Purpose: This study analyzed the effect of consumer-directed versus agency-directed home care on satisfaction with paid personal assistance services among Medicaid beneficiaries in Washington State. Design and Methods: The study analyzed a survey of 513 Medicaid beneficiaries receiving home- and community-based services. As part of a larger study,…

Following the UN Millennium Summit in 2000, the Millennium Development Goals (MDGs) set global sector specific development targets to be achieved by the year 2015. In this article, the author explores the role of health and education research in producing technological innovations and global policy options and goals, such as the MDGs. Here, she…

This practice parameter reviews the literature on the assessment and treatment of children and adolescents with bipolar disorder. The parameter focuses primarily on bipolar 1 disorder because that is the type most often studied in juveniles. The presentation of bipolar disorder in youth, especially children, is often considered atypical compared…

Presented in both Spanish and English versions, this booklet is a guide for parents and guardians of children who have tuberculosis (TB). The booklet is organized around specific questions covering topics such as the causes and spread of TB, demographics of TB sufferers, detecting and curing TB, TB treatment and medications, research on the…

This publication provides abstracts of 58 active and 42 completed projects designed to improve emergency medical services for children (EMSC). The projects were funded by the United States Department of Health and Human Services' Maternal and Child Health Bureau, in collaboration with the United States Department of Transportation's National…

This report presents detailed tables on the medical expenditures of people, from young children to older adults, who are limited in activity or who need assistance in activities of daily living. It uses data from the 1987 National Medical Expenditures Survey and compares these with 1993 estimates. Tables of results are presented on: (1) total and…

This volume of a newsletter focused on the treatment and prevention of medical emergencies in the wilderness contains all six issues for the year 1993. Issues include feature articles, book reviews, product reviews, letters to the editor, notices of upcoming wilderness conferences and training courses, additional resources, and general information…

This document contains materials for a 160-hour independent study course with 100 hours of clinical experience, designed to update the skills of Licensed Practical Nurses (LPNs) who had temporarily stopped practicing so that they can return to the work force. Following prefatory material on methodology, qualifications for admission, and the…

This paper discusses factors emerging from the health care reform movement that will shape health care service delivery in general and nursing practice and education in particular. First, cost concerns will increase moves toward managed competition which will, in turn, create changes in service use patterns. These patterns seem overall to tend…

This paper analyzes sport and fitness malpractice suits in the United States and Canada, emphasizing the responsibility of doctors, along with some application to physiotherapists, trainers, or athletic therapists. The number of suits is felt to be limited but growing rapidly in both countries. The issues discussed include duty to patients…

This monograph presents the California State guidelines for providing physical health care services within the public school setting. Part I addresses administrative concerns. Included are sections on: education and chronic illness; professional roles; referral and evaluation; guidelines and procedures for transporting chronically ill pupils;…

This document contains a task analysis for health occupations (dental assistant) in the dental assisting cluster. For each task listed, occupation, duty area, performance standard, steps, knowledge, attitudes, safety, equipment/supplies, source of analysis, and Illinois state goals for learning are listed. For the duty area of "providing…

This paper focuses on three issues: (1) gender seems to structure life chances so that women and men end up with quite different fates in later life; (2) maintaining a sense of adequate masculinity seems to remain very important to men until the end of life, and most women also seem to need to experience themselves as feminine, but are less…

This paper and the accompanying data describe health-related expenditures made by Michigan state government agencies from fiscal year 1978 through fiscal year 1984. Expenditures represented in the data include resources received from the federal government. (The data exclude certain expenditures which might be considered health-related, such as:…

The diffusion and U.S. geographic distribution of primary care physicians are discussed in three papers. The literature on the diffusion issue is reviewed in the first paper. After introducing diffusion concepts, measures, and problems, current evidence for the diffusion of physicians are assessed, and efforts to forecast future needs for…