Rashid Bashshur | University of Michigan (original) (raw)

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Papers by Rashid Bashshur

Public health reports, 1968

PubMed, 1991

Health attitudes and behaviours were determined for residents of Western Alaska in a survey admin... more Health attitudes and behaviours were determined for residents of Western Alaska in a survey administered during the winter of 1988-89. One third of the villages in this region were randomly selected for inclusion in he study and one in three households in these villages were randomly selected to be interviewed. Bilingual interviewers successfully completed questionnaires for 477 households (77%). The vast majority of the sample population believed that a balanced diet, weight control, regular physical exercise, stress avoidance, regular medical attention and cessation of smoking and excessive drinking were important to health. Nevertheless 41% of respondents did not deny smoking, and 50% of these did not believe smoking cessation was important for health. Similarly, 34% of the population did not deny heavy drinking, and 38% of them did not think it was important to stop. When those who did not deny smoking were asked if they had tried to stop, 36% said they did not try. Of those who did not deny drinking heavily, 26% did not try to stop. Western Alaska has high rates of alcohol-related health problems and growing rates of tobacco-related diseases. The attitudes and behaviours with respect to alcohol and tobacco use exhibited in this study suggest a great need for health education and promotion activities directed at these habits.

HAL (Le Centre pour la Communication Scientifique Directe), 2017

The goal of ‘health for all’ was adopted by the assembly of nations attending the 1978 World Heal... more The goal of ‘health for all’ was adopted by the assembly of nations attending the 1978 World Health Organization’s conference on primary care in Alma Ata. While initially directed toward lesser developed countries, it was expanded to all countries five years later. The Alma Ata Declaration affirmed that universal access to “essential health care based on practical, scientifically sound, and socially acceptable methods and technology” would achieve this goal by the year 2000, and that “people have a right and a duty to participate individually and collectively in the planning and implementation of their health care.” Today, few, if any, would argue that these goals have been accomplished anywhere. Indeed, health systems worldwide continue to grapple with three seemingly intransigent problems preventing this achievement, (1) inequity of access to health care resources due to residential location, ability to pay, as well as social and cultural factors; (2) uneven distribution of quality health care due to location decisions by providers and practice patterns; and (3) unabated cost inflation resulting from scientific and technological advances, medical specialization, and increased demand for medical services.

Telemedicine Journal and E-health, Dec 1, 2001

Medical Care, Jul 1, 1972

Telemedicine Journal, Jul 1, 1999

Telemedicine Journal and E-health, May 1, 2013

Medical Care, Nov 1, 1975

Deep Blue (University of Michigan), Jan 29, 2014

Social Science & Medicine, 1983

Telemedicine Journal, 1995

The new federalism is now taking hold in Washington, with far-reaching implications for the role ... more The new federalism is now taking hold in Washington, with far-reaching implications for the role of the federal government in health, education, and welfare programs; financial support for such programs; and the shift of control to the states. For telemedicine, the implications of these changes include having to make do with less external financial support and a need to establish partnerships between state and local governments, public sector developers and vendors, third-party payers, and community-based telemedicine programs. The long-term challenge for telemedicine programs, particularly in rural, medically underserved areas, is likely to be their sustainability in an adverse financial environment. The problem is further compounded by the lack of reimbursement for teleconsultations.

Telemedicine Journal, May 1, 2000

Telemedicine Journal, 1997

Critical issues facing the development of telemedicine today are described and analyzed as dilemm... more Critical issues facing the development of telemedicine today are described and analyzed as dilemmas or paradoxes. The technological dilemma involves the difficult choice between using the latest technology regardless of how well it fits specific needs on the one hand, and the reluctance to capitalize on the available technological capability to create efficient and effective organizations for expanding the reach of health care on the other hand. The evaluation paradox points to the disjuncture between policy making requirements and the scientific enterprise. This engenders the difficulty of producing scientifically valid and policy relevant results from programs that have not achieved maturity or a steady state of operation. The contextual hazards of limiting the scope of telemedicine to rural areas are discussed, as well as the potential for creating a second tier of care for the remote and isolated populations. Finally, professional maturation is addressed as it underscores the importance of self regulation and control.

Studies in health technology and informatics, Feb 1, 2022

Social Forces, Mar 1, 1979

Public Opinion Quarterly, 1958

... used each respondent's stated personal identification with contrasting sets of ideal rel... more ... used each respondent's stated personal identification with contrasting sets of ideal relations—associated in Lebanon with two ... If you can't trust a man's word it is impossible to dobusiness with him ... will play a more important fart in solving our social problems than will religion." ...

Journal of Communication, Sep 1, 1975

Telemedicine Journal, 1998

Public health reports, 1968

PubMed, 1991

Health attitudes and behaviours were determined for residents of Western Alaska in a survey admin... more Health attitudes and behaviours were determined for residents of Western Alaska in a survey administered during the winter of 1988-89. One third of the villages in this region were randomly selected for inclusion in he study and one in three households in these villages were randomly selected to be interviewed. Bilingual interviewers successfully completed questionnaires for 477 households (77%). The vast majority of the sample population believed that a balanced diet, weight control, regular physical exercise, stress avoidance, regular medical attention and cessation of smoking and excessive drinking were important to health. Nevertheless 41% of respondents did not deny smoking, and 50% of these did not believe smoking cessation was important for health. Similarly, 34% of the population did not deny heavy drinking, and 38% of them did not think it was important to stop. When those who did not deny smoking were asked if they had tried to stop, 36% said they did not try. Of those who did not deny drinking heavily, 26% did not try to stop. Western Alaska has high rates of alcohol-related health problems and growing rates of tobacco-related diseases. The attitudes and behaviours with respect to alcohol and tobacco use exhibited in this study suggest a great need for health education and promotion activities directed at these habits.

HAL (Le Centre pour la Communication Scientifique Directe), 2017

The goal of ‘health for all’ was adopted by the assembly of nations attending the 1978 World Heal... more The goal of ‘health for all’ was adopted by the assembly of nations attending the 1978 World Health Organization’s conference on primary care in Alma Ata. While initially directed toward lesser developed countries, it was expanded to all countries five years later. The Alma Ata Declaration affirmed that universal access to “essential health care based on practical, scientifically sound, and socially acceptable methods and technology” would achieve this goal by the year 2000, and that “people have a right and a duty to participate individually and collectively in the planning and implementation of their health care.” Today, few, if any, would argue that these goals have been accomplished anywhere. Indeed, health systems worldwide continue to grapple with three seemingly intransigent problems preventing this achievement, (1) inequity of access to health care resources due to residential location, ability to pay, as well as social and cultural factors; (2) uneven distribution of quality health care due to location decisions by providers and practice patterns; and (3) unabated cost inflation resulting from scientific and technological advances, medical specialization, and increased demand for medical services.

Telemedicine Journal and E-health, Dec 1, 2001

Medical Care, Jul 1, 1972

Telemedicine Journal, Jul 1, 1999

Telemedicine Journal and E-health, May 1, 2013

Medical Care, Nov 1, 1975

Deep Blue (University of Michigan), Jan 29, 2014

Social Science & Medicine, 1983

Telemedicine Journal, 1995

The new federalism is now taking hold in Washington, with far-reaching implications for the role ... more The new federalism is now taking hold in Washington, with far-reaching implications for the role of the federal government in health, education, and welfare programs; financial support for such programs; and the shift of control to the states. For telemedicine, the implications of these changes include having to make do with less external financial support and a need to establish partnerships between state and local governments, public sector developers and vendors, third-party payers, and community-based telemedicine programs. The long-term challenge for telemedicine programs, particularly in rural, medically underserved areas, is likely to be their sustainability in an adverse financial environment. The problem is further compounded by the lack of reimbursement for teleconsultations.

Telemedicine Journal, May 1, 2000

Telemedicine Journal, 1997

Critical issues facing the development of telemedicine today are described and analyzed as dilemm... more Critical issues facing the development of telemedicine today are described and analyzed as dilemmas or paradoxes. The technological dilemma involves the difficult choice between using the latest technology regardless of how well it fits specific needs on the one hand, and the reluctance to capitalize on the available technological capability to create efficient and effective organizations for expanding the reach of health care on the other hand. The evaluation paradox points to the disjuncture between policy making requirements and the scientific enterprise. This engenders the difficulty of producing scientifically valid and policy relevant results from programs that have not achieved maturity or a steady state of operation. The contextual hazards of limiting the scope of telemedicine to rural areas are discussed, as well as the potential for creating a second tier of care for the remote and isolated populations. Finally, professional maturation is addressed as it underscores the importance of self regulation and control.

Studies in health technology and informatics, Feb 1, 2022

Social Forces, Mar 1, 1979

Public Opinion Quarterly, 1958

... used each respondent's stated personal identification with contrasting sets of ideal rel... more ... used each respondent's stated personal identification with contrasting sets of ideal relations—associated in Lebanon with two ... If you can't trust a man's word it is impossible to dobusiness with him ... will play a more important fart in solving our social problems than will religion." ...

Journal of Communication, Sep 1, 1975

Telemedicine Journal, 1998