Outlines the history of Federal involvement in the improvement of child and maternal health. Argues that despite tremendous advances, access to health care remains a problem for many and that to maintain required levels of preventive health services for children and mothers, constant vigilance is needed. (CMG)

This paper extends and further validates the quality-of-life/community-healthcare model and measures developed by Rahtz and Sirgy (2000). The quality of life (QOL) model is based on the theoretical notion that community residents' satisfaction with healthcare services available within their community affects community quality of life and life…

Previous studies report geographic variation in the use of home care services. In the province of Manitoba, home care is a core service that Manitoba's twelve regional health authorities (RHAs) are obligated to deliver. Manitoba's RHAs range from remote northern and rural southern regions to a major city, resulting in different challenges for…

Understanding the origins of racial health disparities is currently a central focus of health-oriented funding agencies and the health policy community. In particular, the role of genetics in the origin of racial health disparities is receiving growing attention and has been susceptible to considerable misinterpretation. In this article, the…

Context: Many rural elders experience limited access to health care. The majority of what we know about this issue has been based upon quantitative studies, yet qualitative studies might offer additional insight into individual perceptions of health care access. Purpose: To examine what barriers rural elders report when accessing needed health…

The School-Based Mental Health Program's goals are to identify at-risk children, reduce ineffective functioning of at-risk children, provide social service interventions, increase effective parenting skills, help families access community resources, and support mental health education. The program was designed to develop a comprehensive,…

Comments on an article by Dunst and Bruder. Service coordination was supposed to be one of the major jewels in the legislative crown for young children with disabilities and their families. The authors have cast their experienced eyes on the heart of the matter, which is the models of service coordination that sprang to life almost immediately…

Context: Rural elderly patients are faced with numerous challenges in accessing care. Additional strains to access may be occurring given recent market pressures, which would have significant impact on this vulnerable population. Purpose: This study focused on the practice patterns and future plans of rural Florida physicians who routinely see…

Teenage pregnancy has become a major policy issue, for which young people are often publicly held solely responsible. However, a combination of factors substantially increases the risks of conception faced by young people engaging in early sexual activity. This article reports the main findings of a study of teenage pregnancy in linked seaside and…

Young people with comorbid disorders (coexisting mental health and substance use disorders) present with particular issues that can be difficult for service providers, and for the community as a whole, to respond to. They tend to fall between the cracks of mental health services and substance use services, with the outcome often being ineffective…

This document contains the two volumes of the Conference Edition of Healthy People 2010, a comprehensive, nationwide health promotion and disease prevention agenda. The first section of Volume I, "Healthy People 2010: Understanding and Improving Health," includes "Introduction,""Leading Health Indicators," and…

In Nepal, the estimates of the prevalence of disabilities vary, and there is sparse information specifically about people with intellectual disabilities (ID). Existing data suggest higher rates of prevalence of ID in the more remote northern area due to use of non-iodized salt, lack of health facilities, and extreme poverty. Superstitious beliefs…

Dental disease restricts activities in school, work, and home, and often significantly diminishes the quality of life for many children and adults, especially those who are low income or uninsured. Noting that dental caries (tooth decay) is the most common preventable chronic childhood disease, this Kids Count issue brief considers the extent to…

This report responds to a California Senate directive to the state's postsecondary education commission to examine the extent to which health care is accessible and equitably distributed throughout the state. The Commission, in conjunction with several state agencies and the University of California, conducted an analysis and offered 11…

Studies the experiences of gay and lesbian seniors and their families in accessing a broad range of health and social services in the community. Results reveal that specific reference was made to the impact of discrimination on the health and access to health services of these populations. Recommendations for change are highlighted. (Contains 71…