Asunto(s)
Planificación en Salud/organización & administración , Indicadores de Salud , Administración en Salud Pública , Informes Anuales como Asunto , Infecciones por VIH/epidemiología , Humanos , Oklahoma , Calidad de la Atención de Salud , Gobierno Estatal , Estados Unidos/epidemiología , Cobertura Universal del Seguro de SaludAsunto(s)
Educación en Salud/organización & administración , Abuso de Sustancias por Vía Intravenosa/prevención & control , Síndrome de Inmunodeficiencia Adquirida/prevención & control , Femenino , Educación en Salud/normas , Humanos , Masculino , Compartición de Agujas/legislación & jurisprudencia , Oklahoma , Formulación de Políticas , Evaluación de Programas y Proyectos de Salud , Sociedades Médicas/legislación & jurisprudencia , Sociedades Médicas/normasAsunto(s)
Atención a la Salud/organización & administración , Accesibilidad a los Servicios de Salud/organización & administración , Programas Controlados de Atención en Salud/organización & administración , Medicaid/organización & administración , Adolescente , Niño , Preescolar , Atención a la Salud/economía , Atención a la Salud/legislación & jurisprudencia , Accesibilidad a los Servicios de Salud/economía , Accesibilidad a los Servicios de Salud/legislación & jurisprudencia , Humanos , Lactante , Programas Controlados de Atención en Salud/economía , Programas Controlados de Atención en Salud/legislación & jurisprudencia , Medicaid/economía , Medicaid/legislación & jurisprudencia , Oklahoma , Atención Primaria de Salud , Estados UnidosAsunto(s)
Accesibilidad a los Servicios de Salud/organización & administración , Necesidades y Demandas de Servicios de Salud/organización & administración , Cobertura Universal del Seguro de Salud , Síndrome de Inmunodeficiencia Adquirida , Adolescente , Femenino , Homicidio , Humanos , Oklahoma , Embarazo , Embarazo en Adolescencia , Conducta SexualRESUMEN
Medical savings accounts (MSAs) and medical IRAs are important components of a "market-based" strategy for health care reform that have been opposed by many physicians for several reasons including lack of the applicability of these concepts to solving the problem of the uninsured. On closer inspection of the uninsured in Oklahoma, it is apparent that the majority of the uninsured in Oklahoma are in groups with annual incomes which allow a majority of persons within those groups to afford health insurance. Medical savings accounts are flexible, affordable, and portable forms of health coverage which are already being used in other states by significant numbers of persons with annual incomes similar to the majority of Oklahomans who are uninsured. Physicians are encouraged to support the implementation of these concepts as well as other market-based concepts in order to bring about fiscally responsible and truly effective health care reform.
Asunto(s)
Economía Médica , Costos de la Atención en Salud/tendencias , Pacientes no Asegurados , Anciano , Humanos , Seguro de Salud/economía , Persona de Mediana Edad , OklahomaRESUMEN
Healthcare reform threatens to jeopardize the role of physicians in deciding what is appropriate care for their patients. Factors outside the doctor-patient relationship, such as a global budget and limited access, will exert increasing influence on the decision-making process, according to Dr Dewberry. In this commentary, he explores the roots of this dangerous trend and suggests that physicians take an uncompromising stance against it.
Asunto(s)
Gobierno , Reforma de la Atención de Salud/legislación & jurisprudencia , Rol del Médico , Relaciones Médico-Paciente , Toma de Decisiones en la Organización , Humanos , Maniobras Políticas , Estados UnidosRESUMEN
There is evidence that the developmental exam is frequently neglected during the well baby exam because of time constraints. We placed a simple, standardized developmental screening instrument on the medical record of children under two years of age and then monitored physician use of the chart for the next 18 months. Developmental screening increased from 15.7% during the 12 months prior to our intervention to 41.9% during the 12 months after our intervention. Use of the screening instrument by faculty appeared to have an important influence on resident physician use of the instrument during the well baby exam.
Asunto(s)
Desarrollo Infantil , Medicina Familiar y Comunitaria , Examen Físico , Discapacidades del Desarrollo/diagnóstico , Medicina Familiar y Comunitaria/educación , Humanos , Lactante , Recién Nacido , Internado y Residencia , Registros Médicos , Visita a Consultorio Médico , Servicio Ambulatorio en HospitalRESUMEN
In 1974 and 1975, a selective tuberculosis screening program was conducted in a small mining community in Ottawa County, Oklahoma. Former miners, 50 years of age and over, who had abnormal chest radiographs consistent with silicosis or inactive tuberculosis and positive tuberculin skin tests, were offered isoniazid preventive therapy. Since the project ended, morbidity from silicotuberculosis has declined but silicotuberculosis has continued to occur. In this report, we examine the reasons for the failure to eradicate this disease from the community.