The broad impact of teen pregnancy prompted initiation of a collaborative Northeast Adolescent Project in the Houston (Texas) area in 1990. Results of an evaluation of the program indicate that comprehensive community coalitions can effectively motivate health applications to improve prenatal outcomes among sexually active, urban, minority…

Generalist physicians of the future will need new knowledge and skills for continuous improvement of health care. Successful examples can be found in the work of generalist physicians who combine knowledge for improvement with discipline-specific knowledge to improve patient and community health. Curricula can be developed to teach students and…

Caring Start is a mobile-clinic program that provides prenatal care, well-baby clinics, childhood immunizations, counseling services, and contraceptives to rural poor families in northwest Pennsylvania. Before the mobile clinic, many rural women (mostly teenagers) went without prenatal health care due to lack of transportation. (LP)

This pilot study provides information on the effort required to conduct a telephone survey on access to care of persons with angina. Allowing for noncontact calls, refusal to participate, and ineligibility, the response rate for whites was 23.4% (2,724 of 11,559), and that of African Americans was 24.3% (2,003 of 8,242). (SLD)

A literature review on the health status of underserved Asian Americans and Pacific Islanders examined stereotypes of good health. Results indicated that the groups were heterogeneous with respect to demographic and health risk factors. Databases on their health status were incomplete. Morbidity and mortality from certain diseases were especially…

Describes the decline of public schools in Chelsea (Massachusetts) and discusses the educational and fiscal improvements made through an agreement between the Chelsea school system and Boston University (Massachusetts). Among these accomplishments are new collective bargaining services, better professional development, better health-care delivery…

This article applies the ethical principles of beneficence, justice, and autonomy as a framework from which to reflect upon the use of technology with persons with learning disabilities. Principles are applied to instructional/remedial, assistive, and diagnostic technology; technology and special abilities; social/psychological impact of…

A statewide survey of 1,574 Texas public school nurses examined the characteristics, needs, and involvement of nurses in the health and education management of students with special health care needs (SSHCN). Although the nurses have responsibility for a range of health services delivered to SSHCN, only 32 percent of respondents reported routine…

Discusses the use of library consultants to advise health authorities in developing countries on improving information support to personnel employed in the national health system. Structural and organizational aspects are addressed; financial aspects are discussed, including alternative, nongovernmental funding sources; and collection development…

Synthesizes results from four evaluations of the PATCH (Planned Approach to Community Health) program. Two examined multiple state and community programs, one examined one state, and one reviewed methods and materials of state and local coordinators. The article discusses specific recommendations for conducting PATCH and Centers for Disease…

Describes the development of a consumer health information service, InfoHealth, which is operated by the Kingston Public Library (Ontario). Cooperative planning between public, academic, and hospital libraries and community health organizations is described; acquisition of materials is explained; and staffing and promotion of the service are…

Implications of competency-based education for dental assistants and hygienists are examined. Such an approach would provide assistance in defining evolving roles in delivery of dental care; help in defining national competencies and analyzing appropriateness of current care; and a mechanism for developing curriculum that responds to community…

Compared cost effectiveness of an in-hospital intervention approach for medically fragile infants and a traditional approach of postdischarge referrals. Found that the in-hospital approach resulted in five times as many hours of intervention services for infants and cost three times as much as the referral approach, with few differences in effects…

Discusses the origin, development, and role of the volunteer corps that assist the United Nations in humanitarian efforts. Describes how the concept of national volunteer service has spread from the United States to many other countries, including some former recipient nations that now have their own volunteer services. (CFR)

Examines recent developments in health informatics from a historical and global perspective relating to information management through the interdisciplinary application of information science and technology for the benefits of patients, staff, scientists, managers, and caregivers. Highlights include competition; the World Health Organization;…