American journal of public health
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Comparative Study
Physicians who have practiced in both the United States and Canada compare the systems.
The aim of this study was to examine the US and Canadian systems from the unique perspective of physicians who have practiced in both Canada and the United States. ⋯ The comparatively weak rating of the US system by dual-experience physicians underlines the need for health care reform.
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During an epidemic of measles among preschool children in New York City, an investigation was conducted in 12 city hospitals to estimate reporting efficiency of measles to the New York City Department of Health. ⋯ The reporting efficiency of measles cases by New York City hospitals to the health department was low, indicating that the magnitude of the outbreak was substantially greater than suggested by the number of reported cases.
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Comparative Study
Automobile driver fatalities in frontal impacts: air bags compared with manual belts.
The effectiveness of air bags was estimated in this study by comparing driver fatalities in frontal crashes with driver fatalities in nonfrontal crashes, for cars with air bags and manual belts and cars with manual belts only. ⋯ It was estimated that air bags reduced the total number of all driver fatalities by about 19%.
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Our objective was to evaluate whether referral to primary care settings would be clinically appropriate for and acceptable to patients waiting for emergency department care for nonemergency conditions. ⋯ Public emergency departments could refer large numbers of patients to appointments at primary care facilities. This alternative would be viable only if the availability and coordination of primary care services were enhanced for low-income populations.