The State of Texas began enforcement of the Woman's Right to Know (WRTK) Act on January 1, 2004. The law requires that all abortions at or after 16 weeks' gestation be performed in an ambulatory surgical center (ASC). In the month the law went into effect, not one of Texas's 54 nonhospital abortion providers met the requirements of a surgical…

With economic pressures restricting campus budgets and healthcare policy issues capturing national attention, facilities managers at university-affiliated hospitals and other healthcare entities say they feel more urgency than ever to provide cost-effective services to patients, providers, medical researchers, and students. Managing facilities at…

Background: Medicare beneficiaries incur 27%-30% of lifetime charges in the last year of life; most charges occur in the last quarter. Factors associated with high end-of-life Medicare charges include less advanced age, non-white race, absence of advance directive, and urban residence. Methods: We analyzed Medicare hospital charges in the last…

Purpose: This study had two goals: (a) to assess the validity of the Online Survey Certification and Reporting (OSCAR) staffing data by comparing them to staffing measures from audited Medicaid Cost Reports and (b) to identify systematic differences between facilities that over-report or underreport staffing in the OSCAR. Design and Methods: We…

THIS REPORT IS A COMPILATION OF STUDIES ON SIGNIFICANT ASPECTS IN SCHOOL PLANNING AND OPERATION. A RELATIONSHIP IS SHOWN BETWEEN CURRICULUM, PERSONNEL AND AUXILIARY SERVICES IN EDUCATIONAL PROGRAM OPERATIONS. THE REPORT INCLUDES PLANNING, MANAGEMENT AND OPERATION OF SUCH AREAS AS--NONINSTRUCTIONAL PERSONNEL POLICIES, CUSTODIAL SERVICES,…

This article reviews development and use of a statewide (Texas) space model for long-term planning, regulating new construction, and formula appropriations for general academic and, more recently, health-related institutions. Considers the work and recommendation of a 1998 study committee on space needs of health facilities, the Commissioner's…

An annual study, mandated by the Texas State Legislature, was done of research expenditures at Texas public institutions of higher education for the fiscal year 1990-1991. The year's report contains, for the first time, data on intellectual property patents, copyrights, and licensing agreements. Findings indicate the following: (1) total research…

To examine what changes occurred in the acute health care delivery systems of rural Texas energy impact communities from 1978 to 1983, a retrospective survey was used to acquire data from which a database could be generated that could provide information for community and state policy decisions. From a pool of communities chosen by a panel of…

Objective: The authors present prevalence data for adolescents in a large metropolitan area and examine the association of DSM-IV diagnoses with functional impairment and selected demographic correlates among European Americans (EA), African Americans (AA), and Mexican (MA) Americans. Method: The authors sampled 4,175 youths ages 11 to 17 years…

Although rural Texas residents have some access to medical care, it is often limited by poverty, lack of health insurance or coverage under public programs, cultural barriers, racial discrimination, and limited education. It is inaccurate to say that rural residents receive health care if health is defined in terms of environmental, physical,…

Although there exists in the minds of urban Texans the myth that rural life is especially healthy, in fact the mental and physical health of rural Texans is markedly worse than that of urban Texans. If health is defined in terms of environmental, physical, mental, and social factors, it is inaccurate to say that rural residents are receiving…

The size of Texas and the distribution of its population result in service delivery, economic, educational, transportation, communication, and health problems. Texas is the second largest state in the nation, is third largest in population, has a population growing at a faster rate than the national average, and is a primarily rural state--20% of…

Designed as a supplementary resource for special education directors and teachers, this directory covers a five state area which includes Arizona, California, New Mexico, Texas, and Washington, and concentrates on targeted resources for Indian and migrant children with exceptional needs. After general discussions of services available for migrant…