Gary G Koch
Biographic Data
| ID | 2216601 |
|---|---|
| NAME | Gary G Koch |
| GIVEN NAMES | Gary G |
| FAMILY NAME | Koch |
| SIGNATURE | KOCH G G |
| AFFILIATIONS | University of North Carolina at Chapel Hill |
| VERIFIED | No |
| TOTAL WORKS | 32 |
| TOTAL CITATIONS | 153 |
| AUTHOR COUNT | 32 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1969 |
| LATEST PUBLICATION YEAR | 2004 |
| H-INDEX | 7 |
Retention of Primary Care Physicians in Rural Health Professional Shortage Areas
Objectives. We tested the assumption that average job retention duration is shorter for physicians in rural health professional shortage areas (HPSAs) than for physicians in rural non-HPSAs. Methods. In 1991, we surveyed nationally representative samples of primary care physicians who recently had moved to rural HPSAs and non-HPSAs who were without service obligations. We resurveyed these physicians in 1996 and 1997 to learn of any job changes. R…
Outcomes of States’ Scholarship, Loan Repayment, and Related Programs for Physicians
CONTEXT: Many states attempt to entice young generalist physicians into rural and medically underserved areas with financial support-for-service programs-scholarships, service-option loans, loan repayment, direct financial incentives, and resident support programs-with little documentation of their effectiveness. OBJECTIVE: The objective of this study was to assess outcomes of states' support-for-service programs as a group and to compare outcome…
Distribution of African Americans in Residential Care/Assisted Living and Nursing Homes: More Evidence of Racial Disparity
Objectives. In this study, we examined racial separation in long-term care. Methods. We used a survey of a stratified sample of 181 residential care/assisted living (RC/AL) facilities and 39 nursing homes in 4 states. Results. Most African Americans resided in nursing homes and smaller RC/AL facilities and tended to be concentrated in a few predominantly African American facilities, whereas the vast majority of Whites resided in predominantly Whi…
Effect of Vaccination by Community Pharmacists Among Adult Prescription Recipients
BACKGROUND: Millions of doses of influenza vaccine are administered each year in the United States at nontraditional sites and by nontraditional vaccine providers. Pharmacists are increasingly becoming vaccine providers. OBJECTIVES: To measure association between availability of pharmacist-immunizers and immunization delivery to adult prescription recipients, and the relative contributions of various types of vaccine providers. RESEARCH DESIGN: M…
Using a Popular Film in Counselor Education: Good Will Hunting as a Teaching Tool
The popular film Good Will Hunting, which portrays a counseling relationship, is discussed as an effective tool for facilitating the teaching of counseling theories. This article describes the authors' experience using this movie as a teaching tool, documenting the students' improved comprehension and application of course concepts and the instructor's improved rapport with the class
Secondary Sexual Characteristics and Menses in Young Girls Seen in Office Practice: A Study from the Pediatric Research in Office Settings Network
Objective. To determine the current prevalence and mean ages of onset of pubertal characteristics in young girls seen in pediatric practices in the United States. Methods. A cross-sectional study was conducted by 225 clinicians in pediatric practices belonging to Pediatric Research in Office Settings, a practice-based research network. After standardized training in the assessment of pubertal maturation, practitioners rated the level of sexual ma…
Heart Rate Variability in Patients with Coronary Artery Disease: Differences in Patients with Higher and Lower Depression Scores
OBJECTIVE: This study tested the hypothesis that coronary artery disease patients with higher depression scores have lower heart rate variability during daily life. METHOD: Thirty-three men and nine women, ranging in age from 46 to 79, with coronary artery disease and exercise-induced ischemia were studied. The standard deviation of normal R-R intervals (SDNN) and average heart rate were obtained from 24-hour ambulatory electrocardiographic monit…
The Awareness-to-Adherence Model of the Steps to Clinical Guideline Compliance: The Case of Pediatric Vaccine Recommendations
OBJECTIVES: This article proposes, tests, and explores the potential applications of a model of the cognitive and behavioral steps physicians take when they comply with national clinical practice guidelines. The authors propose that when physicians comply with practice guidelines, they must first become aware of the guidelines, then intellectually agree with them, then decide to adopt them in the care they provide, then regularly adhere to them a…
Self-Care and Assistance from others in Coping with Functional Status Limitations among a National Sample of Older Adults
Using data from the first wave of a new longitudinal data set collected in the late fall and winter of 1990-1991, the National Survey of Self-Care and Aging (NSSCA), we examined older adults' self-care practices in coping with functional status limitations based on in-person interviews with a national probability sample of 3,485 noninstitutionalized adults aged 65 or older selected from Medicare beneficiary files. A composite score of functional …
Medicare Reimbursement for Preventive Care: Changes in Performance of Services, Quality of Life, and Health Care Costs
A randomized, controlled trial was conducted to assess the effects of a financial and office systems intervention to increase preventive care in physicians' offices for patients aged 65 years or older. A total of 1,914 patients from 10 primary-care medical practices in central North Carolina were randomized within practices to an intervention and a usual-care control group. The intervention consisted of full Medicare reimbursement to physicians f…
The Prevalence of Dental Sealants in North Carolina Schoolchildren
While underutilized, there are indications in these data that sealant use is increasing, thus having the potential to contribute to further declines in the prevalence of dental caries in the state. Those factors included in this study and associated with the prevalence of sealants suggest that major gains in sealant use will need to address not only those specific barriers preventing their use by the profession or public, but broader issues preve…
Eighteen‐month Coronal Caries Incidence in North Carolina Older Adults
In this longitudinal study of a random sample of North Carolinians over the age of 65 and living in their homes, 325 blacks and 280 whites were examined and interviewed 18 months after baseline examinations. Coronal caries incidence was greater among whites than blacks. The increment due to teeth becoming root fragments were similar for both races; however, there were more newly crowned teeth among whites. Newly crowned surfaces were not used as …
Estimating activity limitation in the noninstitutionalized population: A method for small areas
OBJECTIVES. Although reliable direct state and local estimates of the activity-limited population are frequently unavailable, regression-adjusted synthetic estimates can be made. Such estimates use multivariate methods to model activity limitation at the national level and then apply model-predicted probabilities to corresponding community-specific demographic data. METHODS. Using the 1989 National Health Interview Survey and the 1991 Area Resour…
Adoption of health education-tobacco use prevention curricula in North Carolina school districts
Parham, Deborah L. PhD; Goodman, Robert M. PhD; Steckler, Allan DrPH; Schmid, Judith MS; Koch, Gary PhD Author Information
Depression and type A behavior pattern in patients with coronary artery disease: Relationships to painful versus silent myocardial ischemia and beta-endorphin responses during exercise
A sample of 45 patients with a history of coronary heart disease and documented myocardial ischemia during exercise testing were evaluated in an investigation of the possible relationships between psychological factors (depression and Type A behavior pattern), plasma beta-endorphin response and pain experience during maximal exercise-induced ischemia. Depression was assessed using the MMPI-D subscale, while Type A was evaluated using the Structur…
Regression-adjusted small area estimates of functional dependency in the noninstitutionalized American population age 65 and over
Health planning efforts for the population age 65 and over have been hampered continually by the lack of reliable estimates of the noninstitutionalized long-term care population. Until recently national estimates were virtually nonexistent, and reliable small area estimates remain unavailable. However, with the recent publication of several national surveys and the 1990 Census, synthetic estimates can be made for states and counties by using mult…
The influence of three mass media campaigns on variables related to adolescent cigarette smoking: Results of a field experiment
BACKGROUND: This paper reports findings from a field experiment that evaluated mass media campaigns designed to prevent cigarette smoking by adolescents. METHODS: The campaigns featured radio and television messages on expected consequences of smoking and a component to stimulate personal encouragement of peers not to smoke. Six Standard Metropolitan Statistical Areas in the Southeast United States received campaigns and four served as controls. …
Are the correlates of cigarette smoking initiation different for black and white adolescents
BACKGROUND: Studies of adolescent smoking suggest that the causes of smoking initiation may differ for Blacks and Whites. METHODS: Correlates of smoking initiation were examined among 1,277 nonsmokers, ages 12-14, who completed questionnaires in their homes. The analyses examined relationships between smoking initiation and 11 explanatory variables using logistic regression with the combined sample and with Black and White samples. RESULTS: Over …
The influence of observing carbon monoxide level on cigarette smoking by public prenatal patients
From theories that suggest behavior is influenced by direct observation of personal and immediate consequences of the behavior, we hypothesized that public prenatal patients would reduce their smoking if they observed the level of carbon monoxide in their own alveolar air. An experimental design was used that involved 170 subjects, multiple measures of smoking, and data collection before the intervention and six weeks later. It was concluded that…
Juvenile Court: Therapy or Crime Control, and Do Lawyers Make a Difference
Disillusionment with the therapeutic ideal has led to the current movement to reduce the jurisdiction of juvenile courts to cases in which they can exercise a crime-prevention function and to emphasize a fair, adversarial court procedure including representation by a lawyer. Two North Carolina juvenile courts were studied in 1975-1976 to determine their degree of concern about rehabilitation, crime prevention, and adversarial procedure. These cou…
A note on the analysis of parity progression ratios
Contingency table modeling procedures are proposed to examine the effects of independent variables on parity progression ratios. The methodology is outlined and an incremental-factorial linear model is developed
An Application of Hierarchical Kappa-type Statistics in the Assessment of Majority Agreement among Multiple Observers
J. Richard Landis, Gary G. Koch, An Application of Hierarchical Kappa-type Statistics in the Assessment of Majority Agreement among Multiple Observers, Biometrics, Vol. 33, No. 2 (Jun., 1977), pp. 363-374
The Measurement of Observer Agreement for Categorical Data
This paper presents a general statistical methodology for the analysis of multivariate categorical data arising from observer reliability studies. The procedure essentially involves the construction of functions of the observed proportions which are directed at the extent to which the observers agree among themselves and the construction of test statistics for hypotheses involving these functions. Tests for interobserver bias are presented in ter…
The Mortimer Spiegelman gold medal award
Legal abortions and trends in age-specific marriage rates
Legal abortions and trends in age-specific marriage rates. K E Bauman, A E Anderson, J L Freeman, and G G KochCopyRight https://doi.org/10.2105/AJPH.67.1.52 Published Online: October 07, 2011
The Influence of Income and Other Factors on Whether Criminal Defendants go to Prison
The experiences of 798 burglary and larceny defendants in the criminal courts of Mecklenburg County, North Carolina, in 1971 were studied to identify the factors having the greatest influence on the defendant's likelihood of emerging from court with an active prison sentence. The following variables were found to have a significant effect, listed in order of importance: (1) severity of offense (defined in terms of value of property taken and degr…
Self-Care and Assistance from others in Coping with Functional Status Limitations among a National Sample of Older Adults
Using data from the first wave of a new longitudinal data set collected in the late fall and winter of 1990-1991, the National Survey of Self-Care and Aging (NSSCA), we examined older adults' self-care practices in coping with functional status limitations based on in-person interviews with a national probability sample of 3,485 noninstitutionalized adults aged 65 or older selected from Medicare beneficiary files. A composite score of functional …
Are the correlates of cigarette smoking initiation different for black and white adolescents
BACKGROUND: Studies of adolescent smoking suggest that the causes of smoking initiation may differ for Blacks and Whites. METHODS: Correlates of smoking initiation were examined among 1,277 nonsmokers, ages 12-14, who completed questionnaires in their homes. The analyses examined relationships between smoking initiation and 11 explanatory variables using logistic regression with the combined sample and with Black and White samples. RESULTS: Over …
Juvenile Court: Therapy or Crime Control, and Do Lawyers Make a Difference
Disillusionment with the therapeutic ideal has led to the current movement to reduce the jurisdiction of juvenile courts to cases in which they can exercise a crime-prevention function and to emphasize a fair, adversarial court procedure including representation by a lawyer. Two North Carolina juvenile courts were studied in 1975-1976 to determine their degree of concern about rehabilitation, crime prevention, and adversarial procedure. These cou…
A General Linear Approach to the Analysis of Nonmetric Data: Applications for Political Science
A general linear approach to the analysis of nonmetric (nominal and/or ordinal) data developed for problems common to the health sciences is extended to the field of political science. After a brief description of the method originally presented by Grizzle, Starmer, and Koch (Biometrics, 1969), two examples are discussed in detail. The first example, using an ordered dependent variable, illustrates an analysis of variance without assumptions of n…
Distribution of African Americans in Residential Care/Assisted Living and Nursing Homes: More Evidence of Racial Disparity
Objectives. In this study, we examined racial separation in long-term care. Methods. We used a survey of a stratified sample of 181 residential care/assisted living (RC/AL) facilities and 39 nursing homes in 4 states. Results. Most African Americans resided in nursing homes and smaller RC/AL facilities and tended to be concentrated in a few predominantly African American facilities, whereas the vast majority of Whites resided in predominantly Whi…
The influence of three mass media campaigns on variables related to adolescent cigarette smoking: Results of a field experiment
BACKGROUND: This paper reports findings from a field experiment that evaluated mass media campaigns designed to prevent cigarette smoking by adolescents. METHODS: The campaigns featured radio and television messages on expected consequences of smoking and a component to stimulate personal encouragement of peers not to smoke. Six Standard Metropolitan Statistical Areas in the Southeast United States received campaigns and four served as controls. …
Estimating activity limitation in the noninstitutionalized population: A method for small areas
OBJECTIVES. Although reliable direct state and local estimates of the activity-limited population are frequently unavailable, regression-adjusted synthetic estimates can be made. Such estimates use multivariate methods to model activity limitation at the national level and then apply model-predicted probabilities to corresponding community-specific demographic data. METHODS. Using the 1989 National Health Interview Survey and the 1991 Area Resour…
Using a Popular Film in Counselor Education: Good Will Hunting as a Teaching Tool
The popular film Good Will Hunting, which portrays a counseling relationship, is discussed as an effective tool for facilitating the teaching of counseling theories. This article describes the authors' experience using this movie as a teaching tool, documenting the students' improved comprehension and application of course concepts and the instructor's improved rapport with the class
Retention of Primary Care Physicians in Rural Health Professional Shortage Areas
Objectives. We tested the assumption that average job retention duration is shorter for physicians in rural health professional shortage areas (HPSAs) than for physicians in rural non-HPSAs. Methods. In 1991, we surveyed nationally representative samples of primary care physicians who recently had moved to rural HPSAs and non-HPSAs who were without service obligations. We resurveyed these physicians in 1996 and 1997 to learn of any job changes. R…
Regression-adjusted small area estimates of functional dependency in the noninstitutionalized American population age 65 and over
Health planning efforts for the population age 65 and over have been hampered continually by the lack of reliable estimates of the noninstitutionalized long-term care population. Until recently national estimates were virtually nonexistent, and reliable small area estimates remain unavailable. However, with the recent publication of several national surveys and the 1990 Census, synthetic estimates can be made for states and counties by using mult…
The influence of observing carbon monoxide level on cigarette smoking by public prenatal patients
From theories that suggest behavior is influenced by direct observation of personal and immediate consequences of the behavior, we hypothesized that public prenatal patients would reduce their smoking if they observed the level of carbon monoxide in their own alveolar air. An experimental design was used that involved 170 subjects, multiple measures of smoking, and data collection before the intervention and six weeks later. It was concluded that…
An analysis of physician visit data from a complex sample survey
A generalization of ordinary least squares methods is used in the analysis of physician visit data from a complex sample survey. The emphasis, in this paper, is on the valid substantive inferences to be drawn from an analysis of this type of data. The procedure is found to be useful in two ways. First, the resultion on a national basis. It is concluded that age is an imp-s of a comparative sampling study are reported. Second, the procedure is use…
Analyzing Panel Data With Uncontrolled Attrition
Three-wave panel data collected during the 1968 presidential election campaign in Florida and North Carolina are analyzed on the basis of the partial candidate preference information available for some respondents and the complete information obtained from others. A supplemented marginals model based on die general linear approach to categorical data analysis is extended to the situation involving incomplete time data. The final statistical model…
On A Method for Studying Family Size Preferences
The concept of desired family size is widely accepted, and numerous studies have been undertaken to measure its level in certain population groups. The determination of desired family size has generally followed the direct question procedure through which the respondent states some whole number as representing her family size wishes at some specified period in her life. Limitations of this method have been recognized, and some research has been c…
The relationship between legal abortion and marriage
A study using the abortion-birth ratios for residents of each U.S. state for the second half of 1970 and for all of 1971 was done to determine if legal abortions reduced marriages. Data showed that trends were consistent with the hypothesis that a relationship exists between l egalized abortion-birth ratios and trends in crude marriage rates among states between 1967 and 1971 with reduction in crude marriage rates in the states with the relativel…
Analysis of Categorical Data by Linear Models
Assume there are ni., i = 1, 2, *--, s, samples from s multinomial distributions each having r categories of response. Then define any u functions of the unknown true cell probabilities {7rij: i = 1, 2, * , s; j = 1, 2, * , r, where E jrij l 1 } that have derivatives up to the second order with respect to 7rij, and for which the matrix of first derivatives is of rank u. A general noniterative procedure is described for fitting these functions to …
Analyzing Panel Data With Uncontrolled Attrition
Three-wave panel data collected during the 1968 presidential election campaign in Florida and North Carolina are analyzed on the basis of the partial candidate preference information available for some respondents and the complete information obtained from others. A supplemented marginals model based on die general linear approach to categorical data analysis is extended to the situation involving incomplete time data. The final statistical model…
A General Linear Approach to the Analysis of Nonmetric Data: Applications for Political Science
A general linear approach to the analysis of nonmetric (nominal and/or ordinal) data developed for problems common to the health sciences is extended to the field of political science. After a brief description of the method originally presented by Grizzle, Starmer, and Koch (Biometrics, 1969), two examples are discussed in detail. The first example, using an ordered dependent variable, illustrates an analysis of variance without assumptions of n…
On A Method for Studying Family Size Preferences
The concept of desired family size is widely accepted, and numerous studies have been undertaken to measure its level in certain population groups. The determination of desired family size has generally followed the direct question procedure through which the respondent states some whole number as representing her family size wishes at some specified period in her life. Limitations of this method have been recognized, and some research has been c…
The relationship between legal abortion and marriage
A study using the abortion-birth ratios for residents of each U.S. state for the second half of 1970 and for all of 1971 was done to determine if legal abortions reduced marriages. Data showed that trends were consistent with the hypothesis that a relationship exists between l egalized abortion-birth ratios and trends in crude marriage rates among states between 1967 and 1971 with reduction in crude marriage rates in the states with the relativel…
An analysis of physician visit data from a complex sample survey
A generalization of ordinary least squares methods is used in the analysis of physician visit data from a complex sample survey. The emphasis, in this paper, is on the valid substantive inferences to be drawn from an analysis of this type of data. The procedure is found to be useful in two ways. First, the resultion on a national basis. It is concluded that age is an imp-s of a comparative sampling study are reported. Second, the procedure is use…
The Influence of Income and Other Factors on Whether Criminal Defendants go to Prison
The experiences of 798 burglary and larceny defendants in the criminal courts of Mecklenburg County, North Carolina, in 1971 were studied to identify the factors having the greatest influence on the defendant's likelihood of emerging from court with an active prison sentence. The following variables were found to have a significant effect, listed in order of importance: (1) severity of offense (defined in terms of value of property taken and degr…
An Application of Hierarchical Kappa-type Statistics in the Assessment of Majority Agreement among Multiple Observers
J. Richard Landis, Gary G. Koch, An Application of Hierarchical Kappa-type Statistics in the Assessment of Majority Agreement among Multiple Observers, Biometrics, Vol. 33, No. 2 (Jun., 1977), pp. 363-374
The Measurement of Observer Agreement for Categorical Data
This paper presents a general statistical methodology for the analysis of multivariate categorical data arising from observer reliability studies. The procedure essentially involves the construction of functions of the observed proportions which are directed at the extent to which the observers agree among themselves and the construction of test statistics for hypotheses involving these functions. Tests for interobserver bias are presented in ter…
The Mortimer Spiegelman gold medal award
Legal abortions and trends in age-specific marriage rates
Legal abortions and trends in age-specific marriage rates. K E Bauman, A E Anderson, J L Freeman, and G G KochCopyRight https://doi.org/10.2105/AJPH.67.1.52 Published Online: October 07, 2011
A note on the analysis of parity progression ratios
Contingency table modeling procedures are proposed to examine the effects of independent variables on parity progression ratios. The methodology is outlined and an incremental-factorial linear model is developed
Juvenile Court: Therapy or Crime Control, and Do Lawyers Make a Difference
Disillusionment with the therapeutic ideal has led to the current movement to reduce the jurisdiction of juvenile courts to cases in which they can exercise a crime-prevention function and to emphasize a fair, adversarial court procedure including representation by a lawyer. Two North Carolina juvenile courts were studied in 1975-1976 to determine their degree of concern about rehabilitation, crime prevention, and adversarial procedure. These cou…
The influence of observing carbon monoxide level on cigarette smoking by public prenatal patients
From theories that suggest behavior is influenced by direct observation of personal and immediate consequences of the behavior, we hypothesized that public prenatal patients would reduce their smoking if they observed the level of carbon monoxide in their own alveolar air. An experimental design was used that involved 170 subjects, multiple measures of smoking, and data collection before the intervention and six weeks later. It was concluded that…
Depression and type A behavior pattern in patients with coronary artery disease: Relationships to painful versus silent myocardial ischemia and beta-endorphin responses during exercise
A sample of 45 patients with a history of coronary heart disease and documented myocardial ischemia during exercise testing were evaluated in an investigation of the possible relationships between psychological factors (depression and Type A behavior pattern), plasma beta-endorphin response and pain experience during maximal exercise-induced ischemia. Depression was assessed using the MMPI-D subscale, while Type A was evaluated using the Structur…
Regression-adjusted small area estimates of functional dependency in the noninstitutionalized American population age 65 and over
Health planning efforts for the population age 65 and over have been hampered continually by the lack of reliable estimates of the noninstitutionalized long-term care population. Until recently national estimates were virtually nonexistent, and reliable small area estimates remain unavailable. However, with the recent publication of several national surveys and the 1990 Census, synthetic estimates can be made for states and counties by using mult…
The influence of three mass media campaigns on variables related to adolescent cigarette smoking: Results of a field experiment
BACKGROUND: This paper reports findings from a field experiment that evaluated mass media campaigns designed to prevent cigarette smoking by adolescents. METHODS: The campaigns featured radio and television messages on expected consequences of smoking and a component to stimulate personal encouragement of peers not to smoke. Six Standard Metropolitan Statistical Areas in the Southeast United States received campaigns and four served as controls. …
Are the correlates of cigarette smoking initiation different for black and white adolescents
BACKGROUND: Studies of adolescent smoking suggest that the causes of smoking initiation may differ for Blacks and Whites. METHODS: Correlates of smoking initiation were examined among 1,277 nonsmokers, ages 12-14, who completed questionnaires in their homes. The analyses examined relationships between smoking initiation and 11 explanatory variables using logistic regression with the combined sample and with Black and White samples. RESULTS: Over …
Adoption of health education-tobacco use prevention curricula in North Carolina school districts
Parham, Deborah L. PhD; Goodman, Robert M. PhD; Steckler, Allan DrPH; Schmid, Judith MS; Koch, Gary PhD Author Information
The Prevalence of Dental Sealants in North Carolina Schoolchildren
While underutilized, there are indications in these data that sealant use is increasing, thus having the potential to contribute to further declines in the prevalence of dental caries in the state. Those factors included in this study and associated with the prevalence of sealants suggest that major gains in sealant use will need to address not only those specific barriers preventing their use by the profession or public, but broader issues preve…
Eighteen‐month Coronal Caries Incidence in North Carolina Older Adults
In this longitudinal study of a random sample of North Carolinians over the age of 65 and living in their homes, 325 blacks and 280 whites were examined and interviewed 18 months after baseline examinations. Coronal caries incidence was greater among whites than blacks. The increment due to teeth becoming root fragments were similar for both races; however, there were more newly crowned teeth among whites. Newly crowned surfaces were not used as …
Estimating activity limitation in the noninstitutionalized population: A method for small areas
OBJECTIVES. Although reliable direct state and local estimates of the activity-limited population are frequently unavailable, regression-adjusted synthetic estimates can be made. Such estimates use multivariate methods to model activity limitation at the national level and then apply model-predicted probabilities to corresponding community-specific demographic data. METHODS. Using the 1989 National Health Interview Survey and the 1991 Area Resour…
Self-Care and Assistance from others in Coping with Functional Status Limitations among a National Sample of Older Adults
Using data from the first wave of a new longitudinal data set collected in the late fall and winter of 1990-1991, the National Survey of Self-Care and Aging (NSSCA), we examined older adults' self-care practices in coping with functional status limitations based on in-person interviews with a national probability sample of 3,485 noninstitutionalized adults aged 65 or older selected from Medicare beneficiary files. A composite score of functional …
Medicare Reimbursement for Preventive Care: Changes in Performance of Services, Quality of Life, and Health Care Costs
A randomized, controlled trial was conducted to assess the effects of a financial and office systems intervention to increase preventive care in physicians' offices for patients aged 65 years or older. A total of 1,914 patients from 10 primary-care medical practices in central North Carolina were randomized within practices to an intervention and a usual-care control group. The intervention consisted of full Medicare reimbursement to physicians f…
The Awareness-to-Adherence Model of the Steps to Clinical Guideline Compliance: The Case of Pediatric Vaccine Recommendations
OBJECTIVES: This article proposes, tests, and explores the potential applications of a model of the cognitive and behavioral steps physicians take when they comply with national clinical practice guidelines. The authors propose that when physicians comply with practice guidelines, they must first become aware of the guidelines, then intellectually agree with them, then decide to adopt them in the care they provide, then regularly adhere to them a…
Medicine (23 works) · Demography (14 works) · Psychology (11 works) · Environmental health (10 works) · Mathematics (10 works) · Statistics (10 works) · Econometrics (8 works) · Population (8 works) · Computer Science (7 works) · Internal Medicine (7 works)