M ODERN TECHNOLOGY and human delvi sire are creating a host of products made of new materials or designs, and an innumerable variety of drugs and other substances are being produced and marketed every year. Many such products, particularly drugs and common household items, are subject to voluntary or accidental abuse among certain age groups in all classes of our society. To help control potentially hazardous products and protect consumers from unreasonable risk of injuries, Congress created the National Commission on Product Safety in 1967. The commission has stated that except for annual accident reports from the Department of Health, Education, and Welfare, the supply of adequate epidemiologic data needed for both consumer education and manufacturer orientation is limited. With the recommendation of the commission, efforts have been made by the U.S. Government to generate some of the much-needed information.
{"title":"Hospital emergency cases of poisonings and other injuries caused by ingestion.","authors":"G. Tokuhata, R. Anderson","doi":"10.2307/4594376","DOIUrl":"https://doi.org/10.2307/4594376","url":null,"abstract":"M ODERN TECHNOLOGY and human delvi sire are creating a host of products made of new materials or designs, and an innumerable variety of drugs and other substances are being produced and marketed every year. Many such products, particularly drugs and common household items, are subject to voluntary or accidental abuse among certain age groups in all classes of our society. To help control potentially hazardous products and protect consumers from unreasonable risk of injuries, Congress created the National Commission on Product Safety in 1967. The commission has stated that except for annual accident reports from the Department of Health, Education, and Welfare, the supply of adequate epidemiologic data needed for both consumer education and manufacturer orientation is limited. With the recommendation of the commission, efforts have been made by the U.S. Government to generate some of the much-needed information.","PeriodicalId":78306,"journal":{"name":"HSMHA health reports","volume":"86 11 1","pages":"1042-50"},"PeriodicalIF":0.0,"publicationDate":"1971-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2307/4594376","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69132414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hospital emergency cases of poisonings and other injuries caused by ingestion.","authors":"G K Tokuhata, R E Anderson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":78306,"journal":{"name":"HSMHA health reports","volume":"86 11","pages":"1042-50"},"PeriodicalIF":0.0,"publicationDate":"1971-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1937180/pdf/hsmhahr00011-0090.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15505393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A comparison of family planning programs in Iran and Turkey.","authors":"N R Fendall","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":78306,"journal":{"name":"HSMHA health reports","volume":"86 11","pages":"1011-24"},"PeriodicalIF":0.0,"publicationDate":"1971-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1937193/pdf/hsmhahr00011-0059.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"16227063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Contact strengthens Tennessee health department's legislative influence.","authors":"H. Hopkins, D. Dodson","doi":"10.2307/4594343","DOIUrl":"https://doi.org/10.2307/4594343","url":null,"abstract":"","PeriodicalId":78306,"journal":{"name":"HSMHA health reports","volume":"86 11 1","pages":"957-60"},"PeriodicalIF":0.0,"publicationDate":"1971-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2307/4594343","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69132297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
IN EXPLORING the need for changes in public health methods of preventing tuberculosis, the characteristics of new cases reported in 1 year in New Haven, Conn., were analyzed. New Haven is a city of more than 135,000 inhabitants with an average distribution, for U.S. cities, of middle class neighborhoods and poor sections. The incidence of new cases of tuberculosis in the city area is within the range of statistical expectations for urban Connecticut. New Haven's limited size makes followup of cases of public health concern quite manageable.
{"title":"Tuberculosis control policies in transition.","authors":"H. Neumann","doi":"10.2307/4594371","DOIUrl":"https://doi.org/10.2307/4594371","url":null,"abstract":"IN EXPLORING the need for changes in public health methods of preventing tuberculosis, the characteristics of new cases reported in 1 year in New Haven, Conn., were analyzed. New Haven is a city of more than 135,000 inhabitants with an average distribution, for U.S. cities, of middle class neighborhoods and poor sections. The incidence of new cases of tuberculosis in the city area is within the range of statistical expectations for urban Connecticut. New Haven's limited size makes followup of cases of public health concern quite manageable.","PeriodicalId":78306,"journal":{"name":"HSMHA health reports","volume":"86 11 1","pages":"1007-10"},"PeriodicalIF":0.0,"publicationDate":"1971-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2307/4594371","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69132163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
IN some Indian tribes, the frequency of diabetes mellitus greatly exceeds that of the U.S. white or black population (1-3). Other tribes have been found to have a prevalence comparable to that of more recent U.S. settlers (4). Still others have a relatively low prevalence (5). Within these groups, variations in frequency may occur between those with full Indian blood and those with mixed blood (6). These observations have tended to reinforce the concept of a hereditary basis for diabetes. The Seminoles of Florida are descendants of members of the Oconee tribe who joined the Creek Confederacy and migrated to Florida in the 1700's. These people were later joined by a number of other groups with different languages and, following the Creek-American War of 1813-14, their numbers were tripled by the addition of refugees from many tribes. Runaway slaves were welcomed by the Seminoles and contributed to the amalgam that gave rise to the Seminole "tribe." Two language groups emerged, the numerically dominant Muskogee-speaking people (Cow Creek Seminoles) and the Hitchiti-speaking people who supplied the leadership (Mikasuki Seminoles). During the Seminole wars (1830-58), a band of predominantly Mikasuki Seminoles escaped into the swamps of south Florida to avoid forced settlement in Oklahoma (7). From approximately 150 persons, the Florida tribe has increased to a current census of 1,300 to 1,400; there has been considerable inbreeding (8).
在一些印第安部落，糖尿病的发病率大大超过了美国白人和黑人的发病率(1-3)。其他部落的患病率与最近的美国定居者相当(4)。还有一些部落的患病率相对较低(5)。在这些群体中，纯印第安血统和混合血统的人之间的发病率可能存在差异(6)。这些观察结果倾向于加强糖尿病遗传基础的概念。佛罗里达的塞米诺尔人是奥科尼部落成员的后裔，他们加入了克里克联盟，并在18世纪迁移到佛罗里达。这些人后来加入了许多其他使用不同语言的群体，在1813-14年的希腊-美国战争之后，由于来自许多部落的难民的加入，他们的人数增加了两倍。逃跑的奴隶受到塞米诺尔人的欢迎，并为形成塞米诺尔“部落”的汞合金做出了贡献。两个语言群体出现了，在数字上占主导地位的说马斯科吉语的人(Cow Creek Seminoles)和提供领导地位的说希希提语的人(Mikasuki Seminoles)。在塞米诺尔战争期间(1830-58)，一群主要的Mikasuki塞米诺尔人逃到南佛罗里达的沼泽中，以避免被迫在俄克拉荷马定居(7)。佛罗里达部落从大约150人增加到目前的1300到1400人;有相当多的近亲繁殖(8)。
{"title":"Diabetes mellitus among the Florida Seminoles.","authors":"D. Westfall, A. Rosenbloom","doi":"10.2307/4594375","DOIUrl":"https://doi.org/10.2307/4594375","url":null,"abstract":"IN some Indian tribes, the frequency of diabetes mellitus greatly exceeds that of the U.S. white or black population (1-3). Other tribes have been found to have a prevalence comparable to that of more recent U.S. settlers (4). Still others have a relatively low prevalence (5). Within these groups, variations in frequency may occur between those with full Indian blood and those with mixed blood (6). These observations have tended to reinforce the concept of a hereditary basis for diabetes. The Seminoles of Florida are descendants of members of the Oconee tribe who joined the Creek Confederacy and migrated to Florida in the 1700's. These people were later joined by a number of other groups with different languages and, following the Creek-American War of 1813-14, their numbers were tripled by the addition of refugees from many tribes. Runaway slaves were welcomed by the Seminoles and contributed to the amalgam that gave rise to the Seminole \"tribe.\" Two language groups emerged, the numerically dominant Muskogee-speaking people (Cow Creek Seminoles) and the Hitchiti-speaking people who supplied the leadership (Mikasuki Seminoles). During the Seminole wars (1830-58), a band of predominantly Mikasuki Seminoles escaped into the swamps of south Florida to avoid forced settlement in Oklahoma (7). From approximately 150 persons, the Florida tribe has increased to a current census of 1,300 to 1,400; there has been considerable inbreeding (8).","PeriodicalId":78306,"journal":{"name":"HSMHA health reports","volume":"86 11 1","pages":"1037-41"},"PeriodicalIF":0.0,"publicationDate":"1971-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2307/4594375","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69132406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Thompson, J. Luby, J. Barnett, H. J. Dewlett, J. Vandersloot, L. Reavis, S. Reagan
Dr. Thompson is an intern at the University of Utah Affiliated Hospitals, Salt Lake City. Dr. Luby is assistant professor of internal medicine, and Dr. Barnett is professor of internal medicine, University of Texas Southwestern Medical School, Dallas. Dr. Dewlett is director of public health, Citv of Dallas Public Health Department, and Dr. Vandersloot is an intern in the Tucson Medical Education Program, Tucson, Ariz. Dr. Reavis is director, Crossroads Community Study, Southern Methodist University, and Dr. Reagan is director, Institute of Urban and Environmental Studies, Southern Methodist University. Mrs. Jo Faye Godbey, Southern Methodist University, helped to organize the survey. This study was supported in part by Health Services and Mental Health Administration grant No. 73025-0,1-68 BR to the City of Dallas Public Health Department. Copies of the survey questionnaire, instructions to interviewers, and tearsheets are available from James P. Luby, M.D., Department of Internal Medicine, University of Texas Southwestern Medical School, Dallas, Tex. 75235. FOUR census tracts in south Dallas, Tex., were surveyed during September and October 1969 to determine the health needs of the predominantly nonwhite residents. The study was the first comprehensive health survey of this area, although a 1964 citywide immunization survey included a sample from these census tracts. The purpose of the survey was to provide a data base for the development of health care delivery systems. It was conducted under contract between the City of Dallas Public Health Department and the Institute of Urban Studies of Southern Methodist University, in cooperation with the University of Texas Southwestern Medical School. Due to the recent poliomyelitis and diphtheria epidemics in Texas, a primary emphasis of the survey was to determine the immunization status of the residents. Sixty-six cases of poliomyelitis had been reported in Texas in 1966, predominantly in the south and south-central portions of the State (1). Diphtheria had been epidemic in Austin and Travis Counties in 1967 and 1968 (2). And after completion of our survey in 1970, an extensive diphtheria epidemic (more than 100 cases) occurred in San Antonio. This epidemic arQused national concern.
汤普森博士是盐湖城犹他大学附属医院的实习生。Luby博士是内科助理教授，Barnett博士是达拉斯德克萨斯大学西南医学院的内科教授。Dewlett博士是达拉斯市公共卫生部门公共卫生主任，Vandersloot博士是亚利桑那州图森市图森医学教育项目的实习生。里维斯博士是南卫理公会大学十字路口社区研究中心主任，里根博士是南卫理公会大学城市与环境研究所主任。南卫理公会大学的Jo Faye Godbey女士帮助组织了这项调查。这项研究得到了卫生服务和精神卫生管理局给予达拉斯市公共卫生部门的第73025-0,1-68 BR号赠款的部分支持。调查问卷的副本、对采访者的说明和泪表可从德克萨斯大学西南医学院内科系医学博士James P. Luby处获得，达拉斯，德克萨斯州75235。德克萨斯州达拉斯南部的四个人口普查区。在1969年9月至10月期间进行了调查，以确定主要是非白人居民的健康需求。这项研究是该地区第一次全面的健康调查，尽管1964年全市免疫调查包括了这些人口普查区的样本。调查的目的是为卫生保健服务系统的发展提供一个数据库。调查是根据达拉斯市公共卫生部与南卫理公会大学城市研究所签订的合同，在德克萨斯大学西南医学院的合作下进行的。由于最近在德克萨斯州流行脊髓灰质炎和白喉，调查的主要重点是确定居民的免疫状况。1966年，德克萨斯州报告了66例脊髓灰质炎病例，主要发生在该州的南部和中南部地区(1)。1967年和1968年，白喉在奥斯汀县和特拉维斯县流行(2)。1970年我们的调查完成后，圣安东尼奥发生了广泛的白喉流行(超过100例)。这种流行病引起了全国的关注。
{"title":"Survey of a medically indigent population in South Dallas, Texas, 1969.","authors":"L. Thompson, J. Luby, J. Barnett, H. J. Dewlett, J. Vandersloot, L. Reavis, S. Reagan","doi":"10.2307/4594367","DOIUrl":"https://doi.org/10.2307/4594367","url":null,"abstract":"Dr. Thompson is an intern at the University of Utah Affiliated Hospitals, Salt Lake City. Dr. Luby is assistant professor of internal medicine, and Dr. Barnett is professor of internal medicine, University of Texas Southwestern Medical School, Dallas. Dr. Dewlett is director of public health, Citv of Dallas Public Health Department, and Dr. Vandersloot is an intern in the Tucson Medical Education Program, Tucson, Ariz. Dr. Reavis is director, Crossroads Community Study, Southern Methodist University, and Dr. Reagan is director, Institute of Urban and Environmental Studies, Southern Methodist University. Mrs. Jo Faye Godbey, Southern Methodist University, helped to organize the survey. This study was supported in part by Health Services and Mental Health Administration grant No. 73025-0,1-68 BR to the City of Dallas Public Health Department. Copies of the survey questionnaire, instructions to interviewers, and tearsheets are available from James P. Luby, M.D., Department of Internal Medicine, University of Texas Southwestern Medical School, Dallas, Tex. 75235. FOUR census tracts in south Dallas, Tex., were surveyed during September and October 1969 to determine the health needs of the predominantly nonwhite residents. The study was the first comprehensive health survey of this area, although a 1964 citywide immunization survey included a sample from these census tracts. The purpose of the survey was to provide a data base for the development of health care delivery systems. It was conducted under contract between the City of Dallas Public Health Department and the Institute of Urban Studies of Southern Methodist University, in cooperation with the University of Texas Southwestern Medical School. Due to the recent poliomyelitis and diphtheria epidemics in Texas, a primary emphasis of the survey was to determine the immunization status of the residents. Sixty-six cases of poliomyelitis had been reported in Texas in 1966, predominantly in the south and south-central portions of the State (1). Diphtheria had been epidemic in Austin and Travis Counties in 1967 and 1968 (2). And after completion of our survey in 1970, an extensive diphtheria epidemic (more than 100 cases) occurred in San Antonio. This epidemic arQused national concern.","PeriodicalId":78306,"journal":{"name":"HSMHA health reports","volume":"86 11 1","pages":"981-9"},"PeriodicalIF":0.0,"publicationDate":"1971-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2307/4594367","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69131954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
THE observation that elevated urinary concentrations of delta-aminolevulinic acid (ALA) are directly correlated with an excess body burden of lead in laboratory rabbits, industrial workers exposed to lead fumes (I), and children hospitalized with lead intoxication (2) suggested a simple, rapid, quantitative test for lead poisoning. The double ion-exchange column technique perfected by Davis and Andelman (3) made rapid determination of urinary ALA practicable. To assess the value of this technique as a screening method, demonstrate the feasibility of employing local teenagers in such a ghetto health project, and determine the prevalence of abnormal ingestion of lead in high-risk slum children, we organized a door-to-door canvass in the Bronx, N.Y., in July and August 1968. Although both the collection and the assay methods proved workable, the reliability of the ALA test was reduced by the variable dilution of the urine specimens.
{"title":"Screening for lead poisoning with the urinary ALA test.","authors":"M. A. Pawel, C. Frantz, I. Pisetsky","doi":"10.2307/4594374","DOIUrl":"https://doi.org/10.2307/4594374","url":null,"abstract":"THE observation that elevated urinary concentrations of delta-aminolevulinic acid (ALA) are directly correlated with an excess body burden of lead in laboratory rabbits, industrial workers exposed to lead fumes (I), and children hospitalized with lead intoxication (2) suggested a simple, rapid, quantitative test for lead poisoning. The double ion-exchange column technique perfected by Davis and Andelman (3) made rapid determination of urinary ALA practicable. To assess the value of this technique as a screening method, demonstrate the feasibility of employing local teenagers in such a ghetto health project, and determine the prevalence of abnormal ingestion of lead in high-risk slum children, we organized a door-to-door canvass in the Bronx, N.Y., in July and August 1968. Although both the collection and the assay methods proved workable, the reliability of the ALA test was reduced by the variable dilution of the urine specimens.","PeriodicalId":78306,"journal":{"name":"HSMHA health reports","volume":"86 11 1","pages":"1030-6"},"PeriodicalIF":0.0,"publicationDate":"1971-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2307/4594374","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69132361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
DURING the past three decades, considerable effort has been expended in attempting to establish a criterion for evaluation of surgical operative procedures based on their complexity. This effort resulted primarily from the trend, by general hospitals, to restrict the performance of certain types of surgery to persons considered qualified by training and experience (1). Thus, there was a need to distinguish between the surgical complexity of various operative procedures with respect to both the extent of medical staff privileges granted and the basic requirements for training surgeons (2). More recently, interest has grown in studying surgical complexity for the purpose of developing a tool for evaluating hospital utilization. To conduct these studies, researchers have had to devise methods for evaluation of the surgical complexity of specific operative procedures. Over the years, however, the scientific study of surgical complexity has been seriously handicapped because surgical complexity has been extremely difficult to describe objectively and even more difficult to measure quantitatively. This paper describes my effort to delineate surgical operative procedures based on their complexity.
{"title":"An attitude scale for evaluating complexity of surgical procedures.","authors":"R. Blendon","doi":"10.2307/4594373","DOIUrl":"https://doi.org/10.2307/4594373","url":null,"abstract":"DURING the past three decades, considerable effort has been expended in attempting to establish a criterion for evaluation of surgical operative procedures based on their complexity. This effort resulted primarily from the trend, by general hospitals, to restrict the performance of certain types of surgery to persons considered qualified by training and experience (1). Thus, there was a need to distinguish between the surgical complexity of various operative procedures with respect to both the extent of medical staff privileges granted and the basic requirements for training surgeons (2). More recently, interest has grown in studying surgical complexity for the purpose of developing a tool for evaluating hospital utilization. To conduct these studies, researchers have had to devise methods for evaluation of the surgical complexity of specific operative procedures. Over the years, however, the scientific study of surgical complexity has been seriously handicapped because surgical complexity has been extremely difficult to describe objectively and even more difficult to measure quantitatively. This paper describes my effort to delineate surgical operative procedures based on their complexity.","PeriodicalId":78306,"journal":{"name":"HSMHA health reports","volume":"86 11 1","pages":"1025-9"},"PeriodicalIF":0.0,"publicationDate":"1971-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2307/4594373","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69132684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Becker, P. Stolley, L. Lasagna, J. D. McEvilla, L. M. Sloane
Three of the authors are with Johns Hopkins University. Dr. Becker is assistant professor in the departments of pediatrics, behavioral sciences, and social relations. Dr. Stolley is associate professor, and Mrs. Sloane is research assistant in the department of medical care and hospitals. Dr. Lasagna is professor and chairman, department of pharmacology and toxicology, University of Rochester. Dr. McEvilla is professor, department of pharmaceutical economics, University of Pittsburgh. This study was supported by the Public Health Service in the following manner: Contract No. HSM 110 69 234 and by grants 8 RO] HSOOIIO, 8 TO] HSOOO12 and 5 R18 HS00237-02 from the National Center for Health Services Research and Development and by grant 5 D04 AH 00076 from the National Institutes of Health. Tearsheet requests to Dr. Marshall H. Becker, Johns Hopkins Hospital, 601 N. Broadway, Baltimore, Md. 21205. DRUG THERAPY is a critical component in the health professional's armamentarium and an undisputed contributor to man's well-being in the prevention, control, and treatment of disease. Unfortunately, drug therapy also provides risk of inappropriate prescribing, dispensing, administration, and ingestion of drugs, as well as of toxic effects from medications prescribed correctly or incorrectly. These facts comprise a public health problem of increasing concern to the general public and to the health professions. In particular, problems resulting from what Brodie (1) has termed "the apparent irresponsible prescribing habits of many physicians" must be examined as an important part of the evaluation of the quality of medical practice (2). Perhaps the least serious problem is errors in prescribing which result in the consumption of drugs merely ineffective in ameliorating the conditions for which they are used. Brodie (la) has estimated such "drug waste" at about 25 percent of all drug therapy, costing between $1 billion and $2 billion annually. Data on adverse drug reactions, however, clearly depict the more harmful
{"title":"Characteristics and attitudes of physicians associated with the prescribing of chloramphenicol.","authors":"M. Becker, P. Stolley, L. Lasagna, J. D. McEvilla, L. M. Sloane","doi":"10.2307/4594369","DOIUrl":"https://doi.org/10.2307/4594369","url":null,"abstract":"Three of the authors are with Johns Hopkins University. Dr. Becker is assistant professor in the departments of pediatrics, behavioral sciences, and social relations. Dr. Stolley is associate professor, and Mrs. Sloane is research assistant in the department of medical care and hospitals. Dr. Lasagna is professor and chairman, department of pharmacology and toxicology, University of Rochester. Dr. McEvilla is professor, department of pharmaceutical economics, University of Pittsburgh. This study was supported by the Public Health Service in the following manner: Contract No. HSM 110 69 234 and by grants 8 RO] HSOOIIO, 8 TO] HSOOO12 and 5 R18 HS00237-02 from the National Center for Health Services Research and Development and by grant 5 D04 AH 00076 from the National Institutes of Health. Tearsheet requests to Dr. Marshall H. Becker, Johns Hopkins Hospital, 601 N. Broadway, Baltimore, Md. 21205. DRUG THERAPY is a critical component in the health professional's armamentarium and an undisputed contributor to man's well-being in the prevention, control, and treatment of disease. Unfortunately, drug therapy also provides risk of inappropriate prescribing, dispensing, administration, and ingestion of drugs, as well as of toxic effects from medications prescribed correctly or incorrectly. These facts comprise a public health problem of increasing concern to the general public and to the health professions. In particular, problems resulting from what Brodie (1) has termed \"the apparent irresponsible prescribing habits of many physicians\" must be examined as an important part of the evaluation of the quality of medical practice (2). Perhaps the least serious problem is errors in prescribing which result in the consumption of drugs merely ineffective in ameliorating the conditions for which they are used. Brodie (la) has estimated such \"drug waste\" at about 25 percent of all drug therapy, costing between $1 billion and $2 billion annually. Data on adverse drug reactions, however, clearly depict the more harmful","PeriodicalId":78306,"journal":{"name":"HSMHA health reports","volume":"35 1","pages":"993-1003"},"PeriodicalIF":0.0,"publicationDate":"1971-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2307/4594369","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69132024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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