This paper serves as the introduction to the State Children's Cabinets and Councils Series, a set of reports intended to capture and organize the decisions and experiences of more than 20 children's cabinets and councils and present them against an emerging set of expectations about what the public and policy makers could and should expect from…

Transition is a dynamic lifelong process that seeks to meet individual needs as a person with disabilities moves from childhood to adulthood. Per laws in most states, once an individual becomes 18 years of age that person is considered an adult regardless of the level of his or her disability. Initiating planning for adult living activities and…

This study investigated the transition experiences of youth with special health care needs (YSHCN). Fifty-five YSHCN completed a phone survey, which asked about their educational and vocational goals, current health care (e.g., access to adult care providers, health insurance, medications), life experiences (exercise, doing chores, cooking, types…

Purpose: The purpose of this study was to examine racial/ethnic differences in the relationship between functional disability and the use of health care services in a nationally representative sample of older adults by using the Andersen behavioral model of health services utilization. Design and Methods: The study used 12 years of longitudinal…

This booklet offers simple descriptions of each of the long-term care services that may be available to individuals needing such care, identifies where in the community services might be located, and explains what portions of the costs for each type of service will be paid by Medicare, Medicaid or private supplementary insurance policies. This…

This paper presents data derived from the mandatory follow-up evaluation of Job Training Partnership Act (JTPA) participants for the 13-week period following termination. Data cover the first three quarters of Program Year 89, that is, persons who terminated their involvement with JTPA between July 1, 1989 and April 30, 1990. It focuses on the…

While many health plans have increased the proportion of costs borne by users, opponents to cost sharing fear that this may result in poorer health for children. The Rand Health Insurance Experiment examined this issue in a general population. Health outcomes of children in a free-care plan were compared with those of children in cost-sharing…

The National Center for Health Services Research and Health Care Technology Assessment conducted a study to examine how Americans use health care services and to determine national patterns of health expenditures and insurance coverage. Data were obtained from the National Medical Care Expenditure Survey interviews conducted with 14,000 randomly…

As with other illnesses, Acquired Immune Deficiency Syndrome (AIDS) is a socially constructed phenomenon, not simply a biological entity. Biologically, Human Immunodeficiency Virus (HIV) infection causes immunosuppression, which in turn causes a spectrum of disease states. The official definition of AIDS by the Centers for Disease Control requires…

The problems of access, adequacy, and affordability of health insurance for persons with severe chronic conditions are analyzed. Part 1 defines the target population by considering conceptual and methodological issues, and examines statistics from various national surveys. Part 2 examines the distribution of health insurance throughout the…

This report describes the activities of the United States House of Representatives Subcommittee on Health and Long-Term Care in its effort to examine abuses in the sale of nursing home insurance. Earlier Congressional studies of abuses in the sale of health insurance to the elderly are discussed as background material for the present…

Women who had no health insurance or who were enrolled in Medicaid were interviewed to determine the extent of their prenatal care. Those most likely to obtain insufficient care were the women who were uninsured, poorly educated, Black or Hispanic, or teenagers from large urban areas. Barriers to earlier or more frequent prenatal care were the…

This document presents the text of the Congressional hearing called to discuss the provision of health care services to people with Acquired Immune Deficiency Syndrome (AIDS) outside of hospitals, including home health care, hospice care, nursing home care, personal care and counseling, and other support services for patients and their families.…

The author calls for a total health care and environmental health policy to be established nationally. His concern is with improving the quality of the environment with today's technology and thereby improving the health of the population. The emphasis is on preventive health care rather than the control of illness. (MA)

This volume discusses the conceptualization and measurement of the health status of children (0 to 13 years of age) in terms of physical, mental, and social health and general health perceptions. The discussion is based on Health Insurance Study (HIS) questionnaire data collected from a sample of 8000 people (enrolled in one of the HIS insurance…