care for early or asymptomatic disease, and to health care for health protection and maintenance information. A health library for patients was conceived as a subcomponent of health care which would enhance learning about health and disease; it has been developed as an integral part of the comprehensive delivery system.
在传统的医患关系框架中,医生的主要关注点通常是对出现症状的患者进行诊断和治疗。被普遍接受的潜在基本假设是(a)患者对所提供的医疗建议有负责任的理解,(b)由于患者希望康复和保持健康,因此有足够的动机遵守医生的指示。因此,该地区有具体的教育模式和内容;评估患者的理解水平、同意或遵守的能力或能力,或两者兼而有之;而对实现这一目标的障碍的认识却很少受到关注。因此,在可能发生任何可取的行为改变之前,对患者洞察力和教育需求的任何确定都可能被忽视或降级到办公室护士,家庭成员或社区资源。最近,随着越来越多的人意识到医疗建议和指示之间的区别,以及患者的理解程度和随之而来的遵守愿望,在医生的检查办公室和门诊候诊室越来越多地使用视听教学辅助设备(1,2)。此外,今天的趋势是更加强调医疗保健的预防和健康维护方面。位于加州奥克兰的凯泽永久医疗保健计划是一个大型预付团体诊所,在城市中设有流动诊所。该医院开展了一项试点计划,通过根据健康检测机构检测到的患者需求分配医疗资源,实现更合理组织医疗服务体系的概念。在这个系统中(图1),入院的患者被分类到发现疾病的病人护理,早期或无症状疾病的预防性维护护理,以及健康保护和维护信息的健康护理。病人健康图书馆被认为是保健的一个子组成部分,将加强对健康和疾病的了解;它已发展成为综合交付系统的一个组成部分。
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引用次数: 9
Venezuelan equine encephalitis epidemic in Texas, 1971. 委内瑞拉马脑炎在德克萨斯州的流行,1971年。
Pub Date : 1974-05-01 DOI: 10.2307/4595031
R. B. Zehmer, P. Dean, W. D. Sudia, C. Calisher, G. Sather, R. L. Parker
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引用次数: 36
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