This paper uses an organizational systems model in examining academic health centers and health maintenance organizations to identify common needs, mutual interests, areas for potential collaboration, and bridging strategies. These include health care systems development, professional education, information management systems, and health services…

Presents a personal narrative concerning migrant health and health care delivery within the United States, discusses the financing of migrant health care, ranks states according to numbers of farmworkers and money for health care per farmworker, and examines the necessary organizational factors. Administrative considerations and health care reform…

A discussion of future educational needs for dentists looks at dramatic changes occurring within health care services in general and dental care services in particular since 1935, changes in the professional culture, and special needs for educating physicians for population-based clinical practice. (MSE)

For nearly 40 years, the Delaware School Health Advisory Committee (SHAC) has been improving school health education and services in the state. The SHAC has recommended policies to the Delaware Board of Education and state legislature, conducted conferences and workshops, published information, and helped develop health education curricula.…

Identifies the following basic issues involved in planning and implementing school-linked services: (1) planning; (2) targeting; (3) governance; (4) information systems; and (5) staffing. Effective planning requires a policy-minded team of equals from various agencies. Strategies that community teams can use to address each issue are discussed.…

Overview of social service programs for families offered by the Independence (Missouri) School District describes programs designed to meet needs in the following areas: accessing community services; adult parenting education; literacy education and job training; preschool and after-school childcare; services for low-income families and special…

Twenty-one recommendations addressing 11 topics related to the needs of infants and young children in substance-abusing families were generated as a result of 2 meetings of experts, practitioners, and policymakers in California. Recommendations cover terminology, prevention, assessment, early intervention, family treatment, foster care, family…

Article examines whether school-based health centers (SBHCs) are available, affordable, community based, and culturally acceptable to the public. A literature review and examination of a rural SBHC for young children suggest that SBHCs are culturally acceptable and accessible to children and families. Ten strategies for successful SBHCs are…

Evidence-based health care, in which practitioners use technology to access medical databases in solving clinical problems, is seen as a major step in improving clinical diagnosis and treatment. Role-modeling, practice, and teaching of evidence-based health care require new skills of clinical teachers in addition to traditional teaching skills.…

England's National Health Service is described and the perceived training needs for professional medical and dental staff are outlined. The organization of a typical large medical school and its relationship with two teaching hospitals is outlined. Problems are examined, and the possible impact of proposed government policy changes is discussed.…

A literature review reveals that homeless adolescents are at extremely high risk for acquiring HIV infection. Sexual and drug use behaviors that put these adolescents at risk are described. New models of social, health, and mental health services for these youth are outlined. (GLR)

Describes the Kids Organized on Learning in School (KOOL-IS) initiative of the B.F. Day Elementary School in Seattle, Washington, which coordinates health, social, and educational services for homeless children. Organizational components, a case study, and program evaluation are considered. (BB)

Community-based medical education is key to training physicians to work in needy fields such as outpatient care and health care for the medically underserved. Describes the disadvantages of traditional medical school curricula and presents sample community health curricula now being used. Suggests ways to increase medical students' awareness of…

Presents an ethnographic analysis of the Puyallup Indian urban tribal health care system with emphasis on mental health issues. Merges anthropological theories and perspectives with the practical experience of providing culturally sensitive care within a multifaceted bureaucratic environment. Contains 146 references. (SV)

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…