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Measuring the spiritual needs of hospital patients and their families.

Journal of pastoral care 1992年第1期46卷 46-52页

作者： VandeCreek L. Smith D. Ohio State University Hospitals Columbus 43210. United States

Uses four psychometric instruments in an attempt to measure the spiritual needs of general hospital patients, family members, and persons from the community. Infers that the data suggest that family members tend to be more involved in a search for meaning than are patients and community persons. Discusses implications of the results for pastoral caregivers.

关键词：宗教事务科医院/统计学和数值数据评价研究家庭卫生卫生服务需求/统计学和数值数据卫生服务研究/方法医院大学俄亥俄牧师心理治疗/统计学和数值数据心理测定学问卷调查宗教和心理学人类

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OPTIMAL REIMBURSEMENT HEALTH-INSURANCE AND THE THEORY OF RAMSEY TAXATION

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JOURNAL OF HEALTH ECONOMICS 1988年第4期7卷 321-336页

作者： BESLEY, TJ UNIV OXFORD ALL SOULS COLL OXFORD OX1 4ALENGLAND

This paper explores the trade-off between risk sharing and the incentives to consume increased medical care inherent in reimbursement insurance. The results for the theory of reimbursement insurance are compared with ... 详细信息

关键词：卫生经费支出卫生服务需求/统计学和数值数据卫生服务研究/统计学和数值数据收入保险健康/利用模型统计学偿还途径偿还奖励危险因素税款/统计学和数值数据美国

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Pain and the Use of Health Services among the Elderly

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Journal of Aging and Health 1994年第2期6卷 155-172页

作者： Cook, Andrew J. Thomas, Michael R. Psychological Service Centre University of Manitoba Winnipeg Manitoba R3T 2N2 Canada University of Manitoba

This study examined pain management strategies and the relationship of pain to the use of health services in a sample of community-resident Canadian elderly. Analyses with the Andersen-Newman framework of need, enabling and predisposing variables revealed that pain did not make an incremental contribution to explaining service use. Traditional measures of need for services accounted for the majority of explained variance in health service use. The substantial number of participants who were found to be coping with chronic, frequent pain relied on themselves as much as formal health services for dealing with their pain. The most common coping style for these pain sufferers was a combination of analgesics and accepting mild pain as part of daily life. This combination of medical intervention and attitudinal factors appears to make the coping process very manageable. © 1994, Sage Publications. All rights reserved.

关键词：数据收集卫生服务需求/统计学和数值数据老年人保健服务/利用最小二乘法分析马尼托巴疼痛/预防和控制回归分析老年人女(雌)性人类男(雄)性

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Issues Surrounding the Distribution and Utilization of Nurse Nonphysician Providers in Rural America

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The Journal of Rural Health 1991年第4期7卷 388-401页

作者： Conway‐Welch, Colleen School of Nursing Vanderbilt University Nashville United States

The cost and quality of health care is an ever‐increasing concern. Responsible people are looking for logical solutions. One solution is the increased involvement of nurse practitioners and certified nurse midwives in the delivery of health care services to patients. This paper reviews the supply, education, and responsibilities of nurse practitioners and certified nurse midwives, government studies of the need for nonphysician providers, the cost‐effectiveness of health care delivered by nurse practitioners and certified nurse midwives, and impediments to practice. Copyright © 1991, Wiley Blackwell. All rights reserved

关键词：费用效益分析费用和收费卫生服务需求/统计学和数值数据卫生服务需求/发展趋势保险护理工作 Medicare 助产士/经济学助产士/供应和分配助产士/利用开业护士/经济学开业护士/供应和分配开业护士/利用专业业务/经济学卫生保健质量农村卫生美国

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Health education for ethnic minorities — current provision and future directions

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Health Education Journal 1988年第4期47卷 137-140页

作者： Bhopal, R.S. Donaldson, L.J. Newcastle University United Kingdom Northern Regional Health Authority United Kingdom

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Public health care and private insurance demand: The waiting time as a link

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Health Care Management Science 2000年第1期3卷 51-71页

作者： Jofre-Bonet, Mireia Department of Public Health Yale University LEPH 314 New Haven CT 06510 60 College St. United States

This paper analyzes the effect of waiting times in the Spanish public health system on the demand for private health insurance. Expected utility maximization determines whether or not individuals buy a private health insurance. The decision depends not only on consumer's covariates such as income, socio-demographic characteristics and health status, but also on the quality of the treatment by the public provider. We interpret waiting time as a qualitative attribute of the health care provision. The empirical analysis uses the Spanish Health Survey of 1993. We cope with the absence of income data by using the Spanish Family Budget Survey of 1990-91 as a complementary data set, following the Arellano-Meghir method [4]. Results indicate that a reduction in the waiting time lowers the probability of buying private health insurance. This suggests the existence of a crowd-out in the health care provision market. © Baltzer Science Publishers BV.

关键词：健康态度卫生保健调查卫生服务需求/经济学卫生服务需求/统计学和数值数据健康状况收入保险范围/统计学和数值数据卫生服务使用研究未参加医疗保险者/统计学和数值数据模型经济计量学私营部门/统计学和数值数据私营部门/利用公共卫生管理/经济学卫生保健质量社会经济因素西班牙时间因素预约名单成年人老年人儿童女(雌)性人类男(雄)性中年人

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Elders’ out-of-pocket payment for community-based long-term care

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Home Health Care Services Quarterly 1994年第4期14卷 87-103页

作者： Hays, Antoinette M. Branch, Laurence G. Division of Nursing Weston MA 02193 United States Associates and Boston University School of Medicine Wayland MA 01778 United States

This research describes characteristics of community living elders aged 71 and older with long-term care (LTC) needs who pay out-of-pocket for community-based LTC. Community living elders with higher incomes, more friends and non-child relatives outside the home, and greater ADL or IADL needs are more likely to purchase LTC than those without these characteristics. Also the lack of sufficient numbers of children outside the home to provide assistance tended to result in the use of out-of-pocket paid services. Paying for LTC is not associated with the extent of disability experienced. This study clarifies the characteristics of those in need who currently pay out-of-pocket for community LTC as a basis for examining the inadequacies of current LTC financing. © 1994 Taylor & Francis Group, LLC.

关键词：日常生活活动数据收集人口统计学筹资个人/统计学和数值数据虚弱老人/统计学和数值数据卫生经费支出/统计学和数值数据卫生服务需求/统计学和数值数据家庭医疗保健服务/经济学家庭医疗保健服务/统计学和数值数据 Logistic模型长期医疗/经济学长期医疗/统计学和数值数据马萨诸塞多元分析亲子关系社会经济因素老年人老年人 80以上女(雌)性人类男(雄)性

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THE EFFECT OF PER-ITEM FEES ON THE BEHAVIOR OF GENERAL-PRACTITIONERS

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JOURNAL OF HEALTH ECONOMICS 1992年第4期11卷 413-437页

作者： HUGHES, D YULE, B UNIV ABERDEEN DEPT PUBL HLTHHLTH ECON RES UNITABERDEEN AB9 1FXSCOTLAND

The recent government White Paper 'Working for Patients' emphasised the use of financial incentives as a means of altering the behaviour of general practitioners (GPs) in the U.K. This paper examines the impact of financial incentives on GPs' behaviour with respect to maternity care and cervical cytology. Changes in per-item fees over the period 1966-89 appear to have had little effect on the numbers of treatments;rather service provision was related to patient demand and the availability of GPs. However, target payments for cervical cytology introduced in 1990 appear to have had a major impact.

关键词：费用医疗/统计学和数值数据卫生服务需求/经济学卫生服务需求/统计学和数值数据卫生服务研究产妇卫生保健服务/经济学产妇卫生保健服务/统计学和数值数据模型经济计量学多元分析医师家庭/经济学医师家庭/统计学和数值数据回归分析偿还奖励公费医疗/经济学公费医疗/统计学和数值数据宫颈肿瘤/诊断宫颈肿瘤/经济学女(雌)性人类妊娠

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EQUITY AND THE DISTRIBUTION OF UK NATIONAL-HEALTH-SERVICE RESOURCES

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JOURNAL OF HEALTH ECONOMICS 1991年第1期10卷 1-19页

作者： ODONNELL, O PROPPER, C UNIV BRISTOL DEPT ECONBRISTOL BS8 1THAVONENGLAND UNIV BRISTOL SAUSBRISTOL BS8 1THAVONENGLAND

This paper examines the extent to which the British NHS allocates health care according to need. The results, based on 1985 data, show that within morbidity groups the poor receive, on average, more health care than the rich. This does not necessarily indicate pro-poor inequity. There is some evidence of a positive relationship between income and health within any morbidity category. The results contradict those of an earlier study which found bias favouring the middle classes. It is argued that the methodology adopted in the present study is more appropriate for the examination of allocation according to need.

关键词：数据收集评价研究(主题) 卫生资源/供应和分配卫生服务需求/统计学和数值数据收入/统计学和数值数据模型统计学年患病率社会正义社会经济因素公费医疗/利用

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Adl dependent people may also be sick: Neglect of the “home health” population in the home care debate

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Home Health Care Services Quarterly 1994年第4期14卷 23-35页

作者： Williams, Brent C. Weissert, William G. Divisions of General Medicine and Geriatric Medicine Department of Internal Medicine University of Michigan Medical Center Ann Arbor MI 48 109-0376 3116 Taubman Center United States Department of Health Services Management and Policy School of Public Health University of Michigan Ann Arbor MI 48 109-0376 3116 Taubman Center United States

Fear of large new public outlays have muted debate over recent proposals to expand subsidized supportive (non-medical) home care services for the elderly. Data from the billing portion of the 1984 National Long Term Care Survey demonstrate that of the approximately one million community-dwelling elderly persons whose chronic functional impairments would make them eligible for many proposed home care programs, nearly one third (31%) received services from a home health agency over a 12-month period. Since home health agencies provide substantial amounts of supportive services to enrollees, it. © 1994 Taylor & Francis Group, LLC.

关键词：日常生活活动数据收集合格鉴定评价研究虚弱老人/统计学和数值数据卫生服务需求/统计学和数值数据家庭医疗保健服务/经济学家庭医疗保健服务/统计学和数值数据家庭医疗保健服务/利用长期医疗/利用 Medicare/统计学和数值数据 Medicare/利用美国老年人人类

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