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Biomedical subjects

D M Vickery

Publications and source records attributed to D M Vickery.

7 recordsLinked to original sources

Impact of a facility-based corporate fitness program on the number of absences from work due to illness.

This study examined the relationship between participation in a facility-based fitness program and the number of reported absences from work due to illness. Employees who became members had a history of fewer absences before the program began in 1987 than employees who did not become members. Comparing 1988 with 1986, members experienced a significant decrease in absences, whereas nonmembers did not. Male and female members experienced 0.42 and 1.0 fewer days absent in 1988 than in 1986, respectively. Controlling for gender and previous absences, members could be expected to have 1.2 fewer absences in 1988 than nonmembers. On average, those who participated most frequently experienced the greatest improvement in attendance. A significant interaction between participation and 1986 absences indicated that a member's decrease in absences depended both on how many absences the member had to begin with, and how much he or she participated. Members having a high number of absences in 1986 could expect the greatest benefit from frequent participation.

Absenteeism

The relationship between retrospective health insurance claims and a health risk appraisal-generated measure of health status.

This research examined the relationship between a measure of health status (defined as the health index--the difference between actual and appraised ages) derived from a health risk appraisal and retrospective health insurance claims taken from one cooperating work organization. A model was defined consisting of 3-year retrospective medical claims as the criterion and age and the health index as predictors. Using a cube-root transformation of medical claims, a significant inverse relationship for age and the health index was identified for men. No relationships were found for women. It was concluded that, for men when age is held constant, a negative relationship exists between retrospective medical claims and a health risk appraisal-generated health status indicator, the health index.

Adult

Characteristics of self-selected responders to a health risk appraisal: generalizability of corporate health assessments.

Selected characteristics and total medical claims of health risk appraisal (HRA) responders and non-responders were compared in a sample of employees having a three-year employment and claims history. HRA responders were younger and more likely to file medical claims than non-responders. Although mean medical claims were greater for HRA responders than non-responders, when adjusted for age and sex this difference reflected the proportion of employees reporting claims, not a difference in the claims amount.

Age Factors

Is it a change for the better? Health promotion.

The public's expectations of hospitals are changing in that they want to know more about taking care of themselves. It is therefore inevitable that hospitals will change.

Activities of Daily Living

Self-care algorithms.

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Activities of Daily Living

Physician extenders in walk-in clinics: a prospective evaluation of the AMOSIST program.

The Automated Military Outpatient System (AMOS) Project was developed to improve the ambulatory care of patients with episodic and chronic illnesses. During the development of its episodic care component, the relative frequency of problems treated by the walk-in clinic staff was analyzed and showed a high volume of acute minor illnesses. A simple, conservative triage system run by non-professionals was developed to screen patients to a clinic for benign, self-limited illnesses run by physician-extenders. This group, the equivalent of civilian licensed practical nurses and nurses' aides, was trained in a task-oriented fashion to treat 44 common minor illnesses. Clinical algorithms for these illnesses were developed and used as training tools, memory aids, and auditing instruments. This program is now operating in 26 US Army hospitals and caring for some 44,000 patients a month in the continetal United States. We report the results of a prospective audit of the corpsmen and a study of the patient attitude and acceptance of the program.

Adult