In Washington, D.C., the vast majority of children have health insurance. Yet District children often lack sufficient access to medical care and face significant health threats from chronic conditions and risk factors such as exposure to violence in schools and neighborhoods. These findings emerged from an assessment of children's health in…

Purpose: The purpose of this article is to explore how medical care is delivered to older people in assisted living (AL) settings and to suggest ways for improving it. Design and Methods: We present a review of the limited research available on health care for older AL residents and on building testable models of better ways to organize primary…

This document contains witness testimonies and prepared statements from the Congressional hearing called to examine issues involved in maintaining and strengthening Medicare Health Maintenance Orgranizations (HMO). Opening statements are included from Representatives Edward Roybal, Matthew Rinaldo, Mario Biaggi, Don Bonker, Robert Borski, Louise…

Notes that health maintenance organizations (HMOs) provide large volume of health care services to older Americans. Contends that HMOs must reexamine general practice of equating utilization of services with health care need and collect better population-based information, including measures of health status. Discusses data elements widely…

This document presents witnesses' testimonies and related materials from the Congressional hearing called to consider how the federal government can better meet the health needs of the homeless. Opening statements are included from Congressmen Henry Waxman, Ron Wyden, and Gerry Sikorski. Witnesses providing testimony include Robert Gallagher and…

This document contains a report on state and local emergency medical services programs. It discusses the effect of the transition from federal to state leadership under the block grant and identifies the key issues affecting local delivery of services. The report includes an executive summary and five chapters. Chapter 1 discusses emergency…

This document contains the text of a Senate hearing on barriers to health care for the chronically mentally ill. Senator Orrin Hatch discusses the history of health care for the mentally ill and the changing role of the federal government, and Senator Edward Kennedy summarizes legislation initiated for the chronically mentally ill. The…

The purpose of this report is to identify the physical and emotional health needs of the Indochinese refugees; to describe the efforts being made to respond to these needs both in the United States and overseas; to discuss the complications that still exist in the physical and mental health care delivery systems for refugees; and to assess…

Problems encountered in medical education and its administration are examined in this speech before the Association of American Medical Colleges, and solutions are suggested that involve professional cooperation and cognizance of the physician-patient relationship. (LBH)

Interviewed 44 women who did not obtain prenatal care. Identified four categories of reasons for nonuse: women's lifestyles differed from mainstream; stressful events took priority over prenatal care; women attempted to receive care but were discouraged, turned away, or given poor information by service delivery system personnel; and women did not…

The booklet explains ten principles of family-centered health care and six components of community based programs for children with significant medical problems. The principles are: The child and the family have basic rights of self-determination and autonomy. Health care services should be family oriented and maximize family control. Service…

Asserts that in reviewing the latest available comprehensive document on the health of Americans, "Health United States 1975", it is clear that the current health of black Americans continues to lag far behind that of their white counterparts. In fact, in some categories there is strong evidence of actual mistreatment of blacks. (Author/JM)

The Geriatric Assessment Unit (GAU), which has proven successful in urban areas, may be a viable system for providing health care to the elderly in rural areas. GAUs engage in assessment, follow-up response to findings, education, and research. The assessment component includes, at minimum, physical health, functional ability in activities of…

On August 1, 1972, the Subcommittee heard testimony on bill S. 3762 which would extend the program for health services for domestic agricultural migrant workers. The bill would extend the migrant health program for 5 years, with $100 million authorized for fiscal year 1973 and a $25 million increase for each of the following years. S. 3762…

Sexism in women's health care has received increasing attention through the women's movement. Many alternative efforts at reform have been targeted to women in their reproductive years, but the older woman has not had similar efforts designed to alter her situation. A Senior Health Center was established by one community hospital to provide…