Ethics, Dental: The principles of proper professional conduct concerning the rights and duties of the dentist, relations with patients and fellow practitioners, as well as actions of the dentist in patient care and interpersonal relations with patient families. (From Stedman, 25th ed)Codes of Ethics: Systematic statements of principles or rules of appropriate professional conduct, usually established by professional societies.American Dental Association: Professional society representing the field of dentistry.Patient Acceptance of Health Care: The seeking and acceptance by patients of health service.Insurance, Dental: Insurance providing coverage for dental care.Societies, Dental: Societies whose membership is limited to dentists.Universal Coverage: Health insurance coverage for all persons in a state or country, rather than for some subset of the population. It may extend to the unemployed as well as to the employed; to aliens as well as to citizens; for pre-existing conditions as well as for current illnesses; for mental as well as for physical conditions.Colonography, Computed Tomographic: A non-invasive imaging method that uses computed tomographic data combined with specialized imaging software to examine the colon.Patient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.Ambulatory Surgical Procedures: Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.Health Status: The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.Patient Selection: Criteria and standards used for the determination of the appropriateness of the inclusion of patients with specific conditions in proposed treatment plans and the criteria used for the inclusion of subjects in various clinical trials and other research protocols.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Public Health: Branch of medicine concerned with the prevention and control of disease and disability, and the promotion of physical and mental health of the population on the international, national, state, or municipal level.Delivery of Health Care: The concept concerned with all aspects of providing and distributing health services to a patient population.Health Policy: Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system.Health Surveys: A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area.Health Promotion: Encouraging consumer behaviors most likely to optimize health potentials (physical and psychosocial) through health information, preventive programs, and access to medical care.Health Care Reform: Innovation and improvement of the health care system by reappraisal, amendment of services, and removal of faults and abuses in providing and distributing health services to patients. It includes a re-alignment of health services and health insurance to maximum demographic elements (the unemployed, indigent, uninsured, elderly, inner cities, rural areas) with reference to coverage, hospitalization, pricing and cost containment, insurers' and employers' costs, pre-existing medical conditions, prescribed drugs, equipment, and services.Mental Health: The state wherein the person is well adjusted.Attitude to Health: Public attitudes toward health, disease, and the medical care system.Health: The state of the organism when it functions optimally without evidence of disease.Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Health Services Accessibility: The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.Primary Health Care: Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)Health Planning: Planning for needed health and/or welfare services and facilities.Health Behavior: Behaviors expressed by individuals to protect, maintain or promote their health status. For example, proper diet, and appropriate exercise are activities perceived to influence health status. Life style is closely associated with health behavior and factors influencing life style are socioeconomic, educational, and cultural.Quality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Health Personnel: Men and women working in the provision of health services, whether as individual practitioners or employees of health institutions and programs, whether or not professionally trained, and whether or not subject to public regulation. (From A Discursive Dictionary of Health Care, 1976)Health Knowledge, Attitudes, Practice: Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).Insurance, Health: Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.Health Services: Services for the diagnosis and treatment of disease and the maintenance of health.World Health: The concept pertaining to the health status of inhabitants of the world.Health Education: Education that increases the awareness and favorably influences the attitudes and knowledge relating to the improvement of health on a personal or community basis.Health Services Needs and Demand: Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.Health Services Research: The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)Oral Health: The optimal state of the mouth and normal functioning of the organs of the mouth without evidence of disease.Health Expenditures: The amounts spent by individuals, groups, nations, or private or public organizations for total health care and/or its various components. These amounts may or may not be equivalent to the actual costs (HEALTH CARE COSTS) and may or may not be shared among the patient, insurers, and/or employers.Public Health Administration: Management of public health organizations or agencies.Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.Occupational Health: The promotion and maintenance of physical and mental health in the work environment.Environmental Health: The science of controlling or modifying those conditions, influences, or forces surrounding man which relate to promoting, establishing, and maintaining health.Health Status Disparities: Variation in rates of disease occurrence and disabilities between population groups defined by socioeconomic characteristics such as age, ethnicity, economic resources, or gender and populations identified geographically or similar measures.National Health Programs: Components of a national health care system which administer specific services, e.g., national health insurance.Health Priorities: Preferentially rated health-related activities or functions to be used in establishing health planning goals. This may refer specifically to PL93-641.Health Care Rationing: Planning for the equitable allocation, apportionment, or distribution of available health resources.Rural Health: The status of health in rural populations.Public Health Practice: The activities and endeavors of the public health services in a community on any level.Mental Health Services: Organized services to provide mental health care.Delivery of Health Care, Integrated: A health care system which combines physicians, hospitals, and other medical services with a health plan to provide the complete spectrum of medical care for its customers. In a fully integrated system, the three key elements - physicians, hospital, and health plan membership - are in balance in terms of matching medical resources with the needs of purchasers and patients. (Coddington et al., Integrated Health Care: Reorganizing the Physician, Hospital and Health Plan Relationship, 1994, p7)Women's Health: The concept covering the physical and mental conditions of women.Community Health Services: Diagnostic, therapeutic and preventive health services provided for individuals in the community.Health Care Sector: Economic sector concerned with the provision, distribution, and consumption of health care services and related products.Health Literacy: Degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.World Health Organization: A specialized agency of the United Nations designed as a coordinating authority on international health work; its aim is to promote the attainment of the highest possible level of health by all peoples.Urban Health: The status of health in urban populations.Rural Health Services: Health services, public or private, in rural areas. The services include the promotion of health and the delivery of health care.Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Child Health Services: Organized services to provide health care for children.Acceptance and Commitment Therapy: Contextually focused form of cognitive behavioral psychotherapy that uses MINDFULNESS and behavioral activation to increase patients' psychological flexibility in areas such as ability to engage in values-based, positive behaviors while experiencing difficult thoughts, emotions, or sensations.Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Socioeconomic Factors: Social and economic factors that characterize the individual or group within the social structure.Community Health Planning: Planning that has the goals of improving health, improving accessibility to health services, and promoting efficiency in the provision of services and resources on a comprehensive basis for a whole community. (From Facts on File Dictionary of Health Care Management, 1988, p299)Health Facilities: Institutions which provide medical or health-related services.Quality Assurance, Health Care: Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.Regional Health Planning: Planning for health resources at a regional or multi-state level.Health Manpower: The availability of HEALTH PERSONNEL. It includes the demand and recruitment of both professional and allied health personnel, their present and future supply and distribution, and their assignment and utilization.Community Health Centers: Facilities which administer the delivery of health care services to people living in a community or neighborhood.Health Resources: Available manpower, facilities, revenue, equipment, and supplies to produce requisite health care and services.Preventive Health Services: Services designed for HEALTH PROMOTION and prevention of disease.Electronic Health Records: Media that facilitate transportability of pertinent information concerning patient's illness across varied providers and geographic locations. Some versions include direct linkages to online consumer health information that is relevant to the health conditions and treatments related to a specific patient.Interviews as Topic: Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.Attitude to Computers: The attitude and behavior associated with an individual using the computer.Public Health Nursing: A nursing specialty concerned with promoting and protecting the health of populations, using knowledge from nursing, social, and public health sciences to develop local, regional, state, and national health policy and research. It is population-focused and community-oriented, aimed at health promotion and disease prevention through educational, diagnostic, and preventive programs.Health Occupations: Professions or other business activities directed to the cure and prevention of disease. For occupations of medical personnel who are not physicians but who are working in the fields of medical technology, physical therapy, etc., ALLIED HEALTH OCCUPATIONS is available.Reproductive Health: The physical condition of human reproductive systems.Maternal Health Services: Organized services to provide health care to expectant and nursing mothers.Health Benefit Plans, Employee: Health insurance plans for employees, and generally including their dependents, usually on a cost-sharing basis with the employer paying a percentage of the premium.Consumer Satisfaction: Customer satisfaction or dissatisfaction with a benefit or service received.Health Plan Implementation: Those actions designed to carry out recommendations pertaining to health plans or programs.Health Services for the Aged: Services for the diagnosis and treatment of diseases in the aged and the maintenance of health in the elderly.Health Records, Personal: Longitudinal patient-maintained records of individual health history and tools that allow individual control of access.Occupational Health Services: Health services for employees, usually provided by the employer at the place of work.Politics: Activities concerned with governmental policies, functions, etc.Quality of Life: A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.Program Evaluation: Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.Prevalence: The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.Rural Population: The inhabitants of rural areas or of small towns classified as rural.Public Health Informatics: The systematic application of information and computer sciences to public health practice, research, and learning.Health Services Administration: The organization and administration of health services dedicated to the delivery of health care.National Institutes of Health (U.S.): An operating division of the US Department of Health and Human Services. It is concerned with the overall planning, promoting, and administering of programs pertaining to health and medical research. Until 1995, it was an agency of the United States PUBLIC HEALTH SERVICE.Qualitative Research: Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)State Health Plans: State plans prepared by the State Health Planning and Development Agencies which are made up from plans submitted by the Health Systems Agencies and subject to review and revision by the Statewide Health Coordinating Council.Health Maintenance Organizations: Organized systems for providing comprehensive prepaid health care that have five basic attributes: (1) provide care in a defined geographic area; (2) provide or ensure delivery of an agreed-upon set of basic and supplemental health maintenance and treatment services; (3) provide care to a voluntarily enrolled group of persons; (4) require their enrollees to use the services of designated providers; and (5) receive reimbursement through a predetermined, fixed, periodic prepayment made by the enrollee without regard to the degree of services provided. (From Facts on File Dictionary of Health Care Management, 1988)Logistic Models: Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.Mental Disorders: Psychiatric illness or diseases manifested by breakdowns in the adaptational process expressed primarily as abnormalities of thought, feeling, and behavior producing either distress or impairment of function.Outcome and Process Assessment (Health Care): Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.Allied Health Personnel: Health care workers specially trained and licensed to assist and support the work of health professionals. Often used synonymously with paramedical personnel, the term generally refers to all health care workers who perform tasks which must otherwise be performed by a physician or other health professional.Quality Indicators, Health Care: Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.Catchment Area (Health): A geographic area defined and served by a health program or institution.Reproductive Health Services: Health care services related to human REPRODUCTION and diseases of the reproductive system. Services are provided to both sexes and usually by physicians in the medical or the surgical specialties such as REPRODUCTIVE MEDICINE; ANDROLOGY; GYNECOLOGY; OBSTETRICS; and PERINATOLOGY.Great BritainWomen's Health Services: Organized services to provide health care to women. It excludes maternal care services for which MATERNAL HEALTH SERVICES is available.Health Care Coalitions: Voluntary groups of people representing diverse interests in the community such as hospitals, businesses, physicians, and insurers, with the principal objective to improve health care cost effectiveness.Population Surveillance: Ongoing scrutiny of a population (general population, study population, target population, etc.), generally using methods distinguished by their practicability, uniformity, and frequently their rapidity, rather than by complete accuracy.Health Services, Indigenous: Health care provided to specific cultural or tribal peoples which incorporates local customs, beliefs, and taboos.Men's Health: The concept covering the physical and mental conditions of men.Health Planning Guidelines: Recommendations for directing health planning functions and policies. These may be mandated by PL93-641 and issued by the Department of Health and Human Services for use by state and local planning agencies.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Poverty: A situation in which the level of living of an individual, family, or group is below the standard of the community. It is often related to a specific income level.Family Health: The health status of the family as a unit including the impact of the health of one member of the family on the family as a unit and on individual family members; also, the impact of family organization or disorganization on the health status of its members.Adaptation, Psychological: A state of harmony between internal needs and external demands and the processes used in achieving this condition. (From APA Thesaurus of Psychological Index Terms, 8th ed)Consumer Participation: Community or individual involvement in the decision-making process.Public Opinion: The attitude of a significant portion of a population toward any given proposition, based upon a measurable amount of factual evidence, and involving some degree of reflection, analysis, and reasoning.Urban Health Services: Health services, public or private, in urban areas. The services include the promotion of health and the delivery of health care.Health Communication: The transfer of information from experts in the medical and public health fields to patients and the public. The study and use of communication strategies to inform and influence individual and community decisions that enhance health.Pilot Projects: Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.Food Preferences: The selection of one food over another.Health Planning Support: Financial resources provided for activities related to health planning and development.Adolescent Health Services: Organized services to provide health care to adolescents, ages ranging from 13 through 18 years.Sex Factors: Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.Chronic Disease: Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)Educational Status: Educational attainment or level of education of individuals.Schools, Public Health: Educational institutions for individuals specializing in the field of public health.Social Justice: An interactive process whereby members of a community are concerned for the equality and rights of all.Rejection (Psychology): Non-acceptance, negative attitudes, hostility or excessive criticism of the individual which may precipitate feelings of rejection.United States Public Health Service: A constituent organization of the DEPARTMENT OF HEALTH AND HUMAN SERVICES concerned with protecting and improving the health of the nation.Community Mental Health Services: Diagnostic, therapeutic and preventive mental health services provided for individuals in the community.History, 20th Century: Time period from 1901 through 2000 of the common era.Infant, Newborn: An infant during the first month after birth.School Health Services: Preventive health services provided for students. It excludes college or university students.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Holistic Health: Health as viewed from the perspective that humans and other organisms function as complete, integrated units rather than as aggregates of separate parts.Healthcare Disparities: Differences in access to or availability of medical facilities and services.Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.Longitudinal Studies: Studies in which variables relating to an individual or group of individuals are assessed over a period of time.Policy Making: The decision process by which individuals, groups or institutions establish policies pertaining to plans, programs or procedures.Needs Assessment: Systematic identification of a population's needs or the assessment of individuals to determine the proper level of services needed.Program Development: The process of formulating, improving, and expanding educational, managerial, or service-oriented work plans (excluding computer program development).Comprehensive Health Care: Providing for the full range of personal health services for diagnosis, treatment, follow-up and rehabilitation of patients.Social Support: Support systems that provide assistance and encouragement to individuals with physical or emotional disabilities in order that they may better cope. Informal social support is usually provided by friends, relatives, or peers, while formal assistance is provided by churches, groups, etc.Urban Population: The inhabitants of a city or town, including metropolitan areas and suburban areas.United States Dept. of Health and Human Services: A cabinet department in the Executive Branch of the United States Government concerned with administering those agencies and offices having programs pertaining to health and human services.Diffusion of Innovation: The broad dissemination of new ideas, procedures, techniques, materials, and devices and the degree to which these are accepted and used.Mass Screening: Organized periodic procedures performed on large groups of people for the purpose of detecting disease.Social Class: A stratum of people with similar position and prestige; includes social stratification. Social class is measured by criteria such as education, occupation, and income.Health Fairs: Community health education events focused on prevention of disease and promotion of health through audiovisual exhibits.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Social Responsibility: The obligations and accountability assumed in carrying out actions or ideas on behalf of others.Government Agencies: Administrative units of government responsible for policy making and management of governmental activities.International Cooperation: The interaction of persons or groups of persons representing various nations in the pursuit of a common goal or interest.Cooperative Behavior: The interaction of two or more persons or organizations directed toward a common goal which is mutually beneficial. An act or instance of working or acting together for a common purpose or benefit, i.e., joint action. (From Random House Dictionary Unabridged, 2d ed)Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Health Food: A non-medical term defined by the lay public as a food that has little or no preservatives, which has not undergone major processing, enrichment or refinement and which may be grown without pesticides. (from Segen, The Dictionary of Modern Medicine, 1992)Residence Characteristics: Elements of residence that characterize a population. They are applicable in determining need for and utilization of health services.Public Policy: A course or method of action selected, usually by a government, from among alternatives to guide and determine present and future decisions.Reproducibility of Results: The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.Marketing of Health Services: Application of marketing principles and techniques to maximize the use of health care resources.Cost-Benefit Analysis: A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.Financing, Government: Federal, state, or local government organized methods of financial assistance.Australia: The smallest continent and an independent country, comprising six states and two territories. Its capital is Canberra.Patient Education as Topic: The teaching or training of patients concerning their own health needs.Prejudice: A preconceived judgment made without factual basis.Telemedicine: Delivery of health services via remote telecommunications. This includes interactive consultative and diagnostic services.Demography: Statistical interpretation and description of a population with reference to distribution, composition, or structure.Stress, Psychological: Stress wherein emotional factors predominate.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Physicians: Individuals licensed to practice medicine.Social Distance: The degree of closeness or acceptance an individual or group feels toward another individual or group.Regression Analysis: Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.Dental Health Services: Services designed to promote, maintain, or restore dental health.Insurance Coverage: Generally refers to the amount of protection available and the kind of loss which would be paid for under an insurance contract with an insurer. (Slee & Slee, Health Care Terms, 2d ed)Medical Records Systems, Computerized: Computer-based systems for input, storage, display, retrieval, and printing of information contained in a patient's medical record.Prepaid Health Plans: Contracts between an insurer and a subscriber or a group of subscribers whereby a specified set of health benefits is provided in return for a periodic premium.Private Sector: That distinct portion of the institutional, industrial, or economic structure of a country that is controlled or owned by non-governmental, private interests.Decision Making: The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.Government Regulation: Exercise of governmental authority to control conduct.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Health Planning Councils: Organized groups serving in advisory capacities related to health planning activities.Ethnic Groups: A group of people with a common cultural heritage that sets them apart from others in a variety of social relationships.Employment: The state of being engaged in an activity or service for wages or salary.Research Design: A plan for collecting and utilizing data so that desired information can be obtained with sufficient precision or so that an hypothesis can be tested properly.Health Transition: Demographic and epidemiologic changes that have occurred in the last five decades in many developing countries and that are characterized by major growth in the number and proportion of middle-aged and elderly persons and in the frequency of the diseases that occur in these age groups. The health transition is the result of efforts to improve maternal and child health via primary care and outreach services and such efforts have been responsible for a decrease in the birth rate; reduced maternal mortality; improved preventive services; reduced infant mortality, and the increased life expectancy that defines the transition. (From Ann Intern Med 1992 Mar 15;116(6):499-504)Occupational Health Nursing: The practice of nursing in the work environment.Interpersonal Relations: The reciprocal interaction of two or more persons.Parents: Persons functioning as natural, adoptive, or substitute parents. The heading includes the concept of parenthood as well as preparation for becoming a parent.Social Values: Abstract standards or empirical variables in social life which are believed to be important and/or desirable.Medical Informatics: The field of information science concerned with the analysis and dissemination of medical data through the application of computers to various aspects of health care and medicine.Organizational Objectives: The purposes, missions, and goals of an individual organization or its units, established through administrative processes. It includes an organization's long-range plans and administrative philosophy.Information Services: Organized services to provide information on any questions an individual might have using databases and other sources. (From Random House Unabridged Dictionary, 2d ed)EnglandDepression: Depressive states usually of moderate intensity in contrast with major depression present in neurotic and psychotic disorders.IndiaEducation, Public Health Professional: Education and training in PUBLIC HEALTH for the practice of the profession.Information Dissemination: The circulation or wide dispersal of information.Insurance, Health, Reimbursement: Payment by a third-party payer in a sum equal to the amount expended by a health care provider or facility for health services rendered to an insured or program beneficiary. (From Facts on File Dictionary of Health Care Management, 1988)Internationality: The quality or state of relating to or affecting two or more nations. (After Merriam-Webster Collegiate Dictionary, 10th ed)Interinstitutional Relations: The interactions between representatives of institutions, agencies, or organizations.Smoking: Inhaling and exhaling the smoke of burning TOBACCO.Government: The complex of political institutions, laws, and customs through which the function of governing is carried out in a specific political unit.Social Determinants of Health: The circumstances in which people are born, grow up, live, work, and age, as well as the systems put in place to deal with illness. These circumstances are in turn shaped by a wider set of forces: economics, social policies, and politics (

*  Patient Acceptance of Health Care | ISHAR Online
This article situates women's roles in community health care during violence in Uganda in the 1970s. It examines the lived ... One possible explanation for this relationship that has not received much attention in the literature is that health care ... Stroke health and risk education (SHARE) pilot project: feasibility and need for church-based stroke health promotion in a bi- ... Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association ...
*  Measuring Patients' Perceptions and Social Influence on Home Telecare Management System Acceptance: Medicine & Healthcare...
... requires acceptance by the users, especially when technical innovation is applied to ... Perceptions and Social Influence on Home Telecare Management System Acceptance: 10.4018/jhisi.2010070104: Successful ... showed that home telecare could improve outcomes from patients with congestive heart failure and reduce the cost of their care ... Acceptance Model is proposed and tested to improve the understanding of patients' acceptance of HTMS and the impact of social ...
*  Determining Characteristics and Behaviors of Adolescent Women Regarding HIV Risk and Microbicide Trial Participation - Full...
Patient Acceptance of Health Care. HIV Risk Behaviors. Adolescents. Clinical Trial Recruitment. Microbicide Acceptability. ... Pilot clinical study will recruit adolescents from India and Tanzania through healthcare facilities, nongovernmental ...
*  Search of: ' October 10, 2012':' November 09, 2012'[FIRST-RECEIVED-DATE]AND HIV[CONDITION] - List Results -
Network Supported Engagement In HIV Care. *HIV. *Patient Acceptance of Health Care ... CARE Corrections: Technology for Jail HIV/HCV Testing, Linkage, and Care (TLC). *Human Immunodeficiency Virus ... Number of patients with incidence of adverse events. *Number of patients with incidence of discontinuation of study medication ... Linkage to Community Care. 112. All. 18 Years and older (Adult, Senior). NCT01721226. R01DA030747-01. CARE+. August 2013. May ...
*  Search of: Recruiting, Not yet recruiting, Available Studies | 'Transgendered Persons' - List Results -
Patient Acceptance of Health Care. Observational. *Chiang Mai University. Other. *Observational Model: Other ... Trans Health: Evaluation of Markers of Cardio-metabolic Health and Well-being in Transgender Youth. *Transgendered Persons ... Tri-City Health Center. Fremont, California, United States. *Tom Waddell Urban Health Clinic. San Francisco, California, United ... Linkage to Care. 200. All. 15 Years to 24 Years (Child, Adult). NCT03185975. HUM00123412. June 19, 2017. May 31, 2018. May 31, ...
*  Hefty participation rates facilitate solid outcomes and ROI for telephonic diabetes effort.
Most DM efforts use highly skilled personnel to manage the care of participants. However, few programs actually assign these ... Nurse-Patient Relations*. Patient Acceptance of Health Care. Telephone*. From MEDLINE®/PubMed®, a database of the U.S. National ... Next Document: Care coordinators take the lead in keeping chronically ill patients healthy and in the community.. ... Most DM efforts use highly skilled personnel to manage the care of participants. However, few programs actually assign these ...
*  The maternal perspective on prenatal ultrasound.
Patient Acceptance of Health Care / psychology*. Pregnancy. Prenatal Care / economics. Ultrasonography, Prenatal / economics, ... METHODS: We surveyed 150 prenatal patients at their point of entry to maternity care at a large military medical center. The ... This is a potentially important disagreement between cost-saving and patient satisfaction that maternity care providers must ... Department of Family Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814, USA. mstephens@ ...
*  Accuracy of definitions for linkage to care in persons living with HIV.
A retrospective cohort study of patients aged 18 years and older ... metrics for patients diagnosed with HIV using retention in care ... To compare the accuracy of linkage to care ... Patient Acceptance of Health Care / statistics & numerical data ... OBJECTIVE: To compare the accuracy of linkage to care metrics for patients diagnosed with HIV using retention in care and ... RESULTS: Of the 1781 patients in the study, 503 (28.2%) were retained in care in the Ryan White system and 418 (23.5%) achieved ...
*  A qualitative study of lay beliefs about influenza immunisation in older people
It builds on PubMed Central (PMC), the U.S. National Institutes of Health (NIH) free digital archive of biomedical and life ... peer-reviewed health and life sciences research publications. ... patient acceptance of health care, qualitative research. ... The perception that the health risk of contracting influenza is low needs to be challenged by health workers and health ... Diligent self-care Another common belief was that diligent self-care and good nutrition protected against infection: 'And I ...
*  Bournemouth University | Publications
Patient Acceptance of Health Care ; Qualitative Research ; Young Adult. ... Patients' perceptions of the potential of breathing training for asthma: a qualitative study. Primary Care Respiratory Journal ... Patients perceptions of the potential of breathing training for asthma Author proof.pdf - Accepted Version 109kB. ... Patients' perceptions of the potential of breathing training for asthma: a qualitative study. ...
*  Matthew Taylor - Publications - Oregon Health & Science University
Treatment patterns, health state, and health care resource utilization of patients with radioactive iodine refractory ... Safety profile of avelumab in patients with advanced solid tumors: A pooled analysis of data from the phase 1 JAVELIN solid ... Safety and activity of varlilumab, a novel and first-in-class agonist anti-CD27 antibody, in patients with advanced solid ... Open-label, multicenter, phase 1 study of alisertib (MLN8237), an aurora A kinase inhibitor, with docetaxel in patients with ...
*  Younger age at initiation of the Human Papillomavirus (HPV) vaccination series is associated with higher rates of on-time...
It builds on PubMed Central (PMC), the U.S. National Institutes of Health (NIH) free digital archive of biomedical and life ... peer-reviewed health and life sciences research publications. ... Patient Acceptance of Health Care, Patient Compliance ... The top 25th percentile of health care visits between 2006 and 2012 was used as a marker for high frequency of health care ... Primary care in this community is currently provided by a limited number of health care practitioners. These practitioners ...
*  Type of anaesthesia and patient acceptance in groin hernia repair : a multicentre randomised trial.
Patient Acceptance of Health Care, Patient Satisfaction, Probability, Quality of Life, Risk Assessment National Category ... Type of anaesthesia and patient acceptance in groin hernia repair: a multicentre randomised trial.. Nordin, Pär Umeå University ...
*  Primary prevention of coeliac disease by favourable infant feeding practices
Patient Acceptance of Health Care, Patient Satisfaction, Probability, Quality of Life, Risk Assessment Identifiers. URN: urn: ... Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Public Health ... Epidemiology and Public Health SciencesPaediatrics Search outside of DiVA. GoogleGoogle Scholar. ...
*  Richard (Rick) Deyo - Publications - Oregon Health & Science University
Health Care Systems Support to Enhance Patient-Centered Care: Lessons from a Primary Care-Based Chronic Pain Management ... Higher Prescription Opioid Dose is Associated With Worse Patient-Reported Pain Outcomes and More Health Care Utilization. ... Primary care physicians, acupuncture and chiropractic clinicians, and chronic pain patients: A qualitative analysis of ... Biopsychosocial care for chronic back pain. Deyo, R. A. 2015 In : BMJ (Online). 350, p. h538. Research output: Research - peer- ...
*  Individual decision making in relation to participation in cardiovascular screening - Danish National Research Database-Den...
Patient Acceptance of Health Care; Patient Education as Topic; Patient Preference; Questionnaires Main Research Area: Medical ... CAST Centre for Health Services Research and Technology Assessment, Institute of Public Health, University of Southern Denmark ... Scandinavian Journal of Public Health, 2013, Vol 41, Issue 1, p. 43-50 Keywords: Aged; Cardiovascular Diseases; Decision Making ... Department of Clinical Medicine - Viborg Regional Hospital, Department of Clinical Medicine, Health, Aarhus University ...
*  "Cancer prevention trials and primary care physicians: factors associat" by Tracy A. Battaglia, Arlene S. Ash et al.
... younger vignette patient and anticipating an increase in patient trust after recommending enrollment. CONCLUSION: PCPs are less ... Bivariate analyses and logistic models were used to examine the independent effects of patient and physician characteristics on ... Decisions differ based on geographic location and perceived trust in the patient-provider relationship. To achieve successful ... to encourage enrollment of patients into cancer prevention trials. METHODS: A self-administered survey was mailed to a random ...
*  Savient Pharmaceuticals Announces Publication of Pivotal Phase III KRYSTEXXA® Data in JAMA Demonstrating Significant Benefits...
... our ability to gain market acceptance for KRYSTEXXA among physicians, patients, health care payers and others in the medical ... KRYSTEXXA should be administered in healthcare settings and by healthcare providers prepared to manage anaphylaxis. Patients ... All signs and symptoms resolved completely in these five patients, and three of these patients continued participating in the ... In a retrospective analysis of IRs, five patients experienced anaphylaxis, including two patients each in the KRYSTEXXA every ...
*  Savient Pharmaceuticals Reports Fourth Quarter and Year-End 20... ( EAST BRUNSWICK N.J. Feb. 27 2012 /- S...)
... our ability to gain market acceptance for KRYSTEXXA among physicians, patients, health care payors and others in the medical ... Savient Pharmaceuticals to Present at the Cowen and Company 32nd Annual Health Care Conference. 2. Savient Pharmaceuticals to ... Present at the Citi 2012 Global Health Care Conference. 3. Savient Pharmaceuticals Appoints David Y. Norton Interim Chief ... Savient Pharmaceuticals to Present at the Sixth Annual JMP Securities Healthcare Conference. 11. Savient Pharmaceuticals Names ...
*  Cultural Relevance in End-of-Life Care - EthnoMed
This resource addresses three major areas of cultural relevance in end-of-life care: cultural competency in clinical practice; ... the patient and family's acceptance of Western health care practices and their use of alternative traditional practices ... The health care provider should encourage the patient and family to ask questions. The health care provider should reassure the ... patients can facilitate effective communication between the health care provider and the patient about end-of-life care, ...
*  DI-fusion Intent-to-treat analysis of the placebo-controlled trial of...
Patient Acceptance of Health Care Placebos Postmenopause Progesterone Proportional Hazards Models Recurrence ...
*  Feasibility and Effectiveness of Indicator Condition-Guided Testing for HIV - Danish National Research Database-Den Danske...
Patient Acceptance of Health Care; Prevalence; Questionnaires; Journal Article; Research Support, Non-U.S. Gov't Main Research ... All individuals presenting to any health care setting with one of these ID should be strongly recommended an HIV test. A ... Improved methods for targeting HIV testing among patients most likely to be infected are required; HIDES I aimed to define the ... CHIP, Department of Immunology and Microbiology, Faculty of Health and Medical Sciences, Københavns Universitet ...
*  Mortality from direct obstetric causes in Sweden and th | Open-i
Patient Acceptance of Health Care. *Pregnancy. *Pregnancy Complications/mortality. *Public Health/history ... National Institute of HealthHealth and Human Services • 8600 Rockville Pike,Bethesda,MD 20894 ... National Institute of HealthHealth and Human Services • 8600 Rockville Pike,Bethesda,MD 20894 ... 1 Overwhelming poverty, insufficient health care, and the paucity of well-developed and thoroughly integrated programmes to ...
*  Hyman Bernard Muss - Publications - University of North Carolina at Chapel Hill
Patient Acceptance of Health Care Cross-Cultural Comparison Paris Neoplasms Surveys and Questionnaires ... Adjuvant chemotherapy in older patients with stage III colon cancer: An underused lifesaving treatment. Muss, H. B. & Bynum, D ...
*  OPUS at UTS: Health-seeking beliefs of cardiovascular patients: A qualitative study - Open Publications of UTS Scholars
Patient Acceptance of Health Care. en_US. dc.subject.mesh. Patient Discharge. en_US. ... Health-seeking beliefs of cardiovascular patients: A qualitative study. Davidson, PM Daly, J Leung, D Ang, E Paull, G DiGiacomo ... Conclusions Considering the influence of cultural values in developing health care plans and clinical decision making is ... Conclusions Considering the influence of cultural values in developing health care plans and clinical decision making is ...

International College of Dentists: InternationalAmerican Dental Association: The American Dental Association (ADA) is an American professional association established in 1859 which has more than 155,000 members. Based in the American Dental Association Building in the Near North Side of Chicago,"Contact Us.American Dental Society of Anesthesiology: The American Dental Society of Anesthesiology (ADSA) is an American professional association established in 1953 and based in Chicago.Viatronix: Viatronix, Inc. (known as Viatronix) is a clinical applications software provider for the radiology field.PinnacleHealth System: $1 billion (2013)Self-rated health: Self-rated health (also called Self-reported health, Self-assessed health, or perceived health) refers to both a single question such as “in general, would you say that you health is excellent, very good, good, fair, or poor?” and a survey questionnaire in which participants assess different dimensions of their own health.Closed-ended question: A closed-ended question is a question format that limits respondents with a list of answer choices from which they must choose to answer the question.Dillman D.Public Health Act: Public Health Act is a stock short title used in the United Kingdom for legislation relating to public health.Global Health Delivery ProjectHealth policy: Health policy can be defined as the "decisions, plans, and actions that are undertaken to achieve specific health care goals within a society."World Health Organization.Lifestyle management programme: A lifestyle management programme (also referred to as a health promotion programme, health behaviour change programme, lifestyle improvement programme or wellness programme) is an intervention designed to promote positive lifestyle and behaviour change and is widely used in the field of health promotion.Rock 'n' Roll (Status Quo song)Halfdan T. MahlerBehavior: Behavior or behaviour (see spelling differences) is the range of actions and [made by individuals, organism]s, [[systems, or artificial entities in conjunction with themselves or their environment, which includes the other systems or organisms around as well as the (inanimate) physical environment. It is the response of the system or organism to various stimuli or inputs, whether [or external], [[conscious or subconscious, overt or covert, and voluntary or involuntary.Behavior change (public health): Behavior change is a central objective in public health interventions,WHO 2002: World Health Report 2002 - Reducing Risks, Promoting Healthy Life Accessed Feb 2015 http://www.who.Contraceptive mandate (United States): A contraceptive mandate is a state or federal regulation or law that requires health insurers, or employers that provide their employees with health insurance, to cover some contraceptive costs in their health insurance plans. In 1978, the U.School health education: School Health Education see also: Health Promotion is the process of transferring health knowledge during a student's school years (K-12). Its uses are in general classified as Public Health Education and School Health Education.WHO collaborating centres in occupational health: The WHO collaborating centres in occupational health constitute a network of institutions put in place by the World Health Organization to extend availability of occupational health coverage in both developed and undeveloped countries.Network of WHO Collaborating Centres in occupational health.Great Lakes Environmental Research Laboratory: right|300px|thumb|Great Lakes Environmental Research Laboratory logo.Aging (scheduling): In Operating systems, Aging is a scheduling technique used to avoid starvation. Fixed priority scheduling is a scheduling discipline, in which tasks queued for utilizing a system resource are assigned a priority each.National Collaborating Centre for Mental Health: The National Collaborating Centre for Mental Health (NCCMH) is one of several centres of the National Institute for Health and Care Excellence (NICE) tasked with developing guidance on the appropriate treatment and care of people with specific conditions within the National Health Service (NHS) in England and Wales. It was established in 2001.Women's Health Initiative: The Women's Health Initiative (WHI) was initiated by the U.S.Comprehensive Rural Health Project: The Comprehensive Rural Health Project (CRHP) is a non profit, non-governmental organization located in Jamkhed, Ahmednagar District in the state of Maharashtra, India. The organization works with rural communities to provide community-based primary healthcare and improve the general standard of living through a variety of community-led development programs, including Women's Self-Help Groups, Farmers' Clubs, Adolescent Programs and Sanitation and Watershed Development Programs.European Immunization Week: European Immunization Week (EIW) is an annual regional initiative, coordinated by the World Health Organization Regional Office for Europe (WHO/Europe), to promote immunization against vaccine-preventable diseases. EIW activities are carried out by participating WHO/Europe member states.Society for Education Action and Research in Community Health: Searching}}Healthy community design: Healthy community design is planning and designing communities that make it easier for people to live healthy lives. Healthy community design offers important benefits:Sharon Regional Health System: Sharon Regional Health System is a profit health care service provider based in Sharon, Pennsylvania. Its main hospital is located in Sharon; additionally, the health system operates schools of nursing and radiography; a comprehensive pain management center across the street from its main hospital; clinics in nearby Mercer, Greenville, Hermitage, and Brookfield, Ohio; and Sharon Regional Medical Park in Hermitage.Minati SenNortheast Community Health CentreResource leak: In computer science, a resource leak is a particular type of resource consumption by a computer program where the program does not release resources it has acquired. This condition is normally the result of a bug in a program.Psychiatric interview: The psychiatric interview refers to the set of tools that a mental health worker (most times a psychiatrist or a psychologist but at times social workers or nurses) uses to complete a psychiatric assessment.Maternal Health Task ForceDenplanBeef aging: Beef aging is a process of preparing beef for consumption, mainly by breaking down the connective tissue.Implementation research: Implementation research is the scientific study of methods to promote the uptake of research findings. Often research projects focus on small scale pilot studies or laboratory based experiments, and assume that findings can be generalised to roll out into a practice based domain with few changes.Health management system: The health management system (HMS) is an evolutionary medicine regulative process proposed by Nicholas Humphrey reprinted fromBasic Occupational Health Services: The Basic Occupational Health Services are an application of the primary health care principles in the sector of occupational health. Primary health care definition can be found in the World Health Organization Alma Ata declaration from the year 1978 as the “essential health care based on practical scientifically sound and socially accepted methods, (…) it is the first level of contact of individuals, the family and community with the national health system bringing health care as close as possible to where people live and work (…)”.Opinion polling in the Philippine presidential election, 2010: Opinion polling (popularly known as surveys in the Philippines) for the 2010 Philippine presidential election is managed by two major polling firms: Social Weather Stations and Pulse Asia, and several minor polling firms. The polling firms conducted surveys both prior and after the deadline for filing of certificates of candidacies on December 1, 2009.Time-trade-off: Time-Trade-Off (TTO) is a tool used in health economics to help determine the quality of life of a patient or group. The individual will be presented with a set of directions such as:Standard evaluation frameworkEssence (Electronic Surveillance System for the Early Notification of Community-based Epidemics): Essence is the United States Department of Defense's Electronic Surveillance System for the Early Notification of Community-based Epidemics. Essence's goal is to monitor health data as it becomes available and discover epidemics and similar health concerns before they move out of control.Essex School of discourse analysis: The Essex School constitutes a variety of discourse analysis, one that combines theoretical sophistication – mainly due to its reliance on the post-structuralist and psychoanalytic traditions and, in particular, on the work of Lacan, Foucault, Barthes, Derrida, etc. – with analytical precision, since it focuses predominantly on an in-depth analysis of political discourses in late modernity.Mental disorderIntegrated catchment management: Integrated catchment management is a subset of environmental planning which approaches sustainable resource management from a catchment perspective, in contrast to a piecemeal approach that artificially separates land management from water management.

(1/6162) Why do dyspeptic patients over the age of 50 consult their general practitioner? A qualitative investigation of health beliefs relating to dyspepsia.

BACKGROUND: The prognosis of late-diagnosed gastric cancer is poor, yet less than half of dyspeptic patients consult their general practitioner (GP). AIM: To construct an explanatory model of the decision to consult with dyspepsia in older patients. METHOD: A total of 75 patients over the age of 50 years who had consulted with dyspepsia at one of two inner city general practices were invited to an in-depth interview. The interviews were taped, transcribed, and analysed using the computer software NUD.IST, according to the principles of grounded theory. RESULTS: Altogether, 31 interviews were conducted. The perceived threat of cancer and the need for reassurance were key influences on the decision to consult. Cues such as a change in symptoms were important in prompting a re-evaluation of the likely cause. Personal vulnerability to serious illness was often mentioned in the context of family or friends' experience, but tempered by an individual's life expectations. CONCLUSION: Most patients who had delayed consultation put their symptoms down to 'old age' or 'spicy food'. However, a significant minority were fatalistic, suspecting the worst but fearing medical interventions.  (+info)

(2/6162) Delay in presentation of patients with acute stroke to hospital in Oxford.

We identified prospectively all patients (181 patients, 183 episodes) admitted to hospital in Oxford with acute stroke from 1 January to 30 June 1997. Data were inadequate in 30, leaving 153 episodes in 151 patients (63 men, 90 women). Structured interviews were used to investigate the timing of events preceding admission. Most strokes (91%) occurred at home, and 36% of patients were alone. After a median delay of 15 min, 56% called a GP (median 30 min response), 41% an ambulance (median 48 min to admission), and 3% went directly to A&E. Median time from hospital admission to doctor assessment was 69 min. Factors reducing delay were: initially calling an ambulance rather than a GP (p < 0.0001); onset not at home (p < 0.001); symptoms improving between onset and admission (p < 0.002); and altered consciousness (p < 0.002). The stroke was not recognized by 44% of patients, but no significant delay resulted. Overall, 31% were admitted within 3 h of onset, 46% within 6 h. Initial contact with the GP is a major determinant of delay. If acute therapies for stroke become available, GPs should be the primary targets for an educational initiative.  (+info)

(3/6162) Where do people go for treatment of sexually transmitted diseases?

CONTEXT: Major public health resources are devoted to the prevention of sexually transmitted diseases (STDs) through public STD clinics. However, little is known about where people actually receive treatment for STDs. METHODS: As part of the National Health and Social Life Survey, household interviews were performed from February to September 1992 with 3,432 persons aged 18-59. Weighted population estimates and multinomial response methods were used to describe the prevalence of self-reported STDs and patterns of treatment utilization by persons who ever had a bacterial or viral STD. RESULTS: An estimated two million STDs were self-reported in the previous year, and 22 million 18-59-year-olds self-reported lifetime STDs. Bacterial STDs (gonorrhea, chlamydia, nongonococcal urethritis, pelvic inflammatory disease and syphilis) were more common than viral STDs (genital herpes, genital warts, hepatitis and HIV). Genital warts were the most commonly reported STD in the past year, while gonorrhea was the most common ever-reported STD. Almost half of all respondents who had ever had an STD had gone to a private practice for treatment (49%); in comparison, only 5% of respondents had sought treatment at an STD clinic. Respondents with a bacterial STD were seven times more likely to report going to an STD clinic than were respondents with a viral STD--except for chlamydia, which was more likely to be treated at family planning clinics. Men were significantly more likely than women to go to an STD clinic. Young, poor or black respondents were all more likely to use a family planning clinic for STD treatment than older, relatively wealthy or white respondents. Age, sexual history and geographic location did not predict particular types of treatment-seeking. CONCLUSIONS: The health care utilization patterns for STD treatment in the United States are complex. Specific disease diagnosis, gender, race and income status all affect where people will seek treatment. These factors need to be taken into account when STD prevention strategies are being developed.  (+info)

(4/6162) Reactions to medical abortion among providers of surgical abortion: an early snapshot.


(5/6162) Provider attitudes toward dispensing emergency contraception in Michigan's Title X programs.


(6/6162) Socioeconomic differences in childhood consultation rates in general practice in England and Wales: prospective cohort study.

OBJECTIVE: To establish how consultation rates in children for episodes of illness, preventive activities, and home visits vary by social class. DESIGN: Analysis of prospectively collected data from the fourth national survey of morbidity in general practice, carried out between September 1991 and August 1992. SETTING: 60 general practices in England and Wales. SUBJECTS: 106 102 children aged 0 to 15 years registered with the participating practices. MAIN OUTCOME MEASURES: Mean overall consultation rates for any reason, illness by severity of underlying disease, preventive episodes, home visits, and specific diagnostic category (infections, asthma, and injuries). RESULTS: Overall consultation rates increased from registrar general's social classes I-II to classes IV-V in a linear pattern (for IV-V v I-II rate ratio 1.18; 95% confidence interval 1.14 to 1. 22). Children from social classes IV-V consulted more frequently than children from classes I-II for illnesses (rate ratio 1.23; 1.15 to 1.30), including infections, asthma, and injuries and poisonings. They also had significantly higher consultation rates for minor, moderate, and serious illnesses and higher home visiting rates (rate ratio 2.00; 1.81 to 2.18). Consultations for preventive activities were lower in children from social classes IV-V than in children from social classes I-II (rate ratio 0.95; 0.86 to 1.05). CONCLUSIONS: Childhood consultation rates for episodes of illness increase from social classes I-II through to classes IV-V. The findings on severity of underlying illness suggest the health of children from lower social classes is worse than that of children from higher social classes. These results reinforce the need to identify and target children for preventive health care in their socioeconomic context.  (+info)

(7/6162) Voluntary euthanasia under control? Further empirical evidence from The Netherlands.

Nineteen ninety-six saw the publication of a major Dutch survey into euthanasia in the Netherlands. This paper outlines the main statistical findings of this survey and considers whether it shows that voluntary euthanasia is under effective control in the Netherlands. The paper concludes that although there has been some improvement in compliance with procedural requirements, the practice of voluntary euthanasia remains beyond effective control.  (+info)

(8/6162) The relationship between census-derived socio-economic variables and general practice consultation rates in three town centre practices.

BACKGROUND: The relationship between socio-economic factors and consultation rates is important in determining resource allocation to general practices. AIM: To determine the relationship between general practice surgery consultation rates and census-derived socio-economic variables for patients receiving the same primary and secondary care. METHOD: A retrospective analysis was taken of computerized records in three general practices in Mansfield, North Nottinghamshire, with 29,142 patients spread over 15 electoral wards (Jarman score range from -23 to +25.5). Linear regression analysis of surgery consultation rates at ward and enumeration district levels was performed against Jarman and Townsend deprivation scores and census socio-economic variables. RESULTS: Both the Townsend score (r2 = 59%) and the Jarman score (r2 = 39%) were associated with surgery consultation rates at ward level. The Townsend score had a stronger association than the Jarman score because all four of its component variables were individually associated with increased consultations compared with four out of eight Jarman components. CONCLUSIONS: Even in practices not eligible for deprivation payments there were appreciable differences in consultation rates between areas with different socio-economic characteristics. The results suggest that the variables used to determine deprivation payments should be reconsidered, and they support suggestions that payments should be introduced at a lower level of deprivation and administered on an enumeration district basis.  (+info)

  • outcomes
  • Although prior studies showed that home telecare could improve outcomes from patients with congestive heart failure and reduce the cost of their care (Jerant et al. (
  • Improved patient-reported outcomes in physical function, pain and quality of life were also observed in KRYSTEXXA-treated patients. (
  • Spirituality is a valuable tool that patients may use independently to improve their physiological and mental states of pain and discomfort, enabling people to worry less, possibly leading to better health outcomes. (
  • Crossing the Quality Chasm would focus more broadly on overuse (applying medical resources and treatments with insufficient evidence that they lead to greater outcomes), underuse (failing to apply resources or treatments with known benefits), and misuse (failing to execute care safely and correctly) of health care resources and treatments. (
  • patient's
  • Rahimpour, 2006), a kind of new innovative technology, is designed to record clinical indicators of a patient's health status and provides feedback to patients including medication reminders and measurement scheduling (Celler et al. (
  • A provider may be challenged further when the patient's cultural norms differ from the health care provider's, particularly around end-of-life care, which can impact the provision of quality end-of-life care. (
  • The health care provider must have a clear understanding and recognition of the unique and specific influences culture has on a patient's behavior, attitudes, preferences, and decisions around end-of-life care. (
  • Contact precautions are intended to prevent transmission of infectious agents, including epidemiologically important microorganisms, which are spread by direct or indirect contact with the patient or the patient's environment. (
  • Healthcare personnel caring for patients on contact precautions wear a gown and gloves for all interactions that may involve contact with the patient or potentially contaminated areas in the patient's environment. (
  • Third, that they are system-minded or that they look at a patient's care needs as crossing organizational, even competitive, boundaries and that they are not limited to a single experience with a hospital or clinic. (
  • refractory chronic gout
  • EAST BRUNSWICK, N.J., Aug. 16, 2011 /PRNewswire/ -- Savient Pharmaceuticals, Inc. (NASDAQ: SVNT) today announced that results from two pivotal KRYSTEXXAÃ ® (pegloticase) Phase III clinical studies in patients with refractory chronic gout (RCG) have been published in The Journal of the American Medical Association ( JAMA ). (
  • When effective lowering of uric acid levels cannot be achieved with oral medications, many gout patients progress to a severe form of the condition known as refractory chronic gout, which is characterized by frequent arthritic flares, chronic pain, physical disability and poor quality of life," said Michael A. Becker, M.D., Professor Emeritus of Medicine at The University of Chicago. (
  • The availability of KRYSTEXXA has brought hope to refractory chronic gout patients who have not responded to conventional therapies and is the first and only FDA approved treatment for RCG," said John H. Johnson, Chief Executive Officer and President of Savient Pharmaceuticals. (
  • We look forward to continuing to build on this momentum to further our position in the marketplace, expand the depth and breadth of KRYSTEXXA sales and fill an unmet need for patients suffering from refractory chronic gout. (
  • preventative
  • A nationally representative sample of older adults was used to estimate the effects of religious salience and denomination on six different types of preventative health care (i.e. (
  • This approach uses the same sequencing technology to focus on the evaluation of disease risk, allowing the physician to initiate preventative treatment before the disease presents itself in their patient. (
  • Improved access to health related information on the web via semantic and networked resources will facilitate an improved understanding of health issues with the goal of increasing patient self-management, preventative care and enhancing health professional expertise. (
  • Practice
  • The main barriers to improving influenza immunisation uptake in older people appear to be negative patient attitudes, beliefs of primary care providers, and a lack of organised approaches in general practice. (
  • Fee splitting is the practice of sharing fees with professional colleagues, such as physicians or lawyers, in return for being sent referrals This is essentially the payment of a commission to the referrer with the express intention of ensuring that the referring doctor directs referrals of patients to the payee. (
  • It is also called as 'CUT' (also spoken as Cee-You-Tee) practice in many parts of the world including India for its reference to a 'cut' from the patients bill. (
  • Many countries do not allow promotion of health services via mass media, advertisements and other direct promotions, and in a significant way, information on pricing and quality of care institutions and medicines reaches to patient through their primary care physician, many of whom indulge in a referral fee split unethical practice to refer a patient for business to a higher specialist, brand prescription and admissions. (
  • Medical privacy or health privacy is the practice of maintaining the security and confidentiality of patient records. (
  • mainly
  • 7 - 9 This information comes mainly from quantitative studies, but such studies often do not allow a detailed exploration of the beliefs and values that shape the attitudes of patients. (
  • It consists mainly in providing future parents with pertinent, unbiased information on primal health and supporting them during their child's primal period of life (i.e., "from conception to first anniversary" according to definition by the Primal Health Research Centre, London). (
  • This has mainly come about because health authorities are reluctant to bear the cost of the test strips and lancets. (
  • The hospital cared mainly for the poor, many of them recent immigrants, until the 20th century. (
  • Controversy over these provisions mainly centers on Section 166.046, Subsection (e),1 which allows a health care facility to discontinue life-sustaining treatment ten days after giving written notice if the continuation of life-sustaining treatment is considered futile care by the treating medical team. (
  • involves
  • It involves patients obtaining reassurance, support, and validation from others via social media. (
  • Equipment control and asset management involves the management of medical devices within a facility and may be supported by automated information systems (e.g., enterprise resource planning (ERP) systems are often found in U.S. hospitals, and the U.S. military health system uses an advanced automated system known as the Defense Medical Logistics Standard Support (DMLSS) suite of applications). (
  • This involves both the conversational discretion by health care providers and the security of medical records. (
  • Psychiatric
  • Psychiatric mental health nursing: from suffering to hope. (
  • Among its Definitions of Unprofessional Conduct, the "West Hudson Psychiatric Society Virtual Newsletter" (1997) lists Offering, giving or receiving a fee for the referral of a patient (fee splitting), or permitting any person other than an employee or associate to share in your fee, who has not provided an appropriate service directly under your supervision. (
  • 1990
  • The Patient Self Determination Act (PSDA) of 1990 was developed to ensure those rights were protected, including the fundamental rights to treatment choices, informed consent, truth-telling and open communication with health care providers, and control over the individual's own life and death (Electronic Code of Federal Regulations, 2011). (
  • practitioners
  • Providers who are uncomfortable accommodating an integrative approach to care should consult with other practitioners skilled in providing spiritual care, so that patients can integrate spiritual support into their own self-care The concept of "spirituality" in healt care has been criticised. (
  • Also perceived as problematic, is the potential for parties other than health care practitioners, such as insurance companies, employers, police or the government, to use information in a way which could result in discrimination or disadvantage. (
  • differ
  • One possible explanation for this relationship that has not received much attention in the literature is that health care utilization may differ by religious involvement or religious denomination. (
  • Decisions differ based on geographic location and perceived trust in the patient-provider relationship. (
  • 1999
  • A follow-up to the frequently cited 1999 IOM patient safety report To Err Is Human: Building a Safer Health System, Crossing the Quality Chasm advocates for a fundamental redesign of the U.S. health care system. (
  • The Texas Advance Directives Act (1999), also known as the Texas Futile Care Law, describes certain provisions that are now Chapter 166 of the Texas Health & Safety Code. (
  • attitude
  • Based on the Technology Acceptance Model (TAM) and Social Influence Theory (SIT), a Home Telecare Management System (HTMS) Acceptance Model is proposed and tested to improve the understanding of patients' acceptance of HTMS and the impact of social influence on patients' attitude and behavioral intentions in using HTMS. (
  • Hospitals
  • In North America, hospitals resisted adoption of meter glucose measurements for inpatient diabetes care for over a decade. (
  • The origins of hospitals, and the care provided within them, is closely linked with the rise of early Christianity. (
  • The care provided in these hospitals still focused on spirituality as before. (
  • The care provided in these hospitals was dictated by the Daughter's agenda, which was mostly providing spiritual care for the dying as well as alms for the poor. (
  • Though hospitals were used to house specific groups of people (orphans, the poor, prostitutes, immigrants), they were also legitimately involved in their care, and were not just another form of penitentiary. (
  • Overcrowding created very poor health conditions, which in turn gave these hospitals high mortality rates - nearly 25% at the Hotel Dieu. (
  • The best medical care was reserved for only those would could afford it, and the poor population of France's general hospitals very often could not. (
  • According to their website, the Joint Commission (JCI) have no published view on the issue of fee splitting, and in fact the Joint Commission stopped trying to provide guidance on medical ethics to American hospitals many years ago, preferring to concentrate on less challenging areas of healthcare assessment, despite the vast importance of medical ethics to patient safety. (
  • evaluate
  • The two replicate, randomized, double-blind, placebo-controlled Phase III studies were designed to evaluate the efficacy and tolerability of treatment with KRYSTEXXA 8 mg every two weeks or every four weeks compared to placebo for the management of RCG patients. (
  • Personalised health care is based on the dynamics of systems biology and uses predictive tools to evaluate health risks and to design personalised health plans to help patients mitigate risks, prevent disease and to treat it with precision when it occurs. (
  • They can be trained to ask emotional health questions/survey's to evaluate the standing of patients mental health. (
  • In 2002, the Society for Simulation in Healthcare (SSH) was formed to become a leader in international interprofessional advances the application of medical simulation in healthcare The need for a "uniform mechanism to educate, evaluate, and certify simulation instructors for the health care profession" was recognized by McGaghie et al. (
  • gaps
  • Equity looks at closing racial and income gaps in health care. (
  • The report identified numerous barriers to successful health care transformation, including: inconsistent or fluctuating goals, picking measurements that do not align with the goals, gaps caused by leadership turnover, low investment, outdated technology, unsustainable financing, threat of litigation, overregulation, and professional education that focuses on individual services rather than the system perspective. (
  • 2001
  • Crossing the Quality Chasm: A New Health System for the 21st Century is report on health care quality in the United States published by the Institute of Medicine (IOM) on March 1, 2001. (
  • behaviors
  • Spirituality can also interfere in an inverse way with self-care behaviors. (
  • As a result, they could unintentionally be worsening their conditions by discontinuing medically based self-care behaviors. (
  • infectious
  • Because these pathogens do not remain infectious over long distances in a healthcare facility, special air handling and ventilation are not required to prevent droplet transmission. (
  • A much-needed addition to the main building and funded by local businessman John Watkins, the Watkins Wing opened in January 1863 to treat patients with infectious diseases. (
  • assess
  • When a single-patient room is not available, consultation with infection control personnel is recommended to assess the various risks associated with other patient placement options (e.g., cohorting, keeping the patient with an existing roommate). (
  • By developing personal relationships with their patients and their families, health professionals can better assess patients' spiritual situation. (
  • medical procedure
  • Personalized medicine, also termed precision medicine, is a medical procedure that separates patients into different groups-with medical decisions, practices, interventions and/or products being tailored to the individual patient based on their predicted response or risk of disease. (
  • retrospective
  • DESIGN: A retrospective cohort study of patients aged 18 years and older with newly diagnosed HIV infection in the City of Philadelphia, 2007-2008. (
  • In a retrospective analysis of IRs, five patients experienced anaphylaxis, including two patients each in the KRYSTEXXA every two-week and every four-week cohorts, and one additional patient assigned every two-week treatment who experienced anaphylaxis during the first infusion. (
  • quality
  • In the late 1990s, the IOM established a committee and formal program to study health care quality that lead to the development of To Err Is Human and Crossing the Quality Chasm: the Committee on Quality of Health Care in America and the Program on Quality of Health Care in America. (
  • They were inspired by an article published by the IOM-sponsored National Roundtable on Health Care Quality in the Journal of the American Medical Association about the harm to patients caused by medical errors. (
  • Simultaneously, the National Cancer Policy Board and the President's Advisory Commission on Consumer Protection and Quality in the Health Care Industry published similar reports. (
  • Crossing the Quality Chasm identifies and recommends improvements in six dimensions of health care in the U.S.: patient safety, care effectiveness, patient-centeredness, timeliness, care efficiency, and equity. (
  • The first recommendation in Crossing the Quality Chasm relates to setting patient-centric goals for improving the U.S. health care system. (
  • It proposes making clear, comprehensive, and bold goals for quality improvement and that those goals should focus on improving patient experiences, the cost to each patient, and equity across disparate racial and income populations. (
  • The data demonstrated that treatment with KRYSTEXXA resulted in significant and sustained reductions in uric acid levels along with clinical improvements in a substantial proportion of RCG patients for six months, a timeframe for demonstrating clinical improvement that is unique in randomized controlled studies of urate-lowering therapies. (
  • In addition, 40 percent of patients with tophi receiving KRYSTEXXA every two weeks experienced complete resolution of one or more tophi, which are deposits of crystalline urate in joints, skin or cartilage, by the final study visit, compared to seven percent of patients on placebo (p=0.002). (
  • The data from these studies demonstrated that significant and rapid clinical benefits can be shown in such severely affected patients during KRYSTEXXA treatment. (
  • however, with continued treatment during months four through six, reductions in gout flares were observed in the proportion of patients with gout flare in the KRYSTEXXA every two-week versus placebo-treated groups. (
  • All signs and symptoms resolved completely in these five patients, and three of these patients continued participating in the studies and receiving treatment with KRYSTEXXA. (
  • Medical physics (also called biomedical physics, medical biophysics or applied physics in medicine) is, generally speaking, the application of physics concepts, theories and methods to medicine or healthcare. (
  • Research
  • The Association of American Medical Colleges (AAMC) has co-sponsored, with the National Institute for Healthcare Research, 4 conferences, on curricular development in spirituality and medicine since 1997. (
  • Definitive evidence of health benefit from interaction with health-related virtual communities is currently lacking as further research needs to be performed. (
  • Patient safety/risk management (including volunteers in biomedical research, carers, comforters and persons subjected to non-medical imaging exposures. (
  • Surveillance of medical devices and evaluation of clinical protocols to ensure the ongoing protection of patients, volunteers in biomedical research, carers, comforters and persons subjected to non-medical imaging exposures from the deleterious effects of physical agents in accordance with the latest published evidence or own research when the available evidence is not sufficient. (
  • Surveillance of medical devices and evaluation of clinical protocols with respect to protection of workers and public when impacting the exposure of patients, volunteers in biomedical research, carers, comforters and persons subjected to non-medical imaging exposures or responsibility with respect to own safety. (
  • Research regarding healthcare simulation has advanced and proliferated in the past decade. (
  • Support
  • Li and Shun (2016) focused on self care coping styles in patients with chronic heart failure found that spiritual and religious support affects heart failure patients coping with both physical and psychological self-care. (
  • Eysenbach G, Powell J, Englesakis M, Rizo C, Stern A. Health related virtual communities and electronic support groups: systematic review of the effects of online peer to peer interactions. (
  • It can involve simulated human patients - artificial, human or a combination of the two, educational documents with detailed simulated animations, casualty assessment in homeland security and military situations, emergency response, and support virtual health functions with holographic simulation. (
  • Healthcare Technology Management (sometimes referred to as clinical engineering, clinical engineering management, clinical technology management, healthcare technology management, medical equipment management, biomedical maintenance, biomedical equipment management, and biomedical engineering) is a term for the professionals who manage operations, analyze and improve utilization and safety, and support servicing healthcare technology. (
  • comprises
  • Just as health comprises a variety of physical and mental states, so do disease and disability, which are affected by environmental factors, genetic predisposition, disease agents, and lifestyle choices. (
  • practices
  • First, by ensuring that care is knowledge-based or that it consistently follows the latest medical best practices. (
  • beds
  • In multi-patient rooms, >3 feet spatial separation between beds is advised to reduce the opportunities for inadvertent sharing of items between the infected/colonized patient and other patients. (
  • 3 feet and drawing the curtain between patient beds is especially important for patients in multi-bed rooms with infections transmitted by the droplet route. (
  • facilitate
  • 2003). Generally, HTMS incorporates an extensive suite of clinical instruments including a wireless weight scale, single lead electrocardiogram, hemadynamometer, spirometer, thermometer, (pulse) oximeter, uricometer, and Internet enabled tools to facilitate patient management long-distance by the healthcare team (Rahimpour, 2006). (
  • approaches
  • While the tailoring of treatment to patients dates back at least to the time of Hippocrates, the term has risen in usage in recent years given the growth of new diagnostic and informatics approaches that provide understanding of the molecular basis of disease, particularly genomics. (
  • The concepts of personalised medicine can be applied to new and transformative approaches to health care. (
  • accommodate
  • The building, designed to accommodate 72 patients, remained unoccupied until three years later when the city had the money to purchase equipment and furnishings. (
  • Healthcare technician's primary position is to assist medical staff complete tasks around their assigned unit or clinic's and accommodate patient needs. (
  • physical
  • Evidence supporting a relationship between religion and physical health has increased substantially in the recent past. (
  • This health promotion par excellence is based on the 'new knowledge' in molecular biology, in particular on epigenetic knowledge, which points to how much affective - as well as physical - environment during fetal and newborn life may determine each and every aspect of adult health. (
  • diabetes
  • According to estimates made by the World Health Organization (WHO), about 55 million people died worldwide in 2011, two thirds of this group from non-communicable diseases, including cancer, diabetes, and chronic cardiovascular and lung diseases. (
  • Due to this work he is considered the "father of biosensors," especially with respect to the glucose sensing for diabetes patients. (
  • Patients with diabetes and their endocrinologists eventually persuaded acceptance. (
  • provide
  • Therefore, sequencing RNA can provide a broader understanding of a person's state of health. (
  • Their efforts contributed to funding the Empire Wing in 1914 which was built to provide additional private accommodation for paying patients. (
  • These virtual communities provide a real-time resource for obtaining health-related knowledge and counselling. (
  • Healthcare technicians provide two levels of care, direct and indirect. (
  • These duties include: Cleaning of duty specific equipment Use of atypical equipment Completion of qualification to provide specific care Knowledge based studies to enhance the work environment Most allied health programs are of associate degree levels or state issued certification. (
  • It also includes the staff and systems which provide IT solutions related to health care. (
  • professionals
  • Consequently, these brand names have become synonymous with the generic product to many health care professionals. (
  • These healthcare technology managers are, much like other healthcare professionals referred to by various specialty or organizational hierarchy names. (
  • Regardless of the various titles, these professionals offer services within and outside of healthcare settings to enhance the safety, utilization, and performance on medical devices, applications, and systems. (
  • Results
  • One program that does use this strategy--with impressive results--is Broomfield, CO-based McKesson Health Solutions. (
  • Results listed that 49.1% of Australian patients stated they have withheld or would withhold information from their health care provider based on privacy concerns. (