Medical and technological advances in neonatology have prompted the initiation and expansion of developmentally supportive services for newborns and have incorporated rehabilitation professionals into the neonatal intensive care unit (NICU) multidisciplinary team. Availability of therapists specialized in the care of neonates, the roles of…

For well over a century, individuals have sought new and efficient ways to communicate health-related information and provide medical services over distances. Often, this desire has sparked considerable innovation in technology and ushered in improved models of service delivery. Today, modern videoconferencing technology allows practitioners to…

In 2004, a large Midwest hospital was losing money, patients, employees, and physicians. A business consultant was hired to engage key employees in a process to improve the quality and efficiency of patient care. The improvement was negligible after the first year, so a 3-man consultancy was added in 2005 to engage all employees in an educational…

Service delivery models should be developed to prepare the chronically ill child to cope with day-to-day psychosocial problems. Medically supervised early intervention programs in either health care settings or in settings that are closely associated with medical centers or hospitals are recommended. (DB)

Purpose: The purpose of this article is to explore how medical care is delivered to older people in assisted living (AL) settings and to suggest ways for improving it. Design and Methods: We present a review of the limited research available on health care for older AL residents and on building testable models of better ways to organize primary…

This article describes a model of comprehensive and coordinated services in developmental disability medicine developed for children and adults in Kogarah, New South Wales, Australia. Key features of the model are a conjoint structure between government departments of health and community services, multiple medical specialty clinics, and…

The paper describes a medical-educational model which systematically integrates services and follow-up activity in a standard manner for exceptional children, particularly the mentally retarded. The report reviews model elements and shares experiences with an emphasis on stimulating other health care service groups to consider standardizing…

Volume Two of the report presents an inventory of 56 models directly or peripherally related to health manpower supply and requirements problems. The report is organized into four main sections: (1) a description of the contents of the inventory, methods used in its development, model inventory descriptors, and model selection rationale; (2) a…

Written from a criminal justice perspective, the report on child abuse intervention provides a model system that emphasizes prompt medical treatment for the child and due process for both parents and children. The authors recommend that court action take the form of a civil proceeding whenever possible. Part I provides a framework for the…

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…

This fact sheet uses a question-and-answer format to summarize issues related to managed care and long-term services for people with mental retardation. Questions and answers address the following topics: the evolving concept of "managed care"; the application of managed care to provide cost-efficient long-term services for people with mental…

The traditional model for medical faculty development is inadequate in the face of shrinking government support, changes in biomedical research, changes in reimbursement systems, loss of respect for medical professions, and radical changes in the structure of the health care delivery system. Implications of changes in the health care system for…

A meeting of professional experts in pediatric traumatic brain injury (TBI) focused on gathering current expert opinion regarding assistance to families with a child having such an injury. Quantitative data from an ethnographic survey of 214 parents on the effects of TBI on the family is summarized. Then, normalization for families of TBI children…

Although most American infants and young children receive adequate well-child care, they may not receive needed help if developmental problems arise. This report examines primary health care services that promote infant/child development and suggests ways to improve those services as part of routine primary child health care. The report details…

This document, one in a series developed to provide technical assistance to 22 Long-Term Care Gerontology Centers, consists of two general sections. The first section is devoted to policy issues and themes related to long-term care delivery, including manpower and staffing patterns, coordination, regulation and quality control, teamwork, and…