PubMed · 10245138
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P H Pickering. 1980. Using performance standards for employee development.. https://pubmed.ncbi.nlm.nih.gov/10245138/
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This study explored health-related and organizational religious activities in an Appalachian community and identified cultural issues in the development of religion-health partnerships. Partnerships between religious groups and health providers are a channel for health promotion efforts to vulnerable populations and must be approached from the culture of the community. An ethnographic, exploratory study of health-related and organizational activities in nonmainline religious groups yielded the use of prayer requests, anointing, testimonial, and denominational links as potential health resources. Organizational decisions were by congregational consensus and theological interpretation. The communal setting of worship as an informal resource to a community of believers, especially the vulnerable, was a viable model for religion-health partnerships in central Appalachia. Implications for nursing practice, education, and research also are addressed.
BACKGROUND: Despite recognition of modifiable risk factors and available and effective life-style and pharmacologic therapies, many individuals have unrecognized or untreated risk factors for coronary artery disease. METHODS: Using MEDLINE, we searched for relevant review articles and clinical trials related to hypertension, hyperlipidemia, diabetes mellitus, smoking, physical activity, obesity, and psychologic risk factors for coronary artery disease. We carefully reviewed the literature and statistics on modifiable risk factors and identified appropriate physician interventions. RESULTS: A large amount of information is available on coronary artery disease and modifiable risk factors. Much of the data focuses on diagnosis and treatment to goal. CONCLUSIONS: Coronary artery disease remains the number one cause of death in the United States and West Virginia, even though specific guidelines have been established for detection and treatment. The medical community needs to be more aggressive in managing modifiable risk factors.
Through the use of ethnographic research methods the authors examine the relationship between poverty, limited access to health care, and prescription medication use/misuse in rural eastern Kentucky. Four patterns of prescription drug misuse are documented in this study: 1) overuse of medications, often by means of multiple prescriptions obtained from different physicians; 2) the acquisition of prescription drugs for the purpose of resale through illegal channels; 3) borrowing or "swapping" medications through informal exchange; and 4) under- or nonuse of prescription drugs. Of the four patterns, the last is the one reported as having the highest prevalence due to residents' inability to afford the costs of medications prescribed by physicians. The public health implications of these findings are briefly discussed.