Patient-and family-centered care (PFCC) is a partnership among healthcare professionals, patients, and families that is grounded in mutual respect and is an approach that impacts delivery of care, decision-making, and information sharing. PFCC should be implemented for all, including individuals with Autism Spectrum Disorders (ASD), who experience…

As medical and surgical advances improve, more young adults with congenital heart disease (CHD) are attending college. This case study illustrates some of the issues that these young adults may face as they attend college and discusses the role that college health practitioners can play in easing that transition. Participants: A case of a male…

Physicians are the influential force in the complex field of patient care delivery. Physicians determine when and where patient healthcare is delivered and affect 80% of the money spent on it. Computerized systems used in the delivery of healthcare information have become an integral part that physicians use to provide patient care. This study…

Purpose: This article describes a strategy for rural providers, communities, and policy makers to support or establish accountable care organizations (ACOs). Methods: ACOs represent a new health care delivery and provider payment system designed to improve clinical quality and control costs. The Patient Protection and Affordable Care Act (ACA)…

Independent academic medical centers (IAMC) are challenged to develop and support a research enterprise and maintain primary goals of healthcare delivery and financial solvency. Strategies for promoting translational research have been shown to be effective at institutions in the top level of federal funding, but not for smaller IAMCs. The…

This dissertation studies two specific topics on information technologies in health care industry. (1) The status and change of integrated health care delivery system level IT spending and hospital level IT adoption between 1999 and 2006. (2) The potential link between hospital level IT adoptions and quality as quantified by procedural performance…

Physicians have acknowledged information technology (IT) efficiency and now utilize it in their professional practice and patient management. The benefits of IT within the health care environment has received academic attention, however existing literature currently pertains to limited areas, including the financial effects of telemedicine…

Among 10 principles arising from a symposium on health services for mentally retarded persons in the community are the need for: multiple options for health care delivery; a stable primary care "medical home"; a health care network; presence of resource centers for specialty care; and establishment of a health care clearinghouse. (DB)

The article reviews emerging health care delivery options for handicapped children. Cost structures, quality of care, and future prospects are considered for Health Maintenance Organizations, Preferred Provider Organizations, Tax Supported Direct Service Programs, Hospital-Based Services, and Ambulatory Care Organizations. (Author/DB)

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…

The proceedings published in the document are the outcomes from a conference to consider the role of professional nursing in relation to health maintenance organizations (HMOs) as one possible way to improve health care delivery. Emphasis is placed on strategies underlying the HMO concept and reviewing and extending understanding of factors which…

In response to the growing need to provide health and social services to rural America, the conference addressed the political, economic, and social issues involved in providing appropriate health and social services to rural residents. A cadre of individuals from various disciplines presented alternatives and solutions to these issues. This…

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 bibliography cites genetics literature identified during a project to investigate the issue of accessibility to genetics services through the reimbursement process. Citations represent both traditional published literature and such "fugitive literature" as unpublished manuscripts, government documents, service provider protocols, and health…

This literature review analyzes 47 studies and reports on the type and range of medical care, resources, and support services needed to maintain individuals with mental retardation in the community; health-related outcomes; barriers to the provision of community-based medical services; and availability and access to services. (Author/JDD)