The inability to maintain a drug regimen could be the intervening mechanism that explains why some patients with chronic disease contribute to high rates of hospital admission for the ambulatory-care-sensitive conditions in the committee's primary list of indicators (Moeller and Mathiowetz, 1989).


Aday, L. A. In press. Health and Health Care of Vulnerable Populations . San Francisco: Jossey-Bass.

Densen, P. 1987. The elderly and the health care system: Another perspective. Milbank Quarterly 65:614–638.

Institute of Medicine. 1991. Disability in America: Toward a National Agenda for Prevention. A. H. Pope and A. R. Tarlov, eds. Washington, D.C.: National Academy Press.

McLeer, S. V., and Anwar, R. 1989. A study of battered women in an emergency department. American Journal of Public Health 79:65–66.

Moeller, J. F., and Mathiowetz, N. 1989. Prescribed Medicines: A Summary of Use and Expenditures by Medicare Beneficiaries. National Medical Expenditure Survey, Research Findings No. 3. Washington, D.C.: Agency for Health Care Policy and Research.

Schondelmeyer, S., and Thomas, J. 1990. Trends in retail prescription expenditures. Health Affairs 9:131–145.

Short, P. F., and Leon, J. 1990. Use of Home and Community Services by Persons Ages 65 and Older with Functional Difficulties. National Medical Expenditures Survey, Research Findings No. 5. Washington, D.C.: Agency for Health Care Policy and Research.

Stark, E. 1981. Wife abuse in the medical setting: An introduction for health personnel. Monograph No. 7. Washington, D.C.: U.S. Department of Health and Human Services.

U.S. Public Health Service. 1991. Healthy People: National Health Promotion and Disease Prevention Objectives. DHHS Pub. No. (PHS) 91-50212. Washington, D.C.: U.S. Government Printing Office.

West, J. G., Williams, M. J., Trunkey, D. D., and Wolferth, C. C., Jr. 1988. Trauma systems, current status—Future challenges. Journal of the American Medical Association 259:3597–3600.

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