Steven Jonas | SUNY: Stony Brook University (original) (raw)

Papers by Steven Jonas

Research paper thumbnail of Why Do They Emigrate?

Research paper thumbnail of The Family Doctor in the Context of Britain's Social Services

Research paper thumbnail of Jonas & Kovner’s Health Care Delivery in the United States

Springer eBooks, Dec 1, 2018

Research paper thumbnail of Limitations of community control of health facilities and services

American Journal of Public Health, Jun 1, 1978

EDITORIALS mation must be made. But just as they understand the interdependence of all life syste... more EDITORIALS mation must be made. But just as they understand the interdependence of all life systems, environmentalists must come to understand the interdependence of scientific and social or political decisions. In the case of lead additives, significant reduction in environmental lead may be accomplished by replacing lead with organic manganese, or by replacing autos with mass transportation. The former solution is largely a technical one which inevitably has its technical consequences. The latter solution is primarily social and political with social and political consequences. Utimately, there are no scientific answers to political questions. Perhaps the most important help scientists interested in the environment can offer will be to provide the background material to make unpopular social or political decisions; decisions which may require sacrifices we would otherwise not be willing to make.

Research paper thumbnail of A perspective on educating physicians for prevention

Research paper thumbnail of The teaching of preventive medicine in American medical schools, 1940–1980

Preventive Medicine, Nov 1, 1981

ABSTRACT The concept of incorporating prevention into clinical medicine has been addressed by aca... more ABSTRACT The concept of incorporating prevention into clinical medicine has been addressed by academic medicine since the 1940s. Results reflect the dominant interests of academic medicine over time. This paper reviews this experience, as reflected in national conferences and related activities largely sponsored by the Association of Teachers of Preventive Medicine, and assesses implications for the 1980s. The consensus of the 1940s was that medical education should focus upon quantitative disciplines. Clinical applicability was considered important, but little was developed. Convening in 1952, deans, clinicians, and preventive medicine faculty strongly recommended teaching clinical prevention in “comprehensive care” programs. This movement was eclipsed by research and specialization. Academic preventive medicine focused on residency training and research, culminating in a major conference in 1963. Epidemiology and biostatistics flourished, while teaching clinical prevention received little attention. By 1970, dominant interest shifted to health services policy and research. Currently, some preventive medicine departments have affiliated with primary care training programs, and policy makers are focusing upon prevention. A number of nationally sponsored curriculum development projects deal with preventive aspects of primary care. Under these circumstances, incorporation of prevention into medical practice seems likely to succeed at the academic level. This may in turn stimulate similar occurrences in the medical care system.

Research paper thumbnail of Health care delivery in the United States

be made in the policy domain; this book does not equip the student to appreciate the spectrum of ... more be made in the policy domain; this book does not equip the student to appreciate the spectrum of choices or the impact of any one. Despite the many strengths of the book, I would insist on a more balanced treatment of the subject matter for my students.

Research paper thumbnail of The 15% Solution

Research paper thumbnail of Book ReviewPublic Health and Human Ecology

The New England Journal of Medicine, Jan 26, 1989

Research paper thumbnail of Health Care in the U.S.: Equitable for Whom? Based on a 1975-1976 Survey Conducted by the Center for Health Administration Studies and the National Opinion Research Center (CHAS-NORC) at the University of Chicago. Lu Ann Aday , Ronald Andersen , Gretchen V. Fleming

The Quarterly Review of Biology, Jun 1, 1982

Research paper thumbnail of Jonas's Health Care Delivery in the United States

Research paper thumbnail of Medical mystery: The training of doctors in the United States

Research paper thumbnail of View Point: How to Incorporate Health Promotion into National Health Insurance

American Journal of Health Promotion, Mar 1, 1989

Research paper thumbnail of President's address 35th annual meeting association of teachers of preventive medicine

Journal of Community Health, Jun 1, 1979

Research paper thumbnail of Dealing with the Drug Problem

Preventive Medicine, Jul 1, 1994

Research paper thumbnail of The 1974 reorganization of the British National Health Service: An analysis

Journal of Community Health, Dec 1, 1975

, for the first time since its formation in 1948. The Reorganization attacked one serious problem... more , for the first time since its formation in 1948. The Reorganization attacked one serious problem: the anomalous separation of the general practitioners (and other nonhospital, non-local authority ambulatory services), hospitals, local government authority public health services, and teaching hospitals into different administrative units with different boundaries. These services are now integrated into one structure. However, other important problems will not be affected substantially. The British National Health Service (NHS) was 25 years old on July 5, 1973. On that date, the Royal Assent was given to legislation intended to effect major changes in it. 1 On April l, 1974, the NHS underwent its first major administrative reorganization. The NHS has significant achievements to its credit but also has some serious problems that the Reorganization is intended to address, at least in part. This paper will describe the major achievements and the major problems of the National Health Service, the premises on which Reorganization is based and its major provisions, and the ways in which the Reorganization may (or may not) affect the problems. Reorganization for each of the four parts of Great Britain-England, Wales, Scotland, and Northern Ireland-is, in each case, slightly different. We will concentrate on the English Health Service, since England contains the bulk of the population of Great Britain. We will deal briefly with the Scottish Health Service in a separate section.

Research paper thumbnail of Forum: The place of prevention in medical education: Past, present, and future

Preventive Medicine, Nov 1, 1981

Research paper thumbnail of On homelessness and the American way

American Journal of Public Health, Sep 1, 1986

The movement of surgery out of the hospital, like many other trends in health care, came about as... more The movement of surgery out of the hospital, like many other trends in health care, came about as a result of interacting demographic, market, technological, attitudinal, and policy forces. The overall demand for surgery in

Research paper thumbnail of State Approval of Foreign Medical Schools

The New England Journal of Medicine, Jul 2, 1981

For many years the Board of Regents of New York State has set licensure requirements for graduate... more For many years the Board of Regents of New York State has set licensure requirements for graduates of foreign medical schools not accredited by the Liaison Committee on Medical Education; these req...

Research paper thumbnail of Influence of the Weather on Appointment-breaking in a General Medical Clinic

Medical Care, 1973

... The relationshipi between the weather and hospital emergency-room utilization was quite clear... more ... The relationshipi between the weather and hospital emergency-room utilization was quite clearly shown by Noble et al. ... Graphics by Reggie L. Jackson, Assistant Media Producer/Director, Health Sciences Communica-tions, State University of New York at Stony Brook. ...

Research paper thumbnail of Why Do They Emigrate?

Research paper thumbnail of The Family Doctor in the Context of Britain's Social Services

Research paper thumbnail of Jonas & Kovner’s Health Care Delivery in the United States

Springer eBooks, Dec 1, 2018

Research paper thumbnail of Limitations of community control of health facilities and services

American Journal of Public Health, Jun 1, 1978

EDITORIALS mation must be made. But just as they understand the interdependence of all life syste... more EDITORIALS mation must be made. But just as they understand the interdependence of all life systems, environmentalists must come to understand the interdependence of scientific and social or political decisions. In the case of lead additives, significant reduction in environmental lead may be accomplished by replacing lead with organic manganese, or by replacing autos with mass transportation. The former solution is largely a technical one which inevitably has its technical consequences. The latter solution is primarily social and political with social and political consequences. Utimately, there are no scientific answers to political questions. Perhaps the most important help scientists interested in the environment can offer will be to provide the background material to make unpopular social or political decisions; decisions which may require sacrifices we would otherwise not be willing to make.

Research paper thumbnail of A perspective on educating physicians for prevention

Research paper thumbnail of The teaching of preventive medicine in American medical schools, 1940–1980

Preventive Medicine, Nov 1, 1981

ABSTRACT The concept of incorporating prevention into clinical medicine has been addressed by aca... more ABSTRACT The concept of incorporating prevention into clinical medicine has been addressed by academic medicine since the 1940s. Results reflect the dominant interests of academic medicine over time. This paper reviews this experience, as reflected in national conferences and related activities largely sponsored by the Association of Teachers of Preventive Medicine, and assesses implications for the 1980s. The consensus of the 1940s was that medical education should focus upon quantitative disciplines. Clinical applicability was considered important, but little was developed. Convening in 1952, deans, clinicians, and preventive medicine faculty strongly recommended teaching clinical prevention in “comprehensive care” programs. This movement was eclipsed by research and specialization. Academic preventive medicine focused on residency training and research, culminating in a major conference in 1963. Epidemiology and biostatistics flourished, while teaching clinical prevention received little attention. By 1970, dominant interest shifted to health services policy and research. Currently, some preventive medicine departments have affiliated with primary care training programs, and policy makers are focusing upon prevention. A number of nationally sponsored curriculum development projects deal with preventive aspects of primary care. Under these circumstances, incorporation of prevention into medical practice seems likely to succeed at the academic level. This may in turn stimulate similar occurrences in the medical care system.

Research paper thumbnail of Health care delivery in the United States

be made in the policy domain; this book does not equip the student to appreciate the spectrum of ... more be made in the policy domain; this book does not equip the student to appreciate the spectrum of choices or the impact of any one. Despite the many strengths of the book, I would insist on a more balanced treatment of the subject matter for my students.

Research paper thumbnail of The 15% Solution

Research paper thumbnail of Book ReviewPublic Health and Human Ecology

The New England Journal of Medicine, Jan 26, 1989

Research paper thumbnail of Health Care in the U.S.: Equitable for Whom? Based on a 1975-1976 Survey Conducted by the Center for Health Administration Studies and the National Opinion Research Center (CHAS-NORC) at the University of Chicago. Lu Ann Aday , Ronald Andersen , Gretchen V. Fleming

The Quarterly Review of Biology, Jun 1, 1982

Research paper thumbnail of Jonas's Health Care Delivery in the United States

Research paper thumbnail of Medical mystery: The training of doctors in the United States

Research paper thumbnail of View Point: How to Incorporate Health Promotion into National Health Insurance

American Journal of Health Promotion, Mar 1, 1989

Research paper thumbnail of President's address 35th annual meeting association of teachers of preventive medicine

Journal of Community Health, Jun 1, 1979

Research paper thumbnail of Dealing with the Drug Problem

Preventive Medicine, Jul 1, 1994

Research paper thumbnail of The 1974 reorganization of the British National Health Service: An analysis

Journal of Community Health, Dec 1, 1975

, for the first time since its formation in 1948. The Reorganization attacked one serious problem... more , for the first time since its formation in 1948. The Reorganization attacked one serious problem: the anomalous separation of the general practitioners (and other nonhospital, non-local authority ambulatory services), hospitals, local government authority public health services, and teaching hospitals into different administrative units with different boundaries. These services are now integrated into one structure. However, other important problems will not be affected substantially. The British National Health Service (NHS) was 25 years old on July 5, 1973. On that date, the Royal Assent was given to legislation intended to effect major changes in it. 1 On April l, 1974, the NHS underwent its first major administrative reorganization. The NHS has significant achievements to its credit but also has some serious problems that the Reorganization is intended to address, at least in part. This paper will describe the major achievements and the major problems of the National Health Service, the premises on which Reorganization is based and its major provisions, and the ways in which the Reorganization may (or may not) affect the problems. Reorganization for each of the four parts of Great Britain-England, Wales, Scotland, and Northern Ireland-is, in each case, slightly different. We will concentrate on the English Health Service, since England contains the bulk of the population of Great Britain. We will deal briefly with the Scottish Health Service in a separate section.

Research paper thumbnail of Forum: The place of prevention in medical education: Past, present, and future

Preventive Medicine, Nov 1, 1981

Research paper thumbnail of On homelessness and the American way

American Journal of Public Health, Sep 1, 1986

The movement of surgery out of the hospital, like many other trends in health care, came about as... more The movement of surgery out of the hospital, like many other trends in health care, came about as a result of interacting demographic, market, technological, attitudinal, and policy forces. The overall demand for surgery in

Research paper thumbnail of State Approval of Foreign Medical Schools

The New England Journal of Medicine, Jul 2, 1981

For many years the Board of Regents of New York State has set licensure requirements for graduate... more For many years the Board of Regents of New York State has set licensure requirements for graduates of foreign medical schools not accredited by the Liaison Committee on Medical Education; these req...

Research paper thumbnail of Influence of the Weather on Appointment-breaking in a General Medical Clinic

Medical Care, 1973

... The relationshipi between the weather and hospital emergency-room utilization was quite clear... more ... The relationshipi between the weather and hospital emergency-room utilization was quite clearly shown by Noble et al. ... Graphics by Reggie L. Jackson, Assistant Media Producer/Director, Health Sciences Communica-tions, State University of New York at Stony Brook. ...