Michigan's Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program has screened more than 1.1 million Medicaid-eligible children since its inception in 1973. A study of its effects showed screening referral rates, but not medical costs, to be inversely related generally to the number of lifetime screenings received. Referrals from screening declined, on average, 4 to 9 percent as the number of lifetime screenings increased from 1 to 4. Medical costs for EPSDT participants were about 7 percent lower than medical costs for non-EPSDT participants when program costs were considered. Although the author acknowledges that a definitive study of EPSDT program effects has yet to be accomplished, he believes that modest gains are attributable to the program.
A new quantitative index is proposed to measure the degree to which the health care needs of a population are met. It is based on the health goals model of Lester Breslow and A. R. Somers, who listed the kinds and frequencies of health services appro...
Trends in out-of-hospital births for the State of Michigan, 1972-79, were examined by analyzing (a) location of deliveries, (b) characteristics of the mother, (c) use of health services, and (d) characteristics of the newborn. A large increase occurr...
More than 30 million American workers 17 years of age or older have some degree of hypertension, and nearly two-thirds of these workers have blood pressure greater than 160/95 mm Hg. Many employer-sponsored hypertension detection and control programs...
Uterine cancer ranks third in cancer incidence and fifth in cancer mortality among American women. The epidemiologic characteristics of cancer of the cervix uteri and the corpus uteri are different. When only "cancer of the uterus, not otherwise spec...
Tennessee public health officials made a decision to predistribute potassium iodide tablets (KI) to householders in the vicinity of a nuclear powerplant. The tablets would be stored until needed in the event of a radiation emergency. The officials be...
A time-honored industrial engineering technique, job evaluation, which was developed to set rates for manual labor, was used in the design of new teams for delivering primary health care in Latin America. The technique was used both in writing job de...
In a sample of deaths among cancer patients, the relationship of place of death to age, sex, length of time between diagnosis and death, cancer site, and patients' socioeconomic status was investigated. The Rochester (N.Y.) Regional Tumor Registry pr...
Vermont birth certificates and hospital medical charts for 1979 were reviewed to determine whether infants born at home or in hospitals had documentation of prophylaxis against gonococcal ophthalmia neonatorum. Of the 139 home births recorded in 1979...
Physicians' estimates of patients' anxiety, discomfort or pain, and activity limitation were compared with reports by their patients on the same dimensions. The data were collected as part of a series of quality assessment studies at a prepaid group ...
Public service has long been considered one of a traditional triad of academic functions--teaching, research, and service. Yet even in schools of public health, where service is purported to be an integral component of the institution's mission, facu...
The Public Health Service (PHS) has undertaken a major effort to develop improved policies and procedures for dealing with misconduct in its research programs. Included in the definition of "misconduct" are the violation of Federal laws, regulations,...
Warren, Charles W.; Smith, Jack C.; Rochat, Roger W.;
Published Date:
1983 Mar-Apr
Source:
Public Health Rep. 98(2):152-160
Description:
Data from personal interviews with 705 Mexican American and 363 Anglo women during the 1979 U.S. Mexico Border Survey were analyzed to answer the question, To what extent do Mexican Americans and Anglos differ in having the number of children they wa...
Williams, P E; Howell, J T; McDaniel, W W; Deeb, L C;
Published Date:
1983 Mar-Apr
Source:
Public Health Rep. 98(2):189-193
Description:
Since 1935 the State health agency has provided insulin to medically indigent diabetics in Florida. During 1980, data were collected on 9,429 recipients regarding their age, race, sex, height, weight, and type and dosage of insulin. The mean age was ...
Maine's Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program provides outreach and case management services through written agreements with 13 community-based agencies. These agencies are reimbursed on a cost-related basis for conta...
MMWR. Morbidity and mortality weekly report ; v. 63, suppl. 2
Description:
This supplement is the second of a series of periodic reports from a CDC initiative to monitor and report on the use of a set of selected clinical preventive services in the U.S. population in the context of recent national initiatives to improve acc...
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...
Selby, M L; Riportella-Muller, R; Sorenson, J R; Quade, D; Luchok, K J;
Published Date:
1992 Sep-Oct
Source:
Public Health Rep. 107(5):561-568
Description:
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 a...