This study identifies whether culturally based differences in perceptions of health resulted in differences in ambulatory care use among the elderly. Methods: The authors conducted stratified Poisson regressions on da...
详细信息
This study identifies whether culturally based differences in perceptions of health resulted in differences in ambulatory care use among the elderly. Methods: The authors conducted stratified Poisson regressions on data from a 1992 survey of older Koreans and Whites in Los Angeles County. The models included measures of demographics, health, functioning, income, insurance, social support, and culture (perceptions of health or other beliefs). Results: Descriptive findings showed older Koreans had more ambulatory physician visits, poorer functioning,and poorer perceptions of their health than Whites. Multivariate findings showed that positive perceptions of health independently reduced office visits for both Koreans and Whites, but the effect was significantly smaller for Koreans. Other cultural differences also affected use. Discussion: The findings highlight differences between older Koreans and Whites' responses to physical and socioeconomic conditions and the importance of cultural sensitivity in the health care delivery system.
Background. This article compares national estimates of utilization of and expenditures for dental care and office-based medical care. The comparison includes respondents in several socioeconomic and demographic categ...
详细信息
Background. This article compares national estimates of utilization of and expenditures for dental care and office-based medical care. The comparison includes respondents in several socioeconomic and demographic categories. Methods. The focus of the analyses is on dental care and office-based medical care utilization during 1987. Specifically, the authors provide national estimates for numbers of dental and office-based medical visits made, expenditures for and sources of payment for each of several socioeconomic and demographic categories using household survey data from the 1987 National Medical Expenditure Survey, or NMES. Results. Data show that out-of-pocket expenditures are greater for dental care than for office-based medical care;that few Medicaid dollars are spent on dental care;that insurance is an important component of dental and office-based medical care;and that dentists provide greater amounts of unreimbursed care than do their office-based physician counterparts. Conclusions. NMES data show that dental care expenditures are considerable, almost as large as expenditures for office-based medical care, and are a significant component of all nonhospital health care expenditures for noninstitutionalized Americans. Practice Implications. U.S. dentists provide a significant amount of care. By understanding these analyses, practitioners will be better positioned to provide care and to better meet the dental needs of all Americans.
Not only does this sequence for fabricating full dentures result in fewer visits, it also reduces the patient"s perception of time between visits. Taking a bite registration at the second visit with the promise o...
详细信息
Not only does this sequence for fabricating full dentures result in fewer visits, it also reduces the patient"s perception of time between visits. Taking a bite registration at the second visit with the promise of a try-in at the third visit creates a sense of dispatch. This method also results in a better prosthesis. Repeatedly removing and reseating base plates on final models during bite rim and set-up fabrication abrades the models. The pro- cessing of dentures made from abraded models results in com- promised tissue-surface adapta- tion; thus, the delivered den- tures are less stable and retentive than they should be and can cause sore spots, dis- placement and reduced patient satisfaction. Using the sequence I describe in this article prevents such abrasion from occurring.
This study was conducted to ascertain the vaccination beliefs and practices of physicians who provide care for low income children. Sixty-two (56.9%) of a sample of 109 physicians in suburban Cook County, Illinois res...
详细信息
This study was conducted to ascertain the vaccination beliefs and practices of physicians who provide care for low income children. Sixty-two (56.9%) of a sample of 109 physicians in suburban Cook County, Illinois responded to a mail survey. A majority of physicians reported a willingness to immunize during well child care, follow-up, and chronic illness visits;yet, a substantial lack of willingness to immunize given certain acute mild illnesses was reported. Twenty-six percent of providers did not routinely identify children who were behind in immunizations and only 16% had completed a chart audit in the past three years. Seventy-four percent were willing to provide all shots needed at a single visit. Misconceptions regarding true contraindications was found among the group. Missed well child visits were identified as the greatest barrier to complete immunization. Improvements in vaccination rates are expected if physicians utilize all types of medical encounters to monitor the immunization status of patients and provide vaccines using only true medical contraindications.
The impact on utilisation of differential public entitlements to free health services is analysed, using data for a large sample of Irish households. GP visiting rates are seen to be significantly higher for those on ...
详细信息
The impact on utilisation of differential public entitlements to free health services is analysed, using data for a large sample of Irish households. GP visiting rates are seen to be significantly higher for those on low incomes whose costs are covered by the State than for those who pay for such care, having controlled for other characteristics including health status. The importance of taking differences in health status into account in attempting to distinguish the effects of economic incentives is shown both for GP visits and hospital stays.
暂无评论