PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Population Programs”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 523 records · Page 29Linked to original sources
PubMed2005

Clinical and financial outcomes associated with a proton pump inhibitor prior-authorization program in a Medicaid population.

OBJECTIVE: To examine the clinical and financial outcomes associated with a proton pump inhibitor (PPI) prior-authorization policy. STUDY DESIGN: Interrupted time-series analyses of antisecretory prescription drug claims. Separate 6-month retrospective cohort analyses were conducted to estimate the clinical and financial effects of the policy. PATIENTS AND METHODS: More than 1.2 million Medicaid enrollees, with subgroup analyses of 5965 continuously eligible, potential antisecretory medication users. Measures included antisecretory drug expenditures, proportions of patients with at least 1 gastrointestinal diagnosis and gastrointestinal-related ambulatory and inpatient medical service visit, and subsequent gastrointestinal-related and total medical service expenditures. RESULTS: There was a 90.9% decrease in PPI per-member-per-month expenditures and a 223.2% increase in histamine2-receptor antagonist (H2A) per-member-per-month expenditures in the month immediately following the implementation of the policy (P < .001 for both). A greater proportion (80.7%) of prior-authorization eligible enrollees who received a PPI had at least 1 diagnosis for a gastrointestinal condition than enrollees who received an H2A (64.1%) or no antisecretory drugs (48.4%) (P < .001 for both). Two-part, finite mixture regression analyses indicated that the enrollees who received an H2A or no antisecretory drugs were no more likely to have incurred greater total medical care expenditures than enrollees who received a PPI. CONCLUSION: Prior authorization for PPIs had the effect of reducing use of high-cost PPIs, while encouraging use of lower costing H2As without evidence of adverse medical consequences.

Adolescent↗
PubMed2005

[Analysis of non-EU immigrant population within the hemodialys program of the region of Madrid].

Many hemodialysis patients from foreign countries arrived to be dialized in Madrid. They cames from all around the world, especially South America and Morroco. This group is younger (46.2 + 14.2 years) than the control group. Most of them initiated dialysis without a previous Nephrological check-up (62 %). In the foreign group the primary renal diseases were similar to the control group, however they also had many other health unusual problems. Most of them (71 %) started hemodialysis without ever having permanent hemodialysis vascular access, and 25 % were not able to speak spanish, or other European languages. This caused many problems in administering correct treatment.

Adolescent↗
PubMedDate not supplied

[Health examination in the school population: results of a program of physical-sport promotion].

A health study is carried out for 147 children, ranging from 5 to 14 years of age and who belong to a Physical-Sports Promotion Programme organised by the Town Hall of Güimar and Cabildo Insular of Tenerife. Around 50% of their size and weight was found to be over the 50 percentile of the Stuart and Tanner tables. The number of cavities per child was 1.85, with a 61.22% prevalence. The highest CAO value was among the 14 year olds and the highest co value among the 6 year olds. 5.4% had decreased visual acuity. The most frequent orthopedic alterations were scoliosis, 8.84% and flat feet, 22.29%. The Ruffier-Dickson test showed that 97.20% of the children had an above normal cardiac adaptability to exercise.

Adolescent↗
PubMedDate not supplied

The promotion of physical activity in the United States population: the status of programs in medical, worksite, community, and school settings.

While the medical care encounter is considered an ideal situation in which patients are encouraged to increase their physical activity levels, very little research has been conducted in this setting. In fact, with the exception of the physical activity components of cardiac rehabilitation programs, few formal physical activity programs are available in medical care settings. Although the workplace is currently the focus of the greatest interest by those persons who implement physical activity programs, there is little precision in defining what constitutes a worksite physical activity program. A number of researchers and authors, using program experience rather than empirical findings, have described what they believe to be the important components of successful worksites health promotion and physical education programs. The greatest variety of physical activity programs are found in community settings. They are offered by a number of nonprofit private organizations, nonprofit public agencies, and for-profit organizations. While relatively little research has been done concerning changes in the community environment, it is clear that such changes can effect community participation. Community campaigns to increase physical activity have been studied, and it appears that they clearly affect residents' interest and awareness in physical activity, but they do not have a major effect on behavioral changes in the short term. It appears that a major opportunity to influence favorable physical activity in the United States is being missed in schools. A large majority of students are enrolled in physical education classes, but the classes appear to have little effect on the current physical fitness levels of children and, furthermore, have little impact on developing life-long physical activity skills.

Adolescent↗