Background: Pediatric mental health issues are increasing while access to care is decreasing. This is reflected in a growing number of patients seeking emergency psychiatric evaluations (EPEs) in the emergency department (ED). Methods: This was a retrospective review of patients seeking EPE in the ED of a children's hospital between September and…

The purpose of this study was to determine the degree of manpower complementarity and substitutability of different qualities of labor, the causes of manpower substitution, and the implications of such substitution for the quality of hospital services. The New York City voluntary and municipal hospital systems were chosen for the analysis because…

This report assesses how the loss of Medicaid coverage following welfare reform has influenced changes in health care systems for immigrants in four urban areas: Los Angeles, California; New York, New York; Houston, Texas; and Miami, Florida. Survey data indicate that over half of low-income immigrants were uninsured in 1998, a level roughly…

Prepaid group practice as a concept for providing health care is now over 25 years old in the nation and in New York City. It has overcome initial opposition by the medical profession and has been adopted by government as a healthy strategy under the acronym HMO or "Health Maintenance Organization". The author asserts that on two major…