Training in cardiology fellowship programs.
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Adult↗
Biomedical subjects
David Driscoll
Publications and source records attributed to David Driscoll.
An instrument for assessing public health system performance: validity in rural settings.
PURPOSE: This study evaluated the validity and utility of the Local Public Health System Assessment Instrument (Local Instrument) of the National Public Health Performance Standards Program in rural settings. METHODS: The study compared the Local Instrument scores of 6 rural local public health systems to external assessments of those public health systems. The 6 public health systems represented 3 states in which 1 of the 2 local jurisdictions had scored well below and the other well above the state median in a pilot test of the Local Instrument. The study design featured a case study approach consisting of an iterative and integrated combination of semistructured individual and focus group interviews along with the collection of archival materials provided by the 6 public health systems. FINDINGS: Despite differences in Local Instrument scores, the representative public health systems in each state provided roughly the same levels of public health services. Sites varied tremendously in the percentage of survey items rated highly or less relevant. CONCLUSIONS: The National Public Health Performance Standards Program Local Instrument can provide a useful structure and process for assessing public health system performance at the local level. Key informants provided several recommendations to improve the Local Instrument, including clarification of difficult terminology and acronyms, and development of multiple instruments structured around subsets of survey items.
Health Care Surveys↗
Evaluation and management of pain in patients with Klippel-Trenaunay syndrome: a review.
Klippel-Trenaunay syndrome (KTS) is a rare disorder that consists of a triad of capillary vascular malformation, venous malformations and/or varicose veins, and soft tissue and/or bony hypertrophy. Pain is a real and debilitating problem in these patients. We have observed 9 common causes of pain in KTS: (1) chronic venous insufficiency, (2) cellulitis, (3) superficial thrombophlebitis, (4) deep vein thrombosis, (5) calcification of vascular malformations, (6) growing pains, (7) intraosseous vascular malformation, (8) arthritis, and (9) neuropathic pain. The management of pain in patients with KTS depends on its cause. These patients are best evaluated initially in a center with an experienced multidisciplinary team that includes a primary health care provider, surgeons, and ancillary staff. The ongoing care of a patient with KTS often depends on a local provider who is more readily accessible to the patient but may not have the expertise of a large center to manage the complications of KTS. The purpose of this communication is to review the common causes of pain in these patients to provide local health care providers and patients and their families with appropriate management strategies.
Analgesics↗
Learning from truth: youth participation in field marketing techniques to counter tobacco advertising.
In 2000, the American Legacy Foundation (Legacy) launched truth, a national, multi-medium tobacco control social marketing campaign targeting youth age 12-17. This paper provides a brief description of one aspect of that campaign, the truth tour, and compares and contrasts the truth tour with commercial field marketing approaches used by the tobacco industry. The methods used for the tour's process evaluation are also described, and two important lessons learned about using field marketing techniques and using youth to implement field marketing techniques in social marketing campaigns are discussed. Social marketing campaigns that target youth may want to launch field marketing activities. The truth tour experience can inform the development of those efforts.
Adolescent↗