How the staggering costs of substance abuse add up to billions of $$.
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Biomedical subjects
Publications and source records attributed to R A Freeman.
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The goal of this study was to study empirically individual and household characteristics and their relation to individual medicine use behavior. The study accounted for 40% of the variance in prescribed medicine use and 20% of the variance in nonprescribed medicine use behavior for 545 AFDC households in Northern Mississippi. Perceived morbidity was the primary mediator of medicine use and 57% of the explained variance in nonprescribed medicine use. Age was a significant contributor to the variance explained in prescribed medicine use behavior. The use of nonprescribed medicines by other members of the household also significantly enhanced individual nonprescribed medicine use. Although many of the other individual and household variables were significant predictors of medicine use behavior they contributed little to the total explained variance. Research concerning medicine use in the context of the household is in the initial stage of theory development.
The objective of this study were to investigate the influences of differing physician characteristics and attitudes on the diagnosis of emotional problems, and the prescribing of selected psychotropic and non-psychotropic drugs. The 32 physicians who completed the study recorded 10,585 patient visits, which accounted for 7934 prescribed drugs. Overall, 549 (6.9%) of the drugs prescribed were classified as psychotropic drugs. After controlling for patient characteristics, there was not a statistically significant relationship between board certification, practice size, or physician age and the rate at which study physicians diagnose emotional problems. Board certification, physician age, physician propensity to prescribe drug therapy, and the feeling that patients expect drug therapy were significantly related to the prescribing of non-psychotropic drugs, the prescribing of psychotropic drugs was not predictable. Only the propensity to prescribe drug therapy was significantly related to the rate at which physicians prescribed drugs for their patients.
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Federal certificate of need legislation (Section 1122 of Public Law 92-603)aimed at the elimination of costly, duplicative or unneeded health care expenditures is discussed. This law applies only to institutional providers receiving federal reimbursements. The key issues for pharmacy are that proposed substantial changes in service and capital expenditures of $100,000 or more must be justified to local and state comprehensive planning agencies prior to implentation. Failure to comply with the legislation can result in a reduction or withholding of federal reimbursement.
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