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Biomedical subjects

R J Sullivan

Publications and source records attributed to R J Sullivan.

80 records · Page 5Linked to original sources
PubMedDate not supplied

Prevention services received by veterans visiting VHA facilities.

OBJECTIVES: This paper presents rates with which veterans report receiving 13 recommended health promotion and disease prevention services. Results were compared with the U.S. Healthy People 2000 goals. METHODS: Random samples of 300 men and 150 women visiting primary care clinics in six Veterans Health Affairs facilities were drawn. A 66% adjusted response rate was achieved after two mailings (n = 1,703). Weighted averages for each prevention service were calculated. RESULTS: For preventive services targeted to all age groups, both male and female veterans currently exceed the Year 2000 goal in hypertension detection and tobacco counseling. Female veterans also exceed the Year 2000 goal in "almost always" using seat belts. For prevention services targeted to specific age-gender subgroups, both male and female veterans currently exceed the Year 2000 goals for four of the six primary and secondary prevention services. CONCLUSIONS: Both male and female veterans exceed Year 2000 goals for the receipt of nearly half of the preventive services. Nevertheless, additional screening and counseling services should be made available to veterans of all age categories.

Adult↗
PubMedDate not supplied

The receipt of prevention services by veterans using VA versus non-VA facilities.

OBJECTIVES: This paper compares the health promotion/disease prevention services received by veterans who reported receiving 90%+ of their care inside Veterans Health Administration (VA) facilities with counterparts who reported receiving 90%+ of their care outside VA facilities. Results are compared with the U.S. Healthy People 2000 goals. METHODS: Random samples were drawn of 300 men and 150 women visiting primary care clinics in six VA facilities. A 66% adjusted response rate was achieved after two mailings (n = 1,703). For this analysis, those veterans who reported receiving 90%+ of their care inside VA facilities (n = 909) were compared with veterans who reported receiving 90%+ of their care outside VA facilities (n = 185). RESULTS: Of the 13 health promotion¿disease prevention services, 6 were significantly influenced by source of care. Five of the significant differences reflected statistically higher prevalence rates for those receiving 90%+ of their care inside the VA (mammograms and counseling for alcohol, nutrition, exercise, and seatbelt use). One reflected a higher prevalence rate for those receiving 90%+ of their care outside the VA system (tetanus boosters). CONCLUSIONS: Veterans receiving 90%+ of their care in VA facilities obtained more preventive services than counterparts using non-VA providers. Assessment and counseling services need to be targeted to more veterans to comply more fully with U.S. Preventive Services Task Force recommendations and Healthy People 2000 objectives.

Adult↗
PubMedDate not supplied

More on immigrants' earnings over time.

Immigrants' earnings have been found to be below those of natives in the earliest years after immigration, but with time in the US, earnings catch up with and then surpass those of natives. The authors obtain this result using an alternate data set, confirming the previous work of Barry Chiswick. The catch up period is between 20 and 30 years, later than Chiswick's result. After adding variables for foreign education and English ability, the catch up period is only 3 years after entry. In a context where other variables are not held constant, the authors consider effects of discrimination in admission by schooling and age. Both are found to be powerful selection factors in increasing the earnings levels of immigrants.

Americas↗
PubMedDate not supplied

Human issues in computerized social services.

In the planning and implementation of a computer system in a social service organization, many problems can be avoided by cooperation and participation of administrators and staff members.

Computers↗