These hearings examine ways of ensuring access to quality health care, especially for low-income persons ineligible for Medicaid. The problems of determining who the economically disadvantaged are, what services they are provided with, and how those services are provided and financed are all addressed. An Urban Institute researcher testifies that…

Differentials in the use of preventive health care were investigated for a sample of 123 rural white, urban white, and urban black infants from data reported by their mothers. The data were compared on two measures of preventive care: immunization records and frequency of well checkups. Immunization scores were highest for urban white children,…

This guide for providers of day care services presents information on business regulations and other legal considerations affecting for-profit and not-for-profit day care programs. Three basic topics covered are: (1) choosing the type of organization (sole proprietorship, partnership or corporation), (2) forming the organization, and (3) operating…

Addressing American Indians and the Indian Health Service (IHS), this report focuses on the process of Indian involvement and self-determination in health, emphasizing improvement of the effectiveness and responsiveness of Indian health services. Data derived from written documents, statistical figures, and personal interviews with over 200 people…

The purpose of this book is to provide useful information about the components of quality health care and to suggest ways for the consumer to find and avail himself of the best care possible. The following subjects are covered, including brief histories of sociological background and suggestions on how to judge competency: (1) physicians,…

Understanding the health literacy of America's adults is important because so many aspects of finding health care and health information, and maintaining health, depend on understanding written information. Many reports have suggested that low health literacy is associated with poor communication between patients and health care providers and with…

Noting that investments in children are often the first casualties of lean state budgets, this advocacy "toolbox" offers information on the most pressing needs of New Hampshire children and on effective solutions. The toolbox begins with information on advocacy and characteristics of an effective child advocate; specifically, an…

This report examines the prevalence and severity of health problems that hinder welfare recipients' ability to get and hold jobs, using data from interviews with women who in May 1995 received welfare and lived in four poor, urban areas. The study compared the health of women who had left welfare and were working, who combined welfare and work,…

This Wiskid special report, the third in a series focusing on areas of child well-being in Wisconsin, focuses on issues related to childrens mental health. The first part of the report features the following articles: (1) Infant Mental Health: From Parenting to Policymaking (Raquel L. Reyes), introducing the concept of infant mental health and…

On March 18-19, 2002, over 1,200 women entrepreneurs from America convened in Washington, D.C., for an interactive conference. Hundreds of others participated via satellite. Delegates participated in workshops, panel discussions, and interactive voting sessions and heard presentations. Workshops focused on access to capital, trade, health…

This paper explains recent changes in the Supplemental Security Income (SSI) program that affect adolescents with disabilities or chronic health problems. Changes include the SSI work incentives available to them, how they can maintain access to quality health care and benefits during their transition years, and key issues in transition planning.…

This paper examines key steps in the integration of school-based health centers in Massachusetts into managed care and describes the administrative and clinical impact of these relationships. Strategies include enhancing communication between SBHCs and health maintenance organizations, standardizing school-based care, and mandating integration of…

This article comments on a study that found children (ages 0-3) who were disadvantaged, from minority groups, or without health insurance were 2 to 30 times more likely to have unmet health care needs. The "medical home" philosophy is discussed, in which medical care is accessible, comprehensive, and family centered. (Contains 8 references.) (CR)

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…

Objective: This study examined African American college students' perceptions of psychosocial factors that influence racial disparities in health. Methods: We conducted focus groups in two Alabama Black Belt Counties from June to August 2005. Data were collected using a standardized discussion guide, augmented by prompts for clarification.…