Purpose: This study explored the psychosocial dynamics of short hospice stays (less than 2 weeks) of cancer patients age 65 and older. Design and Methods: In-depth interviews with 59 caregivers of 50 patients were audiotaped, transcribed, and coded by using Atlas ti software. Results: A descriptive typology is presented. A late diagnosis (n = 22…

Context: To ensure equitable access to prehospital care, as recommended by the Rural and Frontier Emergency Medical Services (EMS) Agenda for the Future, policymakers will need a uniform measure of EMS infrastructure. Purpose and Methods: This paper proposes a county-level indicator of EMS resource availability that takes into consideration…

Context: Patients in rural areas may use less medical care than those living in urban areas. This could be due to differences in travel distance and time and a utilization of a different mix of generalists and specialists for their care. Purpose: To compare the travel times, distances, and physician specialty mix of all Medicare patients living in…

We describe the use of telemedicine by the Biobehavioral Service at the University of Iowa Hospitals and Clinics to conduct brief functional analyses for children with developmental and behavioral disorders who live in rural areas of Iowa. Instead of being served at our outpatient facility, participants received initial behavioral assessments in…

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…

Introduction: This study investigates the processes involved in the development of a broadband community network in the Northeast USA. A community network project was studied by tracing the developmental processes from network design to the stabilisation of information infrastructure. Method: A case study was conducted on the broadband community…

A history of traumatic experiences has been associated with poor physical health. This study examined associations between trauma and physical health, as well as changes in physical health over time, in women with co-occurring disorders and histories of violence who received either integrated trauma-informed services or usual care. Results…

This report presents findings of a study tour organized by the French-American Foundation, for 13 United States' health care professionals to examine and interpret the nearly 50-year-old French maternal and child health care system, Protection maternelle et infantile (PMI). Chapter 1 describes the operation of PMI and the possibility of similar…

This final report describes activities and accomplishments of the NICU Follow-Through Project, a 3-year project designed to help hospital neonatal intensive care units (NICUs) and community developmental centers serving infants with disabilities or very low birth weights (VLBW) replicate the project's innovative and successful training components.…

This report examines the assessment of competence in nursing and midwifery education in Britain within a context of changes in health needs, values about health care and service provision, policy/ideology, and education. Chapter 1 explores alternative approaches to conceptualizing the issues involved in the study of assessment, competence, and…

This document consists of the six issues of the "Wilderness Medicine Newsletter" issued during 1995. The newsletter addresses issues related to the treatment and prevention of medical emergencies in the wilderness. Issues typically include feature articles, interviews with doctors in the field of wilderness medicine, product reviews,…

Health care reform is changing the way in which health care is provided and altering the role of allied health professionals, especially nurses. This report examines how education can be responsive to the emerging needs of nurses and other allied health professionals. The diverse settings in which diverse populations are served requires the…

Among the repertoire of clinical skills necessary for the professional development of medical students is the ability to create a positive doctor-patient relationship through effective communication skills. The purpose of this study was to create an instrument that reliably measures the relationship between physician and patient. The Relationship…

This student guide for courses for health care assistants and nurse assistants contains 16 self-paced units with simplified line drawings, controlled text, vocabulary development, and mathematics practice exercises. Units consist of the following: objectives, introduction to the unit, content outline, steps of the procedure, skill sheets, written…

The first of two volumes, this packet contains four learning exploration activities that hospital workers can use in a classroom setting to improve their reading skills. The instructor's manual contains information about reading instruction, teaching suggestions, and a pre- and post-evaluation, along with a syllabus for the 13-week course that…