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Full-Text Articles in Medicine and Health Sciences

Factors Explaining The Use Of Health Care Services By The Elderly, Paula Diehr, Connie Evashwick Aug 1984

Factors Explaining The Use Of Health Care Services By The Elderly, Paula Diehr, Connie Evashwick

Paula Diehr

The Anderson model of health services utilization, which relates use of service to predisposing, enabling, and need factors, has not often been applied to an elderly population. In this study, the factors of the Andersen model were used prospectively to predict utilization for a population sample of 1,317 elderly persons. Taken alone, the NEED construct was the most important single predictor of use of physician services, hospitalizations, ambulatory care, and home care. PREDISPOSING factors were better predictors of the use of dental services. Some of the variables studied were not related to utilization in the direction that would have been …


The Identification And Distribution Of Values Manifest In Print Advertising, 1900-1980, Richard W. Pollay Jan 1984

The Identification And Distribution Of Values Manifest In Print Advertising, 1900-1980, Richard W. Pollay

Richard W. Pollay

No abstract provided.


Prediction Of Pneumonia In Outpatients With Acute Cough - A Statistical Approach, Paula Diehr Jan 1984

Prediction Of Pneumonia In Outpatients With Acute Cough - A Statistical Approach, Paula Diehr

Paula Diehr

Cough is the fifth most common reason for physician visits, but data on acute cough have rarely been collected in a standardized manner and have not been analyzed in a multivariate fashion. We report data on 1819 patients presenting with cough, all of whom received a standardized history and physical, and a chest X-ray. Only 48 (2.6%) were found to have an acute radiographic infiltrate (pneumonia). The prevalence of common signs and symptoms is shown for the patients with and without pneumonia. Thirty-two of these findings were significant predictors of pneumonia (p less than 0.05, one-tailed). These 32 did not …


Use Of Ambulatory Care Services In Three Provider Plans: Interactions Between Patient Characteristics And Plans, Paula Diehr Jan 1984

Use Of Ambulatory Care Services In Three Provider Plans: Interactions Between Patient Characteristics And Plans, Paula Diehr

Paula Diehr

A previous study of low-income enrollees in a closed-panel health maintenance organization (HMO) and a Blue Cross/Blue Shield (BC/BS) plan showed that the effect on the use of health services of the age, sex, health status, previous health care use, race, and family size of the enrollees was different in the two plans. We have replicated this study using the same two provider plans but studying a different group of white collar, middle class enrollees. A third plan, an experimental independent practice association (IPA), was also available for analysis. Utilization was defined as use (yes/no) and the quantity of use …


Clinical Presentation Of Buccal Carcinoma. A Review Of Twenty Nine Patients, Janakarajah N., Rosnah Binti Zain Jan 1984

Clinical Presentation Of Buccal Carcinoma. A Review Of Twenty Nine Patients, Janakarajah N., Rosnah Binti Zain

Prof. Dr. Rosnah Binti Zain

29 patients with buccal carcinoma were reviewed for the clinical signs and symptoms. The TNM classification following the UICC categories were used for the clinical staging of the lesion. The patient’s race, age, sex and habits were also noted. Most of these patients presented with advanced lesions. The most common signs and symptoms were pain and ulcerations (62%). The histopathology of a well-differentiated squamous cell carcinoma forms a great majority of these lesions (62%). Each of the sign and symptom is discussed in relation to other findings that had been reported.


The Biases And Mean Squared Errors Of Estimators Of Multinormal Squared Multiple Correlation, Joseph F. Lucke, Susan E. Embretson Jan 1984

The Biases And Mean Squared Errors Of Estimators Of Multinormal Squared Multiple Correlation, Joseph F. Lucke, Susan E. Embretson

Joseph Lucke

The sample squared multiple correlation coefficient, $R^{2}$ is known to have certain unsatisfactory properties as an estimator of the population squared multiple correlation. Hence, numerous adjusted estimators based on functions of $1-R^{2}$ have been proposed. We examine the biases and mean squared errors of five adjusted estimators as well as $R^{2}$. General results are given for estimators linear in $1-R^{2}$, and four such estimators are examined in detail. In addition, a quadratic estimator and the minimum variance unbiased estimator are examined. Comparisons among these estimators are made in terms of absolute bias and mean squared error.