Case management has become a core component in the delivery of long term care services. It is widely viewed as a mechanism for linking and coordinating segments of a service delivery system (within a single agency or involving several providers) to ensure the most comprehensive program for meeting an individual client's needs for care. Although…

Practitioners, researchers, and policy makers have attempted to improve the delivery of in-home service to the frail elderly through the expansion or merger of existing care providers or through the creation of coordinating units. To investigate the feasibility and effectiveness of a third approach to in-home services, 68 older adults (mean age,78…

The key concepts and methodologies of quality assurance programs used in health service delivery systems are reviewed, and it is suggested they could be readily applied to Canadian universities as a powerful administrative and curricular development tool that would define and enhance the quality of students' educational experiences. (Author/MSE)

A discussion of current changes in optometry looks at the expanding for-profit health sector, changing student characteristics and enrollment patterns, the changing scope of optometric care and technology, and the demise of professionalism and ethics. Implications for pharmaceutical education are considered. (MSE)

Outlines some of the issues and practices currently shared by higher education and health care industries, including public dissent, declining government support, shifting of the distribution of expenses, applicability of revenue-based budgeting, debate over cost and quality, merger trends, changing traditions, concern for development of a…

The development of the New England College of Optometry's fourth year into an entirely clinical program is described, including its new focus on increased patient load and mix, student social awareness and conscience, and varied practice mode and management options. (MSE)

A pilot project profiled and compared the influence of the major environments of supply and demand, education, practice location and incentives, licensure and regulation, and planning and analysis on the health workforce in and among 10 states (California, Connecticut, Florida, Illinois, Iowa, Texas, Utah, Washington, West Virginia, and…

As part of Project HAPPIER (Health Awareness Patterns Preventing Illnesses and Encouraging Responsibility), a survey was conducted among teachers and other migrant personnel in Illinois to assess the current health needs of migrants. The availability of educational materials was also investigated in the survey in order to ensure that a proposed…

In order to direct its curriculum units at critical health issues facing the migrant population, Project HAPPIER (Health Awareness Patterns Preventing Illness and Encouraging Responsibility) conducted two surveys focusing on the health status of migrants and their needs for further health information. The present survey, with data from 109 migrant…