Health care reform tops the list of issues that voters consider important going into the 2020 elections. As health professionals, it is imperative that we not only become informed about this issue but also help shape our healthcare future. Based on a review of the health service and health policy literature, we address several myths that add to…

The Patient Protection and Affordable Care Act (PPACA) is the most significant health policy legislation since Medicare in 1965. The need to address rising health care costs and the lack of health insurance coverage is widely accepted. Health care spending is approaching 17 percent of gross domestic product and yet 45 million Americans remain…

The article by Lahey (May-June 2009) provided a timely and important review of a growing body of evidence linking the personality trait of neuroticism to a host of health and psychosocial outcomes with public health significance. Lahey (2009) highlighted the links between high neuroticism and mental health, physical health, and quality of life and…

In the 1969 inaugural issue of the "School Health Review", Douglass J.H. examined four major issues he felt were central to the question of choices one has about health: (1) problems with health care delivery methods; (2) persistent poverty in our population and its impact on health; (3) systemic problems inherent in social and institutional…

This paper is reformatted and reprinted as part of the 40th Anniversary of the "American Journal of Health Education" (originally School Health Review) Health Education--Our Heritage. The original article appeared in Volume 1, "School Health Review" (September 1969, pp. 9-14). At the time, Myer Herman was director of the Division of Adult Health…

Background: This paper considers some economic aspects of a therapy and support service for people with stroke and aphasia. This material was part of a broader evaluation of the service, which is reported elsewhere (van der Gaag et al. 2005, van der Gaag and Mowles 2005). Aims: The purpose of this part of the study was to investigate the…

This article presents the authors' response to the invited commentaries on their paper (Wallace and Beange, 2008). On the point of "specialism", the authors emphasise a fundamental premise of their argument: the proposed "specialist" hospital-based service is inherently enmeshed within generic services at the hospital level,…

This commentary discusses whether a sufficient case has been made for specialism in hospital services as a viable alternative to existing generic services. The impact of developments in specialist care such as those outlined by Robyn A. Wallace and Helen Beange should be assessed as a means of reducing inequality. In particular, model services…

In this article, the author comments on the paper "On the need for a specialist service within the generic hospital setting" (Wallace & Beange, 2008), which raises critical issues regarding effective models of healthcare delivery for individuals with intellectual disability (ID), particularly within a hospital setting (but not…

Although the presence of intellectual disability (ID) per se is not usually regarded as a health problem, the biopsychosocial implications of cognitive impairment contribute to the vulnerability of adult patients with ID in any healthcare system. The adult patient with ID differs from a patient in the general population in terms of health…

TennCare is an approach to providing health care for former Medicaid recipients and the uninsured in Tennessee. The state designates a specific dollar amount per patient and contracts with managed care organizations to allocate funds and provide services. (JOW)

Notes that rapid escalation of health care costs is growing concern for college health administrators charged with negotiating contracts for student health and accident insurance policies. Argues that student health service can serve same function as health maintenance organization, offering students range of services available and referring to…

Notes that professionals in mental health field are increasingly challenged to provide appropriate services within parameters of what will be reimbursed by third party. Contends that these sometimes oppositional forces create philosophical, clinical, and ethical dilemmas. Explores issues, examines circumstances that have led to their creation, and…

Health care cost inflation has been the most significant influence on worksite health promotion in the past. Perception of program impact on business-relevant variables currently has the greatest influence, and increased corporate attention to competitiveness and productivity will be the most influential factor in the 1990s. (IAH)

Takes three presentations from American Public Health Association meeting as point of departure from which to consider how health maintenance organizations (HMOs) organize and deliver mental health services to members. Recommends that HMOs work toward parity in coverage of mental and medical conditions, just as they do not discriminate in coverage…