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…

Recently states have increasingly turned to managed care arrangements to finance and deliver health services to Medicaid beneficiaries. As this trend continues, states should carefully monitor changes in program costs and quality and implications for delivery of pediatric services and health outcomes for children. (SLD)

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…

The present study explored hospital community benefits and free care programs at seven hospitals in Nassau and Suffolk counties in Long Island, New York. There were two components to this project: (1) assessment of information regarding the availability of free care and (2) an analysis of the community benefits information filed with state…

Objectives: Our goal was to investigate the physical and mental health of mothers who care for a child with Rett syndrome. Methods: We assessed maternal physical and mental health by using the SF-12 version 1 physical component summary and mental component summary scores as the outcome measures of interest. Mothers (n = 135) of children with Rett…

Researchers in many fields agree. The physical, social, and economic health and well-being of adults and society as a whole are strongly influenced by the early experiences of children, when the foundation for effective cognitive and social skills and abilities are developed. Children who have developmental delays or disabilities require and often…

Research suggests that investing in young children can help build a strong future workforce, improve children's educational success and health, and potentially reduce some of the social ills that drain the nation's resources and will. To have an informed conversation about future investments, it is important to start from an understanding of the…

"KidsCount in Colorado!" is an annual publication of the Colorado Children's Campaign, which provides the best available state- and county-level data to measure and track the education, health and general well-being of the state's children. KidsCount in Colorado! informs policy debates and community discussions, serving as a valuable…

Objective: Organizational learning, underpinned by evidence-based health care, and greater user involvement in planning and delivery were key objectives of the NHS Plan. Evaluation, and specifically participatory evaluation, offers the potential to address these elements of the NHS modernization agenda. We discuss the strengths and limitations of…

Over the last generation, the instructional staffing system in American higher education has experienced a significant reduction in the proportion of jobs for full-time tenured and tenure-track faculty members and a dramatic growth in fixed-term full- and part-time instructional jobs without tenure. About 70 percent of the people teaching in…

Managed care has prompted a metamorphosis of mental health care. Since practitioners' responses to these changes are unclear, this study examines the opinions of 44 randomly selected psychologists and psychiatrists. Each participant received a packet in the mail that contained a cover letter, a three-page questionnaire, and a self-addressed…

This paper reports on a study of higher education health-care coverage for retirees including trends in coverage since 1987, major current provisions of institutions' coverage, and program cost controls. A total of 1,6701 institutions responded to a retiree heath-care survey. Among the findings were: (1) 61 percent of colleges and universities and…

A study used data from the Employee Benefits Surveys conducted by the Bureau of Labor Statistics to examine the influence of employer-provided retiree health insurance on retirement decisions. The analysis found that most coverage is similar to that of active workers but takes Medicare into consideration, and requires retiring workers to meet…

This manual is intended to accompany technical assistance efforts aimed at improving selected states' home health care programs for children with chronic illness and severe disability. Summary descriptions of funding sources are presented, including purpose, eligibility guidelines, and services covered, as well as additional information as…