The Effect of Legal and Hospital Policies on Physician Response to Prenatal Substance Exposure
dc.contributor.author | Jacobson, Peter D. | en_US |
dc.contributor.author | Hassmiller, Kristen M. | en_US |
dc.contributor.author | Zellman, Gail L. | en_US |
dc.contributor.author | Mendez, David | en_US |
dc.date.accessioned | 2006-09-11T15:55:50Z | |
dc.date.available | 2006-09-11T15:55:50Z | |
dc.date.issued | 2003-09 | en_US |
dc.identifier.citation | Mendez, David; Jacobson, Peter D.; Hassmiller, Kristen M.; Zellman, Gail L.; (2003). "The Effect of Legal and Hospital Policies on Physician Response to Prenatal Substance Exposure." Maternal and Child Health Journal 7(3): 187-196. <http://hdl.handle.net/2027.42/45325> | en_US |
dc.identifier.issn | 1573-6628 | en_US |
dc.identifier.issn | 1092-7875 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/45325 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=14509414&dopt=citation | en_US |
dc.description.abstract | Objectives : To determine the influence of a state's legal environment and a hospital's Prenatal Substance Exposure (PSE) protocol on physicians' propensity to respond when prenatal substance exposure is suspected. Methods : Using a sample of 1367 physicians from every state and the District of Columbia, we formulate a set of linear models to determine the impact of the legal environment and hospital protocol on physicians' response to PSE, the agreement between physicians' perceptions and actual state legal environments, and physicians' motivation to act when PSE is suspected. Results : Both protocol and legal environment showed to be significantly correlated with physicians' propensity to take action when PSE is suspected ( p < 0.05). Our analysis shows that physicians prefer a public health (patient-centered) approach to more punitive measures. Conclusions : Our results suggest a policy strategy focused first on enacting laws that would encourage a patient-centered approach, by developing and using hospital protocols to implement state policy, and then on educating physicians about the actual legal environment. | en_US |
dc.format.extent | 78064 bytes | |
dc.format.extent | 3115 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.language.iso | en_US | |
dc.publisher | Kluwer Academic Publishers-Plenum Publishers; Plenum Publishing Corporation ; Springer Science+Business Media | en_US |
dc.subject.other | Medicine & Public Health | en_US |
dc.subject.other | Gynecology | en_US |
dc.subject.other | Maternal and Child Health | en_US |
dc.subject.other | Population Economics | en_US |
dc.subject.other | Prenatal Substance Exposure | en_US |
dc.subject.other | Legal Environment | en_US |
dc.subject.other | Hospital Protocol | en_US |
dc.subject.other | Linear Regression Models | en_US |
dc.subject.other | Sociology | en_US |
dc.subject.other | Pediatrics | en_US |
dc.subject.other | Public Health/Gesundheitswesen | en_US |
dc.title | The Effect of Legal and Hospital Policies on Physician Response to Prenatal Substance Exposure | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Public Health | en_US |
dc.subject.hlbsecondlevel | Pediatrics | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Health Management and Policy, School of Public Health, The University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Department of Health Management and Policy, School of Public Health, The University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Department of Health Management and Policy, School of Public Health, The University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationother | RAND, Santa Monica, California | en_US |
dc.contributor.affiliationumcampus | Ann Arbor | en_US |
dc.identifier.pmid | 14509414 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/45325/1/10995_2004_Article_470716.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1023/A:1025188405300 | en_US |
dc.identifier.source | Maternal and Child Health Journal | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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