Of 391 patients with sickle cell disease known to the health care facilities of the University of South Alabama, 194 patients used these facilities in 1989. In that year, 33.5 percent of patients seen at the University of South Alabama did not attend the Comprehensive Health Care Clinics developed for sickle cell patients. There were major differences in the patterns of use and in health care costs among sickle cell patients who attended the Comprehensive Health Care Clinics and those who did not. Patients not using these clinics, although they accounted for only 33.5 percent of the total patients, constituted 71.4 percent of visits to the emergency rooms and 42.3 percent of inpatient admissions. Patients enrolled in the Comprehensive Health Care Clinics used emergency rooms and inpatient units less frequently (P < 0.0001 and P = 0.0006, respectively) and were responsible for significantly smaller health care costs in each category (P < 0.0300). Evaluation of factors responsible for differences in the use patterns and patient education to improve use of comprehensive health care services should be considered.
The Special Supplemental Food Program for Women, Infants, and Children (WIC) provides supplemental food, nutrition and health education, and social services referral to pregnant, breastfeeding, and post-partum women, and their infants and young child...
Despite a growing body of anecdotal evidence suggesting the spread of firearms to suburban juvenile populations, most studies of firearm activity by juveniles focus either on urban youth or on nationally representative samples that blur urban and non...
Leland, N L; Petersen, D J; Braddock, M; Alexander, G R;
Published Date:
1995 Jan-Feb
Source:
Public Health Rep. 110(1):53-58
Description:
This study used the 1983-86 U.S. Linked Live Birth-Infant Death Files to examine variations in pregnancy outcomes among 38,551 U.S. resident black and white adolescents ages 10 through 14. The birth rate was 4.29 per 1,000 for blacks, more than 7 tim...
This comparison between public health departments in the United States and in the Canadian Province of Ontario addresses the funding and staffing and the size and program content of local health departments after Canada's national health reform provi...
Yeager, K K; Anda, R F; Macera, C A; Donehoo, R S; Eaker, E D;
Published Date:
1995 Jan-Feb
Source:
Public Health Rep. 110(1):100-102
Description:
Using linear regression, the authors demonstrated a strong association between State-specific coronary heart disease mortality rates and State prevalence of sedentary lifestyle (r2 = 0.34; P = 0.0002) that remained significant after controlling for t...
Valdiserri, Ronalrd O.; Gerber, A. Russell; Dillon, Beth A.; Campbell, Carl H.;
Published Date:
1995 Jan-Feb
Source:
Public Health Rep. 110(1):47-52
Description:
The characteristics of clients reporting no health insurance were compared with those reporting any health insurance at publicly funded human immunodeficiency virus (HIV) counseling and testing sites in the United States during 1992. Thirty of 65 fun...
Silverman, B G; Gross, T P; Kaczmarek, R G; Hamilton, P; Hamburger, S;
Published Date:
1995 Jan-Feb
Source:
Public Health Rep. 110(1):42-46
Description:
Data on pacemaker implantation were obtained from the Medical Device Implant Supplement to the 1988 National Health Interview Survey, a nationally representative, population-based survey of 47,485 households (122,310 persons). The survey yielded an e...
One of the national objectives in "Healthy People 2000" is for members of the public to increase their consumption of fruits and vegetables to five or more servings daily. The National Cancer Institute (NCI) began a nationwide campaign to achieve thi...
Rates of both type 2 diabetes and cardiovascular disease have risen sharply in recent years among Navajo Indians, the largest reservation-based American Indian tribe, but the association between the two conditions is not entirely clear. Rates of card...
Animal bites are a reality of life throughout the world. They arise out of an imperfect relationship with domestic animals and wildlife. Most bite injuries are preventable. The principal approaches to community-wide bite prevention programs include r...
Tardiff, K; Marzuk, P M; Leon, A C; Hirsch, C S; Stajic, M; Portera, L; Hartwell, N;
Published Date:
1995 Jan-Feb
Source:
Public Health Rep. 110(1):13-17
Description:
Although prior research has found that homes containing firearms and illicit drug and ethanol users are more likely to be the scene of a homicide than homes that do not contain these elements, the authors studied homicides on the streets as well as i...
The latest revision of the birth certificate features a new checkbox format designed to collect more effectively information for public health research. One of the new checkbox items, medical risk factors for this pregnancy, is designed to collect in...
Krakauer, H; Bailey, R C; Cooper, H; Yu, W K; Skellan, K J; Kattakkuzhy, G;
Published Date:
1995 Jan-Feb
Source:
Public Health Rep. 110(1):2-12
Description:
The Health Care Financing Administration of the Department of Health and Human Services has carried out for several years the systematic assessment of variations over time and among geographic locales in patterns of care and patterns of outcomes expe...
National Center on Birth Defects and Developmental Disabilities (Centers for Disease Control and Prevention)
Published Date:
7/12/17
Series:
Sickle Cell Data Collectioni (SCDC)
Description:
Do you use the emergency department for care of sickle cell disease? What to know before you go [Spanish]Los niños y adultos con enfermedad de células falciformes (SCD, por sus siglas en inglés) a menudo necesitan recibir atención médica en...
National Center on Birth Defects and Developmental Disabilities (Centers for Disease Control and Prevention)
Published Date:
6/19/17
Series:
Sickle Cell Data Collectioni (SCDC)
Description:
Children and adults with sickle cell disease (SCD) often require care in the emergency department (ED) of hospitals and clinics for health issues related to SCD. The ED may be a patient’s only option for health care when symptoms, such as pain cris...
National Center on Birth Defects and Developmental Disabilities (Centers for Disease Control and Prevention)
Published Date:
7/12/17
Series:
Sickle Cell Data Collectioni (SCDC)
Description:
Children and adults with sickle cell disease (SCD) often require care in the emergency department (ED) of hospitals or clinics for health issues related to SCD. The ED may be your only option for health care when symptoms, such as pain crises, cannot...