In this article we describe how an advance care planning (ACP) program was developed, implemented, and evaluated. Our aim was to improve ACP in palliative care for people with intellectual disability (ID). The program was based on 10 competencies needed for ACP and was developed in a co-design process with people with ID, relatives, and…

Objectives: Despite a long-standing declaration of educational need in the area of paediatrics in primary care, there is little in the way of strategy for delivering high-quality learning relevant to the specific needs of the primary care team. This article seeks to explore various models for delivering primary care centred paediatric education to…

The emergency action plan (EAP) at physical education and sport venues is a necessity, no matter the level. Although medical emergencies are rare, an EAP helps to ensure a smooth response, necessary for positive outcomes. Many entities should be involved developing the EAP. All personnel who act in an emergency must be trained in first aid and…

Otitis Media (OM) is an important global issue that can have a long-lasting impact on a child's life. There is no easy fix! For a family who has a child with OM, the ramifications can be short term and have minimal consequences, or they can be very complex and involve medical, educational, behavioural and wellbeing issues, and may even be…

Working in silos or working within one discipline has not improved the delivery of healthcare. With a goal to advance the healthcare quality agenda and in response to an identified need within both the educational and healthcare sector, Queen's University has established a Master's degree in Healthcare Quality [MSc(HQ)]. The interprofessional…

Continuing is a national political drive for investments in health care information technology (HIT) that will allow the transformation of health care for quality improvement and cost reduction. Despite several initiatives by the federal government to spur this development, HIT implementation has been limited, particularly in the rural market. The…

Uses a budgeting technique to determine if free-market incentives or forces would provide an economic base sufficient to support medical professionals who might practice in the approximately 140 U.S. counties that lack a physician (located mainly in a narrow band from west Texas north through South Dakota). (AH)

Adolescents with ADHD experience serious impairment that taxes our education, mental health, and healthcare systems as well as the children and families. The development and evaluation of effective treatments for these youth have lagged far behind that of many other disorders and age groups. This manuscript describes the treatment development…

Addresses the managed health care initiatives which impact the way that social workers deliver services to people with severe mental illness. Recommends social workers stay abreast of developments in managed care, use efficacy information more systematically, and promote consumer involvement in the design, implementation, and monitoring of managed…

The University of Southern California School of Dentistry opened an evening dental clinic to accommodate patient scheduling needs. It found that faculty and students overwhelmingly supported the clinic hours and that a new clientele emerged. (MSE)

The paper contrasts the traditional model of referral for rehabilitation services for blind and visually impaired persons in Israel with a new model--the rehabilitation information station, which links administrative, social, medical, and functional rehabilitation and results in faster receipt of services and increased ophthalmologists' awareness…

The development of competitive markets for health services and the shift to the provisions of services through large-scale organizations are having a profound effect on academic health sciences centers. The teaching programs based at the University of Minnesota Hospital and Clinic are threatened as health maintenance organizations restrict…

Obesity is a major pediatric public health problem. Adolescents are a priority population for intervention strategies. School nurses are in key positions to design intervention strategies to promote healthy lifestyles and prevent adolescent obesity in the students they serve. To design effective programs, school nurses need to know what components…

Two surveys show that the use of prepaid health care plans for educational purposes is rising. A review of published studies that have examined the costs of such training is included. (Author/MLW)

The reasons for the University of Michigan's decision to end development of a health maintenance organization are outlined from its different perspectives as an employer, health care provider, and medical school. Among the considerations were employee attitudes, insurance costs, competition, and revenue sources of the medical school. (MSE)