Northern Thailand is home to many hill tribes, who have lived for hundreds of years as subsistence farmers or nomadic hunters. In the 1940s, communist insurgencies drove many hill tribes from China, Burma, and other nations south into northern Thailand. Uprooted from their native lands, the hill tribes left behind ties to economic resources and,…

This paper explores the broad definition of health in the rural context and relates it to policy, practice, and pedagogical challenges in providing access to services in rural areas. Historically, policy, practice, and teaching institutions have supported a dependency model for health service delivery, forcing rural communities to rely on…

This report describes a program initiated in 1992 to provide appropriate training for rural physicians and to address the shortage of physicians in rural Australia. Rural medical practice differs dramatically from urban practice in that there is limited access to specialist services in rural areas, thus requiring rural practitioners to be…

This document summarizes a report on the health status of minority groups in Michigan. Mortality rates and health problems are analyzed for the following groups: (1) Blacks; (2) Hispanics: (3) Arab Americans; (4) Asian and Pacific Islanders; and (5) Native Americans. The following problem areas are discussed: (1) nutrition and hunger; (2)…

Examination of medical records reveals that the frequency of health problems--including delayed immunizations, elevated blood lead levels, hospital admission rates, and child abuse and neglect report rates--among a sample of 265 New York City homeless children under age 5 far exceeded those of children of similar low socioeconomic status attending…

This issue of "The Future of Children" focuses on efforts to provide publicly funded health insurance to low-income children in the United States through Medicaid and the State Children's Health Insurance Program (SCHIP). The articles summarize current knowledge and research about which children are uninsured and why, discuss ways to…

Nine county-level urban-influence categories were developed to enhance research on geographic differences in economic opportunities. Categories differ along many social and economic dimensions: population growth, educational attainment, employment growth, earnings, presence of institutions of higher learning, and hospital and physician supply.…

Educational and employment programs implemented by the Bureau of Indian Affairs during the 1950s and 1960s relocated thousands of American Indians to urban areas with the assurance of a better life. Focuses on the current status of the American Indian population in the San Francisco Bay area including Indian organizations, tribal group…

Literature review addresses the status of farm families; farm stresses and their effects; dysfunctional family relationships; and the unique attitudes, behaviors, and perceptions of rural culture toward social service intervention. By implementing coordinated service programs and initiating new legislation that addresses rural health care issues,…

The Wellness Mobile transports medical supplies, equipment, informational materials, and staff to rural Saskatchewan communities to assist them in developing wellness programs that stress disease prevention. Staff from the Wellness Mobile offer health-risk screening and appraisal to community members and work with local practitioners and schools…

A study examined low-income Latinos' attitudes concerning diabetes. Focus groups and surveys of 160 California Latinos, primarily of Mexican descent, found that many at risk of developing diabetes were unaware of risk factors, had never been screened, and did not know where to get advice. Most believed that stress or strong emotion caused the…

A full-service school integrates educational, medical, social and/or human services that are beneficial to meeting the needs of children and youth and their families on school grounds or in easily accessible locations. Current research, commentary, and observations about the concept of full service schools are summarized, with particular focus on…

The staff of the Center for the Future of Children analyzes policies to make the U.S. health care system more responsive to the needs of children and pregnant women focusing on (1) efficiency; (2) access; and (3) affordability. Recommendations are made in each of these areas. (SLD)

To address the health care needs of the millions of uninsured children of low-income families ineligible for Medicaid, many states have developed innovative public and private programs. Examines the privately funded Blue Cross/Blue Shield Caring Program and promising public programs in 11 states. (MDM)

Some history on health-care decision making is reviewed. The current "individualist" model in the United States is contrasted with "collectivist" models of Asian and Pacific Islander cultures. Decision making styles are discussed in relationship to Western medicine. Six groups' cultural norms are presented. Conflicts with U.S.…