Klaus J Roghmann
Dados Biográficos
| ID | 306344 |
|---|---|
| NOME | Klaus J Roghmann |
| PRENOMES | Klaus J |
| SOBRENOME | Roghmann |
| ASSINATURA | ROGHMANN K J |
| AFILIAÇÕES | University of Rochester |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 22 |
| TOTAL DE CITAÇÕES | 14 |
| TOTAL COMO AUTOR | 22 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1970 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 1997 |
| ÍNDICE H | 3 |
Avoidable Morbidity in Infants
OBJECTIVES: A hierarchical classification for avoidable morbidity in infants was developed based on a conceptual model for causes of morbidity. Experts rated the impact of risk factors and health services on diseases coded according to the International Classification of Diseases, 9th Revision, Classification Modification (ICD-9-CM). An etiologic framework was chosen for the classification because knowledge of etiology often suggests strategies f…
The school-based immunization survey
A school-based immunization survey was conducted among the 36 Rochester, NY, elementary schools (n = 5584 children) to determine (1) the vaccination rates at 2 years of age by type of primary care provider and (2) the accuracy of school immunization records (by comparing them with medical charts for children attending hospital-based clinics). These rates varied by provider type from 58% to 86% and were all below the national goal of 90%. In compa…
Patient Satisfaction and the Use of Health Services Explorations in Causality
Little research exists that examines the causal relationship between patient satisfaction and the use of health services. This study of a representative sample of low income families suggests that a relationship does exist. Furthermore, results reported indicate it is bidirectional and reciprocal in nature, and that it is highly related to the provider from which patients seek care. Analysis according to the five major area clinics that were main…
The Selective Utilization of Prenatal Genetic Diagnosis Experiences of a Regional Program in Upstate New York During the 1970s
The regional prenatal diagnosis program of the Finger Lakes Health Systems Area in upstate New York has been monitored since its start in 1971. By the end of 1980, more than 1,250 diagnostic procedures had been successfully completed. Based on analyses of regional vital statistics, genetic services data, repeated surveys of obstetricians, and an ongoing survey of recent mothers older than 34 years of age, the authors concluded that: 1) in the stu…
Satisfaction With Medical Care
Satisfaction with medical care is frequently measured in health services research but for many different reasons. The widening conceptualizations and uses of satisfaction reported make comparisons between studies difficult. Questions regarding the structure and dimensionality of satisfaction remain. The relation of satisfaction with utilization still requires theoretic and empiric clarification. This article reports on several surveys containing …
Proximity as a factor in the selection of health care providers
Satisfaction with Medical Care
Both the conceptualization and the measurement of satisfaction have been of major concern in medical care research. Some scholars used satisfaction as a determinant of utilization, others as a consequence of utilization. Measures of satisfaction are largely content oriented. Reliabilities are reported, but validity is usually assumed (face validity) or assessed through correlations with a criterion variable like "wish to change providers." Using …
Attitudes toward abortion and prenatal diagnosis of fetal abnormalities
Genetic counseling, second trimester amniocentesis, reliable techniques for analyzing fetal amniotic fluid and selective abortion together have the potential to prevent a variety of serious birth defects. Advances in technique and/or changing patterns of childbearing may place a large number of women in age groups where genetic counseling programs are recommended. However, attitudes toward abortion may be a critical variable in ascertaining the p…
The Two Dimensions in Satisfaction with Dental Care
Satisfaction with health services is an aspect of quality of care that is of special importance for captive clients like low-income clinic users. Several methodologies have been reported, but validation has been difficult. This study compares two older scaling techniques with a new, nonmetric method to detect underlying dimensions. Unlike previous research, the typical satisfaction scale was found to be two-dimensional, with one dimension measuri…
Inpatient Hospital Utilization in Three Prepaid Comprehensive Health Care Plans Compared With a Regular Blue Cross Plan
The evidence is substantial that comprehensive, HMO-type prepayment plans can significiantly reduce hospitalization rates. Yet it remains unclear which factors contribute to this phenomenon. This study focuses on organizational characteristics of four plans with different hospitalization experiences. Regular medical staff review and frequent use of second opinions and economies of scale achieved by providing care at one well-equipped, large healt…
Effect of Rochester Neighborhood Health Center on Hospital Dental Emergencies
The alarming increase in hospital emergency room (ER) usage, especially by inner city populations, is an important indicator of the current health care crisis. If neighborhood health centers (HC) are effective in reaching their target population, they should have sufficient impact to stop or reverse this trend. This study tried to measure the impact of the dental HC services on ER usage for dental emergencies. The ER logs of the main hospitals we…
Use of Medicaid Payment Files for Medical Care Research
Concern for reliable medical care data is frequently expressed at the federal level of government. Such data are, however, already widely collected at the local level of government This paper demonstrates how a Department of Pediatrics can build a local data system for the child population, using household interviews and supplementing these with data abstracted from the local Medicaid payment files. The latter approach is of special importance fo…
Reply to Stinchcombe
Family Coping with Everyday Illness
Illness can be a major interruption of family life. An additional instrumental task (managing the illness) is required at a time when the family's coping resources are decreased because one member can no longer meet its role obligations. An incomplete family, a badly functioning family or illness of a parent (instead of a child) are therefore frequently assumed to decrease coping ability.$$The findings from a random sample of households do not su…
Administering health systems
Social Stress and Chronic Illness
The Diary as a Research Instrument in the Study of Health and Illness Behavior
A health calendar for a 28-day period was completed hy a random sample of 512 families in a typical upstate New York community. The 71,316 personday descriptions yielded information on life events unaccessible by retrospective interviews, such as everyday medical complaints, well-being, taking of medications and “things going wrong.” Events accessible by interview, such as doctor visits, could be measured more accurately by the health calendar. R…
The Impact of Military Service on Authoritarian Attitudes
A study by Campbell and McCormack in 1957 of the U.S. Army was replicated 10 years later in the West German Army. Age and education were controlled, and the possibility of a panel effect was checked, and the earlier finding that militaryexperience reduces authoritarianism of draftees was confirmed. This study also investigated the permanence of the observed effect. The effect was a very temporary response to the specific military-life situation. …
Acceptability of an Expanded Nurse Role to Nurses and Physicians
A questionnaire was developed to measure the acceptance by physician.1; and nurses of an expanded nurse role. The questionnaire was administered to a total of 218 persons: 93 nurses, 86 house staff physicians, and 39 senior medical students. Duplicate questionnaires were filled out by the medical students at the beginning and end of the academic year. The results of the survey indicate that the questionnaire is a good measure of attitude. Nurses …
Rochester Child Health Surveys I
Clinical departments rarely use community-wide surveys in their research programs. Yet, to study the determinants and consequences of the uneven distribution of medical care, to identify barriers to utilization and gaps in services, to plan and test the effectiveness of innovations in the organization of health care delivery, a clinical department such as pediatrics may find value in survey research studies. Such studies also provide a stimulatin…
Doctors and Doctrines
Theoretical and methodological problems of medical care research
The Impact of Military Service on Authoritarian Attitudes
A study by Campbell and McCormack in 1957 of the U.S. Army was replicated 10 years later in the West German Army. Age and education were controlled, and the possibility of a panel effect was checked, and the earlier finding that militaryexperience reduces authoritarianism of draftees was confirmed. This study also investigated the permanence of the observed effect. The effect was a very temporary response to the specific military-life situation. …
Attitudes toward abortion and prenatal diagnosis of fetal abnormalities
Genetic counseling, second trimester amniocentesis, reliable techniques for analyzing fetal amniotic fluid and selective abortion together have the potential to prevent a variety of serious birth defects. Advances in technique and/or changing patterns of childbearing may place a large number of women in age groups where genetic counseling programs are recommended. However, attitudes toward abortion may be a critical variable in ascertaining the p…
Doctors and Doctrines
The school-based immunization survey
A school-based immunization survey was conducted among the 36 Rochester, NY, elementary schools (n = 5584 children) to determine (1) the vaccination rates at 2 years of age by type of primary care provider and (2) the accuracy of school immunization records (by comparing them with medical charts for children attending hospital-based clinics). These rates varied by provider type from 58% to 86% and were all below the national goal of 90%. In compa…
Proximity as a factor in the selection of health care providers
Theoretical and methodological problems of medical care research
Rochester Child Health Surveys I
Clinical departments rarely use community-wide surveys in their research programs. Yet, to study the determinants and consequences of the uneven distribution of medical care, to identify barriers to utilization and gaps in services, to plan and test the effectiveness of innovations in the organization of health care delivery, a clinical department such as pediatrics may find value in survey research studies. Such studies also provide a stimulatin…
Doctors and Doctrines
Theoretical and methodological problems of medical care research
Acceptability of an Expanded Nurse Role to Nurses and Physicians
A questionnaire was developed to measure the acceptance by physician.1; and nurses of an expanded nurse role. The questionnaire was administered to a total of 218 persons: 93 nurses, 86 house staff physicians, and 39 senior medical students. Duplicate questionnaires were filled out by the medical students at the beginning and end of the academic year. The results of the survey indicate that the questionnaire is a good measure of attitude. Nurses …
Administering health systems
Social Stress and Chronic Illness
The Diary as a Research Instrument in the Study of Health and Illness Behavior
A health calendar for a 28-day period was completed hy a random sample of 512 families in a typical upstate New York community. The 71,316 personday descriptions yielded information on life events unaccessible by retrospective interviews, such as everyday medical complaints, well-being, taking of medications and “things going wrong.” Events accessible by interview, such as doctor visits, could be measured more accurately by the health calendar. R…
The Impact of Military Service on Authoritarian Attitudes
A study by Campbell and McCormack in 1957 of the U.S. Army was replicated 10 years later in the West German Army. Age and education were controlled, and the possibility of a panel effect was checked, and the earlier finding that militaryexperience reduces authoritarianism of draftees was confirmed. This study also investigated the permanence of the observed effect. The effect was a very temporary response to the specific military-life situation. …
Reply to Stinchcombe
Family Coping with Everyday Illness
Illness can be a major interruption of family life. An additional instrumental task (managing the illness) is required at a time when the family's coping resources are decreased because one member can no longer meet its role obligations. An incomplete family, a badly functioning family or illness of a parent (instead of a child) are therefore frequently assumed to decrease coping ability.$$The findings from a random sample of households do not su…
Effect of Rochester Neighborhood Health Center on Hospital Dental Emergencies
The alarming increase in hospital emergency room (ER) usage, especially by inner city populations, is an important indicator of the current health care crisis. If neighborhood health centers (HC) are effective in reaching their target population, they should have sufficient impact to stop or reverse this trend. This study tried to measure the impact of the dental HC services on ER usage for dental emergencies. The ER logs of the main hospitals we…
Use of Medicaid Payment Files for Medical Care Research
Concern for reliable medical care data is frequently expressed at the federal level of government. Such data are, however, already widely collected at the local level of government This paper demonstrates how a Department of Pediatrics can build a local data system for the child population, using household interviews and supplementing these with data abstracted from the local Medicaid payment files. The latter approach is of special importance fo…
Inpatient Hospital Utilization in Three Prepaid Comprehensive Health Care Plans Compared With a Regular Blue Cross Plan
The evidence is substantial that comprehensive, HMO-type prepayment plans can significiantly reduce hospitalization rates. Yet it remains unclear which factors contribute to this phenomenon. This study focuses on organizational characteristics of four plans with different hospitalization experiences. Regular medical staff review and frequent use of second opinions and economies of scale achieved by providing care at one well-equipped, large healt…
Attitudes toward abortion and prenatal diagnosis of fetal abnormalities
Genetic counseling, second trimester amniocentesis, reliable techniques for analyzing fetal amniotic fluid and selective abortion together have the potential to prevent a variety of serious birth defects. Advances in technique and/or changing patterns of childbearing may place a large number of women in age groups where genetic counseling programs are recommended. However, attitudes toward abortion may be a critical variable in ascertaining the p…
The Two Dimensions in Satisfaction with Dental Care
Satisfaction with health services is an aspect of quality of care that is of special importance for captive clients like low-income clinic users. Several methodologies have been reported, but validation has been difficult. This study compares two older scaling techniques with a new, nonmetric method to detect underlying dimensions. Unlike previous research, the typical satisfaction scale was found to be two-dimensional, with one dimension measuri…
Proximity as a factor in the selection of health care providers
Satisfaction with Medical Care
Both the conceptualization and the measurement of satisfaction have been of major concern in medical care research. Some scholars used satisfaction as a determinant of utilization, others as a consequence of utilization. Measures of satisfaction are largely content oriented. Reliabilities are reported, but validity is usually assumed (face validity) or assessed through correlations with a criterion variable like "wish to change providers." Using …
The Selective Utilization of Prenatal Genetic Diagnosis Experiences of a Regional Program in Upstate New York During the 1970s
The regional prenatal diagnosis program of the Finger Lakes Health Systems Area in upstate New York has been monitored since its start in 1971. By the end of 1980, more than 1,250 diagnostic procedures had been successfully completed. Based on analyses of regional vital statistics, genetic services data, repeated surveys of obstetricians, and an ongoing survey of recent mothers older than 34 years of age, the authors concluded that: 1) in the stu…
Satisfaction With Medical Care
Satisfaction with medical care is frequently measured in health services research but for many different reasons. The widening conceptualizations and uses of satisfaction reported make comparisons between studies difficult. Questions regarding the structure and dimensionality of satisfaction remain. The relation of satisfaction with utilization still requires theoretic and empiric clarification. This article reports on several surveys containing …
Patient Satisfaction and the Use of Health Services Explorations in Causality
Little research exists that examines the causal relationship between patient satisfaction and the use of health services. This study of a representative sample of low income families suggests that a relationship does exist. Furthermore, results reported indicate it is bidirectional and reciprocal in nature, and that it is highly related to the provider from which patients seek care. Analysis according to the five major area clinics that were main…
The school-based immunization survey
A school-based immunization survey was conducted among the 36 Rochester, NY, elementary schools (n = 5584 children) to determine (1) the vaccination rates at 2 years of age by type of primary care provider and (2) the accuracy of school immunization records (by comparing them with medical charts for children attending hospital-based clinics). These rates varied by provider type from 58% to 86% and were all below the national goal of 90%. In compa…
Avoidable Morbidity in Infants
OBJECTIVES: A hierarchical classification for avoidable morbidity in infants was developed based on a conceptual model for causes of morbidity. Experts rated the impact of risk factors and health services on diseases coded according to the International Classification of Diseases, 9th Revision, Classification Modification (ICD-9-CM). An etiologic framework was chosen for the classification because knowledge of etiology often suggests strategies f…
Medicine (18 obras) · Family medicine (12 obras) · Psychology (12 obras) · Health care (8 obras) · Healthcare Policy and Management (8 obras) · Nursing (8 obras) · Computer Science (6 obras) · Political science (6 obras) · Sociology (6 obras) · Customer Service Quality and Loyalty (4 obras)