Our study responds to calls for theory-driven approaches to studying innovation diffusion processes in health care. While most research on diffusion in health care is situated at the service delivery level, we study innovations and associated processes that have diffused to the system level, and refer to work on complex adaptive systems and whole…

Research studies report a negative relationship between employment and secondary conditions. Access to health promotion programs to manage secondary conditions, however, is limited for people with disabilities due to employment, financial, and insurance barriers. Vocational rehabilitation (VR) is one possible delivery point to overcome these…

Presents recommendations for contracting elements that should be adopted by state Medicaid agencies and approaches that should be taken by managed care practices interested in providing high-quality care for children with special needs. These recommendations are based on interviews with administrators from 29 states and 22 plans. (SLD)

Community psychologists have a long-standing interest in promoting systems change to improve the lives of individuals and communities. To more fully illuminate a multilevel model of those factors involved in the promotion of systems change, the current study examined individual- and organizational-level characteristics related to health care…

This resource guide reflects, largely through statistical information, the status of health care in rural New York State. It is divided into five sections: (1) Demographics, Socioeconomics, and Technology; (2) Client Needs; (3) Provider Needs; (4) Designing an Integrated Rural Health System; and (5) Developing a Rural Health System for New York…

Service integration attempts to provide coordinated service delivery systems for the uncoordinated mix of programs such as income support programs (food stamps, Medicaid, and Temporary Assistance for Needy Families) and employment, child care, child welfare, and training programs that exist at the local level throughout the United States by…