Individuals with Limited English Proficiency (LEP) are disproportionately affected by disparities in the United States (U.S.) healthcare system due to medical miscommunications, misdiagnoses, and treatment errors. The purpose of this commentary is to provide an overarching social-ecological perspective on how to enhance patient-centered…

Purpose: This article offers a critical response to Kamhi's (2011) essay regarding the need to balance certainty and uncertainty in evidence-based practice (EBP). Method: Points of concordance and discordance (counterpoints) between Kamhi's essay and the author's frames of reference were considered. Results: In agreement with Kamhi, a major role…

Purpose: In this article, I question how practitioners can balance the certainty and confidence that they can help their patients with the uncertainty that makes them continually question their beliefs and assumptions. Method: I compare the mechanisms of science and models of clinical practice that may help practitioners achieve the right balance…

Describes a research model designed to investigate the shift in the care delivery site from the acute care institution to the home and community. Transitional care may soon become familiar jargon in community health care. (JOW)

Contends that, when addressing health care issues, President Clinton will face the same decision-making climate social workers in health care experience every day. Calls for examination of models of decision making that dominate health care. Considers rational, bureaucratic, and political models, then looks at decision making in health care at the…

This article discusses the role that university health centers and schools of public health can play in bolstering a community's capacity to solve its own health and human service problems, reviewing specific strategies and models that institutions can implement in partnership with local communities. (MDM)

Recommends directions for American Indian health-related research, including a national baseline study examining regional differences in Indian health beliefs, attitudes, and behavior; introduction of social conservation models that draw on critical cultural and life circumstances; and investigation of relationships among quality of care, health…

Advocates that health-care ethics should start with a knowledge of moral reality based on experience, with patterns of moral behavior expressed not in principles, but in models, images, stories, myths, and paradigms. Notes that this approach offers a rich potential for exchange and collaboration between ethical and communication theories. (SR)

These guidelines were developed to assist Connecticut school personnel to strengthen collaborative efforts among families, educators, and health professionals to provide effective programs for students with special health care needs. The guidelines assist in identifying appropriate services and service providers and in planning the support…

Discusses "health psychology," a movement to integrate health and mental health services, using vehicles from traditional mental health services. Describes examples of cost-effective mental health services in health care delivery and offers potential models for integration. (Author/ABB)

Many studies examining health service utilization by older adults involve secondary analyses of existing data sources and rely on behavioral model of health services utilization. Suggests that severe shortcomings in breadth and depth of available data, and numbers of intervals at which data have been recorded, limit understanding of health…

This article provides comments on an article by Dunst and Bruder. Families, practitioners, researchers, and policy makers have been involved with federal and state-funded early intervention programs for children with disabilities and special health care needs for a very long time. The authors have provided valuable information to lay a stronger…

One pressing issue in health care delivery is that the system is not organized to serve people from different ethnocultural communities. Based upon investigations of the management of chronic illness by first-generation Canadian women, proposes a transformative model for counseling which acknowledges the wisdom of women is proposed. (Author/EMK)

This paper examines the many assertions made in the health communication literature about the importance of communication as an essential process in promoting effective health care. If these assertions are true then researchers should be able to demonstrate the ways that communication influences the accomplishment of health care goals--how…

Presents a reaction to Cooper and Gottlieb's (this issue) article titled, "Ethical Issues with Managed Care: Challenges Facing Counseling Psychology." Challenges that many issues addressed by Cooper and Gottlieb have been longstanding in the profession. Argues against the belief that the managed care environment is fraught with more ethical…