Several approaches that could allow dental schools to conduct clinical care programs more profitably in a difficult economic and health-care climate are offered. Focus is on organizing delivery systems around patient-centered care, achieving optimal care quality, enhancing clinic revenue, minimizing operating costs, and becoming better positioned…

Although delivery of health and mental health services to American Indian communities is improved by use of community-based paraprofessionals, these workers face conflicts related to kinship obligations. Discusses the role of family networks in Coast Salish community dynamics, and consequent influences on counselor effectiveness and the access of…

A 1994 conference explored national issues and priorities related to school health nursing, identifying seven critical issues and related actions. Several papers discuss school nurse perspectives, federal agency efforts, issues, and priority actions. An annotated bibliography and information on National Nursing Coalition for School Health are…

Describes multimedia computing and the characteristics of multimedia information. Trends in information technology are reviewed; distributed multimedia computing is explained; media types are described, including digital media; and multimedia applications are examined, including office systems, documents, information storage and retrieval,…

Issues that arose in attempting to survey people with Acquired Immune Deficiency Syndrome (AIDS) are described. Questions of confidentiality, nonimplementation, and slow accrual of information are considered for an initial sample of 2,731 cases. Comparison with a database concerning 1,313 clinic clients indicates overrepresentation of compliant…

Data were gathered from all state Medicaid programs, 11 health insurance carriers, and 140 firms offering health insurance to employees, concerning coverage of various services needed by young children with disabilities, including ancillary therapies, mental health services, and case management. Results revealed that Medicaid offered the greatest…

Examines the Swedish experience for lessons to help reduce infant mortality in the United States. Because of Sweden's efforts to eliminate poverty and provide comprehensive health care, there are only small social class differences in infant mortality. Class and race issues play much larger roles in the United States. (SLD)

Drug-exposed infants are having a profound impact on the child welfare system. When community resources are not available to meet the needs of these children and families, requirements of current child welfare laws cannot be met. The range of services necessary for effective child welfare responses is discussed. (SLD)

A clinical geriatric pharmacy clerkship containing three separate practice areas (long-term, acute, and ambulatory care) is described. The program follows the medical education clerkship protocol, with a clinical pharmacy specialist, pharmacy practice resident, and student. Participation in medical rounds, interdisciplinary conferences, and…

Discusses who school health nurses are and what they can offer, noting that policymakers and administrators are looking to expand the roles of schools and the professionals within them to enhance child health. The article discusses new models for school health, examining inside nursing issues and policy and administrative contexts. (SM)

The author argues that any new curricular model for optometric education must be responsive to evolving scientific and societal trends and consistent with the long-term goals of the profession. Some of these trends are outlined, including advancing technology and related improvement in health care and health care reform. (MSE)

Asserts that the medical advances taken for granted in the United States are not available to citizens in many nations. Describes the Task Force for Child Survival and Development at the Carter Center in Georgia and its cooperative work with the World Health Organization. (CFR)

Interview results provide details on condom use in youth at highest risk for AIDS. Condom use increased with time and age because of positive beliefs concerning condoms and increased awareness of HIV transmission. High-risk youths proved no more likely than lower risk youths to increase their condom use. (RJM)

Delivery of primary health care (PHC) programs is critical to rural African health care. The paper explores the school's role in PHC delivery and indicates ways that professional health personnel and teacher educators can cooperate in preparing teachers with necessary knowledge and skills to participate meaningfully in PHC delivery. (SM)

The health care crisis faced by African Americans must be addressed by the nation as a whole with the same energy that erupts when a natural disaster occurs. On an individual basis, blacks can improve their own health with attention to child nurturing and personal nutrition. (SLD)