Forgone health care among U.S. Adolescents: Associations between risk characteristics and confidentiality concern

2007 ◽  
Author(s):  
Jocelyn A. Lehrer ◽  
Robert Pantel ◽  
Kathleen Tebb ◽  
Mary-Ann Shafer
Keyword(s):  
Health Care ◽  
Risk Characteristics

Forgone Health Care among U.S. Adolescents: Associations between Risk Characteristics and Confidentiality Concern

2007 ◽  
Vol 40 (3) ◽  
pp. 218-226 ◽  
Author(s):  
Jocelyn A. Lehrer ◽  
Robert Pantell ◽  
Kathleen Tebb ◽  
Mary-Ann Shafer
Keyword(s):  
Health Care ◽  
Risk Characteristics

scholarly journals Protecting those who care: The characteristics of occupational Tuberculosis risk in health care workers

2019 ◽  
Author(s):  
Rizqy Amelia Zein ◽  
Ratna Dwi Wulandari ◽  
Ilham Akhsanu Ridlo ◽  
Wiwin Hendriani ◽  
Fendy Suhariadi ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Risk Perception ◽  
Health Care Workers ◽  
Care Facility ◽  
Public Health Problem ◽  
Health Care Facilities ◽  
Perceived Safety ◽  
Risk Characteristics ◽  
Care Workers

Nosocomial TB infection remains an urgent public health problem that requires relentless efforts to overcome. In general, health care workers (HCWs) have a significantly higher risk of suffering from active and latent TB owing to their daily occupational TB risk exposure. The risk is indeed more severe in high TB burden countries, such as Indonesia. In this research, we aimed to: (1) investigate the underlying factor structure of risk characteristics, specifically the risk of nosocomial TB transmission in health care facilities; (2) estimate the effects of work-related determinants and risk characteristics on risk perception; and (3) compare occupational risk perception of contracting TB with expert risk assessment. A paper-based questionnaire was administered to 179 HCWs working for ten public health centres and two hospitals in Surabaya, Indonesia. An exploratory factor analysis of nine risk characteristics revealed a two-factor solution (knowledge-evoked dread and controllability of damage). Structural equation modelling indicated a piece of suggestive evidence that controllability of damage positively affected risk perception, while knowledge-evoked dread did not. Perceived safety conditions yielded a positive and moderate association to controllability of damage, implying that safety infrastructure could be perceived as ‘a cue’ to the presence of a dangerous hazard. The intensity of exposure to TB patients was negatively correlated with the controllability of damage. This indicates that more experience in handling TB patients could lead to underestimation of risk. Our research showed that HCWs tended to accurately estimate the risk of contracting TB based on their specific profession/duties, yet overestimated the risk of contracting TB when it was aggregated to the health care facility level. Although further research is necessary, to include the prevalence of latent/active TB as a part of risk assessments, our research highlights the importance of addressing risk perception, especially encouraging HCWs to become more active in advocating for the required allocation resources for their workplaces or even aiding in raising communities’ awareness of TB transmission.

scholarly journals Partner Referral by HIV-Infected Persons to Partner Counseling and Referral Services (PCRS) - Results from a Demonstration Project

2012 ◽  
Vol 6 (1) ◽  
pp. 8-15 ◽  
Author(s):  
Binwei Song ◽  
Elin B Begley ◽  
Linda Lesondak ◽  
Kelly Voorhees ◽  
Magdalena Esquivel ◽  
...  
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Care Provider ◽  
Factors Associated ◽  
The Past ◽  
Intervention Specialist ◽  
Risk Characteristics ◽  
Male Sex ◽  
Disease Intervention Specialist ◽  
Choice Of Partner

Objective: The objectives of this article are to determine factors associated with refusal and agreement to provide partner information, and evaluate the effectiveness of referral approaches in offering PCRS. Methods: Index clients from 5 sites that used 3 different PCRS approaches were interviewed to obtain demographic and risk characteristics and choice of partner referral method for PCRS. Logistic regression was used to assess factors associated with providing partner information. Results: The percentage of index clients who refused to provide partner information varied by site (7% to 88%). Controlling for PCRS approach, index clients who were older than 25 years, male, or reported having male-male sex in the past 12 months were more likely (p <0.01) to refuse to provide partner information. Overall, 72% of named partners referred by index clients were located and offered PCRS. The proportion of partners who were located and offered PCRS differed by referral approach used, ranging from 38% using contract referral (index clients agree to notify their partners within a certain timeframe, else a disease intervention specialist or health care provider will notify them) to 98% using dual referral (index clients notify their partners with a disease intervention specialist or provider present). Conclusion: Success in obtaining partner information varied by the PCRS approach used and effectiveness in locating and notifying partners varied by the referral approach selected. These results provide valuable insights for enhancing partner services.

scholarly journals Sociodemographic and Clinical Risk Characteristics of Patients With Prostate Cancer Within the Veterans Affairs Health Care System: Data From CaPSURE

2003 ◽  
Vol 170 (3) ◽  
pp. 905-908 ◽  
Author(s):  
MATTHEW R. COOPERBERG ◽  
DEBORAH P. LUBECK ◽  
DAVID F. PENSON ◽  
SHILPA S. MEHTA ◽  
PETER R. CARROLL ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Health Care ◽  
Health Care System ◽  
Veterans Affairs ◽  
Clinical Risk ◽  
Risk Characteristics ◽  
System Data ◽  
Care System

Managing Health Services: How Administrative Data and Population-Based Analyses Can Focus the Agenda

1998 ◽  
Vol 11 (1) ◽  
pp. 49-67 ◽  
Author(s):  
N. P. Roos ◽  
C. Black ◽  
L. L. Roos ◽  
N. Frohlich ◽  
C. DeCoster ◽  
...  
Keyword(s):  
Health Care ◽  
Information System ◽  
Administrative Data ◽  
Longitudinal Research ◽  
Health Information System ◽  
Hospital Performance ◽  
Population Based ◽  
Utilization Review ◽  
Supply And Distribution ◽  
Risk Characteristics

University-based researchers in Manitoba, Canada, have used administrative data routinely collected as part of the national health insurance plan to design an integrated database and population-based health information system. This information system is proving useful to policymakers for providing answers to such questions as: which populations need more physician services? Which need fewer? Are high-risk populations poorly served or do they have poor health outcomes despite being well served? Does high utilization represent overuse or utilization related to high need? More specifically, this system provides decision-makers with the capability to make critical comparisons across regions and subregions of residents' health status, socioeconomic risk characteristics, and use of hospitals, nursing homes, and physicians. The system permits analyses of demographic changes, expenditure patterns, and hospital performance in relation to the population served. The integrated database has also facilitated outcomes research across hospitals and counties, utilization review within a single hospital, and longitudinal research on health reform. A particularly interesting application to planning physician supply and distribution is discussed. The discussion highlights the strengths of integrated population-based information in analyzing the health care system and raising important questions about the relationship between health care and health.

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

A Tribute to the Late William J. Curran

1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
United Nations ◽  
Mental Health Care ◽  
Harvard University ◽  
Legal Medicine ◽  
General Assembly ◽  
International Institute ◽  
University Professor

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.

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