Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Privatization”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,549 records · Page 86Linked to original sources
PubMed1997

Prevalence of bipolar II disorder in outpatient depression: a 203-case study in private practice.

Of 203 consecutive major depressed outpatients in a private setting, 45% had bipolar II disorder, 51% had unipolar depression, and 4% had bipolar I disorder. The observed prevalence of bipolar II disorder was higher then previously reported in clinical samples (10-40%). Bipolar II disorder had age at baseline and onset lower than unipolar depression, and more atypical features. Other variables (baseline depression severity, number of depressive episodes, psychosis, chronicity, comorbidity) were similar, suggesting that the depressive phase of bipolar II disorder differs only in one, but important, dimension (atypical features) from unipolar depression in a private setting.

Adult↗
PubMed2003

Job characteristics, physical and psychological symptoms, and social support as antecedents of sickness absence among men and women in the private industrial sector.

Most longitudinal studies on the relationship between psychosocial health resources and risks, and the employees' subsequent sickness absences have been conducted in the public sector. The purpose of this study was to find out psychosocial antecedents of sickness absenteeism in the private industrial sector. The effects of job characteristics (job autonomy and job complexity), physical and psychological symptoms, and social support (from coworkers and supervisors) on sickness absenteeism were investigated. The number of long (4-21 days) and very long (>21 days) sickness absence episodes of 3895 persons (76% men and 24% women, mean age 44 years) was obtained from the health registers of a multinational forest industry corporation in 1995-1998. A questionnaire survey on the working conditions and health of the workers was carried out in 1996. The follow-up time of the sickness absences was 1-year 9-month. Job autonomy was found to be associated with long and very long episodes in men (rate ratio (RR) in the lowest autonomy group approximately 2 times higher than the highest autonomy group), and with very long episodes of absence in women (2-3 times higher RR between the low vs. the high category). Low job complexity predicted men's very long absences (RR 1.4). Long and very long episodes were associated with physical and psychological symptoms (RR 1.2-1.7) among men and women. Lack of coworkers' support increased the frequency of very long sickness absence among men (RR 1.4), and lack of supervisor's support among women (RR 1.6). Also, some interaction effects of social support variables were observed among both genders. We conclude that the studied psychosocial factors are associated with subsequent sickness absence, and that the associations are partly gender-specific. The results showing which variables are related to employees' sickness absenteeism in the private industrial sector can be applied in human resource management and health service planning.

Absenteeism↗
PubMed2000

Female vs. male outpatient depression: a 448-case study in private practice.

1. Aims of the study were to find the prevalence of female depression, and to study the differences between female and male depression, in private practice. Four hundred forty eight consecutive unipolar and bipolar II depressed outpatients were interviewed with the Structured Clinical Interview for DSM-IV, the Montgomery Asberg Depression Rating Scale, and the Global Assessment of Functioning scale. 2. Prevalence of female depression was 67.8%. Female to male ratio was 2:1. Among the variables investigated (age at intake, age at onset, duration of illness, severity, chronicity, psychosis, recurrences, atypical features, comorbidity), atypical features and comorbidity were significantly associated with female depression. 3. Private practice outpatient female depression (chronic, psychotic, or recurrent) was not more severe than male depression.

Adult↗
PubMed2003

Cardiac arrest in private locations: different strategies are needed to improve outcome.

BACKGROUND: A tremendous amount of public resources are focused on improving cardiac arrest (OHCA) survival in public places, yet most OHCAs occur in private residences. METHODS AND RESULTS: A prospective, observational study of patients transported to seven urban and suburban hospitals and the individuals who called 911 at the time of a cardiac arrest (bystander) was performed. Bystanders (N=543) were interviewed via telephone beginning 2 weeks after the incident to obtain data regarding patient and bystander demographics, including cardiopulmonary resuscitation (CPR) training. Of all arrests 80.2% were in homes. Patients who arrested in public places were significantly younger (63.2 vs. 67.2, P<0.02), more often had an initial rhythm of VF (63.0 vs. 37.7%, P<0.001), were seen or heard to have collapsed by a bystander (74.8 vs. 48.1%, P<0.001), received bystander CPR (60.2 vs. 28.6%, P<0.001), and survived to DC (17.5 vs. 5.5%, P<0.001). Patients who arrested at home were older and had an older bystander (55.4 vs. 41.3, P<0.001). The bystander was less likely to be CPR trained (65.0 vs. 47.4%, P<0.001), less likely to be trained within the last 5 years (49.2 vs. 17.9, P<0.001), and less likely to perform CPR if trained (64.2 vs. 30.0%, P<0.001). Collapse to shock intervals for public versus home VF patients were not different. CONCLUSIONS: Many important characteristics of cardiac arrest patients and the bystander differ in public versus private locations. Fundamentally different strategies are needed to improve survival from these events.

Cardiopulmonary Resuscitation↗
PubMed1997

Traumatic events and post-traumatic stress disorder in cocaine users entering private treatment.

We investigated traumatic events, post-traumatic stress disorder (PTSD), and psychiatric comorbidity in 450 men and women entering private, hospital-based treatments for cocaine dependence. Overall prevalence of event exposure was the same for women and men; however, women were approximately five times more likely than men to be diagnosed with lifetime and current PTSD. Women experienced more PTSD than men even when exposed to the same type of event. In most subjects with PTSD, onset of the disorder preceded onset of cocaine dependence. Subjects with PTSD were more likely than those without PTSD to have additional co-occurring mental disorders. Findings from this relatively affluent, privately treated sample suggest that PTSD and cocaine dependence are related, independent of patients' resources. They further indicate that the relationship between gender and PTSD is robust across patient populations. More complex examinations of PTSD, cocaine dependence, and gender are needed to better understand these relationships and to design effective interventions.

Adult↗
PubMed2003

Private health insurance for adolescents: is it adequate?

PURPOSE: To examine the nature and extent of private insurance coverage available for health services needed by six hypothetical adolescents with physical and mental health conditions. METHODS: Health insurance information was obtained from the most commonly sold product of the largest health maintenance organization (HMO) and preferred provider organization (PPO) in each state and the District of Columbia. Contract documents were collected in 1999 and were in effect at the end of 1998. Our response rate was 97% and included 49 HMOs and 49 PPOs. The extent of coverage was analyzed according to benefit availability, structure, limits, and protections, as well as condition and treatment restrictions. RESULTS: The two hypothetical adolescents with asthma and depression had coverage for their recommended health services in most of the 98 plans. However, the four hypothetical adolescents whose conditions included pregnancy and sexually transmitted disease, anorexia nervosa, injury, and substance abuse and bipolar disorder would rarely have access to coverage for all of their recommended services. Ancillary and behavioral health therapies were least likely to be available in the amounts considered necessary by medical experts. All of the hypothetical adolescents would be more likely to obtain coverage for certain services in HMO than in PPO plans. CONCLUSIONS: Despite the obvious value of the private health insurance system, insurance benefits are not always matched to the needs of the adolescent. Employers and policymakers may want to consider financial or other incentives to create more uniformity in employer-based coverage, particularly for preventive care, prescription drugs, and reproductive services; greater availability of mental health and substance abuse benefits; and new mechanisms to support access to confidential care.

Accidents, Traffic↗
PubMed2002

Private sector unlikely to follow Medicare lead in providing health plan disenrollment comparisons.

BACKGROUND: There have been substantial efforts to improve the measurement and reporting of comparative quality information. A three-stage effort to develop comparative voluntary disenrollment measures for private health insurance plans is described. The literature on disenrollment and how key groups might use disenrollment information is reviewed; the development of a comparative survey of disenrollment is described; reasons employers, purchasing coalitions, and plans were ultimately unwilling or unable to sponsor the survey are delineated; and implications of these findings are discussed. DATA AND METHODS: Methods used to develop the survey included review of existing literature on disenrollment, review of extant disenrollee surveys, cognitive testing, and expert review of the survey. Informal and formal interviews were conducted to assess the feasibility of different sponsors. RESULTS: A disenrollment survey instrument that covered areas of common interest to consumers, purchasers, and plans could be developed, but sponsors to test the collection and reporting of these data could not be recruited. This was due to four interrelated factors: technical challenges in developing appropriate samples, wide variation in resources and capabilities of purchasers and plans, the perception that the costs of the survey outweighed the benefits of comparative information on disenrollment to the different sponsors, and the absence of strong demand from purchasers, regulators, or consumers to motivate plans to collect or report comparative information on disenrollment. IMPLICATIONS: Several major barriers must be overcome before disenrollment information can become a component of comparative health care quality measures for the privately insured.

Benchmarking↗
PubMedDate not supplied

Public versus private food assistance: barriers to participation differ by age and ethnicity.

OBJECTIVE: To examine participation in the Food Stamp Program, food pantries, and soup kitchens and to identify reasons food-insecure households choose not to participate. DESIGN: Cross-sectional retrospective cohort study. SETTING: In respondents' homes. PARTICIPANTS: 330 randomly selected low-income households (below 185% of poverty). MAIN OUTCOME MEASURES: Participation in any of 3 public or private food assistance programs and barriers to participation in each program. ANALYSIS: Chi-square tests of association between program participation and sociodemographic characteristics. Logistic regression tested for associations between program participation and ethnicity and between food security status and household composition while controlling for potential confounding factors. RESULTS: Controlling for socioeconomic status, Black households are less than half as likely to receive food stamps (odds ratio [OR] = 0.49; P <.02) as Hispanic households. Hispanic households are more likely than non-Hispanic households to say that they feel uncomfortable using food pantries (P <.01). Elderly households are less than half as likely to receive food stamps (OR = 0.44; P =.04) as nonelderly households and are more likely to say that they feel uncomfortable receiving food stamps (P =.05). CONCLUSIONS AND IMPLICATIONS: Low-income households' perceptions of which programs are socially acceptable differ by race and age. Outreach for food stamps and private food assistance should accommodate these differences so that food-insecure households can benefit from all available food assistance.

Adolescent↗
PubMed1996

Awareness of providers' use of new medical technology among private health care plans in the United States.

In a national survey of medical directors at 231 U.S. private health care plans that cover over two thirds of the privately insured population, we studied whether medical directors are aware when a new technology, such as laser therapy, is being used in procedures for which claims are submitted, the factors alerting them to such use, and the factors prompting them to make a specific coverage decision for the technology. We also examined possible associations between health plans' characteristics (HMO versus indemnity, size, profit status, and time in operation) and their medical directors' awareness of the use of technologies, factors alerting medical directors to their use, and factors prompting specific coverage decisions. The majority of plans were generally not aware that laser technology was being used when it was billed under a general billing code, raising the possibility that less effective or less safe technologies could be introduced rapidly into the treatment of insured populations. Nonprofit and older plans were less likely to be aware that lasers were used in some procedures than for-profit and younger plans.

Analysis of Variance↗
PubMed1996

A mixed outbreak of cryptosporidium and campylobacter infection associated with a private water supply.

In an outbreak of gastroenteritis affecting 43 people, cryptosporidium and campylobacter were isolated from stool specimens and in two cases dual infection was found. All the cases had drunk unboiled water from a private untreated water supply. Investigations revealed the carcasses of three lambs in a collection chamber connected with the water supply, and these, or run-off of slurry from surrounding fields, were the presumed source of contamination. Issues relating to the maintenance and monitoring of private water supplies are discussed. Problems with such supplies include old piping, proximity of livestock, inadequate knowledge of the layout and limited resources for monitoring and maintenance.

Adult↗
PubMed2004

Accurate referential communication and its relation with private and social speech in a naturalistic context.

Research into human communication has been grouped under two traditions: referential and sociolinguistic. The study of a communication behavior simultaneously from both paradigms appears to be absent. Basically, this paper analyzes the use of private and social speech, through both a referential task (Word Pairs) and a naturalistic dyadic setting (Lego-set) administered to a sample of 64 children from grades 3 and 5. All children, of 8 and 10 years of age, used speech that was not adapted to the decoder, and thus ineffective for interpersonal communication, in both referential and sociolinguistic communication. Pairs of high-skill referential encoders used significantly more task-relevant social speech, that is, cognitively more complex, than did low-skill dyads in the naturalistic context. High-skill referential encoder dyads showed a trend to produce more inaudible private speech than did low-skill ones during spontaneous communication. Gender did not affect the results.

Child↗
PubMed2002

Health care utilization and costs among privately insured patients with bipolar I disorder.

OBJECTIVE: This study examined health care resource utilization and direct health care costs among patients diagnosed with bipolar I disorder in a privately insured population. METHODS: Health care claims data for 2883 patients with a primary diagnosis of bipolar disorder were compared over a 1-year period (1997) with claims data for 2883 randomly selected, age- and sex-matched, non-bipolar patients, all covered under the same large private insurer in USA. Resource use (i.e. original and refill pharmaceutical dispensing, medical and procedural services received, inpatient hospitalization, outpatient services, physician visits and emergency room treatment) and their costs are described overall, as well as by bipolar disorder diagnosis (based on ICD-9 codes) and type of care (i.e. mental health versus non-mental health). RESULTS: Bipolar patients utilized nearly three to four times the health care resources and incurred over four times greater costs per patient compared with the non-bipolar group during the 1-year period ($7663 versus $1962). Inpatient care (hospitalizations) accounted for the greatest disparity between groups, as it was the single-most costly resource in the bipolar group ($2779 versus $398). Patients with bipolar depression (among the single bipolar diagnostic categories of mixed, manic or depressed) incurred the highest health care costs. While mental health care cost was a significant component of total cost in the bipolar group, it accounted for only 22% of the total per-patient cost; in comparison, it accounted for only 6% of the total per-patient cost in the non-bipolar group. CONCLUSION: Treatment of bipolar disorder, particularly inpatient care, is costly to patients and health insurers. Further study is needed to find ways to reduce the overall cost of managing these patients without jeopardizing patient care.

Adolescent↗
PubMed1982

Sex differences in subclinical depression: administration of the Beck Depression Inventory in public and private disclosure situations.

To test the idea that the preponderance of women depressives is due to a masculine tendency to avoid negative social consequences by reporting fewer depressive symptoms, two studies were conducted in which the Beck Depression Inventory (BDI) was administered to both sexes under conditions of public and private disclosure. It was hypothesized that men would score lower on the BDI than women in the public disclosure condition but not in the private disclosure condition. Despite procedural differences in the two experiments, the results of both studies failed to support the experimental hypothesis. However, in each case, analysis of variance revealed a significant interaction between sex of subject and sex of examiner (p less than .05). These results are discussed in terms of a willingness to admit more symptoms to a same-sex person due to fear of rejection by the opposite sex and in terms of gender-specific patterns of self-disclosure in first-encounter heterosexual situations. Results of both studies also suggest BDI scores of college students can be interpreted without regard to type of administration.

Analysis of Variance↗
PubMed1985

Adolescent self-disclosure and loneliness: private self-consciousness and parental influences.

Using structural equation techniques, we tested a theoretical model designed to describe the causal relations existing among loneliness, self-disclosure to peers and parents, and specific antecedent variables. Participants were 350 high-school students who answered questions concerning themselves and their interpersonal relationships. Results generally indicated a good fit between the theoretical model and the observed relations. In addition to replicating the findings of previous studies concerning the relation between self-disclosure and loneliness, results also indicated an indirect relation between private self-consciousness and loneliness via peer self-disclosure; that is, high private self-conscious adolescents' greater willingness to self-disclose to peers resulted in their feeling less lonely. Results are discussed in terms of current theory in related fields.

Adolescent↗
PubMed1985

The effects of private self-consciousness and perspective taking on satisfaction in close relationships.

We extended the scope of recent studies in which self-awareness and perspective taking have been used as predictors of social competence or adjustment: We analyzed their influence on the satisfaction experienced in monogamous, heterosexual relationships. Members of 131 couples answered questions concerning themselves and their relationships. We predicted that individual differences in private self-consciousness would be positively related to relationship satisfaction because of the greater self-disclosure resulting from that heightened self-attention. Second, we predicted that individual differences in perspective taking would foster relationship satisfaction, independent of any influence of self-disclosure. Both expectations were confirmed. Scores on the private self-consciousness scale were predictive of reported self-disclosure, and self-disclosure was predictive of satisfaction in the relationship. Furthermore, once the influence of self-disclosure was removed, no effect of self-consciousness on satisfaction remained. In contrast, after disclosure was controlled, perspective-taking scores were significantly related to satisfaction and were in fact unrelated to disclosure at all. These findings indicate that two personality characteristics having to do with habitual attention to behavioral tendencies, to emotions, and to motivations significantly enhance the quality of close heterosexual relationships in different ways. Results are discussed in terms of current theory in the related fields.

Adolescent↗
PubMed1998

Mental representations of the self, significant others, and nonsignificant others: structure and processing of private and public aspects.

Using prior research on self and social inference (e.g., S. M. Andersen, 1984) and significant-other representations in social perception (S. M. Andersen & S. W. Cole, 1990), the present study examined a dual-factor conceptualization of self-other differences based on perspective differences and emotional-motivational relevance. Both factors were assumed to contribute to how private versus public aspects of the self, significant others, and nonsignificant others are structured in memory. In an idiographic-nomothetic design, participants' response latencies in completing sentences to characterize private and public aspects of each person were measured, and participants rated how well a pooled, randomized set of these predicates described each aspect of each person. Evidence showed differences in featural richness (availability), distinctiveness, and free-retrieval latency (accessibility) supporting the dual-factor conceptualization of self-other differences.

Adult↗
PubMed1999

Private self-consciousness and the five-factor model of personality: distinguishing rumination from reflection.

A distinction between ruminative and reflective types of private self-attentiveness is introduced and evaluated with respect to L. R. Goldberg's (1982) list of 1,710 English trait adjectives (Study 1), the five-factor model of personality (FFM) and A. Fenigstein, M. F. Scheier, and A. Buss's (1975) Self-Consciousness Scales (Study 2), and previously reported correlates and effects of private self-consciousness (PrSC; Studies 3 and 4). Results suggest that the PrSC scale confounds two unrelated, motivationally distinct dispositions--rumination and reflection--and that this confounding may account for the "self-absorption paradox" implicit in PrSC research findings: Higher PrSC scores are associated with more accurate and extensive self-knowledge yet higher levels of psychological distress. The potential of the FFM to provide a comprehensive framework for conceptualizing self-attentive dispositions, and to order and integrate research findings within this domain, is discussed.

Attention↗
PubMed2001

Private thoughts in public spheres: issues in reflection and reflective practices in nursing.

AIM: This paper aims to problematize the notions of reflection and reflective practice, particularly as they relate to private thoughts in public spheres and the constitution of personal and professional subjectivities. BACKGROUND/RATIONALE: Reflection and reflective practice, through the technologies of power and technologies of the self, permit the previously private thoughts of nurses to enter the public sphere where they are subject to surveillance, assessment, classification and control. Instead of raising serious concerns and debate about such practices, the plethora of literature, whilst using a bewildering array of ambiguous, diverse interpretations of reflection and reflective practice, has been united in claiming them as good for nurses and nursing. APPROACH: The paper draws on Foucauldian concepts of power-knowledge and discourse to interrogate radically the conceptualizations of reflection and reflective practice in contemporary nursing literature. CONCLUSIONS: The paper challenges the hegemonic discourse of reflection in nursing. It argues that new conceptualizations of reflection that acknowledge and value a diversity of perspectives, contexts and dimensions are needed.

Ego↗