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Biomedical subjects

A M Leff

Publications and source records attributed to A M Leff.

6 recordsLinked to original sources
PubMed1979

The state mental hospital: a local health department's role.

The publicizing of the abysmal conditions in state mental institutions and the problems precipitated by their deinstitutionalization programs, have challenged local health authorities to develop effective roles in ameliorating these difficulties. Long-view State Hospital is a state mental hospital in Cincinnati, Ohio. The Cincinnati Health Department acted as a change agent to deal with the hospital's many chronic problems and the new difficulties precipitated by moving patients into the community for care. The city conducted its own evaluation of the hospital and its deinstitutionalization program and strongly advocated needed improvements. Problems were encountered in implementing this advocacy role, particularly in relation to the local health department's authority regarding this state-funded and operated institution. However, the many city recommendations that were implemented, the increased funding given the hospital and the community mental health centers, the continuing communication between city and state officials, as well as a follow-up evaluation indicated that the Cincinnati Health Department had played a positive role in the change process. (Am. J. Public Health 69:64-67, 1979.)

Government Agencies↗
PubMed1977

Immunization: public health programming through law enforcement.

The pre-inoculation program review of the school immunization records in fall, 1974 found that only 60 per cent of the 63,000 children in the Cincinnati primary school system were adequately immunized. Following a program based upon their legal authority to require immunizations, the Board of Health in collaboration with the Board of Education was able to obtain in a two-year effort a 91 per cent immunization level.

Child↗
PubMed1977

Private practice in the public sector: a unique relationship among local government, physicians, and health care consumers in Cincinnati.

Because of health care inequities that still persist under federal and state sponsorship plans, many local government agencies are starting to consider ways of directly providing medical services to the poor. Over 100 years' experience with direct provision programs in the City of Cincinnati, however, have been ultimately counterproductive. A unique three-way contract developed by the Board of Health, a private multispecialty physicians' group and a consumer advocate organization has recently allowed Cincinnati to implement a delivery system that integrates mechanisms for prepaid public health care into a fee-for-service private group practice, all within the context of a community-based neighborhood health care facility. While it is still too early to make a full evaluation of this public health care group practice model, there are already indications that is services will be superior to those offered in Cincinnati's traditional public clinics.

Attitude of Health Personnel↗
PubMed1975

Venereal disease control among homosexuals; An outreach program.

With the support and participation of area homosexual organizations and a local bar, the City Health Department developed an outreach/education/screening program for venereal disease (VD) control. Venereal disease education and blood testing were conducted during four sequential Wednesday evenings in the bar on a volunteer basis, anonymously if requested. Of the 118 sera drawn, ten were reactive on serologic testing. Two of these reactive blood tests led to the discovery of two new cases of primary syphiles. No cultures were positive for Neisseria gonorrhoeae. The subject response rate confirms the value of an anonymous reporting method; the discovery of two cases of primary syphilis lends credence to case finding by field-screening a high-risk population.

Attitude to Health↗