This study evaluated a method to increase physicians' participation in Early and Periodic Screening, Diagnosis and Treatment (EPSDT), a preventive health care program for Medicaid eligible children. Use of EPSDT can improve children's health status and reduce health care costs. Although the potential benefits of EPSDT are clear, the program is underused; low rates of participation by private physicians contribute to underuse. This study targeted a population of 73 primary care physicians in six rural counties in North Carolina where the physician supply, their participation in EPSDT, and use of EPSDT were low. A mailed intervention packet attempted to address barriers to participation perceived by private providers. The packet consisted of a carefully constructed letter, an informative journal article, and an educational pamphlet. Participation in EPSDT screening increased from 15 to 25 private physicians (67 percent), at a cost, on average, of less than $30 per recruited provider. Suggestions are presented for adapting the intervention packet to other settings.
Vlahov, D; Sullivan, M; Astemborski, J; Nelson, K E;
Published Date:
1992 Sep-Oct
Source:
Public Health Rep. 107(5):595-598
Description:
In a survey of 1,057 active intravenous drug users in Baltimore, MD, who were recruited through extensive community outreach, 12 reported endocarditis and 113 reported subcutaneous abscesses in the 6 months before being interviewed. Of all the person...
Kutner, N G; Ory, M G; Baker, D I; Schechtman, K B; Hornbrook, M C; Mulrow, C D;
Published Date:
1992 Sep-Oct
Source:
Public Health Rep. 107(5):530-539
Description:
The Multicenter Trials of Frailty and Injuries: Cooperative Studies of Intervention Techniques (FICSIT) is a series of clinical trials of biomedical, behavioral, and environmental interventions to reduce the risks of frailty and injury among the elde...
Buck, G M; Mahoney, M C; Michalek, A M; Powell, E J; Shelton, J A;
Published Date:
1992 Sep-Oct
Source:
Public Health Rep. 107(5):569-575
Description:
The purpose of this study was to describe the neonatal characteristics of Native American (Indian) infants and the antenatal characteristics of their mothers as compared with white, black, and other race infants. The study population comprised 979,44...
Florida is the only State in the southeastern United States that is not part of the "stroke belt." The National Heart, Lung, and Blood Institute (NHLBI), National Institutes of Health, defines the stroke belt as those States with an age-adjusted stro...
Use of cigarette tobacco by large proportions of the population of Middle Eastern countries has been reported; however, little is known about smoking behavior in one of America's fastest growing minorities, the Arab Americans. The purpose of this stu...
Heterosexual contact with intravenous drug users accounts for a growing proportion of cases of acquired immunodeficiency syndrome (AIDS) among women. In an earlier study designed to reduce sexual risk behavior, the authors randomly assigned 91 methad...
Chronic fatigue syndrome is a poorly understood disease characterized by debilitating fatigue and neuromuscular and neuropsychological symptoms. Despite numerous studies on the subject, the epidemiology of the syndrome in the community remains largel...
Bowen, G S; Marconi, K; Kohn, S; Bailey, D M; Goosby, E P; Shorter, S; Niemcryk, S;
Published Date:
1992 Sep-Oct
Source:
Public Health Rep. 107(5):491-499
Description:
This is a review of (a) the emergency assistance for ambulatory HIV medical and support services provided in the first year by eligible metropolitan areas (EMAs) funded under Title I of the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act...
Homelessness and living in shelters have complex and multiple adverse effects on children that lend urgency to assisting families with children to leave shelters and to achieve independent and stable living arrangements. Some shelters offer only shor...
The authors investigated sources of bias in health surveys by examining responses to their 1989 questionnaire mailed to 1,255 Massachusetts men who were eligible for dental care provided by the Department of Veterans Affairs. After a maximum of three...
Mayes, S D; Elsesser, V; Schaefer, J H; Handford, H A; Michael-Good, L;
Published Date:
1992 Sep-Oct
Source:
Public Health Rep. 107(5):504-514
Description:
About 12 percent of the women sex partners of hemophilic men who are seropositive for the human immunodeficiency virus (HIV) have themselves become seropositive. Questionnaires were completed in January 1988 by 15 women who were in long-term, monogam...
Cousins, J H; Rubovits, D S; Dunn, J K; Reeves, R S; Ramirez, A G; Foreyt, J P;
Published Date:
1992 Sep-Oct
Source:
Public Health Rep. 107(5):549-555
Description:
Mexican Americans are more likely to be obese than non-Hispanic whites, yet little research has been conducted on the treatment of obesity in Mexican Americans. The purpose of this study was to compare a family-based intervention with a traditional p...
Many Southeast Asians now living in the United States experience severe health problems, attributable to physical trauma and inadequate health care in Asia, and low socioeconomic status in this country. Evidence indicates that despite their health pr...
Factors that influence ambulatory care (visits to physicians and emergency rooms) and use of hospitals were investigated in a population of chronically ill, rural, low-income children. Rates of use for this population--a stratified random sample of 6...
Arbogast, Kristy B.; Curry, Allison E.; Pfeiffer, Melissa R.; Zonfrillo, Mark R.; Haarbauer-Krupa, Juliet; Breiding, Matthew J.; Coronado, Victor G.; Master, Christina L.;
Published Date:
Jul 05 2016
Source:
JAMA Pediatr. 170(7):e160294.
Description:
IMPORTANCEPrevious epidemiologic research on concussions has primarily been limited to patient populations presenting to sport concussion clinics or to emergency departments (EDs) and to those high school age or older. By examining concussion visits ...
Riportella-Muller, R; Selby-Harrington, M L; Richardson, L A; Donat, P L; Luchok, K J; Quade, D;
Published Date:
1996 Jan-Feb
Source:
Public Health Rep. 111(1):71-77
Description:
This article describes findings from interviews of parents targeted for outreach efforts that encouraged them to use Medicaid's Early and Periodic Screening, Diagnosis and Treatment(EPSDT) Program. Begun in the 1970s, the EPSDT program held out the p...