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Biomedical subjects

M Bohnstedt

Publications and source records attributed to M Bohnstedt.

6 recordsLinked to original sources
PubMed1994

Correlates of Mini-Mental Status Examination scores among elderly demented patients: the influence of race-ethnicity.

Data on 1888 patients seen at Alzheimer's Disease Diagnostic and Treatment Centers in California were used to examine possible differences in Mini-Mental State Examination (MMSE) results for different racial-ethnic groups. White patients had scores less indicative of dementia than Black and Hispanic patients using the standard 23 cutting point on the MMSE. However, there were no differences among these groups in the percentages clinically diagnosed as demented. The difference in the percentage of Whites vs Blacks and Hispanics categorized as demented by the MMSE was not accounted for by education, occupation, age, sex, or other variables tested, even though these variables were correlated with MMSE scores. Our data suggest that clinicians should consider MMSE scores for Black and Hispanic patients an underestimate of their cognitive capabilities relative to that of White patients.

Black or African American↗
PubMed1991

Referral outcomes from a community-based preventive health care program for elderly people.

The purpose of this study was to determine referral outcomes in a community-based, preventive health program for low-income elderly people in California. We examined the records of 2,750 clients who participated in a complete screening exam and who accepted at least one referral. Twenty-four percent of the participants had received a new diagnosis, a new medication, a change in medication dose, a biopsy, or surgery. These results are encouraging for screening clinics focused on low-income seniors.

Aged↗
PubMedDate not supplied

Hypertension--unexpected research results and program redirection.

The California Department of Health Services (DHS) has conducted two statewide surveys to evaluate the effectiveness of a coordinated hypertension control program. Unfortunately, the expected reduction in the prevalence of elevated blood pressure did not occur. Public knowledge about hypertension did increase, but among hypertensive persons awareness, treatment, and control did not improve. The responses to several survey questions were examined to determine why there was no improvement in the rate of control of elevated blood pressure. Obviously, many persons with hypertension have not complied with medical advice at various points in the hypertension control system. Consequently, the DHS is redirecting its Hypertension Control Program. Less emphasis is being placed on the coordination of blood pressure control resources, including public education, while more emphasis is being placed on increasing compliance with treatment recommendations, focusing on patient tracking as described by the National High Blood Pressure Education Program and long-term adherence to therapy as discussed in the 1984 Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure.

Adult↗
PubMedDate not supplied

Use of a clinician reminder system for screening mammography in a public health clinic.

Physician reminder systems have been used to increase the appropriate use of clinical preventive services. These systems, though, have been typically tested in resident clinics. We conducted this study, using a time-series design, to determine if a manual clinician reminder system could increase the use of screening mammography in an urban public health clinic. In the one-year baseline period, 47% of women who were due for a mammogram received the procedure; the corresponding percentage in the one-year intervention period was 72% (P < .0000001). The improvement reflected a large increase in appropriate ordering behavior by primary care providers rather than an increase in patient adherence. This study demonstrates that a noncomputerized reminder system can greatly improve the delivery of screening mammography in a public health clinic setting.

Adult↗