摘要:

Proportions of adults in the metropolitan areas of Detroit, Cleveland, and Cincinnati preferring the group practice or solo practice of medicine are presented. These data are considered in relation to presence of a group practice plan, knowledge of the existence of the plan, having health insurance, and 11 demographic variables. Most of the demographic variables show no more than slight relations to preferences, although education shows some positive relation with preference for group practice and income shows higher preference for group practice near the middle incomes. The interrelation of income and education, correlates of need and information, may explain some of the peculiarities of distribution. A major mystery, however, is preference for group practice without knowledge of or presence of a group practice in an area. This presents opportunities and dangers.

ISSN:0025-7079    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

Public expectations of the Australian health services have been strongly influenced in the past by the dominant role played by general practitioners in primary medical care. A household survey in Sydney has shown that despite growing discussion on the economics and quality of health care the public still demonstrates a great deal of faith in the ability of general practitioners to perform surgical, obstetrical, and other specialized procedures. Some elements in the population, however, notably groups who have migrated from the United Kingdom and Northern Europe to Australia, show more discrimination in their assessment of general practitioner care. It can be anticipated that the attitudes of the public towards the health services will become much more sophisticated in the future and the role of the general practitioner will have to change accordingly.

ISSN:0025-7079    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

The 495 residents in a probability sample of 1G0 households in a low-income urban section of Raleigh, N. C. were interviewed to identify the determinants of physician utilization in response to illness. A discriminant function analysis was used with data on 231 persons who experienced 396 symptom-complexes. Based on a random sample of one symptom-complex per person, 49 physician visits resulted from these symptoms. The significant variables in the stepwisc discriminant analysis were perceived seriousness of the symptoms, bed-loss days, perception of whether or not physicians could relieve the symptom, and race. These variables achieved a sensitivity of .776 and a specificity of .720 in correctly classifying individuals into the doctor visit or no doctor visit categories. These findings provide the rationale for developing a service-oriented classification system for symptoms.

ISSN:0025-7079    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

The data presented here measure indirectly the quality of the physicians providing patient care to different socioeconomic groups in New York City, which have been selected from a census study of all of the physicians with offices in the Southern New York Region as of October 1967. The data were collated from many sources, including the tape Hies of the American Medical Association, hospital staff lists, hospital questionnaires, and various official documents pertaining to geographic location. The socioeconomic classifications are those devised for planning purposes for the Office of the Mayor of New York City in 1966. The quality indicators used to assess the physician are board certification, specialty interest, and the degree and land of privileges represented by all of his hospital appointments. The main findings are that almost without exception the quality as measured by each variable increases as the socioeconomic level of the physician's office rises. Although one third of the physicians from the poorest communities lack the admitting privilege that provides peer supervision and almost one half of these physicians do not participate in ward and teaching rounds, the high proportions of physicians lacking these privileges on all levels pose serious problems to professionals and consumers who are concerned with the availability of quality medical care.

ISSN:0025-7079    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

The patterns of use of x-ray by physicians caring for aged persons under a medical assistance program were analyzed to determine the effect of physician characteristics on these patterns. Non-radiologists providing direct x-ray services to patients used diagnostic x-ray more frequently than did physicians referring patients to radiologists for examination, and the specialty of the physician and the number of years since his graduation from medical school were associated with significant variation in use of x-ray and choice of procedure for examination of the chest. Younger physicians used x-ray more than older ones and specialists more than general practitioners. Non-radiologists providing direct x-ray services used less complex examination procedures and, for examination of the chesty they frequently used fluoroscopy as an independent procedure. The data support the conclusion that non-radiologists having economic interest in radiologic equipment make heavier use of diagnostic x-ray than do other physicians, although their choices of examination methods suggest that their knowledge of radiology is less than that of radiologists. Patterns of use of x-ray by internists suggest a strong influence of specialty training on practice and persistence of this influence for many years. Finally, findings support national survey evidence that patients of non-radiologists providing direct x-ray services experience relatively larger exposure to radiation than do patients of other physicians.

ISSN:0025-7079    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

The OEO-funded Rochester Neighborhood Health Center has undertaken as part of its operation to extend its services to the greatest number of eligible individuals. It has attempted this through outreach workers and the development of a system which conforms as well as possible to the general attitudes and expectancies of its patients. The purpose of this study was to gauge the success of these efforts, as well as to define particular life-factors which might predispose the phenomena of satisfaction or dislike. In general, the data support the idea that Neighborhood Health Center care is accepted with enthusiasm by a significant majority of its patients. Nonetheless, about one quarter of the patients do admit to occasionally leaving the system in favor of outside core. The central issues determining patient satisfaction would appear to be the availability and quality of care, as well as the attitudes of Health Center personnel; our sample indicates that the question of community control rates decidedly behind these others in its importance to Neighborhood Health Center patients.

ISSN:0025-7079    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

The linear relationship between infant mortality, used as a proxy for the overall level of health, and the number of physicians per 10,000 persons, the number of hospital beds per 1,000 persons, and real Gross Domestic Product per capita is estimated with data for 18 well-developed countries in the post-war period. This relationship is then used to estimate the level of infant mortality that one would expect to find in a particular country given the value of the explanatory variables in that country. The size and sign of the residual, the difference between this expected level and the level of infant mortality actually found, is then used to assess roughly the effect on health of different general systems of financing health services. Recently published data on the percentage of health services financed or directly controlled by government, on the relative size of the health sector and on the proportion of health care resources allocated to the provision of nonpcrsonal, public health care, arc then examined in relation to variations in infant mortality left unexplained by the initial explanatory variables. Of the latter three, only the last, the proportion of health care resources devoted to the provision of nonpcrsonal, public health appears to be a significant determinant of levels of health.

ISSN:0025-7079    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

Efforts to improve the delivery of health services and to provide medical care for all groups in the community have utilized a large number of interview surveys on the utilization of medical resources. Though the use of interview survey data is justified and defended on the basis of feasibility and cost, there is considerable skepticism about their value. A study of octogenarian retirees from the automobile industry, with access to both survey interview and medical record data before and after implementation of a broader health benefit plan, supports the use of interview survey data for reasonable conclusions of utilization at various points in time when health benefits, or access to them, have been changed. Though skepticism should continue in the use of self-reports for making precise estimates, if the alternatives are no evaluative research or the use of self-reports in studying the impact of health programs, the data suggest that the decision to proceed with solely interview survey data is the correct alternative.

ISSN:0025-7079    

出版商:OVID    

年代:1972

数据来源: OVID

ISSN:0025-7079    

出版商:OVID    

年代:1972

数据来源: OVID

ISSN:0025-7079    

出版商:OVID    

年代:1972

数据来源: OVID