The state Children's Health Insurance Program (CHIP) funds state programs to help low-income, uninsured children overcome financial barriers to medical care. Previous research found that rural children were more likely to be uninsured than urban children. This report examines the implementation of CHIP and related outreach, enrollment, and…

An 8-year study examined the experiences of 23 rural families in the Early Intervention Early Childhood process. Findings indicated a lack of prenatal care and limited access to medical care, specialists, and local doctors due to geographic isolation and shortages of service personnel. Recommendations for improving rural service delivery are…

Interviews and focus groups with 50 professionals and 7 parents of children with special needs examined challenges faced by families and early intervention professionals in rural East Texas. Challenges identified by families included transportation, housing, access to medical care, and feelings of isolation. Professionals identified the lack of…

Presents major themes dealing with the application of telecommunications to rural health care, such as barriers to rural health care delivery, cost effectiveness, lack of technology infrastructure, and human capital needs. Discusses distance learning and telemedicine for health professionals. Lists elements of a successful telecommunications…

Caring Start is a mobile-clinic program that provides prenatal care, well-baby clinics, childhood immunizations, counseling services, and contraceptives to rural poor families in northwest Pennsylvania. Before the mobile clinic, many rural women (mostly teenagers) went without prenatal health care due to lack of transportation. (LP)

This pilot study provides information on the effort required to conduct a telephone survey on access to care of persons with angina. Allowing for noncontact calls, refusal to participate, and ineligibility, the response rate for whites was 23.4% (2,724 of 11,559), and that of African Americans was 24.3% (2,003 of 8,242). (SLD)

School personnel must know which students have asthma, typical warning signs, and appropriate actions in an emergency. Administering appropriate medication and reducing environmental triggers are not enough. Policymaking in schools and workplaces and legislation to increase health care access and eliminate substandard housing and air pollution are…

To produce more rural physicians, the College of Family Physicians of Canada recommends providing earlier and more extensive rural medicine experience for all undergraduate medical students, developing rural postgraduate training programs, providing third-year optional special and advanced rural family-medicine skills training, and making advanced…

The United States' black/white health gap is an important consequence of racial inequality. The gap is large, shows little signs of declining, and explanations have been limited by lack of theory and data. A new direction that offers potential for theoretical development is a focus on black immigrants, a group that shares the same racial status as…

Health care practices continue to evolve with technological advances integrating computer applications and patient information management into telemedicine systems. Telemedicine can be broadly defined as the use of information technology to provide patient care and share clinical information from one geographic location to another. Telemedicine…

Background: Although the majority of adult persons with intellectual disabilities are cared for by their families, remarkably little is known of the characteristics of their carers, the support services they receive and their unmet needs. A particular concern is whether or not carers have equitable access to services. Method: Information was…

Substances in the environment that are potentially harmful to children's health and development, from conception onward, include metals such as lead and mercury, pesticides, indoor air pollution, residues of synthetic chemicals, radiation from the sun, nuclear sources, and air pollution. Children's exposures to these substances, as well as…

Cervical cancer is a major health concern for Latinas, who are also less likely to undergo a Pap smear exam than the general population. This study identifies alterable determinants of Pap smear screening for Latino women living in a rural area of California. It involved the design and pilot testing of a culturally appropriate instrument and the…

Significant mental health problems can and do occur in young children. In some cases, these problems can have serious consequences for early learning, social competence, and lifelong health. Furthermore, the foundations of many mental health problems that endure through adulthood are established early in life through the interaction of genetic…

This report compares actual performance with the projected levels of performance set out in the National Council on Disability's (NCD's) annual performance plan. The findings of this report show a positive link between the allocated resources and NCD's performance. NCD's assessment review showed that it was successful in meeting its goals and…