The quickest way to learn what is wrong with our U.S. health system is to observe its malfunction in rural America where the lack of services, shortage of physicians, high cost of illness, inadequate insurance coverage, and lack of citizen voice in health proceedings are most profound. The major health problem in rural areas is one of personnel.…

The needs of the off-reservation Indian population in Maine and recommendations for the correction of these needs are discussed. The program's objectives were (1) to determine the present level of services available to off-reservation Indians in Maine, (2) to determine present housing standards, educational levels, health programs, and geographic…

A survey of part-time clinical faculty members' opinions of the importance of employment benefits for recruiting and maintaining part-time faculty is discussed. The employment benefits included: 25% higher salary and clinical procedure manuals, tuition waiver for family, retirement plan, deferred compensation, faculty orientation manual, and…

This report presents the most recent salary and benefits data available for the U.S. child care workforce. Data for average wages for preschool teachers and child care workers are presented for each state. A graph comparing median hourly wages between child care jobs and other occupations is also included. Appendix 1 of the report presents:…

Although having one or more working parents reduces the likelihood that children will live in poverty, it does not provide a guarantee of escaping poverty. This report summarizes results of a project to develop a definition of working poor families and to provide a baseline of descriptive information about them. The primary data sources for the…

This collection of snapshots examines the well-being of America's children and adults through the lens of the 1999 National Survey of America's Families. Snapshots include: "Foreword: Snapshots of America's Families II: A View of the Nation and 13 States from the National Survey of America's Families" (Alyssa Wigton and Alan Weil);…

Because school-based health centers are located in areas serving a large percentage of low-income minority children, they have the potential to provide health care services to millions of children lacking health insurance. Although support for these centers is growing, funding remains in jeopardy. This fact sheet details what child advocates can…

At the request of U.S. President Clinton, the Secretary of Health and Human Services, in collaboration with the Secretaries of Agriculture and of Education, examined the issue and developed specific recommendations to encourage and integrate outreach and enrollment for Medicaid and the State Children's Health Insurance Program (SCHIP) within…

This report compiles the most recent salary and benefits data available for the U.S. Child care workforce. Data for average wages of preschool teachers and child care workers are presented for each state. Comparisons between median hourly wages for child care jobs and other occupations are presented graphically. Initiatives at the federal, state,…

The National Academy of Sciences Committee on Children, Health Insurance, and Access to Care was assembled to address questions about health insurance for children, evaluating the strengths and limitations of insurance as a means of improving children's health from a variety of approaches and policies. Meeting between March 1997 and January 1998,…

A study investigated the use and effectiveness of dental crowns and alternative treatments for posterior teeth, using data from insurance claims. Results show older patients more likely to receive crowns, with higher costs. Regional treatment differences were also found. Data raised questions about consistency of treatment recommendations among…

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)

This paper reports on experiences and concerns of the Hospital of the University of Pennsylvania as a participating primary care site in a Medicaid managed care program (HealthPASS). Discussed are the modification of existing activities to meet increased care demands and administrative demands, and characteristics of HealthPASS that have impeded…

Discusses one child care center director's attempts to solve the problem of finding a reliable substitute teacher by sharing one substitute teacher between two day care centers. Also discusses the effectiveness of such a solution. (BB)

A survey of 1,139 Virginia family practitioners and internal medicine specialists investigated interest in pursuing geriatric education, including such factors as preferred form of education, preferred topics, intent to take the geriatric medicine qualifying examination, geriatric care provided, home visits, prior participation in geriatrics…