Population-adjusted indirect comparison (PAIC) is an increasingly used technique for estimating the comparative effectiveness of different treatments for the health technology assessments when head-to-head trials are unavailable. Three commonly used PAIC methods include matching-adjusted indirect comparison (MAIC), simulated treatment comparison…

Low-risk infants discharged from a neonatal intensive care unit (NICU) can include infants whose stay was due to late-term prematurity, suspicion of sepsis, breathing issues, and/or feeding challenges. This study aimed to identify the degree to which sociodemographic and medical factors contribute to low-risk NICU graduates being accepted into…

Objective: The availability of cervical cancer prevention services at college health centers was compared between historically black colleges and universities (HBCUs) and non-HBCUs. Methods: Four-year, non-primarily distant learning colleges, matching HBCUs with randomly selected non-HBCUs within the same states (N = 136) were examined. Data were…

With one of the world's most comprehensive universal healthcare systems, medical tourism in Costa Rica has increased significantly over the past few decades. American tourists save up to 80% of comparative costs for procedures, from heart surgery to root canal treatment. Although many Costa Rican healthcare professionals receive training in North…

The purpose of this study was to employ complexity theory as a theoretical framework and technology to facilitate the development of a life-long learning model for non-working time in the interdependent homes for adults with Autism Spectrum Disorders (ASD). A "Shining Star Sustainable Action Project" of the ROC Foundation for Autistic…

Using a representative national sample (N = 20,745), this article explores health and mental health needs, service use, and barriers to services among sexual minority youths (SMYs) and heterosexual peers. SMYs were defined by ever having a same-sex romantic attraction or having a recent same-sex romantic relationship or sexual partner. SMYs…

Background: There is evidence that persons with an intellectual disability (ID) face barriers to primary care; however, this has not been extensively studied at the population level. Rates of hospitalisation for ambulatory care sensitive conditions are used as an indicator of access to, and quality of, primary care. The objective of the study was…

The cost effectiveness of four physician extenders and five family physicians was examined in a university health clinic. Physician extenders were as economical as physicians in the Family Practice Clinic and much more economical in the Student Health Clinic. (JMF)

Purpose: To examine the barriers and difficulties experienced by rural families of children with special health care needs (CSHCN) in caring for their children. Methods: The National Survey of Children with Special Health Care Needs was used to examine rural-urban differences in types of providers used, reasons CSHCN had unmet health care needs,…

Analysis of the study's data produced a typology of five functional categories formed on the basis of the community nurse practitioner's (CNP) primary activity, clientele, focus, decision-making, and work sites. The authors believe the typology is a beginning point for describing CNP practice in terms of specialization and generalization. (AJ)

Treatment of uncomplicated urinary tract infections (UTIs) has changed in the past few years with researchers advocating empiric treatment for shorter periods of time without the use of cultures. Researchers report that antibiotic resistance of Escherichia coli (E coli) to commonly prescribed antibiotics in uncomplicated UTIs has been increasing.…

Objectives of the project were to identify and describe problem areas and policy issues confronting health manpower planning agencies at all levels, compile an inventory of models and evaluate their usefulness, and to evaluate the potential usefulness of two models (developed under contract to the Bureau of Health Resources Development) designed…

An assessment of the demographic, health status, and health care use characteristics of the patients at hospital- and community-based health care centers at one family practice residency location is used to examine the effects these differences may have on resident training. It was found that neither site is clearly preferable for training. (MSE)

ALTHOUGH ONLY 36 PER CENT OF OUR POPULATION LIVE IN RURAL AREAS, 52 PER CENT OF OUR POOR RESIDE THERE. RURAL INFANT MORTALITY AND RURAL DEATHS FROM INFECTIOUS DISEASES ARE MUCH HIGHER THAN THE NATIONAL AVERAGE, AND RURAL MIGRATORY FARM WORKERS HAVE SIMILARLY HIGH MORTALITY RATES. RURAL AREAS HAVE SUBSTANTIAL SHORTAGES IN ALL HEALTH SERVICES.…

Purpose: We estimated the effect of a voucher benefit on the demand for personal assistance by Medicare beneficiaries aged 65 years or older who had functional disabilities. Design and Methods: We performed a secondary data analysis on 645 Medicare beneficiaries from the Medicare Primary and Consumer-Directed Care Demonstration (a randomized…