Describes problems encountered by Bay Mills College (Michigan) in providing transfer-oriented prehealth programs for low income Native Americans. Suggests that the difficulties were caused by misjudging the needs of the community. Discusses a comprehensive survey underway of local professionals and residents to determine interest in health science…

In two studies, children's memory of venipuncture or inoculations were compared with memory of less stressful events. In another study, natural variations in children's stress and the effect of short delays were examined. In yet another study, a delay interval of one year was examined. (BB)

A survey of health care issues among Hispanic Americans (469 adults and 235 children) in Arizona revealed that the poor health status and access to health care found for Hispanic Americans was even more pronounced for those whose language of interview was Spanish. (SLD)

This magazine feature presents seven articles whose authors reflect on the legacy of past female leaders in sport, define current challenges, and envision how women are changing sport for tomorrow. (GLR)

Data from a 1989 survey of 125 medical college faculty practice plans reveal information on organizational models, growth of managed care, increased competition, greater medical school reliance on clinical practice income, use and growth of satellite and ambulatory care facilities, and a variety of financing options. (Author/MSE)

Explores universities involved with training in telemedicine and medical care provided through technology (International Telemedicine Center Inc. www.int-telemedicine.com/univ.html). Discusses the market for telemedicine, companies and university medical centers involved in its development, costs and savings to health care system, barriers to the…

The Prescribed Pediatric Center (Toledo, Ohio) is a community-based, multidisciplinary program for infants and children with chronic, complex medical conditions. This article describes program beginnings; the planning process; and the program's growth, development, and components. Initial program evaluation indicates positive effects on some…

Despite remarkable improvements in the overall health of the nation during the past two decades, compelling evidence suggests that the nation's racial and ethnic minority Americans suffer increasing disparities in the incidence, prevalence, mortality, and burden of diseases and adverse health outcomes compared with white Americans. The 1998…

Objective: To explore factors that facilitate the receipt of mental health treatment among juvenile crime victims. Method: Telephone interviews were conducted with a national sample of 157 caretakers whose children had suffered a serious sexual or physical assault in the previous year. Results: Twenty-two percent of caretakers had thought about…

Purpose: The identification of nursing home residents who can continue to participate in advance care planning about end-of-life care is a critical clinical and bioethical issue. This study uses high quality observational research to identify correlates of advance care planning in nursing homes, including objective measurement of capacity. Design…

Background: It has been suggested that persons with an intellectual disability consume a disproportionate amount of hospital services. Policy changes in Ontario in the 1970s and 1980s made it necessary for community health services to accommodate this population that formerly received most of its medical care in the institutions where they lived.…

School health education has been and still is guided by a number of different and often competing philosophical orientations. The field seems to be moving toward a skills-based philosophy, but the adoption of this approach is taking place with little discussion or analysis in the professional health education literature. The purpose of this…

Purpose: We identified the types of home-and community-based services (HCBS) that high-risk older adults in Medicare managed care used, and we examined participant characteristics associated with service use in six areas: overall service use, four specific categories of HCBS, and referrals to insured medical services. Design and Methods: We used…

Purpose: To promote health and maintain independence, Just for Us provides financially sustainable, in-home, integrated care to medically fragile, low-income seniors and disabled adults living in subsidized housing. Design and Methods: The program provides primary care, care management, and mental health services delivered in patient's homes by a…

This resource book contains 43 articles to assist in addressing the problems of children with Tourette Syndrome or attention deficit hyperactivity disorder. Separate sections are provided for articles on medical, psychological, educational, and legal aspects of these conditions. Examples of topics considered in the medical section include:…