Reducing health inequalities is a key priority for the Scottish Government. Health authorities are expected to meet quality targets. The involvement of people with learning disabilities in health service review teams has been one of the initiatives used in by National Health Service Quality Improvement Scotland to empower patients and improve…

Geographical, economic, social and cultural barriers to accessing services in rural areas are widely reported. Less widely discussed are dilemmas posed by individual and community reluctance to address sensitive health issues. This article, focusing on the highly sensitive area of mental health, and employing a participatory action approach,…

Context: The challenge of providing meaningful health care services to veterans living in rural communities is a major public health concern that involves redefining the traditional facility-based model of care delivery employed in urban areas. Purpose: This paper describes the steps of a demonstration project, the Elko Telehealth Outreach Clinic.…

When Western Wisconsin Technical College created the Health Benefits Improvement Team, they had no experience with the complexity and ever-changing demands of health care and its associated costs. See how they've embraced their mission and are changing the way business is done in their community.

This paper provides a synoptic review of student health services at the community college level while giving a more detailed description of the nature of health services at Orchard Ridge, a campus of Oakland Community College. The present College Health Service program provides for a part-time (24 hrs./wk.) nurse at Orchard Ridge. A variety of…

Breakthroughs in science and social organization could soon be helping to save the lives of half the 40,000 young children who now die every day. They could also prevent several million children a year from becoming mentally or physically disabled. To achieve these goals, local successes showing that a child health revolution is possible must be…

The Geriatric Assessment Unit (GAU), which has proven successful in urban areas, may be a viable system for providing health care to the elderly in rural areas. GAUs engage in assessment, follow-up response to findings, education, and research. The assessment component includes, at minimum, physical health, functional ability in activities of…

This paper presents the hospice as an alternative method of caring for the dying, with emphasis on bereavement follow-up care of the family. Components of this approach are described in terms of: (1) the delivery of care through a physician-directed team supported by nurses, social workers, pastors, volunteers, and consultants; (2) the maintenance…

This paper provides background information on existing refugee health policy as spelled out in the Refugee Act of 1980, consideration that issues in health and health care have received, and significant program development that has occurred in addressing health care problems. Following the introduction, Section II describes the following: (1)…

Comprehensive health care (preventive, curative, rehabilitative, and environmental) for more than 930,000 eligible American Indians and Alaska Natives is the responsibility of the Indian Health Service (IHS). Since 1955, this agency of the U.S. Public Health Service has made notable progress in raising the health status of Indians and Alaska…

Instead of increasing institutionalization of the elderly, the author suggests increasing life enhancing programs with preventive health care. She discusses various health and social services in New York City, including outreach projects, day care programs for the elderly, and the value of senior center-hospital cooperative services. (MF)

Summaries of 89 studies on rural health care (underway or recently completed) in the United States as of December 1976 are reported. Information on each study includes: title; principal researchers' names, addresses, and professions; major objectives of the research; methodology; findings (on completed research); financing organization; current…

In 1985, the New York City Health Care for the Homeless Program began providing health care and social services to homeless people. The program seeks to provide care to those homeless people with the least access to services, reaching out to them in soup kitchens, shelters, and hotels. This paper summarizes what has been learned since 1985 about…

The Domestic Task Force of the House Select Committee on Hunger met to hear testimony on women and hunger in Appalachia and on food assistance programs and legislation, including H.R. 2100, the 1985 farm bill. Introductory remarks by task force members outline the bill's food assistance provisions, which include increased funding for food stamp…

Ascertains the dental health needs of the following refugee groups in Fresno County, California: (1) Cambodians; (2) lowland Lao; and (3) Hmong. Discusses successful health marketing and educational strategies aimed at these groups. A Dental Screening program instructed community health specialists, provided dental health education, and performed…