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"The high cost of dying": what do the data show? 1984. “死亡的高昂代价”:数据显示了什么?1984.
The Milbank Memorial Fund quarterly Pub Date : 2005-01-01 DOI: 10.2307/3349838
A. Scitovsky
{"title":"\"The high cost of dying\": what do the data show? 1984.","authors":"A. Scitovsky","doi":"10.2307/3349838","DOIUrl":"https://doi.org/10.2307/3349838","url":null,"abstract":"","PeriodicalId":78777,"journal":{"name":"The Milbank Memorial Fund quarterly","volume":"6 1","pages":"825-41"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75999371","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: 12
The epidemiologic transition: a theory of the epidemiology of population change. 1971. 流行病学转变:人口变化的流行病学理论。1971.
The Milbank Memorial Fund quarterly Pub Date : 2005-01-01 DOI: 10.2307/3349375
A. Omran
{"title":"The epidemiologic transition: a theory of the epidemiology of population change. 1971.","authors":"A. Omran","doi":"10.2307/3349375","DOIUrl":"https://doi.org/10.2307/3349375","url":null,"abstract":"","PeriodicalId":78777,"journal":{"name":"The Milbank Memorial Fund quarterly","volume":"42 1","pages":"731-57"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87032445","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: 553
Longitudinal analyses of four years of experience of a prepaid comprehensive medical care plan. 1958. 对一个预付费综合医疗保健计划四年经验的纵向分析。1958.
The Milbank Memorial Fund quarterly Pub Date : 2005-01-01 DOI: 10.2307/3348373
P. Densen, N. R. Deardorff, E. Balamuth
{"title":"Longitudinal analyses of four years of experience of a prepaid comprehensive medical care plan. 1958.","authors":"P. Densen, N. R. Deardorff, E. Balamuth","doi":"10.2307/3348373","DOIUrl":"https://doi.org/10.2307/3348373","url":null,"abstract":"The spectacular contributions of science to medicine and the popularization of the results have greatly stimulated the demand on the part of the public for making modern medical benefits more readily accessible to a larger portion of the population. But the very advances which have stimulated this demand and which have focused attention on the preventive aspects of disease have also contributed greatly to the cost of medical care. On the one hand, this increased cost has led to an enormous growth in the application of the insurance principle to prepayment for medical and hospital care; on the other, it has led to new approaches in the organization of medical practice to provide this care. These changes in the methods of paying for and of providing medical care are comparative newcomers among American social institutions. Provision for prepayment of hospitalization began in 1933 with the establishment of Blue Cross plans. Prepayment of medical care is an even more recent phenomenon. Fewer than six persons per 1,000 held surgical and medical insurance in 1939. Today, according to the Health Information Foundation,2 almost 70 per cent of the population is protected or “covered” by some combination of hospital, surgical, or medical insurance. On the organizational side change has been less rapid, but there has been a steady growth in the number of group practice organizations. It has been estimated3 that while in 1932 there were 239 medical groups","PeriodicalId":78777,"journal":{"name":"The Milbank Memorial Fund quarterly","volume":"111 1","pages":"647-89"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73114828","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
The epidemiology of venous thrombosis. 静脉血栓形成的流行病学。
The Milbank Memorial Fund quarterly Pub Date : 2003-07-01 DOI: 10.1111/J.1538-7836.2003.TB03952.X
M. Cushman
{"title":"The epidemiology of venous thrombosis.","authors":"M. Cushman","doi":"10.1111/J.1538-7836.2003.TB03952.X","DOIUrl":"https://doi.org/10.1111/J.1538-7836.2003.TB03952.X","url":null,"abstract":"","PeriodicalId":78777,"journal":{"name":"The Milbank Memorial Fund quarterly","volume":"50 1 1","pages":"Suppl 2:1-292"},"PeriodicalIF":0.0,"publicationDate":"2003-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63147461","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: 44
A loss of faith: the sources of reduced political legitimacy for the American medical profession. 信仰的丧失:美国医学界政治合法性降低的根源。
The Milbank Memorial Fund quarterly Pub Date : 2002-06-01 DOI: 10.1111/1468-0009.T01-1-00010
M. Schlesinger
{"title":"A loss of faith: the sources of reduced political legitimacy for the American medical profession.","authors":"M. Schlesinger","doi":"10.1111/1468-0009.T01-1-00010","DOIUrl":"https://doi.org/10.1111/1468-0009.T01-1-00010","url":null,"abstract":"The political legitimacy and policymaking influence of the medical profession have greatly declined in American society over the past 30 years. Despite speculation about the causes, there has been little empirical research assessing the different explanations. To address this gap, data collected in 1995 are used to compare attitudes of the American public and policy elites toward medical authority. Statistical analyses reveal that (1) elites are more hostile to professional authority than is the public; (2) the sources of declining legitimacy are different for the public than they are for policy elites; and (3) the perceptions that most threaten the legitimacy of the medical profession pertain to doubts about professional competence, physicians' perceived lack of altruism, and limited confidence in the profession's political influence. This article concludes with some speculations about the future of professional authority in American medicine.","PeriodicalId":78777,"journal":{"name":"The Milbank Memorial Fund quarterly","volume":"52 1","pages":"185-235"},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89581356","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: 168
Using administrative data to study persons with disabilities. 使用管理数据研究残疾人。
The Milbank Memorial Fund quarterly Pub Date : 2002-06-01 DOI: 10.1111/1468-0009.T01-1-00007
L. Iezzoni
{"title":"Using administrative data to study persons with disabilities.","authors":"L. Iezzoni","doi":"10.1111/1468-0009.T01-1-00007","DOIUrl":"https://doi.org/10.1111/1468-0009.T01-1-00007","url":null,"abstract":"Administrative data result from administering health plans--tracking service utilization, paying claims, monitoring costs and quality--and have been used extensively for health services research. This article examines the strengths and limitations of administrative data for health services research studies of people with disabilities. Administrative data offer important advantages: encompassing large populations over time, ready availability, low cost, and computer readability. Questions arise about how to identify people with disabilities, capture disability-related services, and determine meaningful health care outcomes. Potentially useful administrative data elements include eligibility for Medicare or Medicaid through Social Security disability determinations, diagnosis and procedure codes, pharmacy claims, and durable medical equipment claims. Linking administrative data to survey or other data sources enhances the utility of administrative data for disability studies.","PeriodicalId":78777,"journal":{"name":"The Milbank Memorial Fund quarterly","volume":"131 1","pages":"347-79"},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77764740","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: 120
Disability as a public health issue: findings and reflections from the Massachusetts survey of secondary conditions. 残疾作为一个公共卫生问题:马萨诸塞州二级条件调查的结果和思考。
The Milbank Memorial Fund quarterly Pub Date : 2002-06-01 DOI: 10.1111/1468-0009.00009
Nancy Wilber, Monika Mitra, D. Walker, D. Allen, A. Meyers, Paul Tupper
{"title":"Disability as a public health issue: findings and reflections from the Massachusetts survey of secondary conditions.","authors":"Nancy Wilber, Monika Mitra, D. Walker, D. Allen, A. Meyers, Paul Tupper","doi":"10.1111/1468-0009.00009","DOIUrl":"https://doi.org/10.1111/1468-0009.00009","url":null,"abstract":"Public health researchers and practitioners have begun to recognize the dynamic nature of disability, promote the health of people with disabilities, and develop strategies to prevent secondary conditions among them. To understand the epidemiology of secondary conditions, the authors developed the Massachusetts Survey of Secondary Conditions, a longitudinal study of adults with major disabilities (n = 656) based on a conceptual framework linking disability, mediating factors, and health outcomes. This paper reports baseline data on the number of secondary conditions experienced by survey respondents. Respondents experienced a mean of 5.3 of 17 secondary conditions. More numerous secondary conditions were associated with fair or poor general health and number of days unable to do routine activities. Factors amenable to public health interventions included difficulty with weight and exercise maintenance, tobacco and marijuana use, and experiencing assault. Disability should be a focus in all public health research, policy, and programs.","PeriodicalId":78777,"journal":{"name":"The Milbank Memorial Fund quarterly","volume":"54 1","pages":"393-421"},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84475759","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: 114
Meeting the health care needs of persons with disabilities. 满足残疾人的保健需要。
The Milbank Memorial Fund quarterly Pub Date : 2002-06-01 DOI: 10.1111/1468-0009.T01-1-00008
C. Clancy, E. Andresen
{"title":"Meeting the health care needs of persons with disabilities.","authors":"C. Clancy, E. Andresen","doi":"10.1111/1468-0009.T01-1-00008","DOIUrl":"https://doi.org/10.1111/1468-0009.T01-1-00008","url":null,"abstract":"The Agency for Healthcare Research and Quality (AHRQ) has established the Office of Priority Populations Research and is currently developing a research agenda to improve health care for persons with disability (PWDs). This article describes the background of and potential for the AHRQ disability agenda and some of the challenges ahead and considers future directions for disability-related health services research. Strategies for this agenda might include ensuring the inclusion of PWDs in current and future health care research studies and database development; support for studies and data focusing exclusively on PWDs; and support for studies of the challenges common to all or most of the priority populations.","PeriodicalId":78777,"journal":{"name":"The Milbank Memorial Fund quarterly","volume":"60 1","pages":"381-91"},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86015196","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: 23
Examining the role of health services research in public policymaking. 审查卫生服务研究在公共政策制定中的作用。
The Milbank Memorial Fund quarterly Pub Date : 2002-03-01 DOI: 10.1111/1468-0009.00005
J. Lavis, S. Ross, J. Hurley, Joanne M Hohenadel, G. Stoddart, C. Woodward, J. Abelson
{"title":"Examining the role of health services research in public policymaking.","authors":"J. Lavis, S. Ross, J. Hurley, Joanne M Hohenadel, G. Stoddart, C. Woodward, J. Abelson","doi":"10.1111/1468-0009.00005","DOIUrl":"https://doi.org/10.1111/1468-0009.00005","url":null,"abstract":"Conceptual, methodological, and practical issues await those who seek to understand how to make better use of health services research in developing public policy. Some policies and some policymaking processes may lend themselves particularly well to being informed by research. Different conclusions about the extent to which policymaking is informed by research may arise from different views about what constitutes health services research (is it citable research or any professional social inquiry that can aid in problem solving?) or different views about what constitutes research use (is it explicit uses of research only, or does it also include tacit knowledge or the positions of stakeholders when they are informed by research and are influential in the policymaking process?). Some conditions may favor the use of research in policymaking, like sustained interactions between researchers and policymakers. Results from an exploratory study on the use of health services research by Canadian provincial policymakers illustrate these issues.","PeriodicalId":78777,"journal":{"name":"The Milbank Memorial Fund quarterly","volume":"1 1","pages":"125-54"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80793912","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: 402
Health promotion and the First Amendment: government control of the informational environment. 促进健康和第一修正案:政府对信息环境的控制。
The Milbank Memorial Fund quarterly Pub Date : 2001-12-17 DOI: 10.1111/1468-0009.00221
L. Gostin, G. Javitt
{"title":"Health promotion and the First Amendment: government control of the informational environment.","authors":"L. Gostin, G. Javitt","doi":"10.1111/1468-0009.00221","DOIUrl":"https://doi.org/10.1111/1468-0009.00221","url":null,"abstract":"Government efforts to protect public health often include controlling health information. The government may proscribe messages conveyed by commercial entities (e.g., false or misleading), recommend messages from commercial entities (e.g., warnings and safety instructions), and convey health messages (e.g., health communication campaigns). Through well-developed, albeit evolving, case law, government control of private speech has been constrained to avoid impinging on such values as free expression, truthfulness, and autonomous decision making. No simple legal framework has been developed for the government's own health messages to mediate between the legitimate goals of health protection and these other values. Nevertheless, government recommendations on matters of health raise difficult social and ethical questions and involve important societal trade-offs. Accordingly, this article proposes legal and ethical principles relating to government control of the health information environment.","PeriodicalId":78777,"journal":{"name":"The Milbank Memorial Fund quarterly","volume":"67 1","pages":"547-78, iv"},"PeriodicalIF":0.0,"publicationDate":"2001-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85840665","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: 10
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