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Full-Text Articles in Physical Sciences and Mathematics

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 …


Chronic Respiratory Disease Symptom Effects Of Long-Term Cumulative Exposure To Passive Tobacco Smoke And To Ambient Levels Of Tsp, Oxidants, So2, And No2 In Southern California, Gary L. Euler Jun 1984

Chronic Respiratory Disease Symptom Effects Of Long-Term Cumulative Exposure To Passive Tobacco Smoke And To Ambient Levels Of Tsp, Oxidants, So2, And No2 In Southern California, Gary L. Euler

Loma Linda University Electronic Theses, Dissertations & Projects

To assess risk of chronic respiratory disease symptoms due to long-term exposure to the ambient levels of TSP, oxidants, SO2 and NO2 in photochemical air pollution, symptoms were ascertained using NHLBI questions on 8,572 Southern California Seventh-day Adventist, nonsmokers, 25 years and older, who lived eleven years or longer in their 1977 residential area. Tobacco smoke, active and passive, and occupational exposures were measured by questionnaires, as well as lifestyle characteristics relative to pollution exposure such as time spent outside and residence history. A pulmonary function feasibility study was done on a subsample of 86 women 50-64 years of age …


An Intraseason Forecasting System For Commercial Marine Fisheries, Erik J. Barth Apr 1984

An Intraseason Forecasting System For Commercial Marine Fisheries, Erik J. Barth

OES Theses and Dissertations

The reliability of an intraseason yield estimation technique which is commonly used by Pacific salmon harvest managers is evaluated for applicability to a variety of commercial finfish and crustacean fisheries. The estimation technique is known as the average timing or the average performance model. The method is not easily related to standard statistical models, but does show some similarity to both a single parameter linear regression model and the ratio estimator of sampling theory. A comparison of these models, a two parameter linear model, and a regression estimator is made to determine if the precision of forecasts of performance can …


Small Area Statistics: Large Statistical Problems, Paula Diehr Mar 1984

Small Area Statistics: Large Statistical Problems, Paula Diehr

Paula Diehr

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 …