Alexander DeLuca, M.D.
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References and Resources
 
Public Health Collection
 
[Series:]
 

Drug Testing References
Improving Childhood Immunization Rates
Mental Illness, Substance Use, and Public Health Policy
Substance Use Disorders as a Public Health Problem
 

Compiled by Alexander DeLuca, M.D.  This Library page originally posted 6/28/2004. Last revised: 11/4/2004.

[Series: ] 
Drug Testing References

 

[END Series: ]  Drug Testing References

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[Series: ] 
Improving Childhood Immunization Rates

Smallpox Vaccination Policy - the Need for Change. NEJM Editorial, 3/28/02.
(Full Text - PDF) 
The Costs of Covering Mental Health and Substance Abuse Care at the Same Level as Medical Care in Private Insurance Plans  Testimony: Health Insurance Committee, National Conference of Insurance Legislators, 7/13/01, Chicago, IL 
(Full Text - PDF)  ( Rand Health CT-180 )
The Role of Performance Information for Quality Improvement. Health Services Research, (36) 3, 619-641, 07/2001.
(Full Text - PDF) 
The Impact of Computer-generated Messages on Childhood Immunization Coverage. Amer. J. Prev. Med. (19) 1, 68-70, 2000.
(Full Text - PDF) 
IMM/Scrub: A Domain-specific Tool for the Deduplication of Vaccination History Records in Childhood Immunization Registries. Computers and Biomedical Research (33) 2, 126-143, 2000.
(Full Text - PDF) 
Using Semantic Constraints to help Verify the Completeness of a Computer-based Clinical Guideline for Childhood Immunization. Comput.Methods Programs Biomed. (58) 3, 267-280, 1999.
(Full Text - PDF) 
Tools for Immunization Guideline Knowledge Maintenance I. - Automated Generation of the Knowledge "Kernel" for Immunization Forecasting. Computers and Biomedical Research (31) 3, 172-189, 1998.
(Full Text - PDF) 
Tools for Immunization Guideline Knowledge Maintenance II. - Automated Web-based Generation of User-customized Test Cases. Computers and Biomedical Research (31) 3, 190-208, 1998.
(Full Text - PDF) 
Combining Tabular, Rule-based, and Procedural Knowledge in Computer-based Guidelines for Childhood Immunization. Computer and Biomedical Research (30) 3, 211-231, 1997.
(Full Text - PDF) 
Using Computer-tailored Calendars to Promote Childhood Immunization. Public Health Report (111) 2, 176-178, 1996.
(Full Text - PDF) 
Would Better Adherence to Guidelines Improve Childhood Immunization Rates? Pediatrics (98) 6, 1062-1068, 1996.
(Full Text - PDF) 
Measles Vaccination Levels of Children Enrolled in WIC during the 1991 Measles Epidemic in NYC. Amer. J. Public Health (86) 11, 1551-1556, 1996.
(Full Text - PDF) 
Vaccination Coverage Levels Among Children Aged 19-35 months - U.S., April-June, 1994. MMWR (44) 20, 396-398, 5/26/1995.
(Full Text - HTML) 
Low Vaccination Levels of US Preschool and School-age Children. JAMA (271) 11, 833-839, 3/16/1994.
(Full Text - PDF) 
Progress on the Childhood Immunization Initiative. Public Health Reports (109) 5, 594-600, 1994.
(Full Text - HTML) 
A Neonatal Hepatitis B Surveillance and Vaccination Program: NYC, 1987-1988. Amer. J. Public Health (82) 6, 885-888, 1992.
(Full Text - PDF) 
General Recommendations on Immunization. Recommendations of the Immunization Practices Advisory Committee (ACIP), MMWR (38) 13, 205-227, 4/7/1989.
(Full Text - HTML) 

[END Series: ]  Improving Childhood Immunization Rates

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[Series: ] 
Mental Illness, Substances Use Disorders, the Underserved and the U.S. Public Health Policy

Americas' Views on Health Policy: A Fifty Year Historical Perspective. Health Affairs, March / April, 2001, PDF format. -- "A review of data from more than 100 public opinion surveys conducted over a fifty-year period finds that the American public has conflicting views about the nation's health policy... The review finds that confidence in the leaders of medicine has declined but that most Americans maintain trust in the honesty and ethical standards of individual physicians."
 
Are People with Mental Illness Getting the Help They Need? New Findings About Parity Laws, Insurance Coverage, and Care Access --  "Despite parity legislation, insurance coverage remains problematic for persons at risk for mental disorders. Parity mandates have not resulted in either increased use of mental health services or higher insurance costs, as opponents had feared."
 
The Costs of Covering Mental Health and Substance Abuse Care at the Same Level as Medical Care in Private Insurance Plans - Rand Health, Strum, 7/2001, CT-180:  Testimony: Health Insurance Committee, National Conference of Insurance Legislators, 7/13/01, Chicago, IL,  PDF format.. -- "Our results suggest that parity in employer-sponsored health plans is not very costly under comprehensively managed care... There also is no support for excluding substance abuse from parity efforts because of cost reasons... However, decoupling is likely to create difficulties in coordinating treatment and lead to less efficient care."
 
Public Health Physicians, An Endangered Species.  Tilson, 2001, Amer. Journal of Preventative Medicine Vol. 21 No. 3, PDF format. -- "Questions have arisen regarding the competency levels of the various professions within the public health sector, including those of physicians... Identification of the essential knowledge, skills, and attitudes for public health physicians is the first step toward narrowing gaps in required competencies."
 

[END Series: ]  Mental Illness, etc.

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Substance Abuse as a Public Health Problem collection

Alcohol, Drugs and Violence. Parker, 1998,  Annual. Review Sociology. 1998. 24:291-311, PDF format.  --  "... [First,] we find no significant evidence suggesting that drug use is associated with violence. Second, there is substantial evidence to suggest that alcohol use is significantly associated with violence of all kinds." 
 
Alcohol-related motor vehicle crashes: deterrence and intervention.  McCammon, 2001, Department of Emergency Medicine, United Hospital Center, Clarksburg, WV.   [Abstract only]  "Impaired driving continues to be a major factor in many injuries and fatalities on our nation's highways. In 1998, alcohol was involved in 38% of all fatal crashes, contributing to 15,935 deaths."
 
Innovations in the  Treatment For Drug Abuse: Solutions to a Public Health Problem  Annual Review of Public Health. by Sindelar, 2001. Volume:  22;  Pages: 249–72. Copyright © 2001 by Annual Reviews. All rights reserved. (PDF) 
 
Enter methadone maintenance - Chapter 14 of the classic "Licit and Illicit Drugs" by Brecher, 1972.  The story of how Dr. Vincent Dole brought the results of his early work with a few patients to the then NYC Commissioner of Hospitals Ray E. Trussell who enthusiastically went about raising the money and finding the hospital beds needed to launch what would become largest Methadone Maintenance treatment system in the world. 
 

[END Series: ]  Substance Abuse as Public Health problem

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Dr. DeLuca's Addiction, Pain, and Public Health Website

Alexander DeLuca, M.D., FASAM.

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Originally posted:  6/27/2004

All website Email to:   adeluca@doctordeluca.com 

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Most recently revised: 11/4/2004
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