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The value of hospital chaplains: patient perspectives.

Journal of pastoral care 1991年第2期45卷 117-125页

作者： Gibbons, J.L. Thomas, J. VandeCreek, L. Jessen, A.K. Christ Hospital and Medical Center Oak Lawn 60453. IL United States

Reports the results of a questionnaire mailed to insurance claimants (N = 2480) recently discharged from a hospital. Analyzes the results and concludes from the data that patients place high value on pastoral services. Suggests that both hospital administrators and chaplains make sure that adequate attention be given to serving patient families, long-stay and repeated admission patients, and to the patients' demonstrated need for frequent visits, particularly in these times of rapid changes in condensing hospital stays.

关键词：宗教事务科医院/标准用户满意/统计学和数值数据评价研究卫生服务需求/统计学和数值数据牧师心理治疗/统计学和数值数据问卷调查美国

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Assessment of demand for a healthcare system membership plan: An intent translation approach

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Journal of Ambulatory Care Marketing 1991年第2期4卷 37-51页

作者： Gates, Roger Mc Daniel, Carl Jarboe, Glen University of Texas Arlington United States

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关键词：卫生服务需求/统计学和数值数据卫生服务使用研究/统计学和数值数据多机构系统/利用病人接受卫生保健的程度/统计学和数值数据问卷调查美国西南部成年人女(雌)性人类男(雄)性中年人

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Mental health services in the county jail: A critical partnership?

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PSYCHOLOGICAL REPORTS 1999年第3期84卷 1099-1104页

作者： Muzekari, LH Lonigan, CJ Hatton, AY Rowe, C Lexington Cty Community Mental Hlth Ctr W Columbia SC 29169 USA Florida State Univ Tallahassee FL 32306 USA Osawatomie State Hosp Osawatomie KS USA

This study was designed to provide a description of individuals incarcerated in a county jail and referred for mental health services. A standardized intake form was completed for 598 inmates who had contact with the mental health counselor. Analysis of the mental health status of inmates suggests that the presence of a counselor in the jail may serve an important function. Specifically, inmates referred ro the counselor were not in acute distress. This suggests they may be better served by an on-site counselor rather than through the traditional method of being transported to the hospital emergency room or community mental health center for evaluation.

关键词：社区精神卫生服务/统计学和数值数据合同业务/统计学和数值数据横断面研究卫生服务需求/统计学和数值数据精神障碍/诊断精神障碍/流行病学囚犯/心理学囚犯/统计学和数值数据转诊和会诊/统计学和数值数据南卡罗来纳/流行病学成年人女(雌)性人类男(雄)性

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Caregiver Strain: Toward an Enlarged Perspective

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Journal of Aging and Health 1989年第2期1卷 188-208页

作者： Romeis, James C. Saint Louis University St. Louis VA Medical Center United States

This article attempts to broaden the conceptual perspective of caregiver strain by developing a generalized perspective that focuses on the demands and resources of caregiving. By extension, the perspective links caregiver strain to a typology relating caregiver strain and institutionalization. The result is intended to be a new and useful conceptualization for identifying factors that differentiate sources of caregiver strain and their consequences for both individuals and society. © 1989, Sage Publications. All rights reserved.

关键词：适应心理学家庭卫生卫生服务需求/统计学和数值数据家庭护理(非专业)/心理学收容入院社会支持应激心理学/病因学老年人人类

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Home alone: Unmet need for formal support services among home health clients

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Home Health Care Services Quarterly 1998年第2期17卷 1-20页

作者： Thomas, Cindy Parks Payne, Susan M. C. Brandeis University Institute for Health Policy Heller Graduate School Waltham MA 02254-9110 United States Case Western Reserve University MetroHealth Medical Center Cleveland OH 44109 2300 Metro Health Drive-R236 United States

In order to remain in the home without family or other informal support, home health clients must have access to essential formal services such as nutritional support and homemaking chores to supplement medical and nursing care. In this study, we looked at client-related factors associated with the need for formal support services, and factors associated with whether those needs are adequately met. Data were collected from 2,013 home health clients in Massachusetts. According to the assessment of the skilled nurses treating them, 85 percent of the clients needed one or more support services;some or all needs were not adequately met in nearly half. Significant factors contributing to unmet need included: being non-white, having Medicaid as payer, being in a health maintenance organization, having AIDS, receiving maternal/child health services, and having an acute condition. This research suggests that even clients receiving skilled nursing care may. © 1998, Taylor & Francis Group, LLC. All rights reserved.

关键词：获得性免疫缺陷综合征/护理社区保健护理/统计学和数值数据数据收集卫生保健调查健康维护组织卫生服务需求/统计学和数值数据家庭医疗保健服务/统计学和数值数据家庭医疗保健服务/利用马萨诸塞 Medicaid 模型统计学营养支持美国人类

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Health Status and Needs of Migrant Farm Workers in the United States: A Literature Review

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The Journal of Rural Health 1992年第3期8卷 227-234页

作者： Farmer, Frank L Slesinger, Doris P. University of Arkansas. Fayctteville Arkansas 72701 221 Agriculture Building United States

Migrant farmworkers lead a hard life filled with strenuous work, stress, and anxiety about employment; live under substandard conditions; and rarely get the health care they require. Preventive care is a luxury they cannot afford. Year-round nutritious meals are rarely possible, due to long working hours, traveling, and living in housing without adequate cooking and refrigeration facilities. Children may attend up to six or more schools during the course of a school year. Crowded housing conditions support the invasion of parasites, infectious diseases, and viral infections. Dermatological conditions from working around a wide variety of plants, dirt, and in the sun are frequent. Exposure to pesticides, herbicides, and other chemical additives creates the likelihood of acute reactions, such as headaches and rashes, and also puts workers at risk of developing chronic diseases as the level of exposure rises because of accumulation and mix of various chemicals. Yet, we know little about the health status of this population. We are unable to estimate crude death rates, age-specific death rates, or prevalence rates of most common causes of death, such as heart disease,cancer and stroke. There is no information about occupational accident rates, infectious disease rates, or even postneonatal mortality. We do know that when migrants go to a clinic, they are often likely to have the chronic conditions of hypertension or diabetes. They present symptoms of acute conditions such as dental problems, dermatitis, otitis media among children, and acute upper respiratory infections. Women frequently need obstetrical care, reflected (ABSTRACT TRUNCATED AT 250 WORDS)

关键词：农业/人力卫生服务需求/统计学和数值数据健康状况指标医疗费用无力承担年患病率农村卫生暂居者和移居者美国/流行病学人类

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Future needs for dental restorative materials.

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Advances in dental research 1992年第1期6卷 4-6页

作者： Douglass, C.W. Department of Dental Care Administration Harvard School of Dental Medicine Boston 02115. MA United States

While the population of the United States increases from 250 to 310 million people, the number in older age groups will increase dramatically from 28 million to about 64 million. Tooth retention has improved remarkably in the 65-74 age groups, from 7.4 in 1962 to 17.9 in 1986. While younger age groups will require less treatment due to decline in dental caries, older age groups appear to require more treatment than did similar age cohorts in previous generations. Hence, the need for restorative procedures by the United States population will be on an upward trend for the next decade or two.

关键词：年龄因素龋失补指数龋齿/流行病学牙修复永久/统计学和数值数据牙修复永久/发展趋势预测卫生服务需求/统计学和数值数据卫生服务需求/发展趋势口腔无牙/流行病学美国成年人老年人人类中年人

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Research note: Price uncertainty and the demand for health care

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Health Policy and Planning 1995年第3期10.0卷 301-303页

作者： Knowles, James C. Abt Associates Inc. United States

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BENIGN MORAL HAZARD AND THE COST-EFFECTIVENESS ANALYSIS OF INSURANCE-COVERAGE

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JOURNAL OF HEALTH ECONOMICS 1990年第4期9卷 447-461页

作者： PAULY, MV HELD, PJ UNIV PENN WHARTON SCHDEPT HLTH CARE SYSTPHILADELPHIAPA 19104 USA

When a medical intervention is found to be cost effective, what level of insurance coverage should apply to it? The optimal level of coverage may be less than or greater than full coverage of medical care costs; a finding of cost effectiveness for a service does not necessarily imply v full coverage or coverage at the same rate as other services. If there is some imperfection in the ability to translate higher insurance benefits into higher insurer revenues, the optimal level of coverage will be greater the higher the degree of moral hazard applying to the service.

关键词：费用效益分析/统计学和数值数据决策卫生服务需求/统计学和数值数据免疫法/经济学保险健康/经济学 Medicare/经济学模型统计学肺炎肺炎球菌性/预防和控制社会福利/经济学美国老年人人类

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Determinants of health services utilization among the black and white elderly.

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Journal of health & social policy 1990年第3期1卷 73-88页

作者： Keith, V.M. Jones, W. Texas A&M University College Station 77843.

Andersen's (1968) behavioral model was used to assess whether factors predictive of health services utilization are the same or different for elderly blacks and whites. We hypothesized that because the black elderly have fewer resources, lower psychological well-being, and are in worse health, situational and attitudinal factors suggested by the model have different effects for blacks and whites. Using three measures of utilization--physician contact, hospital contact, and nights hospitalized--our findings show some support for differential effects, particularly in the case of physician contact. Neither resource factors such as health insurance nor psychological well-being were predictive of utilization within the black population. We conclude with some suggestions for future research.

关键词：非洲裔美国人/统计学和数值数据行为欧洲大陆世系人群/统计学和数值数据卫生服务需求/统计学和数值数据老年人保健服务/利用健康状况指标医院/利用模型心理学医师/利用社会经济因素美国老年人人类

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