During the fiscal year that ended June 30, 1913, the field force of the Alaska school service consisted of 5 superintendents, 109 teachers, 11 physicians (1 of whom also filled another position), 9 nurses, and 3 hospital attendants. Seventy-seven schools were maintained, with an enrollment of 3,563, and an average attendance of 1.797. This…

Residents in family practice sponsored by the State University of New York at Buffalo School of Medicine and Deaconess Hospital select a rotation to fulfill a community-university service requirement. The program was designed to involve residents in giving health care in Buffalo and western New York, where there is a physician shortage. (JMD)

A University of North Carolina study using focus groups of dentists and patients found dentist-patient interactions play an important role in treatment decision-making, and are predicated on non-clinical factors, including dentists' intuition and judgment and patient impressions of dentists' examination styles, personalities, and interpersonal…

Notes that successful inclusion of children with chronic conditions in child-care facilities requires planning and care. Outlines what chronic conditions are and what they mean for the child and his or her family, the importance of working with the family to create a family-centered program, and individualizing a program to meet a child's needs.…

Discusses the current environment in which health information is disseminated. Topics addressed include health information versus patient education; a model for examining delivery of consumer health information; the role of library professional associations; national libraries; public libraries; hospital libraries; academic health sciences…

Asserts that, if current demographic trends continue, 25% of Canada's population will be 65-years old or older by the year 2031. Discusses the impact of these trends on public spending, health care, and other public policies. Concludes that sound planning and judicious use of resources can help prevent any compromises. (CFR)

Describes an underserved rural community in which health care initiatives increased access to comprehensive care. Over a 3-year period, increased accessibility to maternal and child health care also increased use of preventive services, thus decreasing emergency room visits and hospitalizations as well as low birth weight, risk of congenital…

Reviews common financing strategies for school-linked services, and suggests that the fiscal strategy for building integrated school-linked services involves supplementing new core program funding with redirected existing sources and increasing use of Medicaid funds. There is no single approach to financing these services. (SLD)

Identifies health risks and other factors that determine the need for health care services among children and adolescents. Recommendations are made to develop reforms through a coordinated care program rather than through competing systems of services. Models for community-based health care monitoring and coordination exist in other industrialized…

Reviews evidence about health care resources currently available to children and pregnant women in the United States. Evidence suggests that the maldistribution of resources remains a serious threat to health care access for women and children at greatest risk of adverse pregnancy outcomes and child morbidity and mortality. (SLD)

Describes the coordination of health and human services from sites within schools. Discusses funding trends and the following proposed strategies: (1) case management; (2) networking; (3) "one-stop" services; and (4) administrative consolidation. Discusses steps for advocacy, leadership, participation, and funding at the policy and local…

Focuses on rural service delivery issues common to special education, school psychology, and mental health and outlines training-related solutions. Cautions against simplistic dichotomy of rural versus urban service delivery and professional isolationism. Recommends five skill categories for rural training: generalist training, personal and…

Group discussions on physical, sexual, and emotional child abuse and neglect, which took place at the "Child Protection for the 21st Century Conference," are summarized. The discussions noted practices that should be preserved and those requiring change in law/law enforcement, mental health, medicine/nursing, social work, and prevention and…

Reviews the following health issues related to the opportunity to learn for poor African-American and other minority children: (1) inadequate prenatal care; (2) malnutrition; (3) childhood diseases and illnesses; (4) unsafe environments and violence; (5) teenage sexual activity, pregnancy, and AIDS; (6) substance use and abuse; and (7) mental and…

Examines the current health and well-being of adolescents around the world. Considers the implications for adolescent health and well-being in the twenty-first century of societal trends, including growing poverty and income disparities, the changing health care system, increased migration and urbanization, and new information technology.…