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Biomedical subjects

D Mondragón

Publications and source records attributed to D Mondragón.

13 recordsLinked to original sources
PubMed2001

Two major ethical issues in health education and promotion: assessing stage of change and cancer screening.

In community health education for behavioral change, valid assessment of stage of change is critical; in health promotion screening for cancer, health insurance coverage is also critical because some communities do not have the freedom to choose to change or to get their cancer treated. Proceeding without valid assessment of stage of change or insurance coverage can cause us harm. Harm comes to the patients when providers label them negatively or cause them anxiety if they cannot afford diagnosis and treatment beyond the screening. Not doing harm, (nonmaleficence) is our most compelling ethics principle. The authors analyze these two issues through the principles of autonomy, justice, and nonmaleficence in both their practice and that of their student with US-Mexico border communities and give recommendations.

Attitude of Health Personnel↗
PubMed1995

Clinical assessment of gang violence risk through history and physical exam.

Primary-care clinicians can assess gang involvement and gang violence risk during the routine history and physical exam. This paper forwards a model for history and risk assessment. The objective of creating the model was to develop a practical prototype for clinicians to use in this assessment. The history and physical exam variables were determined by a study of the etiology and correlates of gang membership and gang violence. The history and physical risk assessment tool is based on standard patient care algorithms. It works best in a managed care setting with a high incentive for violence prevention and cost reduction, and where access to a broad range of traditional and nontraditional referral sources exists. Representative referrals are discussed.

Adolescent↗
PubMed1995

Ethical responsibilities in a managed care system.

Managed care is becoming increasingly important in health care. A number of ethical questions arise in this system. This paper examines the ethical responsibilities of four players in a managed care system: i) the insurance company; ii) the patient; iii) the primary care provider; and iv) the specialist.

Ethics, Medical↗
PubMed1993

No more "Let them eat admonitions": the Clinton Administration's emerging approach to minority health.

The startling health disparities between whites and racial and ethnic minorities in the United States are partly the result of six major assumptions about health promotion that permeated the Reagan and Bush Administrations. These assumptions, which placed the responsibility for maintaining health on individual Americans, are consistent with policymakers' reliance on market forces to address social issues. While this model may serve persons with a continuum of options and resources to elicit change, it does not benefit the underserved. In contrast, the Clinton Administration's approach, rooted in broad-based participation and multisector planning, is consistent with international models and promises long-overdue recognition that health problems in underserved communities stem from poverty--not the poor.

Health Policy↗
PubMed1991

Hostility to people with AIDS: risk perception and demographic factors.

The objectives of this investigation were to determine the associations between perception of AIDS risk, demographic and socio-economic variables and hostility to PWA's. Factor analysis and multiple regression models were used to examine telephone survey data. The principal results show a strong positive association between hostility to PWA's and perception of high AIDS risk from low-risk activities, and between hostility and: non-Hispanic respondents, low-income respondents, respondents with less than a high school education, male respondents and respondents living in rural areas. Conclusions speak for a need for understanding of the multiple outcomes of educational campaigns, pretesting of educational campaigns across multiple populations, and continued study of risk perception, hostility and the effects of stigmatization.

Acquired Immunodeficiency Syndrome↗
PubMed1991

Language of interview: relevance for research of southwest Hispanics.

BACKGROUND: This paper reports the results of a survey investigating health status, access, satisfaction with care, and barriers to care in Arizona. The major focus is on the association between language of interview and the dependent measures; interviews were conducted in English and Spanish. METHODS: The differences between groups were tested using chi-square statistics for each independent categorical variable; the significance of all the independent variables on each of the dependent variables was tested simultaneously using maximum likelihood logistical regression models. RESULTS: Language of interview for Hispanic children was a significant variable, more important than ethnicity itself, in determining health status, access, satisfaction with care, and barriers to care; language of interview for Hispanic adults was not a significant measure, but neither was ethnicity. Instead, income affected access to care for adults. CONCLUSIONS: This pattern of results suggests that in the southwestern United States, studies on health status and access to care that use only ethnicity and do not include language of interview may fail to identify populations of Hispanic children who are remarkably more vulnerable. Public health research of Hispanic populations can be more instrumental toward policy improvement if it increases its specificity with this heterogeneous group. Analysis of language of interview has a low cost and a high benefit toward this specification.

Adolescent↗
PubMed1989

Cost estimate of health care coverage for the medically indigent in Hawaii.

The objective of the study was to estimate the cost of health insurance coverage of the medically indigent in Hawaii. The number of uninsured was estimated deductively from the coverages of those insurance companies doing business in the state, with an additional factor for persons with more than one policy coverage. Age and sex breakdowns of the uninsured were entered into actuarial tables and fee-for-service and HMO plan costs were obtained for the most prevalent health plan in the state. Annual coverage is estimated at US$46.090866 million and US$58.040700 million for fee-for-service and HMO plans, respectively. Seven potential sources of financing and five recommendations for further research are given.

Actuarial Analysis↗