ISSN:0025-7079    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

Early in 1974, the entire medical stall resigned from the Regina Community Clinic over a dispute with the lay board of directors. The turbulent history of this pioneer consumer-sponsored clinic is reviewed and documented. The affair provides a case study in the conflict between the traditional professional dominance of doctors and the demand of consumers for a role in decision-making in areas of health care delivery.

ISSN:0025-7079    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

During the 1960s, the growing dissent within the medical profession heightened the ideological differences among physicians. This paper focuses on the ideological differences among three groups within medicine: traditionalists, liberals, and radicals. A content analysis of selected medical editorials and articles during 1972 was used to identify differences in ideological content for the following areas: professional unity; authority; self-regulations; selfeducation; the role of health professionals; manpower; medical education; research; health care; financing health care; and governmental relations.

ISSN:0025-7079    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

The purpose of this paper is to provide a systematic explanation of the use of traditional medicine among the native American population living in the San Francisco Bay area. Several hypotheses concerning the factors associated with this behavior are tested. These include tribal grouping, socioeconomic and sociocultural factors, as well as the relationship between traditional medicine and modem Anglo medicine.The analysis is based on a probability sample of 277 native American families, systematically drawn from a specially prepared list of 5,000 in three Bay area counties with the largest native American population (Alameda, San Francisco, and Santa Clara).Traditional medicine was used by almost one out of three families in the sample and it is shown that use of traditional medicine, although related to sociocultural factors, did not detract from the use of modern Anglo medicine.

ISSN:0025-7079    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

Population groups that are homogeneous with respect to such factors as insurance status, income level, and proximity to sources of care can still exhibit great internal inequality in the amount of care received by individuals. A statistical measure of this inequality is proposed and its application illustrated on employee groups living in two underdoctored areas. Utilization of physician services in these areas was found to be significantly less equal (as well as lower) than in comparable groups who live in areas with higher ratio of physicians to total population.

ISSN:0025-7079    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

Effect of the introduction of mental health services into a comprehensive prepaid medical care facility was studied. The subjects were two independent subsamples of all individuals seen in the mental health service for the first time in 1967, and two comparison groups not seen in the mental health service. Data consisted of medical visits from 1962 through 1969 and mental health visits from 1967 through 1969. Insufficient support was found for the assertion that mental health services produce savings of medical care. Some of the complex interactions between care for somatic and mental health treatment variables, and points for future study are noted.

ISSN:0025-7079    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

In the pre-State era, Israeli society displayed an “ascetic” orientation with emphasis on austerity and egalitarianism. The medical profession was influenced by the basic philosophy of the country and coped successfully with the country's health problems, mainly by lowering morbidity and mortality rates.With the emergence of the State of Israel, mass immigration of people with different backgrounds, cultures, and values occurred, and health problems of the disability, dissatisfaction, and discomfort type arose. The existing medical organizations were unable to handle them.The story of three such organizations is detailed in brief: the first medical school in Jerusalem, the greatest supplier of curative services—the workers' sick fund (Kupa Holim), and the Ministry of Health. Their impact on the health services of the country is described.These services are splintered into numerous self-contained authorities and an understanding of the overall needs is lacking. This state of affairs reflects the antagonistic interests of the political powers behind the various health agencies.A concensus within the health Held on the nature of the problems and their solution could be reached if the health organizations accepted a broader philosophy of health, comprising its somatic, mental, and social aspects, and if they commit themselves to applying this philosophy in their activities. This may lead to considerable changes in medical education, more attention being focused on the social functions of medicine than on medical technology; health care would become more comprehensive and would cover all aspects of health in its preventive, curative, and rehabilitative stages.Failure to meet the health needs of the changing society will constitute a false reading of the public pulse. Of late, the voices demanding the conquest of social diseases and the attainment of health in its broadest sense are becoming more and more audible.

ISSN:0025-7079    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

The study was carried out to determine the influence of selected demographic and competitive market factors on community pharmacy operations. Data were collected from a panel of pharmacies located in large mid-western city. A sample of 300 prescriptions was obtained from each of the panel pharmacies. From the prescriptions, the gross margins and the addresses of the patrons were determined. A profile of the demographic and competitive factors was determined. Eight research hypotheses were tested. The variables were subjected to regression analysis with per cent markup and dollar markupon- retail being the dependent variables in each case. The simple regression analysis did reflect a significant relationship between select competitive variables and per cent markup. The stepwise regressions indicated a significant relationship between all demographic and competitive market factors and per cent markup. No significant relationships were found in the simple regression treatment of a dollar markup and the market variables. The stepwise regression routine yielded a nonsignificant relationship between dollar markup and all market variables except income and education. It can be concluded that pricing in this market is reflective of both demographic and competitive market factors of the trading area.

ISSN:0025-7079    

出版商:OVID    

年代:1975

数据来源: OVID

摘要:

The modem concept of medical audit mandates comparison of care against preset explicit criteria. The format in which those criteria are framed plays crucial role in determining the types of deficiences liable to be uncovered. Formats describing care as “consistent with” acceptable practice do not reveal meaningful information, and the Joint Commission on Accreditation of Hospitals' emphasis on “outcome” to the exclusion of “process” is also unacceptable. A detailed format for disease-specific criteria is described; it may not be feasible for widespread use.

ISSN:0025-7079    

出版商:OVID    

年代:1975

数据来源: OVID

ISSN:0025-7079    

出版商:OVID    

年代:1975

数据来源: OVID