Adoption of the sick role by prisoners: report on a multi-functional experiment.
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Biomedical subjects
Publications and source records attributed to L Culpepper.
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Manual and computer versions of the diagnostic of the index-E-Book are described. Methods for establisment and maintenance of both indexes are given and the relative merits of each are delineated. Uses of diagnostic indexes are presented which are appropriate to solo and group practices. The role of the diagnostic index in curriculum development within a family practice training setting is also illustrated.
The gathering of family information has numerous advantages in a family practice setting. Methods are described which not only allow description of family structure but permit identification of each individual family member and his/her relationship to the family as a unit. The value of filing individual medical records in family folders is detailed. A functional definition of family is established and certain health-related characteristics are given. Included is comparison of family size and socioeconomic status (SES) of a family practice with census information on the total county population. Health-seeking behavior of two-person families (couples or single-parent plus child) related to SES is presented as one of many applications of recorded family information, potential for future research into the effects of family structure on morbidity is discussed.
The importance of an encounter form for recording ambulatory patient information is stressed. Certain problems surrounding appropriate definition of the minimum basic data set (MBDS) are discussed as is the potential development of a uniform encounter form which would cover diagnostic information as well as items necessary for insurance companies and internal practice management.
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The International Primary Care Network (IPCN), a consortium of practice based primary care research networks, including the Ambulatory Sentinel Practice Network (ASPN), is described. The purpose, methods, and policies are presented as an example of international networking to address problems of global concern in primary care. IPCN's experience with organizing a framework for collaboration and conducting a study of otitis media in nine countries suggests that efforts of this type are possible and may lead to new insights available only through international investigation.
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