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At least 253 records · Page 14Linked to original sources
PubMed2001

Effectiveness of school-based programs as a component of a statewide tobacco control initiative--Oregon, 1999-2000.

With funds available from revenue generated by a voter-initiated ballot measure to increase the state cigarette excise tax, the Oregon Health Division (OHD) created the Tobacco Prevention and Education Program (TPEP) in 1997. Coalitions in all Oregon counties, a countermarketing campaign, a statewide tobacco cessation quitters' helpline, and competitive grants to community groups, tribal associations, and school districts are supported by TPEP; 12% of TPEP's $8.5 million annual funding was used to implement CDC's Guidelines for School Health Programs to Prevent Tobacco Use and Addiction in 23 school districts or consortia of districts. Data from annual school-based surveys conducted to monitor adolescent risk behavior indicated that from 1999 to 2000, 30-day smoking prevalence among eighth grade students declined more in funded schools than in a comparison group of nonfunded schools. The declines were significantly greater among schools with high and medium levels of implementation. These results suggest that comprehensive school-based programs can be an effective component of statewide antitobacco efforts.

Adolescent↗
PubMed2002

Feasibility of a virtual health and wellness center for the Oregon Air National Guard.

A cross-sectional survey of members was used to examine the feasibility of developing a virtual health and wellness center in the Oregon Air National Guard. The survey asked about the health behaviors members wanted to change and explored their current access to, and potential use of, the Internet to make these changes. Surveys were mailed to 1,368 members, and 521 (38%) were returned. Most respondents (92.5%) had contemplated making one or more health behavior changes in the past year, which included becoming more physically active (94.6%), improving eating habits (86%), losing weight (81%), improving stress management (62%), and reducing tobacco use (46%). Popular sources of health behavior change information used included reading material (95.5%) and the Internet (91.3%). Many respondents had Internet access (82%), and average computer self-efficacy, rated on a scale of 1 to 5, was very high (mean = 4.05, SD = 0.91). Use of the Internet by health professionals to promote health behavior change among Oregon Air National Guard personnel seems feasible and desirable.

Adult↗
PubMed2002

Impact of the Oregon Health Plan on access and satisfaction of adults with low income.

OBJECTIVE: To evaluate the effects of the Oregon Health Plan (OHP) on beneficiary access and satisfaction. DATA SOURCES: Telephone survey of nondisabled adults in 1998. STUDY DESIGN: Two groups of adults were surveyed: OHP enrollees and Food Stamp recipients not enrolled in OHP. The Food Stamp sample included both privately insured and uninsured recipients. This allowed us to disentangle the insurance effects of OHP from other effects such as its reliance on managed care and the priority list. OHP and Food Stamp adults were compared along the following measures: usual source of care, utilization of health care services, unmet need, and satisfaction with care. DATA COLLECTION: The survey was conducted by telephone, using computer-assisted telephone interviewing techniques. PRINCIPAL FINDINGS: Much of OHP's impact has been realized by its extension of health insurance coverage to Oregon's low-income residents. The availability of health insurance significantly increased the utilization of many health care services and reduced unmet need for care. OHP was associated within a higher percentage of enrollees having a usual source of care and higher rates of Pap test screening among women compared with Food Stamp recipients. OHP enrollees also reported significantly higher use of dental care and prescription drugs; use we attribute to the expanded benefit package under the priority list. At the same time, OHP enrollees reported a greater unmet need for prescription drugs. Drug treatment for below-the-line conditions was one reason for this unmet need, but often the specific drug simply was not in the plan's formulary. OHP enrollees were as satisfied with their health care as those Food Stamp recipients with private health insurance. CONCLUSIONS: Despite the negative publicity prior to its implementation, there is no evidence that "rationing" under OHP's priority list has substantially restricted access to needed services. OHP adults appear to enjoy access equal to or better than that of low-income persons with private health insurance and have far greater access than the uninsured.

Adult↗
PubMedDate not supplied

Media dramatize need for center. Oregon friends rally for burn center remodeling cause.

A carefully orchestrated fund-raising and media relations campaign contributed to the opening earlier this year of the new Oregon Burn Center on Legacy Health System's Emanuel Hospital campus, Portland, Ore. The new $5 million center is the only facility of its kind between Sacramento, Calif., Salt Lake City and Seattle. It replaces the original 12-bed facility built in 1973. The expanded center has 16 beds in 16 private rooms, treatment areas designed for children and a host of other state-of-the-art improvements that make the Oregon Burn Center among the nation's finest. Between Legacy's investment of $3 million and contributions from Oregonians, more than $5 million was raised for the new center. Beyond that, annual giving, which amounted to $85,000 in fiscal 2001, is holding steady in 2002.

Advertising↗
PubMed2000

Covering uninsured adults through Medicaid: lessons from the Oregon health plan.

The Oregon Health Plan (OHP), Oregon's section 1115 Medicaid waiver program, expanded eligibility to all residents living below poverty. We use survey data, as well as OHP administrative data, to profile the expansion population and to provide lessons for other States considering such programs. OHP's eligibility expansion has proved a successful vehicle for covering large numbers of uninsured adults, although most beneficiaries enroll for only a brief period of time. The expansion population, particularly childless adults, is relatively sick and has high service use rates. Beneficiaries are also likely to enroll when they are in need of care.

Adult↗
PubMed2003

Iowa and Eugene, Oregon, orthopaedics.

Over the last 50 years, the commitment of orthopaedic surgeons to basic and clinical research and evaluation of treatment outcomes has made possible remarkable improvements in the care of people with injuries and diseases of the limbs and spine. A group of Oregon orthopaedic surgeons has had an important role in these advances, especially in the orthopaedic specialties of sports medicine and hip reconstruction. Since Don Slocum (Iowa Orthopaedic Resident, 1934-1937), started practice in Eugene, Oregon, in 1939, three orthopaedic surgeons, Denny Collis, Craig Mohler and Paul Watson, who received their orthopaedic residency education at the University of Iowa, and three orthopaedic surgeons, Stan James, Tom Wuest and Dan Fitzpatrick, who received their undergraduate, medical school and orthopaedic residency education at the University of Iowa, have joined the group Dr. Slocum founded. These individuals, and their partners, established and have maintained a successful growing practice that serves the people of the Willamette valley, but in addition, they have made important contributions to the advancement of orthopaedics.

History, 20th Century↗
PubMed1992

The Oregon Health Plan.

The Oregon Health Plan is an innovative approach to providing a basic level of health care coverage for all citizens. A major component of the plan provides for prevention of illness. True, there is rationing of health care in the plan, but without such a plan the uninsured are currently limited in access to care. The plan may be flawed, but this cannot be known until it has been tried and monitored. The reality is that health care dollars are diminishing, and alternative approaches to health care are going to have to be investigated. This plan is truly a starting point for the development of a national health care policy. Let us hope that the federal government will allow Oregon to begin this bold experiment, and perhaps benefit the disenfranchised in this country.

Humans↗
PubMed2003

Analysis of design attributes and crashes on the Oregon highway system.

This paper estimates the relationship between crash activity and roadway design attributes on the Oregon state highway system. Crash models are estimated from roadway segments distinguished by functional classification and location. A number of design attributes were found to be related to crash activity in the various models, including number of lanes, curve characteristics, vertical grade, surface type, median type, turning lanes, shoulder width and lane width. In selected instances, crash reduction factors (CRFs) calculated from model results are compared with those presently used to evaluate projects in the Oregon Department of Transportation's Safety Improvement Program. The number of design attributes specified in the crash models is limited in comparison with the number of CRFs presently used to evaluate safety improvement projects. However, the attributes included in the crash models represent countermeasures associated with the more costly outlays that states make to improve safety. Thus, crash models of this type provide states with an opportunity to validate the CRFs that are most important economically.

Accidents, Traffic↗
PubMed1992

The Oregon formula: a better method of allocating health care resources.

In Oregon, an important new mechanism for prioritizing health care resources is about to be introduced. It is based on a relatively simple cost/benefit formula, the best of available scientific knowledge as well as public opinion and sentiment. The formula is based on three factors: the cost of each treatment or procedure, the improvement in quality of life by giving the treatment and how long a patient would be healthy after treatment. The Oregon experiment may influence the delivery of health care not only in the United States. In modified form this approach may have even more wide-ranging implications in the Scandinavian countries where most of the health services are publicly funded.

Cost-Benefit Analysis↗
PubMed1991

Examining exclusionary conduct of HMOs and PPOs: a case comment on Northwest Medical Laboratories v. Blue Cross and Blue Shield of Oregon.

As the climate of the health care industry has changed to one of cost-containment and competition through the growth of HMOs and PPOs, health care providers have become the subjects of antitrust litigation. One such case, Northwest Medical Laboratories v. Blue Cross and Blue Shield of Oregon, involved a medical laboratory and a radiology center who claimed that they were victims of an illegal group boycott after defendant's pre-paid health plan denied them preferred provider status. The Oregon Court of Appeals, using the traditional antitrust analysis applied to other industries for decades, failed to consider the intricacies that exist within the health care industry. This result led to an inaccurate market share computation and an inadequate rule of reason analysis. This Comment examines the shortcomings of the Northwest Medical opinion and argues that, in applying the antitrust laws to the health care industry, courts in future cases must recognize and respect the unique features of the business of providing health care.

Blue Cross Blue Shield Insurance Plans↗
PubMed1991

Disabling low back Oregon workers' compensation claims. Part III: Diagnostic and treatment procedures and associated costs.

Claimants in Oregon with disabling low back injuries attending chiropractors were found to have more treatments over a longer duration and at greater cost than claimants attending medical physicians with similar clinical presentations. These findings are attributed to: a) a higher proportion of chiropractic claimants than medical physician claimants with low back risk factors which may have adversely affected the course of recovery (chronic or recurrent low back conditions, obesity, extremity symptomatology, frequency of exacerbations); b) differences in age and gender of DC and MD claimants; c) the greater physician-patient contact hours characteristic of chiropractic practice; d) differences in therapeutic modalities employed; and e) the physician reimbursement permitted under Oregon workers' compensation law. The findings of this study emphasize the need for prospective studies of treatment outcome.

Age Factors↗
PubMedDate not supplied

Health care rationing: the Oregon experiment.

Oregon Medicaid reforms, passed by the state legislature in 1989, examined in light of Oregon's recent history of attempts to grapple continually rising health care costs.

Cost Control↗
PubMed1977

Isolation of bovine adenovirus type 4 from cattle in Oregon.

Four isolates of bovine adenovirus type 4 were recovered from Oregon cattle. One isolate was recovered from a 1-week-old calf with pneumoenteritis, and 1 isolate from an 8-month-old bull with fever and respiratory disease. Two isolates were recovered as latent viruses in testicular cell cultures. All 4 isolates of the virus were shown to have certain physical, chemical, biologic, and antigenic characteristics similar to previously described strains of bovine adenovirus type 4. Of 246 adult beef and dairy cattle in Oregon, 51% had serum-viral neutralizing antibodies to the type 4 virus at the 1:8 dilution level.

Adenoviridae↗
PubMed1989

Physicians investigated for inappropriate prescribing by the Oregon Board of Medical Examiners.

We retrospectively reviewed all allegations of inappropriate prescribing investigated by the Oregon Board of Medical Examiners from 1981 through 1986. Inappropriate prescription writing accounted for 51% of all investigations during this period, with controlled drugs, primarily opiates and benzodiazepines, accounting for most complaints. Of 130 physicians investigated, more than half had previous complaints; 50 were ultimately restricted or disciplined by the board. Inappropriate prescribing of controlled drugs is probably underdetected and frequently repeated. Available literature suggests that inappropriate prescribing of other drugs, especially antibiotics, is extremely common, but such problems were rarely identified by the current discovery and review processes of the Oregon board. Inappropriate prescribing will require increased attention from physician educators and licensing boards.

Adult↗
PubMed1985

The Mental-Mental Muddle and Work Comp in Oregon. II.

To summarize, in the state of Oregon at this time, mental illness caused by employment is covered by workers' compensation insurance. There have recently been some legislative attempts to seriously restrict this and there probably will be some more in the future. As the law now stands, the job stress must be the major contributing cause as measured against any off the job stress. The on the job events producing the stress must exist in reality. A stress emanating primarily from a worker's misperception or paranoid thinking does not constitute an acceptable causative agent. Obviously it is not always that easy to distinguish between on the job causes and off the job causes and objective stresses and merely perceived stresses. And what about the individual who has faulty perceptions which lead to actions that provoke an objective response? As a psychiatrist, I am glad to see more recognition given to mental illness caused by the work place. I applaud the Oregon Supreme Court for pointing out that an organization has an obligation to somehow deal with stress-producing supervisors. I think we have to be on guard against those forces working through the legislature which try to minimize or deny the importance of mental illness. At the same time, though, we have to try to enlighten rather than confuse. Our expertise is in diagnosing and treating, not in constructing legal terminology. In my evaluation of the Leary case, I tried to explain to the best of my ability just what was going on.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1987

Civilian air ambulance services in Oregon.

To describe and evaluate the status of air ambulance service in Oregon, questionnaires were mailed to Oregon's 18 air ambulance operators; 16 operators responded with data on aircraft type and configuration, medical supplies and equipment aboard the aircraft, and training of inflight attendants. Records of 128 of the 152 patients transported by these services during September, 1985, were reviewed to estimate the extent to which patients had been appropriately selected. Findings were: trauma patients being transported to large specialized medical centers comprised the single largest patient category; failure to obtain an aeromedical assessment of every patient preflight resulted in some inappropriate transports, with airlift definitely contraindicated in at least 2% of the cases; most agencies met advanced life support standards for equipment; inflight documentation was inadequate; numerous aircraft lacked pressurization and adequate doorway size; many attendants received insufficient aeromedical training; and existing state regulations went unenforced. Measures to guide services and to remedy existing deficiencies are recommended.

Adult↗
PubMed1986

Risk factors for traumatic infant death in Oregon, 1973 to 1982.

A retrospective study of risk factors for traumatic infant deaths in Oregon occurring from 1973 through 1982 was performed using vital records and medical examiner records. A total of 146 such deaths occurred during this period. Relative risks were calculated for various risk factors in the study group compared with all Oregon births. Factors found to be significantly associated with all traumatic deaths were low maternal age, out-of-hospital birth, unwed mother, late or no prenatal care, low birth weight, and low maternal education. Race, sex, and birth order were not associated with traumatic infant death. The traumatic deaths were grouped into homicides and accidents. The same risk factor associations, with the exception of out-of-hospital birth, were found for each group.

Accidents↗