Poverty and financial insecurity are major drivers of poor health outcomes, but health systems have traditionally lacked the tools to address these economic drivers of health. In recent years, an innovative clinical care model is starting to change that: Medical-Financial Partnerships (MFPs). Medical-Financial Partnerships are collaborations…

Is income during children's earliest years a key determinant of long-term child and adult success in the longer run? The research to date, Christopher Wimer and Sharon Wolf write, suggests that it is. Wimer and Wolf review substantial descriptive evidence that income can enhance child development and later adult outcomes, and that it does so most…

Purpose: This study compared the official poverty rate for adults aged 65 years and older with alternative measures that portray the true resources and needs of older adults. Design and Methods: The analysis used data from the 2004 Health and Retirement Study on income, assets, in-kind transfers, and out-of-pocket medical expenses. It also…

In this article, the author presents an update of Herman's article ["Changes in Patterns of Health Care," "School Health Review," 1(9-14)1969] that focuses on the changes in patterns of health care. He discusses the poverty, insurance, and access to medical care as well as the quality of medical care for adults and minors. He stresses that…

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…

The need to improve the U.S. poverty measure has received renewed attention as state and local governments have initiated antipoverty efforts and wish to judge their effect. This paper describes the New York City Center for Economic Opportunity's implementation of the National Academy of Sciences' recommendations for measuring poverty. The…

Estimated impoverishment risk for two samples of community-living elderly (N=900+). Found that for elders over age 75, 46 percent of those living alone and 2 percent of couples would spend lifetime assets and current income, becoming impoverished in 13 weeks if institutionalized in skilled nursing facility. Rates were comparable for elders over…

This book provides new estimates of the private costs and public effects of childhood disabilities among welfare recipients. Based on over 2,000 interviews conducted between 1992-96 with household heads in 3 California counties, the estimates cover direct expenditures by families and indirect costs from employment reductions. The study finds that…

Determines the extent to which people with and without health care insurance use public health care facilities and various health care services. Analyzes 6,298 patients from 4 county-funded primary health care clinics. Patients were overwhelmingly poor regardless of insurance status. High cost-sharing requirements, coupled with larger families and…

More and more often, children in the United States are denied services that help keep them healthy or heal them when they are ill. This study examines the demographic, psychological, and physical health status of a group of children (N=293) with no access to health care, and who experienced an acute health problem. The children ranged in age from…

Presents a vision and a national strategy for civic networking based on the development of the National Information Infrastructure. Topics addressed include a public interest communications policy; benefits of civic networking, including improving services and reducing government costs, reducing poverty and health care costs, and improving…

Describes the demographic trends and health risk factors of the growing elderly population, especially poor minorities. Suggests rethinking traditional hospital and nursing home roles in health care delivery to the elderly, expanding research concerns, reworking access to Medicaid, and ensuring health care to minorities. (CJS)

Studies determinants of physician use by low-income children identified through the National Household Survey component of the National Medical Care Utilization and Expenditure Survey. Finds that Medicaid coverage increases access to office-based physicians within the low-income population. Presents health cost and policy implications. (MW)

Presents survey data on low-income elderly people. Examined sociocultural and quality-of-life variables as they affected use of health care and transportation services. More than half of respondents did not receive medical care despite reporting multiple symptoms. Most participants relied upon public transportation to obtain health services. (RJM)

The effects of income, language, and citizenship on the use of health-care services by Chinese Americans is examined (N=1808). Focus groups, a telephone survey, and key informant interviews were conducted. Data analysis included an acculturation index, demographic profile, and logistical regression. Health insurance and social factors are…