Data on 3,449 children (ages 0-3) indicate children at risk because of low income, minority status, or lack of insurance were 3 to 12 times more likely to be without a usual source of care and 2 to 30 times more likely to have unmet needs for health care. (Contains references.) (Author/CR)

Remediation of at-risk senior optometry students is discussed, looking at possible reasons for remediation need and the design of a program to effectively address students' needs, including program design, student evaluation/placement, development of specific skills, and supervision. The South Boston Community Health Center (Massachusetts) program…

This article proposes that in order for academic medical centers to compete with successful group practices, health maintenance organizations, and integrated health service networks, they must form clinical faculty into a competitive medical group with more price-competitive and user-friendly services, restructure clinical training to be more…

Effects of the Human Immunodeficiency Virus (HIV) epidemic on school communities were examined. Surveys of directors of school health services in 100 large school districts indicated school policies continue to evolve and schools accept increasing responsibility for helping chronically ill children and their families. There is inconsistent…

The Ohio State University School of Optometry affiliation with four Veterans Administration (VA) health care facilities is characterized by a central governing committee, regular faculty appointments for all participating VA staff, substantial interaction with each site, strong orientation for rotating senior optometry students, and joint…

Discusses health care services received by pregnant women and infants, exploring the ways that these services affect child health outcomes, specifically low birth weight and infant mortality rate. Programs that offer the greatest potential to improve newborn survival with the least investment should have high priority. (SLD)

Eight broad and significant trends in the health care environment are examined, including trends in demography, the economy, epidemiology, patterns of finance and delivery, science and technology, values, and higher education governance and institutional planning. Strategic accommodation of the changes is seen as necessary as the profession moves…

Analyzes why the current complex of social institutions and systems does not effectively serve poor children, highlighting the lack of early or preventative help for families and inappropriate organizational structure. Offers a series of five principles for a new foundation based on prevention, comprehensiveness, continuity, and accountability.…

Describes the Decker Family Development Center (DFDC) in Barberton (Ohio), while relating the difference that the DFDC's services has made to one poor family. Recounts the DFDC's establishment, funding, and current services (adult education, counseling for parents and children, and several types of child care services). (JB)

A discussion of the implications of health care reform for academic health centers (a complex of institutions which educate health professionals) looks at problems in the current system, the role of academic health centers in the current system, financial pressures, revenue sources other than patient care, impact on health research, and human…

Changes in retirement patterns at colleges and universities can be expected because of demographic reasons and because of federal and state legislation uncapping mandatory retirement. Institutional policies that will encourage reluctant older faculty to retire need to address the three fundamental components of successful employee retirement: (1)…

The East Coast Migrant Head Start Project, a federal grantee providing Head Start services to migrant families, has developed a continuity system to ensure that comprehensive service delivery occurs for each child and family enrolled. The system focuses on centralized and parent-held documentation, advocacy training for staff and parents, and…

Offers a social ecological analysis of health promotive environments, emphasizing the transactions between individual or collective behavior and the health resources and constraints that exist in specific environmental settings. Directions for future research on the creation and maintenance of health promotive environments also are examined. (JB)

The impact of family situations on the health of children is examined along the dimensions of (1) the growing povertization of parents who are of color; (2) health risks for children in poverty; and (3) consequences of placement in the foster care system. (SLD)

This article argues that it is essential to improve the U.S. health care system and to cut costs. If unchecked, health care costs could rise to 20% of the gross domestic product by the turn of the century, leaving substantially fewer financial resources for other costs such as education. (SLD)