Alienation as a deterrent to well-child supervision.

Morris, Nicholas; Hatch, Michael; Chipman, Sidney S.

doi:10.2105/ajph.56.11.1874

Cited by 22 publications

(7 citation statements)

References 2 publications

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“…How much do you think about what your health will be like in the future? [1] Not at all [2] Very little [4] Somewhat [5] A great deal 3. How satisfied are you with your ability to count on good health?…”

Section: Methodsmentioning

confidence: 99%

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Health concern, HMO enrollment, and preventive care use

Berki¹,

Ashcraft²,

Penchansky³

et al. 1977

J Community Health

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A sample of 1,042 adults was drawn from an employed population who were given the option of enrollment in any of three prepaid, HMO-type organizations, one of which was an open-panel foundation, or continued subscription in a conventional Blue Cross/Blue Shield plan. The subjects in the sample were interviewed to examine three hypothesized relationships: (I) Enrollees in any HMO will exhibit higher levels of health concern than members of other health plans. (2) Users of preventive services will exhibit a higher level of health concern than nonusers. (3) Expressed health concern is a predictor of the rate of preventive use. Data were analyzed by bivariate and multivariate techniques. Support was found for each hypothesis. We found that, although the level of perceived health status did not vary across enrollees in the various plans, those who chose a closed-panel plan reported the highest level of health concern. Health concern was positively related to the use of preventive services, and the mean number of visits as well as the percentage of individuals who use them were the largest for the members of the closed-panel plans. We also found that health concern was a predictor of preventive use. Regression analysis was used to explore various relationships between health status, health concern, plan membership, and the use of preventive services. The hypothesis of adverse selfselection is questioned. The generalizability of the findings is limited to employed, essentially middle-income groups.To change the orientation of the medical system from one of crisis medicine to preventive care requires not only an appropriate restructuring of the delivery organizations but compatible client attitudes and behavior as well. An advantage claimed for certain organizational configurations that are generally known as Health Maintenance Organizations (HMOs) is their relative emphasis on preventive care? Their ability to achieve that objective is dependent in part on the attitudes and behaviors of their subscribers.The issue examined here is whether those who choose to enroll in an HMO express more concern with maintaining their health and engage in more preventive care behavior than do those who choose not to enroll. Further, the issue of whether more concern for health and preventive

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Section: Methodsmentioning

confidence: 99%

“…How satisfied are you with your ability to count on good health? [1] Extremely satisfied [2] Somewhat satisfied [4] Somewhat dissatisfied [5] Extremely dissatisfied…”

Section: Methodsmentioning

confidence: 99%

Health concern, HMO enrollment, and preventive care use

Berki¹,

Ashcraft²,

Penchansky³

et al. 1977

J Community Health

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“…The total adsorption was raised to 463.7 mg of adsorbates per gram of carbon in 180 minutes. Morris (1966) reported an enhancing effect on total adsorptive capacity by mixed components in both batch and fluidized column studies. The present study further substantiate this phenomenon.…”

Section: Studies a T Thementioning

confidence: 98%

“…A suggestion of the maximum use of the adsorptive capacity of activated carbon is proposed in this report. Morris (1964Morris ( , 1966 reported some enhancement of total adsorptive capacity of carbon in mixed adsorbates solution. For example, the quantity of ABS adsorbed from a pure solution In a mixture of ABS, quinine and 2-sec-butyl-4, 6-dinitophenol (DNOSBP), the quantity of ABS adsorbed [with similar initial concentration) after 100 hours was about 130 micromoles per gram of carbon.…”

Section: Introductionmentioning

confidence: 99%

Adsorption in Multicomponent Solution by Activated Carbon

Poon

Sung

1969

J American Water Resour Assoc

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“…One of the central characteristics of the emotionally mature person is the ability to withstand stress or at least not to be immobilized by it (Dean 1964(Dean , 1966Cole et al 1980). Alienation, on the other hand, has been shown by several studies to be inversely related to the confrontation of one's problems: Richardson (1963) found alienation related to opposition to fluoridation; Morris et al (1966) determined that alienation was a deterrent to well-child supervision; Gray, Kesler and Moodey (1967) found alienation inversely related to immunization; and Hoppe and Heller (1975) found that alienation was negatively related to utilization of health services by Mexican Americans. Seeman et al (1985) found alienation negatively related to health, as did Wethington (1986), and Seeman and Anderson related alienation to alcoholism (1984).…”

Section: Hypothesesmentioning

confidence: 99%