Although a national consensus has emerged regarding the importance of extending publicly-funded health insurance coverage to low-income children under the State Children's Health Insurance Program (SCHIP) and Medicaid, substantial numbers of eligible children remain uninsured. This study examined whether extending insurance coverage to low-income…

In 1998, Governor Pataki and New York legislators created one of the country's most innovative programs for enrolling uninsured children and teens in public health insurance. Launched in 2000, the facilitated enrollment program uses community-based organizations and health plans to find and enroll "hard-to-reach" New Yorkers who have historically…

Discusses how Dr. Bill Freeman left the Indian Health Service to work for a tribal college and transformed the teacher/pupil relationship in the process. Freeman currently directs the Lummi Tribal Health Center and is the reservation health leader. Concludes that with the National Institutes of Health grant, the opportunity to link schools and…

Discusses the demographic realities of children of color in the U.S., with a focus on health care needs and access issues that have an enormous influence on health status. An ecologic model is presented that incorporates cultural values and community structures into the school health center. (Contains 50 references.) (GCP)

Between 1980 and 1988, 132 rural hospitals closed and as a result many rural towns also lost physicians, including 19 communities that were still without a physician 2 years after closure. Smaller, more remote towns had few physicians to begin with and were more likely than larger towns to lose physicians along with their hospitals. (LP)

Discusses risk factors for AIDS among Native women: rates of infected male partners, biological factors affecting vulnerability, other sexually transmitted diseases, poverty, access to health services, relationships with partners, lack of trust in health care providers, and intravenous drug use. Describes the work of the Native American Women's…

Objective: This study assesses whether the National Health Service Corps's legislated goals to see health improve and health disparities lessen are being met in rural health professional shortage areas for a key population health indicator: age-adjusted mortality. Methods: In a descriptive study using a pre-post design with comparison groups, the…

Funding from the National Heart, Lung and Blood Institute (NHLBI) of the National Institutes of Health (NIH), Department of Health and Human Services (DHHS), is not typically associated with community colleges. Inequities in access to health care and a high incidence of cardiovascular diseases (CVD) have created an opportunity for a partnership…

A recent national survey on the expulsion of preschool children from child care centers reports that centers with access to mental health consultation have lower rates of expulsion than centers without access to classroom-based behavioral consultation. This article uses a series of vignettes from a composite case study to illustrate in…

For many women, the only alternative to breast reconstruction following a mastectomy is to use external prostheses, which need replacing regularly at a cost of up to $395 per prosthesis. Commonwealth and state governments across Australia have responded to this need by providing subsidies to assist in the purchase of breast prostheses. However,…

Americans have concluded that the achievement gap is the fault of "failing schools" because it makes no common sense that it could be otherwise. After all, how much money a family has, or a child's skin color, should not influence how well that child learns to read. If teachers know how to teach and if schools permit no distractions,…

Social work's potential role in preoperative evaluations was generally unheard of only 15 years ago, as it was considered the domain of direct health care professionals such as nurses and surgeons. Social workers have traditionally focused on the peri- and post transplant phases. However, clinical social workers are playing an increasingly vital…

Data from the Children in the Community Study, a community-based longitudinal study, were used to investigate associations between maternal psychiatric disorders and child-rearing behaviors. Maternal psychiatric symptoms and behavior in the home were assessed in 782 families during the childhood and adolescence of the offspring. Maternal anxiety,…

In recent years the scope and application of intellectual property rights has been expanded remarkably in the area of medical research and development. This has strengthened the role of the private sector in developing and producing new medicinal drugs. However, medical research is usually close to a pure public good and thus not efficiently…

Purpose: In response to rising prevalence of sexually transmitted infection (STI) among teenagers, this study was designed to examine teenage perceptions of sex education, access to services, and attitudes relevant to STI. Design/methodology/approach: A focus group study was conducted in three schools to discuss the sexual health needs of…