Timely data on service use and needs across the lifespan are essential to developing an effective and efficient service delivery system that is responsive to developmental issues. This study uses data from one of the largest statewide surveys conducted between 2017 and 2018 to compare service use and unmet needs among individuals on the autism…

Schools are increasingly being identified as ideal settings for early intervention for anxiety and other mental health challenges; however, questions remain about whether individuals who require the most assistance will receive it in more universally applied intervention programs. This study compared targeted and universal delivery approaches of a…

Background: The U.S. health care system has been under immense scrutiny for ever-increasing costs and poor health outcomes for its patients. Comparative Effectiveness Research (CER) has emerged as a generally accepted practice by providers, policy makers, and scientists as an approach to identify the most clinical- and cost-effective interventions…

An epidemic such as diabetes is an extremely complex public health, economic and social problem that is difficult to solve through medical expertise alone. Evidence-based models for improving healthcare delivery systems advocate educating patients to become more active participants in their own care. This shift demands preparing chronically ill…

Findings from an evaluation of a model system for delivering mental health services to youth were reassessed to determine the robustness of key findings to the use of methodologies unavailable to the original analysts. These analyses address a key concern about earlier findings--that the quasi-experimental design involved the comparison of two…

The purposes of this study were to determine the state of current practice in early intervention in Finland and to compare them to American data. Professional women (N = 52), representing child care, elementary school, healthcare, and social work, completed the Families in Natural Environments Scale of Service Evaluation, a 34-item questionnaire…

The author compares and analyzes American and Taiwanese maternity care systems, discussing the history of midwifery in Taiwan; the process by which a midwife establishes her practice; and her role in childbirth, abortion, adoption, and other services. (Author/DS)

This study assessed the consistency of student health care services at Arizona State University (ASU) at Tempe to see if they were congruent with societal trends for institutions. A comparison of the health care center as it was in 1960 and in 1985 was made, and a literature review investigated how ASU parallels the general trend for health care…

Case management has become a core component in the delivery of long term care services. It is widely viewed as a mechanism for linking and coordinating segments of a service delivery system (within a single agency or involving several providers) to ensure the most comprehensive program for meeting an individual client's needs for care. Although…

Background: Population and service characteristics were compared for youth (age 0-18 years) with and without schizophrenia-spectrum disorders, who received public mental health services in Hawaii's comprehensive system of care between July 1, 2000 and June 30, 2001. Methods: Electronic records of youth with a diagnosis in the…

Provides information on the debate over using the integrated versus segregated approach as an appropriate model for the provision of services and education in care of the elderly. Presents material obtained from a comparative study conducted between a geriatric and a general hospital in Geneva, Switzerland. (Author/ABB)

Two models of the healer's role are compared: physicians and Mexican American folk healers (curanderos). Effects of culture on the delivery of health care are manifested in the protection of patient modesty, locus of control over diagnosis and treatment, and the healer's role as a cultural interpreter of therapeutic regimens. (Author/NQA)

The key concepts and methodologies of quality assurance programs used in health service delivery systems are reviewed, and it is suggested they could be readily applied to Canadian universities as a powerful administrative and curricular development tool that would define and enhance the quality of students' educational experiences. (Author/MSE)

Contracting for public services (e.g., social services, administrative functions, maintenance services, and health and security) is an attractive alternative for communities which could potentially undergo the boom/bust cycle of energy development. Typical communities surrounding new or proposed energy development projects (especially in the…

Utilizing a quality assessment methodology for ambulatory patient care currently under development by the Indian Health Service's (IHS) Office of Research and Development, comparisons were made between results derived from a pilot test in IHS service units, 2 metropolitan Health Maintenance Organizations (HMO), and 3 rural private practices.…