Summarizes efforts by state governments to regulate managed care and examines the various actions that states have initiated to credential managed care plans that desire to provide care for Medicaid beneficiaries. In the long run, organizations other than state regulatory agencies may be better equipped to regulate managed care. (SLD)

Preliminary results from the Health Care Reform Tracking Project's baseline survey and site visits to 10 states show that managed care has generally improved access to health care for children, but it has made it more difficult for youths with serious emotional disorders, and uninsured children, to obtain care. (SLD)

Reviews the basic decisions states must make when implementing State Children's Health Insurance Program (CHIP) programs and reports on the decisions states participating in this federal program have made, as reflected in the plans they submitted to the Health Care Financing Administration. Sources of information about the program are included.…

As one of a series of topic papers assessing federal laws and programs affecting persons with disabilities, this paper describes the major components of a comprehensive program to prevent disabilities, including programs to maximize health care, programs to maximize educational growth and sound psychological development, and programs for public…

One of six information booklets with accompanying training materials for the Medicaid Early and Periodic Screening Diagnosis and Treatment (EPSDT) program, this booklet describes the stages of child growth and development and some of the health problems which EPSDT clients might have. Section I describes tests commonly included in an EPSDT…

A description of "barefoot doctors" in the People's Republic of China is presented. These peasant doctors are commune workers who have taken basic courses in medical treatment. Because 80% of the population lives in a rural agricultural setting, and because most doctors and medical services are located in cities, there is a serious need…

In June 1975, 53 men and 56 women living on commercial farms in Northumberland County, Pennsylvania were interviewed regarding their behaviors, beliefs, and attitudes related to preventing cancer and coronary heart disease. Respondents represented about 23% of all adults living on commercial farms in the county. A commercial farm was defined as…

From a population of 117 adult residents of Elkland Borough formerly interviewed in August 1974, 72 cases were chosen. Of these, 57 persons (43 women and 14 men) were reinterviewed in March 1976 as to their behaviors, beliefs, and attitudes related to preventing cancer and coronary heart disease. The age and sex of those interviewed were compared…

The inadequacy of available tests for predicting developmental disabilities in low income, minority group children; the necessity for assuring confidentiality and avoiding labeling; and a lack of personnel, facilities and funds all proved to be obstacles to early and periodic screening, diagnosis and treatment. (Author)

The author describes a comprehensive health services program of treatment health education and vigorous follow-up designed to meet the needs of primarily low-income, minority children (k, 3-6) in Harlem. (MB)

The six issues of Wilderness Medicine Newsletter published in 2000 provide medical and rescue information for the nonphysician in remote wilderness areas. Feature articles include: "Lions & Tigers & Bears, Oh My!" (wildlife precautions) (Jeanne Twehous); "Calamity in the Unroofed Temple" (collapse of a famous snow arch) (Nicholas Howe);…

Immunization records and frequency of checkups for urban and rural infants were investigated to determine differential patterns of preventive medical services use. Urban children scored highest in preventive care, rural children lowest. Conditions affecting scores included mother's educational level, type of medical service used, and child's place…

Acceptance of adult roles by children increases "adult injuries," notably broken bones from sports. Suggests camp administrators be familiar with clientele, particular sports, and the kinds of injuries that generally result in each. Discusses children's age, types of sports, and other factors that come into play when anticipating and treating…

This article discusses ethical questions in providing prenatal services, including testing and genetic engineering, and medical interventions with neonates and other very young children who have severe disabilities. It explores ways to enhance ethical decision making, including recruitment for multidisciplinary teams or other committees of adults…

Addresses and team reports from an inter-regional seminar which examined aspects of primary health care in China are presented. Background information about the seminar is given along with an introduction to rural health services in China. The report considers four key issues: China's three-level health care network; involvement of the people;…