The Tel Aviv (Israel) Medical Center serves an area with 270,000 residents, more than 20 percent of whom are over 65 years of age. This high proportion of elderly patients and increasing costs of hospitalization have prompted the center to develop alternative health care services that have made it possible for a number of aged patients to remain at home and ambulatory. Two such alternatives to hospitalization--the center's Day Care Clinic and Home Care Clinic--are described and estimates of savings in hospitalization costs are presented.
Israel represents a developed country as far as demand and consumption of health services are concerned. The analysis of the Israeli health system reveals a significant trend of expansion in the intensity and the utilization of health services as wel...
Regier, D A; Shapiro, S; Kessler, L G; Taube, C A;
Published Date:
1984 Sep-Oct
Source:
Public Health Rep. 99(5):483-492
Description:
Data from the NIMH Epidemiologic Catchment Area (ECA) Study in Baltimore, Md., are used to illustrate the association between alcohol, drug abuse, and mental disorder diagnoses with health service use. A probability sample of 3,481 adult (age 18 and ...
Sattin, R W; Roisin, A; Kafrissen, M E; Dugan, J B; Farer, L S;
Published Date:
1984 Sep-Oct
Source:
Public Health Rep. 99(5):504-510
Description:
Gynecomastia may occur as a normal physiologic development at certain ages or as a result of a variety of pathological conditions. An outbreak of gynecomastia was investigated at two processing centers of the Immigration and Naturalization Service (I...
In 1900, approximately 25 percent of all deaths occurred in people 65 years of age and over, while today the age at death has been pushed back so that, by 1980, 30 percent of deaths occurred in those over age 80. The greatest declines in age-specific...
In 1972 the Congress extended Medicare coverage to all persons under age 65 suffering from end stage renal disease (ESRD). The intent of this law (PL 92-603, the Social Security Amendments of 1972) was to allow all Americans access to an emerging and...
Dentists in general practice were surveyed by mail questionnaire to determine the actions they were taking to promote cigarette smoking cessation among their patients. Findings are based on replies from 376 of the 466 dentists in western New York Sta...
The concept of primary care in the Kupat Holim Health Insurance Institution encompasses all the stages of health: the promotion of health, personal preventive care, curative care, and rehabilitation in the community. Primary care is, thus, the founda...
Problems in genetic services in Israel are discussed from four vantage points: genetic screening, prenatal diagnosis, genetics and the mentally retarded child, and genetic counseling. Emphasis is given to issues unique to Israel, and recommendations ...
Community oriented primary care (COPC) is the integrated practice of primary health care and community medicine, bringing together the care of individuals and the care of the community and its subgroups. Epidemiology plays an indispensable role in CO...
Moore, M; Kaplan, M H; McPhee, J; Bregman, D J; Klein, S W;
Published Date:
1984 Sep-Oct
Source:
Public Health Rep. 99(5):515-522
Description:
In the period 1970 through 1979, the Coxsackie B1, B2, B3, B4, and B5 viruses constituted 24 percent of more than 18,000 enteroviruses isolated and reported through national surveillance. Young children, especially males, were most frequently affecte...
The relationship between age and risk for classic dengue fever has never been quantified. We use data from clinical patients to show that the relative risk of having classical disease after primary dengue virus infection increases with age. This rela...