Indiana medicine : the journal of the Indiana State Medical Association最新文献

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Statewide medical education in Indiana. 印第安纳州的全州医学教育。
G T Lukemeyer, G W Irwin
{"title":"Statewide medical education in Indiana.","authors":"G T Lukemeyer, G W Irwin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77175,"journal":{"name":"Indiana medicine : the journal of the Indiana State Medical Association","volume":"89 3","pages":"264-70"},"PeriodicalIF":0.0,"publicationDate":"1996-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19651408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of tobacco use on the health of Indiana citizens. 烟草使用对印第安纳州公民健康的影响。
G K Steele, J E Moorman
{"title":"Effects of tobacco use on the health of Indiana citizens.","authors":"G K Steele,&nbsp;J E Moorman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In Indiana, the lung cancer mortality rate is almost equal to the incidence rate. The mortality rate from lung cancer in men is almost four times higher than for any other cancer. In women, the mortality rate is 20% higher than the mortality rate for breast cancer. In Indiana, black men have the highest death and incidence rates, followed by white men, black women, then white women. There are no early warning signs for lung cancer; there is no recommended screening mechanism; there is no uniformly effective treatment. Unlike most cancers, the primary cause of lung cancer is a well known behavioral factor: smoking. Smoking prevalence is higher in Indiana than in the United States for both men and women.</p>","PeriodicalId":77175,"journal":{"name":"Indiana medicine : the journal of the Indiana State Medical Association","volume":"89 2","pages":"145-8"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19832937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Indiana family physician attitudes and practices concerning smoking cessation. 印第安纳州家庭医生对戒烟的态度和做法。
R M Saywell, S J Jay, P J Lukas, L L Casebeer, K C Mybeck, M L Parchman, A J Haley
{"title":"Indiana family physician attitudes and practices concerning smoking cessation.","authors":"R M Saywell,&nbsp;S J Jay,&nbsp;P J Lukas,&nbsp;L L Casebeer,&nbsp;K C Mybeck,&nbsp;M L Parchman,&nbsp;A J Haley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Most physicians are aware of the health benefits of smoking cessation and agree they have a responsibility to help smokers quit. Many physicians, however, do not regularly address smoking cessation with their patients. Questionnaires were sent to 2,095 family practice physicians in Indiana. Information obtained included: demographic data; office-based smoking cessation practices; counseling; and physicians' perceptions of intervention outcomes. Most physicians (86%) asked new patients if they smoked, and 23% questioned patients about their exposure to passive smoke. Younger physicians, female physicians and urban physicians were more likely to ask new patients if they smoked. A formal smoking cessation program was used by 28% of the responding physicians. Among those not using a program, 7% reported plans to implement one in the coming year, 40% were not planning to implement one, and 53% were unsure. Physician and practice characteristics were not correlated with the use of smoking cessation programs. Only 11% of physicians considered their smoking cessation counseling skills to be excellent; 27% indicated the need for improvement in skills. One-half (52%) believed their counseling efforts were effective; almost half (45%) believed that current reimbursement policies limited their involvement in smoking cessation interventions. Most respondents have not instituted smoking cessation programs in their practices. It is likely that a combination of strategies, including both undergraduate, graduate and continuing medical education programs and reform in reimbursement practices for cessation programs, will be required to achieve significant increases in long-term smoking abstinence rates.</p>","PeriodicalId":77175,"journal":{"name":"Indiana medicine : the journal of the Indiana State Medical Association","volume":"89 2","pages":"149-56"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19832938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tobacco curriculum for medical students, residents and practicing physicians. 针对医科学生、住院医师和执业医师的烟草课程。
J L Kristeller, J K Ockene
{"title":"Tobacco curriculum for medical students, residents and practicing physicians.","authors":"J L Kristeller,&nbsp;J K Ockene","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Smoking and other tobacco exposure have been recognized for several decades as the most significant preventable factors in premature morbidity and mortality. Most physicians believe they should address the issue of tobacco intake with their patients but are rarely provided with adequate training or support to do so effectively. Recent research identifies several ways in which physicians can have substantial impact on patient smoking rates, by use of very brief patient-centered counseling and by prescribing nicotine replacement therapies. This paper describes a model curriculum for medical students, residents, medical faculty and community physicians that can be integrated into current training and teaching practices. The goal is to create a \"preventive\" intervention perspective to smoking that is effective, practical, efficacious and cost-effective.</p>","PeriodicalId":77175,"journal":{"name":"Indiana medicine : the journal of the Indiana State Medical Association","volume":"89 2","pages":"199-204"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19833405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Racial differences in the impact of smoking-attributable disease on health care costs in Indiana. 印第安纳州吸烟归因疾病对医疗保健费用影响的种族差异。
S Emont
{"title":"Racial differences in the impact of smoking-attributable disease on health care costs in Indiana.","authors":"S Emont","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this investigation was to estimate the direct health care costs attributable to smoking in Indiana and address these costs in the context of the differential health impact of tobacco use on minorities. Estimates of direct health care costs for smoking in 1990 were calculated using the Smoking Attributable Morbidity and Mortality and Economic Costs (SAMMEC 2.1) computer-based program developed by the Centers for Disease Control and Prevention. The proportion of direct health care costs attributable to smoking were calculated by evaluating personal health expenditures from five cost centers including hospitalization, physician services, services of other health practitioners, nursing home care and drugs. Study findings indicate that direct health care costs were more than $700 million in 1990. Health care spending among whites accounted for 53% of total costs. Per capita costs among smokers and nonsmokers > or = 35 years of age amounted to $278. Although whites accounted for the majority of direct health care costs attributable to smoking, per capita costs were higher among African Americans compared to whites, reflecting the differential smoking-attributable mortality rates experienced by these two groups.</p>","PeriodicalId":77175,"journal":{"name":"Indiana medicine : the journal of the Indiana State Medical Association","volume":"89 2","pages":"161-4"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19834139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Best practices for smoking cessation intervention for hospitalized patients. 住院病人戒烟干预的最佳做法。
J DeWeese
{"title":"Best practices for smoking cessation intervention for hospitalized patients.","authors":"J DeWeese","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A multi-disciplinary workgroup of health care professionals and consumers has developed evidence-based best practices guidelines, an algorithm and clinical pathways for smoking cessation intervention for hospitalized patients. These practice recommendations can be adapted for implementation in managed care settings.</p>","PeriodicalId":77175,"journal":{"name":"Indiana medicine : the journal of the Indiana State Medical Association","volume":"89 2","pages":"181-3"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19834142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Smoking cessation in primary care. 初级保健中的戒烟。
R D Hurt
{"title":"Smoking cessation in primary care.","authors":"R D Hurt","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77175,"journal":{"name":"Indiana medicine : the journal of the Indiana State Medical Association","volume":"89 2","pages":"165-8"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19834140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Indiana laws regarding tobacco control. 印第安纳州有关烟草控制的法律。
J A Caparo, S J Jay
{"title":"Indiana laws regarding tobacco control.","authors":"J A Caparo,&nbsp;S J Jay","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77175,"journal":{"name":"Indiana medicine : the journal of the Indiana State Medical Association","volume":"89 2","pages":"193-4"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19834147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Workplace tobacco interventions. 工作场所烟草干预。
G Perry
{"title":"Workplace tobacco interventions.","authors":"G Perry","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Health promotion programs are becoming an integral part of work site activities. Recent data from Indiana businesses suggest that smoking is a leading concern. An objective has been adopted by the Indiana Chamber of Commerce that states that the number of employers with work site smoking cessation policies should increase. Smoking control and cessation programs implemented in industry have contributed to a decrease in the number of smokers and in the health risks of nonsmokers exposed to environmental tobacco smoke. This report describes the effectiveness of work site smoking control programs.</p>","PeriodicalId":77175,"journal":{"name":"Indiana medicine : the journal of the Indiana State Medical Association","volume":"89 2","pages":"157-9"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19834138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ASSIST: making a difference in Indiana. 协助:在印第安纳州有所作为。
K L Bishop
{"title":"ASSIST: making a difference in Indiana.","authors":"K L Bishop","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77175,"journal":{"name":"Indiana medicine : the journal of the Indiana State Medical Association","volume":"89 2","pages":"126-8"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19832934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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