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Articles 12391 - 12420 of 13250
Full-Text Articles in Entire DC Network
Natural Antibodies To Adrenal Hormones And Apolipoprotein E In Cardiovascular Physiology, Shabana Aafaqi
Natural Antibodies To Adrenal Hormones And Apolipoprotein E In Cardiovascular Physiology, Shabana Aafaqi
Student Works (2000-2009)
Natural autoantibodies (NAA} are autoantibodies that are present in the sera of healthy individuals. NAA can belong to the lgA, lgG and lgM isotypcs. They exhibit high degrees of polyreactivity and connectivity but low affinity to self antigens. The main function of NAA in healthy people is probably 10 clear the catabolic waste and ageing cells. In this study, an indirect Enzyme-linked lmmunosorbent Assay (ELISA) method was used to detect NAA against hormones, namely adreno-co11ical (hydrocortisone, aldostcrone, androstcncdionc), adrcno-medullary (adrenaline. noradrenaline) and other related steroid hormones (progesterone, testosterone, P-cstradiol). In eleven normal human serum (NHS), lgG anti-cortisol were delcctcd in …
University Baccalaureate Curriculum Analysis For Safety And Health In The United States Of America (Usa) Toward A Model University Baccalaureate Curriculum, Margie L. Kolbe-Mims
University Baccalaureate Curriculum Analysis For Safety And Health In The United States Of America (Usa) Toward A Model University Baccalaureate Curriculum, Margie L. Kolbe-Mims
Theses: Doctorates and Masters
The goal of this research was to determine a model safety and health baccalaureate curriculum. A secondary target was to ascertain if safety and health practitioners and safety and health educators would concur on course offerings. To simplify this study effort, a search of literature was conducted on the Occupational Safety and Health field. There were no in-depth studies of this type for such a general population; therefore no instrument was available for this study. The perusal of literature indicated that most such studies had been conducted using a more specific target group of subjects. That is, faculties or former …
The Public Stake In Biomedical Research: A Policy Perspective, Karen Matherlee
The Public Stake In Biomedical Research: A Policy Perspective, Karen Matherlee
National Health Policy Forum
An introduction to a Forum series on biomedical research policy issues, this paper provides background on the organization and structure of both public and private research entities. It outlines the federal components, from the National Institutes of Health (NIH) to the Department of Veterans Affairs. It also looks at the rapid growth in pharmaceutical, biotechnology, and medical device research and development and the varying responses from managed care plans, practice-based research networks, and contract research organizations. After laying out various tensions in the field, such as competition among disease-oriented advocates, alignment of different priorities, allocation of dollars between basic and …
Tracking Of Physical Activity, Physical Inactivity, And Health-Related Physical Fitness In Rural Youth, Russell R. Pate, Stewart G. Trost, Marsha Dowda, Alise E. Ott, Dianne S. Ward, Ruth P. Saunders, Gwen A. Felton
Tracking Of Physical Activity, Physical Inactivity, And Health-Related Physical Fitness In Rural Youth, Russell R. Pate, Stewart G. Trost, Marsha Dowda, Alise E. Ott, Dianne S. Ward, Ruth P. Saunders, Gwen A. Felton
Faculty Publications
This study examined the tracking of selected measures of physical activity, inactivity, and fitness in a cohort of rural youth. Students (N=181, 54.7% female, 63.5% African American) completed test batteries during their fifth- (age=10.7±0.7 years), sixth-, and seventh-grade years. The Previous Day Physical Activity Recall (PDPAR) was used to assess 30-min blocks of vigorous physical activity (VPA), moderate-to-vigorous physical activity (MVPA), TV watching and other sedentary activities, and estimated energy expenditure (EE). Fitness measures included the PWC 170 cycle ergometer test, strength tests, triceps skinfold thickness, and BMI. Intraclass correlation coefficients (ICCs) for VPA, MVPA, and after-school EE …
Site Visit To Baltimore And Fort Detrick, Maryland — Preparing For A Bioterrorist Incident: Linking The Public Health And Medical Communities, Robin J. Strongin
Site Visit To Baltimore And Fort Detrick, Maryland — Preparing For A Bioterrorist Incident: Linking The Public Health And Medical Communities, Robin J. Strongin
National Health Policy Forum
As follow-up to the NHPF's February 1999 session entitled "Biological Terrorism: Is the Health Care Community Prepared?" the Forum organized a site visit on October 4 and 5, 1999, to Baltimore and Fort Detrick, Maryland. The site visit provided federal congressional and agency staff with the opportunity to learn first-hand how one local area is preparing for the possibility of a bioterrorist incident. Several themes were stressed throughout the two days, including the following: distinguishing bioterrorism from chemical terrorism, understanding the relationships between various agencies and institutions and their related funding streams, determining how the federal government can …
In The Affirmative, Vol.6, No.8 (Mid-September / Mid-October 1999), Mike Martin, The Aids Project
In The Affirmative, Vol.6, No.8 (Mid-September / Mid-October 1999), Mike Martin, The Aids Project
In the affirmative (1993-1999)
No abstract provided.
Pollution Prevention: Factors Behind Toxic Release Reduction In The U.S. Paper Industry, John P. Tiefenbacher, William D. Solecki
Pollution Prevention: Factors Behind Toxic Release Reduction In The U.S. Paper Industry, John P. Tiefenbacher, William D. Solecki
RISK: Health, Safety & Environment (1990-2002)
Drs. Tiefenbacher and Solecki analyze the factors associated with, and influential in, the reduction of toxic releases in the U.S. paper industry.
An Investigation Into The Possibility Of Transmission Of Tick-Borne Pathogens Via Blood Transfusion, P. M. Arguin, J. Singleton, L. D. Rotz, E. Marston, T. A. Treadwell, K. Slater, M. Chamberland, A. Schwartz, L. Tengelsen, J. G. Olson, J. E. Childs
An Investigation Into The Possibility Of Transmission Of Tick-Borne Pathogens Via Blood Transfusion, P. M. Arguin, J. Singleton, L. D. Rotz, E. Marston, T. A. Treadwell, K. Slater, M. Chamberland, A. Schwartz, L. Tengelsen, J. G. Olson, J. E. Childs
United States Public Health Resources
BACKGROUND: Tick-borne illnesses were diagnosed in a group of National Guard members, including some who had donated blood a few days before the onset of symptoms. A voluntary recall of those blood components was issued and a multistate investigation was conducted to determine if transfusion-transmitted illness had occurred.
STUDY DESIGN AND METHODS: Donors and recipients were asked to complete questionnaires regarding symptoms and risk factors for infection and to provide blood samples for laboratory analysis.
RESULTS: Among National Guard personnel who donated blood, 12 individuals were found to have a confirmed or probable case of Rocky Mountain …
An Investigation Into The Possibility Of Transmission Of Tick-Borne Pathogens Via Blood Transfusion, P. M. Arguin, J. Singleton, L. D. Rotz, E. Marston, T. A. Treadwell, K. Slater, M. Chamberland, A. Schwartz, L. Tengelsen, J. G. Olson, J. E. Childs, Transfusion-Associated Tick-Borne Illness Task Force
An Investigation Into The Possibility Of Transmission Of Tick-Borne Pathogens Via Blood Transfusion, P. M. Arguin, J. Singleton, L. D. Rotz, E. Marston, T. A. Treadwell, K. Slater, M. Chamberland, A. Schwartz, L. Tengelsen, J. G. Olson, J. E. Childs, Transfusion-Associated Tick-Borne Illness Task Force
United States Public Health Resources
BACKGROUND: Tick-borne illnesses were diagnosed in a group of National Guard members, including some who had donated blood a few days before the onset of symptoms. A voluntary recall of those blood components was issued and a multistate investigation was conducted to determine if transfusion-transmitted illness had occurred.
STUDY DESIGN AND METHODS: Donors and recipients were asked to complete questionnaires regarding symptoms and risk factors for infection and to provide blood samples for laboratory analysis.
RESULTS: Among National Guard personnel who donated blood, 12 individuals were found to have a confirmed or probable case of Rocky Mountain spotted fever or …
Mental Health Coverage Parity: Separating Wheat From Chaff, Karl Polzer
Mental Health Coverage Parity: Separating Wheat From Chaff, Karl Polzer
National Health Policy Forum
This paper examines the issue of mandating parity in coverage of mental health services in the context of the growing use by private-sector employers of managed behavioral health care providers. Existing parity laws are reviewed, along with estimates of the costs of parity. The tools used by behavioral health care firms to manage care and costs are also discussed.
Street-Based Female Adolescent Puerto Rican Sex Workers: Contextual Issues And Health Needs, Margarita Burgos, Donna L. Richter, Belinda Reininger, Ann L. Coker, Ruth Saunders, Margarita Alegria, Mildred Vera
Street-Based Female Adolescent Puerto Rican Sex Workers: Contextual Issues And Health Needs, Margarita Burgos, Donna L. Richter, Belinda Reininger, Ann L. Coker, Ruth Saunders, Margarita Alegria, Mildred Vera
CRVAW Faculty Journal Articles
Adolescent sex workers potentially have many health needs but are included rarely in health assessments; therefore, little is known about their needs or how to reach them. This study examines the motivations, social context, and health needs of street-based adolescent sex workers. The results show these youths are more likely to experience negative health outcomes, such as unintended pregnancies and sexually transmitted infections, when they are using drugs or are depressed. These findings suggest the need for comprehensive programming to include individual, interpersonal, and greater environmental interventions. Examples for reaching adolescent sex workers are discussed.
Factors Which Affect Post-Hospital Resource Use And Patient Health Outcomes Among Taiwanese Older Adults, Chouh-Jiaun Lin
Factors Which Affect Post-Hospital Resource Use And Patient Health Outcomes Among Taiwanese Older Adults, Chouh-Jiaun Lin
Health Services Research Dissertations
The purpose of this study was to explore relationships among population characteristics, patient post-hospital resource use and patient health outcomes in terms of the Andersen health behavioral model. An additional purpose of this study was to examine a discharge planning screening instrument used in a large urban hospital in Taiwan to determine if it predicts resource use and patient outcomes. A longitudinal research design was adopted for this study. Data were collected from the general medicine departments of an 800-bed university teaching hospital. Out of 109 patients who were interviewed, 78 participants qualified (participation rate = 71.6%).
The majority of …
Dietary Assimilation Of Cadmium Associated With Bacterial Exopolymer Sediment Coatings By The Estuarine Amphipod Leptocheirus Plumulosus: Effects Of Cd Concentration And Salinity, Christian E. Schlekat, Alan W. Decho, G. Thomas Chandler
Dietary Assimilation Of Cadmium Associated With Bacterial Exopolymer Sediment Coatings By The Estuarine Amphipod Leptocheirus Plumulosus: Effects Of Cd Concentration And Salinity, Christian E. Schlekat, Alan W. Decho, G. Thomas Chandler
Faculty Publications
Bacterial extracellular substances (also known as exopolysaccharides, or EPS) may serve as vectors for trophic transfer of metals in benthic systems because these ubiquitous sediment coatings can sorb high concentrations of toxic metals, and because many benthic invertebrates assimilate EPS sediment coatings upon ingestion. We conducted 3 sets of experiments to determine the assimilative bioavailability of EPS-associated Cd to the benthic amphipod Leptocheirus plumulosus as a function of Cd concentration and salinity. Bioavailability was measured as L. plumulosus Cd assimilation efficiency (AE) from EPS-coated silica (EPS●Si) and from uncoated silica (NC●Si) using modified pulse-chase methods with the gamma-emitting radioisotope 109 …
Pamela J. Stewart And Andrew Strathern's Review Of David Lipset's Curing And Healing: Medical Anthropology In Global Perspective, Pamela J. Stewart, Andrew Strathern
Pamela J. Stewart And Andrew Strathern's Review Of David Lipset's Curing And Healing: Medical Anthropology In Global Perspective, Pamela J. Stewart, Andrew Strathern
Pacific Studies
No abstract provided.
Recidivism Among Jamaican Teenage Mothers : A Historical Cohort Study 1995-1998, Vonna Lou Caleb Drayton
Recidivism Among Jamaican Teenage Mothers : A Historical Cohort Study 1995-1998, Vonna Lou Caleb Drayton
Loma Linda University Electronic Theses, Dissertations & Projects
Pregnancy is the single most important reason why girls fail to complete secondary school in the Caribbean. The Women's Centre of Jamaica Foundation (WCJF) Program was established in 1978 to enable adolescent mothers 16 years and under to return to school, and to delay second pregnancies until completion of their education.
This historical cohort study assessed the effect of the WCJF Program on the incidence of repeat pregnancies over the period 1995-1998, and on the educational attainment of program participants. A random sample (n=260) of primiparous Jamaican adolescent mothers 12-16 years who gave birth in 1994 in the parishes of …
Sex Education Programs In Schools: Influence On Knowledge And Behaviors Of Teenagers, Tina Graham
Sex Education Programs In Schools: Influence On Knowledge And Behaviors Of Teenagers, Tina Graham
Masters Theses & Specialist Projects
Due to the teenage pregnancy rates and the incidence of sexually transmitted diseases (STDs) that exist in today's society, it is very important for teenagers to be informed of the facts related to pregnancy and STDs and how to prevent them from occurring. With this knowledge, they are able to make informed decisions related to their sexual experiences. The prime opportunity for such sharing of information can be in schools. The purpose of this study is to determine if sex education in school influences the knowledge and behaviors of teenagers toward sexual behavior, pregnancy, and sexually transmitted diseases. This research …
The Accuracy Of Nitrous Oxide Passive Dosimeters As Compared With An Infra-Red Spectrographic Reference Method, Susan Allen
The Accuracy Of Nitrous Oxide Passive Dosimeters As Compared With An Infra-Red Spectrographic Reference Method, Susan Allen
Community & Environmental Health Theses & Dissertations
Nitrous oxide is a gas often used in dental, surgical and veterinary operations as an anesthetic agent. Employees stationed in proximity of fugitive gas emissions may potentially suffer adverse health effects from chronic exposure to this agent. Passive dosimeters can be worn in the breathing zone of potentially affected personnel during exposure periods, then later analyzed to quantify nitrous oxide exposure. This study sought to establish the accuracy of several commercially available passive monitoring devices for nitrous oxide by comparison against an infra-red spectrophotometric reference method.
Identifying The Behavior, Attitudes, And Knowledge Of Tobacco Use Among Students Enrolled In Orientation Courses In Six Community Colleges In The Tennessee Board Of Regents System, G. E. Boone
Electronic Theses and Dissertations
The purpose of this study was to examine the behavior, attitudes, and knowledge regarding tobacco use of students enrolled in orientation courses in Tennessee community colleges. The six community colleges selected for the study were members of the Tennessee Board of Regents system that offered mandatory orientation courses. Data were collected by use of the College Tobacco Behavior, Attitude, and Knowledge Survey . A response rate of (72.5%) from 700 students was analyzed. Three research questions guided the study and 17 null hypotheses were formulated and tested at the.05 alpha level of significance. Data were analyzed by using t -tests, …
Annual Report To The Nation On The Status Of Cancer, 1973–1996, With A Special Section On Lung Cancer And Tobacco Smoking, Phyllis A. Wingo, Lynn A. G. Ries, Gary A. Giovino, Daniel S. Miller, Harry M. Rosenberg, Donald R. Shopland, Michael J. Thun, Brenda K. Edwards
Annual Report To The Nation On The Status Of Cancer, 1973–1996, With A Special Section On Lung Cancer And Tobacco Smoking, Phyllis A. Wingo, Lynn A. G. Ries, Gary A. Giovino, Daniel S. Miller, Harry M. Rosenberg, Donald R. Shopland, Michael J. Thun, Brenda K. Edwards
United States Public Health Resources
Background: The American Cancer Society, the National Cancer Institute (NCI), and the Centers for Disease Control and Prevention (CDC), including the National Center for Health Statistics (NCHS), provide the second annual report to the nation on progress in cancer prevention and control, with a special section on lung cancer and tobacco smoking.
Methods: Age-adjusted rates (using the 1970 U.S. standard population) were based on cancer incidence data from NCI and underlying cause of death data compiled by NCHS. The prevalence of tobacco use was derived from CDC surveys. Reported P values are two-sided.
Results: From 1990 through 1996, cancer incidence …
Substance Abuse Prevention: Could An Improved D.A.R.E. Program Help Bridge The Gap Between Research And Practice?, Colomba Sirica
Substance Abuse Prevention: Could An Improved D.A.R.E. Program Help Bridge The Gap Between Research And Practice?, Colomba Sirica
National Health Policy Forum
This issue brief provides background information on the popular Drug Abuse Resistance Education (D.A.R.E.) program, begun in 1983 and supported by education and law enforcement communities throughout the country to provide drug abuse prevention programs in schools. It describes recent efforts to conduct evaluative studies to assess the short- and long-term impact of the D.A.R.E. curriculum on drug-using behavior of children and youth and the new dialogue opening between D.A.R.E. proponents and the research community.
Providing Outpatient Prescription Drugs Through Medicare: Can We Afford To? Can We Afford Not To?, Robin J. Strongin
Providing Outpatient Prescription Drugs Through Medicare: Can We Afford To? Can We Afford Not To?, Robin J. Strongin
National Health Policy Forum
The continuing debate over the issue of Medicare coverage for outpatient prescription drugs gave rise to this background paper, which discussed several key questions: Whose responsibility is it to provide coverage? Who should be covered? What should be covered? Who should pay for prescription drug coverage? How should costs be controlled? In addition, the paper explored options for structuring a Medicare outpatient prescription drug benefit. It also contained a glossary.
Biological Terrorism: Is The Health Care Community Prepared?, Robin J. Strongin
Biological Terrorism: Is The Health Care Community Prepared?, Robin J. Strongin
National Health Policy Forum
This issue brief provides an overview of biological warfare and discusses the role of the Centers for Disease Control (CDC) and state health departments in detecting biologic agents. The brief also highlights the issue of threat assessment and discusses ways to improve the current level of preparedness as well as steps needed to convert the public health system into our best form of civil defense.
Housing And Population Health: A Review Of The Literature, Stephen Hwang, Esme Fuller-Thomson, J. David Hurlchanski, Toba Bryant, Youssef Habib, Wendy C. Regoeczi
Housing And Population Health: A Review Of The Literature, Stephen Hwang, Esme Fuller-Thomson, J. David Hurlchanski, Toba Bryant, Youssef Habib, Wendy C. Regoeczi
Sociology & Criminology Faculty Publications
Research into the relationship between housing and health has frequently been narrowly focused, fragmented, and of marginal practical relevance to either housing or health studies. Population health research, in its reference to the importance of the social and physical environment, rarely mentions housing. While it has been recognized for some time that there is a need for the development of a co-ordinated, integrated and cumulative body of housing and health research, there is still very little formal co-ordination between housing policy and population health policy. More attention needs to be paid to measuring the nature and extent to which better …
Carboxy-Terminal Conversion Of Profibrillin To Fibrillin At A Basic Site By Pace/Furin-Like Activity Required For Incorporation In The Matrix, Michael Raghunath, Elizabeth A. Putnam, Timothy Ritty, Daniel Hamstra, Eun-Sook Park, Mathias Tschödrich-Rotter, Reiner Peters, Alnawaz Rehemtulla, Dianna M. Milewicz
Carboxy-Terminal Conversion Of Profibrillin To Fibrillin At A Basic Site By Pace/Furin-Like Activity Required For Incorporation In The Matrix, Michael Raghunath, Elizabeth A. Putnam, Timothy Ritty, Daniel Hamstra, Eun-Sook Park, Mathias Tschödrich-Rotter, Reiner Peters, Alnawaz Rehemtulla, Dianna M. Milewicz
Public and Community Health Sciences Faculty Publications
Fibrillin-1, the main component of 10-12 nm microfibrils of the extracellular matrix, is synthesized as profibrillin and proteolytically processed to fibrillin. The putative cleavage site has been mapped to the carboxy-terminal domain of profibrillin-1, between amino acids arginine 2731 and serine 2732, by a spontaneous mutation in this recognition site that prevents profibrillin conversion. This site contains a basic amino acid recognition sequence (R-G-R-K-R-R) for proprotein convertases of the furin/PACE family. In this study, we use a mini-profibrillin protein to confirm the cleavage in the carboxy-terminal domain by both fibroblasts and recombinantly expressed furin/PACE, PACE4, PC1/3 and PC2. Site-directed mutagenesis …
Genetic Monitoring In The Workplace: A Tool Not A Solution, Lillian Trettin, Catherine Musham, Richard Jablonski
Genetic Monitoring In The Workplace: A Tool Not A Solution, Lillian Trettin, Catherine Musham, Richard Jablonski
RISK: Health, Safety & Environment (1990-2002)
The authors differentiate between genetic monitoring and screening, and discuss the potential risks and benefits of predictive testing technologies.
Hepatitis C Virus And Other Flaviviridae Viruses Enter Cells Via Low Density Lipoprotein Receptor, Vincent Agnello, György Ábel, Mutasim Elfahal, Glenn B. Knight, Qing-Xiu Zhang
Hepatitis C Virus And Other Flaviviridae Viruses Enter Cells Via Low Density Lipoprotein Receptor, Vincent Agnello, György Ábel, Mutasim Elfahal, Glenn B. Knight, Qing-Xiu Zhang
United States Public Health Resources
Endocytosis of the Flaviviridae viruses, hepatitis C virus, GB virus Cyhepatitis G virus, and bovine viral diarrheal virus (BVDV) was shown to be mediated by low density lipoprotein (LDL) receptors on cultured cells by several lines of evidence: by the demonstration that endocytosis of these virus correlated with LDL receptor activity, by complete inhibition of detectable endocytosis by anti-LDL receptor antibody, by inhibition with anti-apolipoprotein E and -apolipoprotein B antibodies, by chemical methods abrogating lipoproteinyLDL receptor interactions, and by inhibition with the endocytosis inhibitor phenylarsine oxide. Confirmatory evidence was provided by the lack of detectable LDL receptor on cells known …
Informing Research On Hiv Prevention: A Consultation, Sharon Fonn, C. Elizabeth Mcgrory
Informing Research On Hiv Prevention: A Consultation, Sharon Fonn, C. Elizabeth Mcgrory
HIV and AIDS
According to a 1998 UNAIDS/WHO report, HIV infection among women is the fastest-growing segment of the AIDS pandemic, especially in developing countries. Unfortunately, the HIV-prevention strategies put forward by the public health community—monogamy, condom use, and treatment of sexually transmitted infections—are not feasible for many women. Women urgently need a means within their personal control to protect themselves against HIV. Recognizing this need, a number of international and nongovernmental organizations and government agencies have called for the development of microbicides, products that women could use vaginally to prevent infection with sexually transmitted infections, particularly HIV. The Population Council is one …
Case Finding And Case Management Of Chlamydia And Gonorrhea Infections Among Women: What We Do And Do Not Know, Nicole Haberland, Beverly Winikoff, Nancy L. Sloan, Christiana Coggins, Christopher J. Elias
Case Finding And Case Management Of Chlamydia And Gonorrhea Infections Among Women: What We Do And Do Not Know, Nicole Haberland, Beverly Winikoff, Nancy L. Sloan, Christiana Coggins, Christopher J. Elias
Reproductive Health
As the world grapples with the HIV pandemic, the implementation of the agenda determined by the International Conference on Population and Development (1994) at Cairo, and the matter of providing health services of adequate quality in an ethical, gender-sensitive manner, new questions are arising about how to attend to reproductive tract infections, including sexually transmitted infections (STIs), among women. This paper reviews the results of validation studies of syndromic algorithms, other nonlaboratory clinically based tools, and risk scoring for finding women infected with chlamydia and gonorrhea, particularly among those attending family planning and antenatal clinics in developing countries. The results …
Improving The Management Of Stis Among Mch/Fp Clients At The Nakuru Municipal Council Health Clinics, Julie Solo, Baker Ndugga Maggwa, James Kariba Wabaru, Bedan Kiare Kariuki, Gregory Maitha
Improving The Management Of Stis Among Mch/Fp Clients At The Nakuru Municipal Council Health Clinics, Julie Solo, Baker Ndugga Maggwa, James Kariba Wabaru, Bedan Kiare Kariuki, Gregory Maitha
Reproductive Health
In an effort to address the global crisis of HIV/AIDS and to reduce the spread of other sexually transmitted infections (STIs), maternal and child health/family planning (MCH/FP) programs have attempted to integrate the management of STIs into their services. This integration was endorsed at the 1994 International Conference on Population and Development in Cairo. However, as noted in this report, programs have encountered a number of difficulties as they try to effectively manage STIs in an MCH/FP setting. In particular, the effective detection and treatment of STIs has proven difficult among MCH/FP populations. This current study was developed to help …
Classification Of Participants Into Two Health Resource Utilization Groups By The Health Enrollment Assessment Review (Hear) Survey, Jody W. Donehoo
Classification Of Participants Into Two Health Resource Utilization Groups By The Health Enrollment Assessment Review (Hear) Survey, Jody W. Donehoo
Health Services Research Dissertations
The study examined the ability of the Health Enrollment Assessment Review (HEAR) survey instrument to classify participants into one of two groups according to utilization of health resources anticipated in the following year. Developed by the U.S. Air Force, the HEAR survey is used worldwide by the Department of Defense for enrollees in TRICARE Prime, the military's adaptation of the HMO model of managed care. Individual HEAR reports are prepared for survey participants and their primary care providers in TRICARE Prime. Although it is currently administered worldwide to a majority of the 8.4 million health care beneficiaries of the Department …