text:
Indian Health Trends and Services. 1974 Edition.
National Technical Information Service (NTIS)
Trends and information about the demographic characteristics and health status of American Indians and Alaskan Natives are summarized. Natality and morbidity statistics used in this report, compiled by the Indian Health Service, are based on the 85 percen...
Indian Health Trends and Services, 1974 Edition.
ERIC Educational Resources Information Center
The American Indian Health Service (AIHS), subsidiary of the Department of Health, Education, and Welfare, is dedicated to elevating the health status of Indian and Alaskan Native peoples by: developing modern health facilities; encouraging Indian acquaintance with and participation in existing programs; being responsive to the concept of…
Public Health Service (DHEW), Washington, DC. Div. of Indian Health.
Indian Health Trends and Services.
Current and trend information on the demographic characteristics and health status of American Indians and Alaska Natives is presented. The book contains vital event data complete through calendar year 1975, notifiable disease data complete through calend...
Environmental assessment of the Indian health service.
The Indian Health Service (IHS), an agency within the U.S. Department of Health and Human Services, was responsible for providing federal health services to 1.51 million American Indian and Alaska Natives in 2000. Several opportunities related to health care exist for the IHS: potential public and private collaborations, continuation of the Clinton Administration's legacy of meaningful tribal consultation, and increasing the numbers of American Indian physicians, nurses, and other health related professionals. Modifications in federal programs such as Medicare and Medicaid pose a serious threat to the IHS because the IHS relies on these programs to offset the overall lack of funding. This article provides a framework for identifying the ways in which the external environment affects and determines the IHS' strategic responses to ensure competitiveness within the U.S. health care market. Value chain analysis will be used to evaluate the competitive advantages and disadvantages of the current IHS internal environment. PMID:16292006
Rivers, Patrick A; Fottler, Myron D; Parker, Myra
Indian Health Service: A Comprehensive Health Care Program for American Indians and Alaska Natives.
Comprehensive health care (preventive, curative, rehabilitative, and environmental) for more than 930,000 eligible American Indians and Alaska Natives is the responsibility of the Indian Health Service (IHS). Since 1955, this agency of the U.S. Public Health Service has made notable progress in raising the health status of Indians and Alaska…
Indian Health Service (PHS/HSA), Rockville, MD.
Indian Health Service Basic Series, Diabetes Curriculum.
Contents: Diabetes and American Indians; Diabetes and American Indians; Using the Health Care System; Diabetes and Your Feelings; Body Weight and Diabetes; Eat Less Food; Eat Less Sugar; Eat Less Fat; Complications; What is Home Blood Glucose Monitoring; ...
Access to Mental Health Services at Indian Health Service and Tribal Facilities.
The objective of this document is to determine the extent to which American Indians and Alaska Natives (AI/AN) have access to mental health services at Indian Health Service (IHS) and tribal facilities. A member of Congress expressed concern about AI/ANs'...
Indian Health Service, Hospital, Tuba City, Arizona.
Construction is proposed of a 125 bed general medical and surgical hospital at Tuba City, Arizona, to provide a comprehensive health program for 16,000 Navajo and Hopi Indians. The salient impact will result from a population concentration at Tuba City. T...
77 FR 11558 - Request for Public Comment; 60-Day Proposed Information Collection: Indian Health Service; Loan...
Federal Register 2010, 2011, 2012, 2013
...DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Request for Public...60 days of the date of this publication. Dated: February 13, 2012. Yvette Roubideaux, Indian Health Service Director. [FR...
77 FR 67657 - Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service (IHS...
...DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Request for Public...30 days of the date of this publication. Dated: November 6, 2012...Roubideaux, Director, Indian Health Service. [FR Doc....
78 FR 7436 - Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service...
...DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Request for Public...30 days of the date of this publication. Dated: January 23, 2013...Roubideaux, Director, Indian Health Service. [FR Doc....
77 FR 27467 - Proposed Information Collection; Request for Public Comment: Indian Health Service Loan Repayment...
...DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Proposed Information...30 days of the date of this publication. Dated: May 4, 2012. Yvette Roubideaux, Director, Indian Health Service. [FR Doc....
78 FR 2412 - Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service Forms...
...DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Request for Public...30 days of the date of this publication. Dated: December 27, 2012...Roubideaux, Director, Indian Health Service. [FR Doc....
78 FR 19721 - Request For Public Comment: 60-Day Proposed Information Collection: Indian Health Service Medical...
...DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Request For Public...60 days of the date of this publication. Dated: March 26, 2013...Roubideaux, Director, Indian Health Service. [FR Doc....
78 FR 36198 - Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service Medical...
...DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Request for Public...30 days of the date of this publication. Dated: June 10, 2013...Acting Director, Indian Health Service. [FR Doc....
77 FR 69865 - 60-Day Proposed Information Collection; Request for Public Comment: Indian Health Service...
...DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service 60-Day Proposed Information...60-days of the date of this publication. Dated: November 9, 2012...Roubideaux, Director, Indian Health Service. [FR Doc....
75 FR 16139 - Request For Public Comment: 30-Day Proposed Information Collection: Indian Health Service Medical...
...DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Request For Public...30 days of the date of this publication. Dated: March 19, 2010...Roubideaux, Director, Indian Health Service. [FR Doc....
Indian Health Service: Increased Oversight Needed to Ensure Accuracy of Data Used for Estimating Contract Health Service Need.
The Indian Health Service (IHS), an agency in the Department of Health and Human Services (HHS), provides health care to American Indians and Alaska Natives. When care at an IHS-funded facility is unavailable, IHS's contract health services (CHS) program ...
77 FR 50128 - Office of Direct Service and Contracting Tribes; National Indian Health Outreach and Education...
...DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service [Funding...between the Department of Health and Human Services (HHS) and Tribes and Tribal...S. Department of Health and Human Services Tribal Budget and Policy...
The Indian Health Program of the U.S. Public Health Service.
As reported in this publication, about 410,000 Alaskan Indians, Eskimos, and Aleuts receive a full range of curative, preventive, and rehabilitative health services--including hospitalization, outpatient medical care, public health nursing, maternal and child health care, dental and nutrition services, and health education. The U.S. Public Health…
Public Health Service (DHEW), Arlington, VA.
42 CFR 431.110 - Participation by Indian Health Service facilities.
Code of Federal Regulations, 2013 CFR
...Indian Health Service facilities. 431.110 Section 431.110 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS STATE ORGANIZATION AND...
The hospital project involves replacement of the existing 75-bed General Medical and Surgical (GM and S) hospital with a 125-bed GM and S hospital, with increased outpatient clinics, adjunct services, and supportive elements in order to provide a comprehe...
77 FR 60129 - 60-Day Proposed Information Collection: Indian Health Service Forms To Implement the Privacy Rule...
...DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service 60-Day Proposed Information...60 days of the date of this publication. Dated: September 20, 2012...Roubideaux, Director, Indian Health Service. [FR Doc....
Studies in Ambulatory Care Quality Assessment in the Indian Health Service. Volume III: Comparison of Rural Private Practice, Health Maintenance Organizations, and the Indian Health Service.
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.…
Nutting, Paul A.; And Others
42 CFR 489.29 - Special requirements concerning beneficiaries served by the Indian Health Service, Tribal health...
...Indian organization health programs. 489.29 Section 489.29 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION PROVIDER AGREEMENTS AND...
75 FR 3906 - Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service...
...IHS Office of Environmental Health and Engineering (OEHE...leaders, system operators, health boards, and community members...30 days of the date of this publication. Dated: January 14, 2010...Roubideaux, Director, Indian Health Service. [FR Doc....
Racial misclassification of american indians and alaska natives by Indian health service contract health service delivery area.
Objectives. We evaluated the racial misclassification of American Indians and Alaska Natives (AI/ANs) in cancer incidence and all-cause mortality data by Indian Health Service (IHS) Contract Health Service Delivery Area (CHSDA). Methods. We evaluated data from 3 sources: IHS-National Vital Statistics System (NVSS), IHS-National Program of Cancer Registries (NPCR)/Surveillance, Epidemiology and End Results (SEER) program, and National Longitudinal Mortality Study (NLMS). We calculated, within each data source, the sensitivity and classification ratios by sex, IHS region, and urban-rural classification by CHSDA county. Results. Sensitivity was significantly greater in CHSDA counties (IHS-NVSS: 83.6%; IHS-NPCR/SEER: 77.6%; NLMS: 68.8%) than non-CHSDA counties (IHS-NVSS: 54.8%; IHS-NPCR/SEER: 39.0%; NLMS: 28.3%). Classification ratios indicated less misclassification in CHSDA counties (IHS-NVSS: 1.20%; IHS-NPCR/SEER: 1.29%; NLMS: 1.18%) than non-CHSDA counties (IHS-NVSS: 1.82%; IHS-NPCR/SEER: 2.56%; NLMS: 1.81%). Race misclassification was less in rural counties and in regions with the greatest concentrations of AI/AN persons (Alaska, Southwest, and Northern Plains). Conclusions. Limiting presentation and analysis to CHSDA counties helped mitigate the effects of race misclassification of AI/AN persons, although a portion of the population was excluded. PMID:24754617
Jim, Melissa A; Arias, Elizabeth; Seneca, Dean S; Hoopes, Megan J; Jim, Cheyenne C; Johnson, Norman J; Wiggins, Charles L
Racial Misclassification of American Indians and Alaska Natives by Indian Health Service Contract Health Service Delivery Area
PubMed Central
Objectives. We evaluated the racial misclassification of American Indians and Alaska Natives (AI/ANs) in cancer incidence and all-cause mortality data by Indian Health Service (IHS) Contract Health Service Delivery Area (CHSDA). Methods. We evaluated data from 3 sources: IHS-National Vital Statistics System (NVSS), IHS-National Program of Cancer Registries (NPCR)/Surveillance, Epidemiology and End Results (SEER) program, and National Longitudinal Mortality Study (NLMS). We calculated, within each data source, the sensitivity and classification ratios by sex, IHS region, and urban–rural classification by CHSDA county. Results. Sensitivity was significantly greater in CHSDA counties (IHS-NVSS: 83.6%; IHS-NPCR/SEER: 77.6%; NLMS: 68.8%) than non-CHSDA counties (IHS-NVSS: 54.8%; IHS-NPCR/SEER: 39.0%; NLMS: 28.3%). Classification ratios indicated less misclassification in CHSDA counties (IHS-NVSS: 1.20%; IHS-NPCR/SEER: 1.29%; NLMS: 1.18%) than non-CHSDA counties (IHS-NVSS: 1.82%; IHS-NPCR/SEER: 2.56%; NLMS: 1.81%). Race misclassification was less in rural counties and in regions with the greatest concentrations of AI/AN persons (Alaska, Southwest, and Northern Plains). Conclusions. Limiting presentation and analysis to CHSDA counties helped mitigate the effects of race misclassification of AI/AN persons, although a portion of the population was excluded.
Jim, Melissa A.; Arias, Elizabeth; Seneca, Dean S.; Hoopes, Megan J.; Jim, Cheyenne C.; Johnson, Norman J.; Wiggins, Charles L.
Indian Health Service: Action Needed to Ensure Equitable Allocation of Resources for the Contract Health Service Program.
The Indian Health Services (IHS) allocation of contract health services (CHS) funds varied widely across the 12 IHS geographic areas. In fiscal year 2010, CHS funding ranged from nearly $17 million in one area to more than $95 million in another area. Per...
The Aberdeen Indian Health Service Infant Mortality Study: Design, Methodology, and Implementation
Of all Indian Health Service areas, the Aberdeen Area has consistently had the highest infant mortality rate. Among some tribes in this area the rate has exceeded 30/1000 live birth and half the infant deaths have been attributed to Sudden Infant Death Syndrome, a rate four to five times higher than the national average. The Indian Health Service,…
Randall, Leslie L.; Krogh, Christopher; Welty, Thomas K.; Willinger, Marian; Iyasu, Solomon
Chronic arthritis in children and adolescents in two Indian health service user populations
Microsoft Academic Search
BACKGROUND: High prevalence rates for rheumatoid arthritis, spondyloarthopathies, and systemic lupus erythematosus have been described in American Indian and Alaskan Native adults. The impact of these diseases on American Indian children has not been investigated. METHODS: We used International Classification of Diseases-9 (ICD-9) codes to search two Indian Health Service (IHS) patient registration databases over the years 1998–2000, searching for
Joyce Mauldin; H Dan Cameron; Diane Jeanotte; Glenn Solomon; James N Jarvis
Service Networks and Patterns of Utilization: Mental Health Programs, Indian Health Service (IHS). Volume 1: Overview and Recommendations.
Constituting an overview of a 10-volume report on the historical development and contemporary activities (1966-1973) of each of the 8 administrative Area Offices of the Indian Health Service (IHS) Mental Health Programs, this volume includes: the methods used for data collection (personal interviews with both past and present IHS key officials,…
Attneave, Carolyn L.; Beiser, Morton
Service Networks and Patterns of Utilization: Mental Health Programs, Indian Health Service (IHS). Volume 9: Portland Area, 1966-1973.
The ninth volume in a 10-volume report on the historical development (1966-1973) of the 8 administrative Area Offices of the Indian Health Service (IHS) Mental Health Programs, this report presents information on the Portland Area Office. Included in this document are: (1) The Context (early history of the Oregon Territory, geography and tribal…
76 FR 16427 - Memorandum of Agreement Between the Indian Health Service and the Department of Interior; Bureau...
...DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Memorandum of Agreement...child neglect and abuse, elderly abuse, property damage, gang...Substance Abuse and Mental Health Services...
Cancer and Cancer Prevention and Control Programs in the Aberdeen Area Indian Health Service.
Describes cancer control activities by the Indian Health Service in North Dakota, South Dakota, Iowa, and Nebraska, including risk factor assessment and cancer screening using a modified Health Risk Appraisal; interventions to reduce smoking; community empowerment; development of health education materials; and clinical preventive services. (SV)
Welty, Thomas K.
The Public Health Foundation of Health Services for American Indians & Alaska Natives
The integration of public health practices with federal health care for American Indians and Alaska Natives (AI/ANs) largely derives from three major factors: the sovereign nature of AI/AN tribes, the sociocultural characteristics exhibited by the tribes, and that AI/ANs are distinct populations residing in defined geographic areas. The earliest services consisted of smallpox vaccination to a few AI/AN groups, a purely public health endeavor. Later, emphasis on public health was codified in the Snyder Act of 1921, which provided for, among other things, conservation of the health of AI/AN persons. Attention to the community was greatly expanded with the 1955 transfer of the Indian Health Service from the US Department of the Interior to the Public Health Service and has continued with the assumption of program operations by many tribes themselves. We trace developments in integration of community and public health practices in the provision of federal health care services for AI/AN persons and discuss recent trends.
The public health foundation of health services for American Indians & Alaska Natives.
The integration of public health practices with federal health care for American Indians and Alaska Natives (AI/ANs) largely derives from three major factors: the sovereign nature of AI/AN tribes, the sociocultural characteristics exhibited by the tribes, and that AI/ANs are distinct populations residing in defined geographic areas. The earliest services consisted of smallpox vaccination to a few AI/AN groups, a purely public health endeavor. Later, emphasis on public health was codified in the Snyder Act of 1921, which provided for, among other things, conservation of the health of AI/AN persons. Attention to the community was greatly expanded with the 1955 transfer of the Indian Health Service from the US Department of the Interior to the Public Health Service and has continued with the assumption of program operations by many tribes themselves. We trace developments in integration of community and public health practices in the provision of federal health care services for AI/AN persons and discuss recent trends. PMID:24758580
Rhoades, Everett R; Rhoades, Dorothy A
75 FR 38112 - Organization, Functions, and Delegations of Authority; Part G; Indian Health Service; Proposed...
...Indian Health Service Organization, Functions, and...directs and provides leadership in the formulation...outside investigative organizations such as the Office...of authority, and organizations and functions development; (2) provides leadership, on behalf of...
77 FR 52748 - 60-Day Proposed Information Collection: Indian Health Service (IHS) Sharing What Works-Best...
...Behavioral Health (BH), Health Promotion/Disease Prevention...modeling examples of various health care projects occurring in...60 days of the date of this publication. Dated: August 24, 2012...Roubideaux, Director, Indian Health Service. [FR Doc....
Indian Health Service: HIV/AIDS Prevention and Treatment Services for American Indians and Alaska Natives.
American Indians and Alaska Natives have the third highest rate of HIV/AIDS diagnosis in the United States. They are also more likely than individuals with HIV/AIDS from other racial and ethnic groups to receive treatment at later stages of the disease an...
Utilization of Alcohol, Drug, and Mental Health Treatment Services Among American Indian Adolescent Detainees
ObjectiveTo describe the relationship between psychiatric status and the use of alcohol, drug, and mental health (ADM) services among a sample of American Indian (AI) juvenile detainees. Method A structured diagnostic and service use interview was administered to 150 Al youths detained in a juvenile detention center located on a Northern Plains reservation.
Mental Health and Substance Abuse Services Preferences among American Indian People of the Northern Midwest
This study examines factors that influence preferences between traditional cultural and western mental health and substance use associated care among American Indians from the northern Midwest. Personal interviews were conducted with 865 parents\\/caretakers of tribally enrolled youth concerning their preferences for traditional\\/cultural and formal healthcare for mental health or substance abuse problems. Adults strongly preferred traditional informal services to formal
Melissa L. Walls; Kurt D. Johnson; Les B. Whitbeck; Dan R. Hoyt
Code of Federal Regulations, 2010 CFR
...in full for the following programs: (1) A contract health service (CHS) program under 42 CFR part 136, subpart C, of the Indian Health Service (IHS); (2) A CHS program under 42 CFR part 136, subpart C, carried out by an...
Service Networks and Patterns of Utilization: Mental Health Programs, Indian Health Service (IHS). Volume 6: Navajo (Window Rock) Area, 1966-1974.
The sixth volume in a 10-volume report on the historical development (1966-1973) of the 8 administrative Area Offices of the Indian Health Service (IHS) Mental Health Programs, this report presents information on the Navajo (Window Rock) Area Office. Included in this document are: (1) The Context (geography and description of the Dine, a tribe and…
Background High prevalence rates for rheumatoid arthritis, spondyloarthopathies, and systemic lupus erythematosus have been described in American Indian and Alaskan Native adults. The impact of these diseases on American Indian children has not been investigated. Methods We used International Classification of Diseases-9 (ICD-9) codes to search two Indian Health Service (IHS) patient registration databases over the years 1998–2000, searching for individuals 19 years of age or younger with specific ICD-9-specified diagnoses. Crude estimates for disease prevalence were made based on the number of individuals identified with these diagnoses within the database. Results Rheumatoid arthritis (RA) / juvenile rheumatoid arthritis (JRA) was the most frequent diagnosis given. The prevalence rate for JRA in the Oklahoma City Area was estimated as 53 per 100,000 individuals at risk, while in the Billings Area, the estimated prevalence was nearly twice that, at 115 per 100,000. These rates are considerably higher than those reported in the most recent European studies. Conclusion Chronic arthritis in childhood represents an important, though unrecognized, chronic health challenge within the American Indian population living in the United States.
Mauldin, Joyce; Cameron, H Dan; Jeanotte, Diane; Solomon, Glenn; Jarvis, James N
Indian Health Service Training Center, Training Course TC-70-4 (April 13-May 1, 1970): A Descriptive Analysis of the Utilization of Health Resources in the Zuni, New Mexico Service Unit.
A descriptive study of health services utilization patterns, and possible factors contributing to such patterns, was conducted in April 1970 at the Zuni, New Mexico, Indian Health Service Unit. Health service utilization was explored by selected disease categories, preventative services (maternal and child health), and general population attitudes…
78 FR 52538 - Office of Direct Service and Contracting Tribes; National Indian Health Outreach and Education...
...enrollment processes for health care reform regarding Medicaid expansion...opportunities and individual health insurance coverage and...sub award to continue Health Reform Progress to Implement the Affordable Care Act and Indian...
Health and aging of urban American Indians.
Although half of the American Indian population resides off the reservation, mostly in the western states, research on the health of urban American Indians remains sparse. American Indians living in urban areas are not eligible for the federally mandated health care provided by the Indian Health Service and receive health care services in a variety of settings. This population is at high risk for many health problems, especially cardiovascular disease and diabetes mellitus. Social, cultural, and economic barriers that impede access to health care for this group, particularly for elders living in an urban setting, could be reduced if physicians improved their understanding of and communication with American Indian patients.
Kramer, B J
Indian Health. Hearing Before the Select Committee on Indian Affairs. United States Senate, Ninety-Sixth Congress. First Session on Indian Health.
The Senate Select Committee on Indian Affairs held its first session on Indian health on August 2, 1979, to consider the Indian Health Service (IHS) and to receive testimony from organizations concerned about the status of Indian health. The National Indian Health Board representatives discussed difficulties related to tribal efforts to achieve an…
Congress of the U.S., Washington, DC. Senate Select Committee on Indian Affairs.
A National Survey of Indian Health Service Employees and the Development of a Model Job Training Demonstration Project: Identifying Work Opportunities for American Indians and Alaska Natives with Disabilities. Executive Summary.
This project involved a national survey of Indian Health Sevice (IHS) agencies to assess the working environment, the extent to which IHS agencies employ and provide support services for persons with disabilities, and the need for program and consumer services to enhance the employability of American Indians with disabilities. A total of 676…
Marshall, Catherine A.; Longie, Bryan J.; Miller, Janneli F.; Cerveny, Lee K.; Monongye, Dushon
North American Indian Alliance Mental Health Needs Assessment Report.
Surveys of 30 mental health service providers and 74 American Indian consumers of such services in Butte, Montana, examined mental health services offered for adults and children, service use by American Indians, referral practices, providers' and consumers' perceptions of the mental health needs of American Indians, and consumers' interest in…
Barron, Lloyd; Oge, Linda L.; Markovich, Joseph
Comprehensive Health Care Program for American Indians & Alaska Natives.
This booklet summarizes programs of the Indian Health Service (IHS). The IHS was created in 1954 as part of the Public Health Service when responsibility for American Indian and Alaska Native health care was transferred from the Department of the Interior's Bureau of Indian Affairs to the Department of Health, Education, and Welfare. The goal of…
42 CFR 136.23 - Persons to whom contract health services will be provided.
...provided. 136.23 Section 136.23 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Contract Health Services § 136.23...
Dental Services for American Indians & Alaska Natives: 1990-2000.
The Indian Health Service (IHS) of the U.S. Public Health Service is responsible for addressing the comprehensive health needs of approximately 1.5 million American Indians and Alaska Natives (AI/AN). This task is complicated by the broad cultural, econom...
Mental Health Programs for American Indians: Their Logic, Structure & Function.
Chapters included are (1) introduction; (2) mental health problems affecting Indian people; (3) impact of mental health problems on Indian communities; (4) the service delivery system; (5) treatment modalities; (6) mental health providers; (7) holding the system together; and (7) a model Indian mental health system. (KS)
Neligh, Gordon
Lack of access to treatment as a barrier to HCV screening: a facility-based assessment in the Indian health service.
The US Centers for Disease Control and Prevention recently issued new recommendations to screen persons born between 1945 and 1965 for hepatitis C virus. Federal facilities in the US Indian Health Service were surveyed on knowledge and support for the hepatitis C virus recommendations, as well as barriers and concerns. PMID:23838897
Reilley, Brigg; Leston, Jessica; Redd, John T; Geiger, Rebecca
Alcoholism - A High Priority Health Problem. A Report of the Indian Health Service Task Force on Alcoholism.
Three separate reports are included in this document on American Indian alcoholism. Section I of the document (December 1969) outlines the history, nature, extent, and significance of Indian alcoholism (reporting that the incidence of alcoholism among Indians is twice that of the national average, low socioeconomic status, rather than a…
Bock, George; And Others
42 CFR 410.46 - Physician and other practitioner services furnished in or at the direction of an IHS or Indian...
...physician fee schedule, for services furnished in or at the direction...operated by the Indian Health Service (IHS) or by an Indian tribe...4 of the Indian Health Care Improvement Act). These services are subject to the same...
42 CFR 136.360 - Leases with Indian tribes.
Code of Federal Regulations, 2012 CFR
...HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act Programs Subdivision J-7-Leases with Indian Tribes § 136.360 Leases with Indian...
77 FR 50121 - Office of Direct Service and Contracting Tribes National Indian Health Outreach and Education...
...anticipation of implementation of the health care reform date of January 1, 2014 regarding...2014 implementation date for health care reform regarding Medicaid expansion revenue opportunities and individual health insurance coverage and...
Commentary: Medicaid reform issues affecting the Indian health care system.
Substantial numbers of Indian people rely on Medicaid for their primary health insurance coverage. When state Medicaid programs enroll Indians in managed care programs, several unintended consequences may ensue. This paper identifies some of the perverse consequences of Medicaid reform for Indians and the Indian health care system and suggests strategies for overcoming them. It discusses the desire of Indian people to receive culturally appropriate services, the need to maintain or improve Indian health care system funding, and the duty of state governments to respect tribal sovereignty. Because of their relatively small numbers, Indians may be treated differently under Medicaid managed care systems without significantly endangering anticipated program savings. Failure of Medicaid programs to recognize the uniqueness of Indian people, however, may severely weaken the Indian health care system.
Wellever, A; Hill, G; Casey, M
75 FR 65357 - Request for Public Comment: 30-Day Proposed Information Collection: Office of Urban Indian Health...
...Title V funded urban Indian health programs. Type of Respondents: Title V urban Indian health programs. The table below...days of the date of this publication. Dated: October 7, 2010...Roubideaux, Director, Indian Health Service. [FR Doc....
Examining inter-generational differentials in maternal health care service utilization: insights from the Indian Demographic and Health Survey.
This study examines the association between age cohort and utilization of maternal health care services in India, before and after adjusting for individual, household and contextual factors. Using data from the Demographic and Health Survey 2005-06, women were classified into three distinct age cohorts based on their age at childbirth: 15-24, 25-34 and 35-49 years. Binary logistic regression models were applied to assess the influence of women's age cohort on receiving full antenatal care (ANC) and skilled birth attendance (SBA). The analytical sample included the women who delivered their most recent birth at any time in the 5 years preceding the survey. Women belonging to the younger age cohort were found to be disadvantaged in receiving full ANC, whereas increasing age of women was negatively associated with receiving SBA. Low level of education, low mass media exposure, low autonomy, belonging to deprived social groups, poor economic status and residence in the central region were found to be major constraining factors in receiving full ANC and SBA for women in India. The findings support the need for 'age-sensitive' interventions that tailor programmes and incentives to women's health care needs through the reproductive life-stage. Urgent efforts are needed to ensure that women who are illiterate and those belonging to low autonomy and low socioeconomic groups receive the recommended maternal health care benefits. PMID:23866261
Singh, Prashant Kumar; Singh, Lucky
17. Photocopy of architectural drawing (from Albuquerque Area Indian Health ...
Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey
17. Photocopy of architectural drawing (from Albuquerque Area Indian Health Service, Division of Health Facilities, Albuquerque, New Mexico) Mayers, Murray, and Phillip, Architects, New York, NY, 1934 Elevations - Taos Indian Health Center, 0.3 mile south-southwest of Pueblos Plaza, Taos Pueblo, Taos County, NM
14. Photocopy of architectural drawing (from Albuquerque Area Indian Health ...
14. Photocopy of architectural drawing (from Albuquerque Area Indian Health Service, Division of Health Facilities, Albuquerque, New Mexico) Mayers, Murray, and Phillip, Architects, New York, N&, 1934 Foundation Plan - Taos Indian Health Center, 0.3 mile south-southwest of Pueblos Plaza, Taos Pueblo, Taos County, NM
18. Photocopy of architectural drawing (from Albuquerque Area Indian Health ...
18. Photocopy of architectural drawing (from Albuquerque Area Indian Health Service, Division of Health Facilities, Albuquerque, New Mexico) Mayers, Murray, and Phillip, Architects, New York, NY, 1934 Detail sheet - Taos Indian Health Center, 0.3 mile south-southwest of Pueblos Plaza, Taos Pueblo, Taos County, NM
16 Photocopy of architectural drawing (from Albuquerque Area Indian Health ...
16 Photocopy of architectural drawing (from Albuquerque Area Indian Health Service, Division of Health Facilities, Albuquerque, New Mexico) Mayers Murray, and Phillip, Architects, New York, NY, 1934 first floor mechanical plan - heating - Taos Indian Health Center, 0.3 mile south-southwest of Pueblos Plaza, Taos Pueblo, Taos County, NM
15. Photocopy of architectural drawing (from Albuquerque Area Indian Health ...
15. Photocopy of architectural drawing (from Albuquerque Area Indian Health Service, Division of Health Facilities, Albuquerque, New Mexico) Mayers, Murray, and Phillip, Architects, New York, NY, 1934 First Floor - plumbing - Taos Indian Health Center, 0.3 mile south-southwest of Pueblos Plaza, Taos Pueblo, Taos County, NM
78 FR 49533 - Office of Direct Service and Contracting Tribes; National Indian Health Outreach and Education...
...Health-- Methamphetamine and Suicide Prevention Intervention (MSPI) outreach...of prior methamphetamine and suicide prevention and treatment efforts in order...appropriate methamphetamine and suicide prevention and early intervention...
Demonstration of anticoagulation patient self-testing feasibility at an Indian Health Service facility: A case series analysis
Background Anticoagulation patient self-testing (PST) represents an alternative approach to warfarin monitoring by enabling patients to use coagulometers to test their international normalized ratio (INR) values. PST offers several advantages that potentially improve warfarin management. Objective To describe implementation and associated performance of a PST demonstration program at an Indian Health Service (IHS) facility. Methods A non-consecutive case series analysis of patients from a pharmacy-managed PST demonstration program was performed at an IHS facility in Oklahoma between July 2008 and February 2009. Results Mean time in therapeutic range (TTR) for the seven patients showed a small, absolute increase during the twelve weeks of PST compared to the twelve weeks prior to PST. Four of the seven patients had an increase in TTR during the twelve week course of PST compared to their baseline TTR. Three of four patients with increased TTR in the final eight week period of PST achieved a TTR of 100%. Of the three patients who experienced a decrease in TTR after initiating self-testing, two initially presented with a TTR of 100% prior to PST and one patient had a TTR of 100% for the final eight weeks of PST. The two patients not achieving a TTR of 100% during the twelve week PST period demonstrated an increase in TTR following the first four weeks of PST. Conclusions Although anticoagulation guidelines now emphasize patient self-management (PSM) only, optimal PST remains an integral process in PSM delivery. In the patients studied, the results of this analysis suggest that PST at the IHS facility provided a convenient, alternative method for management of chronic warfarin therapy for qualified patients. More than half of the patients demonstrated improvement in TTR. Although there is a learning curve immediately following PST initiation, the mean TTR for the entire PST period increased modestly when compared to the time period prior to PST.
Schupbach, Ryan R.; Bousum, John M.; Miller, Michael J.
75 FR 1384 - Indian Health Professions Preparatory, Indian Health Professions Pregraduate and Indian Health...
...Therapy (Jr. and Sr. undergraduate years). H. Pre-Social Work (Jr. and Sr. undergraduate years). Indian Health...D.P.M. R. Respiratory Therapy: BS Degree. S. Social Work: Masters Level only (Direct Practice and...
American Indian health policy: historical trends and contemporary issues.
The United States has a trust responsibility to provide services to American Indians and Alaska Native (AI/AN) persons. However, a long-standing history of underfunding of the Indian Health Service (IHS) has led to significant challenges in providing services. Twentieth century laws, including the Snyder Act, Transfer Act, Indian Self-Determination and Education Assistance Act, and Indian Health Care Improvement Act (IHCIA) have had an effect on the way health services are provided. IHCIA was reauthorized as part of the Patient Protection and Affordable Care Act (ACA). Several provisions in ACA allow for potential improvements in access to services for AI/AN populations and are described herein. Although policy developments have been promising, IHS underfunding must be resolved to ensure improved AI/AN health. PMID:24754649
Warne, Donald; Frizzell, Linda Bane
American Indian Health Policy: Historical Trends and Contemporary Issues
The United States has a trust responsibility to provide services to American Indians and Alaska Native (AI/AN) persons. However, a long-standing history of underfunding of the Indian Health Service (IHS) has led to significant challenges in providing services. Twentieth century laws, including the Snyder Act, Transfer Act, Indian Self-Determination and Education Assistance Act, and Indian Health Care Improvement Act (IHCIA) have had an effect on the way health services are provided. IHCIA was reauthorized as part of the Patient Protection and Affordable Care Act (ACA). Several provisions in ACA allow for potential improvements in access to services for AI/AN populations and are described herein. Although policy developments have been promising, IHS underfunding must be resolved to ensure improved AI/AN health.
Frizzell, Linda Bane
42 CFR 136a.15 - Health Service Delivery Areas.
...Areas. (b) The Indian Health Service may, after consultation...redesignate the boundaries of any Health Service Delivery Area followed by publication of a notice in the Federal... Any redesignation of a Health Service Delivery area...
42 CFR 136.332 - Service obligation.
...HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act Programs Subdivision J-4-Indian...Scholarship Program § 136.332 Service obligation. The service...
American Indian Veterans' Views about Their Choices in Health Care: VA, IHS, and Medicare
Legislation during the past three decades has gradually drawn Indian Health Service (IHS)-funded clinics into the mainstream of the US medical care environment. The Indian Self-Determination and Education Reform Act of 1973 and its Indian Education Amendments of 1984 began a movement away from federal management of health services to local tribal…
Reifel, Nancy; Bayhylle, Ruth; Harada, Nancy; Villa, Valentine
Health Resources in a 200,000 Urban Indian Population Argues the Need for a Policy on Private Sector Health Services
Background: There are limited primary data on the number of urban health care providers in private practice in developing countries like India. These data are needed to construct and test models that measure the efficacy of public stewardship of private sector health services. Objective: This study reports the number and characteristics of health resources in a 200 000 urban population in Pune. Materials and Methods: Data on health providers were collected by walking through the 15.46 sq km study area. Enumerated data were compared with existing data sources. Mapping was carried out using a Global Positioning System device. Metrics and characteristics of health resources were analyzed using ArcGIS 10.0 and Statistical Package for the Social Sciences, Version 16.0 software. Results: Private sector health facilities constituted the majority (424/426, 99.5%) of health care services. Official data sources were only 39% complete. Doctor to population ratios were 2.8 and 0.03 per 1000 persons respectively in the private and public sector, and the nurse to doctor ratio was 0.24 and 0.71, respectively. There was an uneven distribution of private sector health services across the area (2-118 clinics per square kilometre). Bed strength was forty-fold higher in the private sector. Conclusions: Mandatory registration of private sector health services needs to be implemented which will provide an opportunity for public health planners to utilize these health resources to achieve urban health goals.
Furtado, Kheya Melo; Kar, Anita
42 CFR 136a.12 - Persons to whom health services will be provided.
42 Public Health 1 2013-10-01 2013-10-01 false Persons to whom health services will be provided. 136a.12 Section 136a.12 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN...
42 Public Health 1 2012-10-01 2012-10-01 false Persons to whom health services will be provided. 136a.12 Section 136a.12 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN...
75 FR 39697 - Indians Into Psychology Program; Correction
...HEALTH AND HUMAN SERVICES Indian Health Service Indians Into Psychology Program; Correction AGENCY: Indian Health Service, HHS...Number: HHS-IHS-2010-INPSY-0001, for the Indians Into Psychology Program. The document contained an incorrect Funding...
42 CFR 136.303 - Indians applying for scholarships.
...HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act Programs Subdivision J-1-Provisions of General and Special Applicability § 136.303...
...consultation with all the Indian tribes affected, redesignate the boundaries of any Health Service Delivery Area followed by publication of a notice in the Federal Register. Any redesignation of a Health Service Delivery area will include the...
Estimating Health Services Requirements
NASA Technical Reports Server (NTRS)
In computer program NOROCA populations statistics from National Center for Health Statistics used with computational procedure to estimate health service utilization rates, physician demands (by specialty) and hospital bed demands (by type of service). Computational procedure applicable to health service area of any size and even used to estimate statewide demands for health services.
Alexander, H. M.
...OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act Programs Subdivision J-4-Indian...the Public Health Service Act and (2) addresses the health care needs of a substantial number of Indians as...
25 CFR 170.169 - What can a tribe do if Indian LTAP services are unsatisfactory?
Code of Federal Regulations, 2011 CFR
...do if Indian LTAP services are unsatisfactory? 170.169 Section 170.169 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF... Indian Local Technical Assistance Program § 170.169 What can a tribe do if Indian LTAP services are...
Indian Health Focus: Women, 1998-99.
American Indian and Alaska Native women comprise 51 percent of the IHS service population, as is true for U.S. All Races and White women in their population groups. However, Indian women are considerably younger than their counterparts in these population...
42 CFR 136.352 - Fair and uniform provision of services.
...Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act Programs Subdivision J-6-Contracts with Urban...
...HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act Programs Subdivision J-6-Contracts with Urban Indian Organizations § 136.352 Fair and...
42 CFR 136.304 - Publication of a list of allied health professions.
...professions. 136.304 Section 136.304 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act...
25 CFR 900.193 - Does FTCA coverage extend to individuals who provide health care services under a personal...
...Does FTCA coverage extend to individuals who provide health care services under a personal services contract...AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE...
The Persistence of American Indian Health Disparities
Disparities in health status between American Indians and other groups in the United States have persisted throughout the 500 years since Europeans arrived in the Americas. Colonists, traders, missionaries, soldiers, physicians, and government officials have struggled to explain these disparities, invoking a wide range of possible causes. American Indians joined these debates, often suggesting different explanations. Europeans and Americans also struggled to respond to the disparities, sometimes working to relieve them, sometimes taking advantage of the ill health of American Indians. Economic and political interests have always affected both explanations of health disparities and responses to them, influencing which explanations were emphasized and which interventions were pursued. Tensions also appear in ongoing debates about the contributions of genetic and socioeconomic forces to the pervasive health disparities. Understanding how these economic and political forces have operated historically can explain both the persistence of the health disparities and the controversies that surround them.
Jones, David S.
Prison mental health services
This contribution describes current and future prison mental health service provision in England and Wales. There is a need for the development of multidisciplinary prison health care services, including greater coordination of care, continuity of care between the community and prison, improved information-sharing between agencies and developed care planning for prisoners with mental health problems. Recently, a formal partnership between
Jenny Shaw; Naomi Humber
Pharmaceutical services in the United States Public Health Service.
The status of pharmaceutical services in the United States Public Health Service (PHS) is described. The PHS has been the principal health agency of the United States for nearly 200 years, directing its resources to meeting the nation's changing health needs. Pharmacists are assigned to all eight operating divisions of the PHS (a major component of the Department of Health and Human Services), as well as other federal agencies and programs. Pharmacists assigned to the Indian Health Service, the National Institutes of Health, the United States Coast Guard, the Immigration and Naturalization Service, the Federal Bureau of Prisons, and Saint Elizabeths Hospital provide pharmaceutical services to a broad range of patients and settings. Some PHS pharmacists are involved in bringing new drugs to market in the Food and Drug Administration, participating in research protocols at the National Institutes of Health, and helping the underserved populations through the programs of the Health Resources and Services Administration. Still other PHS pharmacists provide leadership and program management at the Agency for Health Care Policy and Research, the Agency for Toxic Substances and Disease Registry, the Centers for Disease Control and Prevention, the Substance Abuse and Mental Health Services Administration, and the Health Care Financing Administration. Pharmacists in the PHS work in a broad array of settings, in many cases providing care for the underserved. PMID:9099342
Paavola, F G; Dermanoski, K R; Pittman, R E
A Health Services Simulator.
Modern scientific techniques for modeling and quantifying the health care delivery system are described. The principal result is a computer-based health services simulator. The simulation describes the salient characteristics of the medical care system fr...
S. A. Edwards
Home Health Services
... Medicare doesn't pay for: 24-hour-a-day care at home Meals delivered to your home Homemaker ... get home health care if you attend adult day care. Note: Home health services may also include medical ...
Home Health Services.
The home health service segment of the Comprehensive Health Plan for Arizona is presented, including a background statement, description of needs and problems, assessment of current resources available, identification of needs, and recommendations. It is ...
Mental Health in American Indians and Alaska Natives
... National Center for American Indian and Alaska Native Mental Health Research (University of Colorado School of Public Health) One Sky Center - a National Resource Center for American Indian and Alaska Native Health, Education and Research. ... Mental Health Disparities Fact Sheet: American Indians Let's Talk ...
Indian Health Focus: Youth, 1997.
The American Indian and Alaska Native population is a younger population than the general U.S. population. In 1990, according to the U.S. census, 33 percent of the population was younger than 15 years in contrast to 22 and 20 percent for the U.S. All Race...
76 FR 19753 - Applications for New Awards; Vocational Rehabilitation Services Projects for American Indians...
...rehabilitation (VR) services to American Indians with disabilities who...Rehabilitation Services Projects for American Indians with Disabilities program...Rehabilitation Services Projects for American Indians with Disabilities program...band, rancheria, pueblo, colony, and community,...
25 CFR 900.191 - Are employees of self-determination contractors providing health services under the self...
...employees of self-determination contractors providing health services under the self-determination contract...AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE...
Federal Government Health, Education, and Welfare Programs of Assistance to American Indians Residing on Federal Reservations (Including Table of Contents and Index).
Federal health, education, and welfare programs for 1970 benefiting American Indians residing on Federal reservations are listed. The report is divided into 3 sections: (1) Federal Indian programs aimed at improving or providing Indian health services, tribal management services, housing, higher education, and conservation; (2) Federal programs…
Langone, Stephen A.
This Agreement is based on the model Cooperative Research and Development Agreement ("CRADA") adopted by the U.S. Public Health Service ("PHS") Technology Transfer Policy Board for use by components of the National Institutes of Health ("NIH"), the Centers for Disease Control and Prevention ("CDC"), and the Food and Drug Administration ("FDA"), which are agencies of the PHS within the Department of Health and Human Services ("HHS").
Health services in Iraq.
After decades of war, sanctions, and occupation, Iraq's health services are struggling to regain lost momentum. Many skilled health workers have moved to other countries, and young graduates continue to leave. In spite of much rebuilding, health infrastructure is not fully restored. National development plans call for a realignment of the health system with primary health care as the basis. Yet the health-care system continues to be centralised and focused on hospitals. These development plans also call for the introduction of private health care as a major force in the health sector, but much needs to be done before policies to support this change are in place. New initiatives include an active programme to match access to health services with the location and needs of the population. PMID:23499042
Al Hilfi, Thamer Kadum; Lafta, Riyadh; Burnham, Gilbert
Expanding Home Health Services
The Federal Home Health Grant Program was initiated in 1976 and is intended to increase the provision of home health services by means of grants for the expansion of existing home health agencies and the development of new ones. The evalualion of the grant program is summarized in this article, emphasizing the visit increases generated by grantees and the factors
Robert E. Schlenker
76 FR 35221 - Epidemiology Program for American Indian/Alaska Native Tribes and Urban Indian Communities...
...DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Epidemiology Program for American Indian/Alaska Native Tribes and Urban...competitive cooperative agreement applications to establish Tribal Epidemiology Centers serving American Indian/Alaska Native Tribes...
Sahaja: an Indian ideal of mental health.
Sahaja is an Indian ideal of mental and spiritual health that has received special emphasis in the Sikh scriptures--especially, the Adi Granth. Since the concept of sahaja has long been associated with mystical thought and practice, its description has become shrouded in peculiar esoteric terminologies. It is the purpose of this communication to divest sahaja of its esoteric, mystic connotations and to redefine it as a mental health ideal in the context of contemporary conditions. PMID:1114187
Neki, J S
Public Health Service Act
The Public Health Service was established by act of July 16, 1798 (ch. 77, 1 Stat. 605), authorizing marine hospitals for the care of American merchant seamen. Subsequent legislation has vastly broadened the scope of its activities.
Public Health Legal Preparedness in Indian Country
American Indian/Alaska Native tribal governments are sovereign entities with inherent authority to create laws and enact health regulations. Laws are an essential tool for ensuring effective public health responses to emerging threats. To analyze how tribal laws support public health practice in tribal communities, we reviewed tribal legal documentation available through online databases and talked with subject-matter experts in tribal public health law. Of the 70 tribal codes we found, 14 (20%) had no clearly identifiable public health provisions. The public health–related statutes within the remaining codes were rarely well integrated or comprehensive. Our findings provide an evidence base to help tribal leaders strengthen public health legal foundations in tribal communities.
Schaefer, Rebecca McLaughlin; DeBruyn, Lemyra; Stier, Daniel D.
Library Services to Indians Living Abroad, Specifically in Canada
Indians living in Canada see the public library as the primary source for answers to questions on India. The public library has several mandates, including providing information about government services and social programmes. Indian users come to the library with varying needs and varying levels of ability to use the library, based in part on their knowledge of the two
Usha Prasada-Kole
Franchising Reproductive Health Services
Objectives Networks of franchised health establishments, providing a standardized set of services, are being implemented in developing countries. This article examines associations between franchise membership and family planning and reproductive health outcomes for both the member provider and the client. Methods Regression models are fitted examining associations between franchise membership and family planning and reproductive health outcomes at the service provider and client levels in three settings. Results Franchising has a positive association with both general and family planning client volumes, and the number of family planning brands available. Similar associations with franchise membership are not found for reproductive health service outcomes. In some settings, client satisfaction is higher at franchised than other types of health establishments, although the association between franchise membership and client outcomes varies across the settings. Conclusions Franchise membership has apparent benefits for both the provider and the client, providing an opportunity to expand access to reproductive health services, although greater attention is needed to shift the focus from family planning to a broader reproductive health context.
Stephenson, Rob; Tsui, Amy Ong; Sulzbach, Sara; Bardsley, Phil; Bekele, Getachew; Giday, Tilahun; Ahmed, Rehana; Gopalkrishnan, Gopi; Feyesitan, Bamikale
Primary Healthcare Services Among a Migrant Indigenous Population Living in an Eastern Indian City
This paper reports the accessibility and utilization of the healthcare services among a migrant indigenous community inhabiting\\u000a slums of an eastern Indian city. It is based on data collected through semi-structured interviews conducted with heads of\\u000a the households. The results indicated that the services of health personnel by visiting households are rare and the service\\u000a provision was very poor. For
Bontha V. Babu; Basanta K. Swain; Suchismita Mishra; Shantanu K. Kar
Understanding Prenatal Health Care for American Indian Women in a Northern Plains Tribe
Early and regular prenatal care appointments are imperative for the health of both the mother and baby to help prevent complications associated with pregnancy and birth. American Indian women are especially at risk for health disparities related to pregnancy and lack of prenatal health care. Previous research has outlined a basic understanding of the reasons for lack of prenatal care for women in general; however, little is known about care received by pregnant women at Indian Health Service hospitals. Qualitative interviews were carried out with 58 women to better understand the prenatal health experiences of American Indian women from one tribe in the Northern Plains. Several themes related to American Indian women's prenatal health care experiences were noted, including communication barriers with physicians, institutional barriers such as lack of continuity of care, and sociodemographic barriers. Solutions to these barriers, such as a nurse midwife program, are discussed.
Hanson, Jessica D.
Mental Health of Indian Children.
Children constitute nearly 40% of India's population, a significant portion of whom suffer mental ailments. Ways to sensitize those who work with children to various aspects associated with child mental health are explored in this book. The focus is not on mental handicap but on the internal or external distress which warps the psychosocial…
Kapur, Malavika
25 CFR 900.174 - If an Indian tribe or tribal organization objects to the recommended decision, what will the...
...Section 900.174 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE ACT Appeals...
25 CFR 900.167 - If an Indian tribe or tribal organization objects to the recommended decision, what will the...
...Section 900.167 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE ACT Appeals...
76 FR 8743 - Indian Health Professions Preparatory, Indian Health Professions Pre-Graduate and Indian Health...
...Health Professions Preparatory Scholarships A. Pre-Clinical Psychology (Jr. and Sr. undergraduate years). B. Pre-Nursing...Counseling--Bachelor's and Master's Degrees. D. Clinical Psychology--PhD or PsyD. E. Dentistry--DDS or DMD...
77 FR 21568 - Indian Health Professions Preparatory, Indian Health Professions Pregraduate and Indian Health...
...Health Professions Preparatory Scholarships A. Pre-Clinical Psychology (Jr. and Sr. undergraduate years). B. Pre-Nursing...Dependency Counseling--Master's Degrees. D. Clinical Psychology--Ph.D. or Psy.D. E. Dentistry: DDS or...
78 FR 16685 - Indian Health Professions Preparatory, Indian Health Professions Pre-graduate, and Indian Health...
...Health Professions Preparatory Scholarships A. Pre-Clinical Psychology (Jr. and Sr. undergraduate years only). B. Pre-Nursing...Dependency Counseling--Master's Degrees. D. Clinical Psychology--Ph.D. or Psy.D. E. Dentistry: DDS or...
78 FR 78976 - Indian Health Professions Preparatory, Indian Health Professions Pre-graduate and Indian Health...
...Health Professions Preparatory Scholarships A. Pre-Clinical Psychology (Jr. and Sr. undergraduate years only). B. Pre-Nursing...Dependency Counseling--Master's Degrees. D. Clinical Psychology--Ph.D. or Psy.D. E. Coding...
BBC: National Health Service
NSDL National Science Digital Library
The Nation Health Service (NHS) was launched in 1948 with the proud expectation that it would make the UK the "envy of the world." On this site, visitors can follow the history of the NHS from the early planning stages through to its fully fledged "but sometimes problematic service." The site provides programs, documents, and images covering the birth of the National Health Service. Programs include video and audio of Sir William Beveridge outlining his proposals for a new welfare state in 1942, "How We Worked Then" where doctors and patients share memories of medical treatment before the NHS, and a 1973 broadcast of a debate about the state of the NHS. In addition to these fascinating programs, several documents are available for examination. Overall, this site is a captivating look into the UK's national health care system and should prove interesting to both scholars and those interested in a question that troubles many countries, including the U.S., today.
42 CFR 137.26 - Must an Indian Tribe receive a planning or negotiation grant to be eligible to participate in...
... Section 137.26 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES TRIBAL SELF-GOVERNANCE Selection of Indian Tribes for Participation...
42 CFR 137.24 - Are there grants available to assist the Indian Tribe to meet the requirements to participate in...
... Section 137.24 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES TRIBAL SELF-GOVERNANCE Selection of Indian Tribes for Participation...
Geographical Access and the Substitution of Traditional Healing for Biomedical Services in Two American Indian Tribes
Objectives American Indians who live in rural reservation communities face substantial geographic barriers to care that may limit their use of health services and contribute to their well-documented health disparities. The purpose of this study was to examine the impact of geographical factors in access to care on the use of services for physical and mental health problems and to explore American Indians' use of traditional healing services in relation to use of biomedical services. Methods We analyzed survey data collected from two tribes (Southwest and Northern Plains). Geographical access to the closest biomedical service was measured using a Geographic Information System, including road travel distance, elevation gain and reservation boundary crossing. Results Use of biomedical services was unaffected by geographical access for Northern Plains tribal members with mental health problems and for Southwest tribal members with physical or mental health problems. For members of the Northern Plains tribe with physical health problems, travel distance (p=0.007) and elevation gain (p=0.029) significantly predicted a lower likelihood of service use. The use of traditional healing was unrelated to biomedical service use for members of the Northern Plains tribe with physical or mental health problems and for members of the Southwest tribe with physical health problems. For members of the Southwest tribe with mental health problems, the use of biomedical services increased the likelihood of using traditional healing services. Conclusions Findings suggest that biomedical services are geographically accessible to most tribal members and that tribal members are not substituting traditional healing for biomedical treatments because of poor geographical access.
Fortney, John C.; Kaufman, Carol E.; Pollio, David; Beals, Janette; Edlund, Carrie; Novins, Douglas K.
Early Intervention Services With American Indian Tribes in New Mexico
Typical approaches to early intervention services, as carried out in many parts of the United States, may not be practical or successful with traditional American Indian families and communities. New Mexico, home to 22 tribes (19 pueblos, Navajo, and 2 Apache tribes) with eight indigenous languages, has worked through its Part C Family Infant Toddler (FIT) Program to support services
Mette J. Pedersen; Christine B. Vining
Disparities in Infant Health Among American Indians and Alaska Natives in US Metropolitan Areas
Objective. To determine geographic variation in urban American Indian and Alaska Native (AI\\/AN) rates of infant mortality, low birth weight, pre- natal care use, and maternal- child health care service availability. Methods. This was a retrospective cohort study using data from the 1989 to 1991 birth-death linked database from the National Center for Health Statistics. We exam- ined births from
David C. Grossman; Laura-Mae Baldwin; Susan Casey; Brigitte Nixon; Walter Hollow; L. Gary Hart
Barriers and Survival: A Study of an Urban Indian Health Center.
A sample of 300 recent patient records at the Tucson Indian Clinic and 60 client interviews provided data on tribal affiliation, poverty status, patterns of medical services utilization, chronic health problems, family structure, extent of traditionalism and acculturation, employment, educational attainment, stress levels, and health care needs.…
Joe, Jennie R.; Miller, Dorothy Lonewolf
Health Service Area (NCI Modified) HSA # (NCI Modified) Health Service Area (NCI Modified) Description State-county FIPS 259 Butler, AL AL: Butler County (01013) 01013 177 Calhoun (Anniston), AL - Cleburne, AL AL: Calhoun County (01015) 01015 177 Calhoun
The fiction of health Services
What we know today as Health Services is a fiction, perhaps shaped involuntarily, but with deep health repercussions, more negative than positive. About 24 centuries ago, Asclepius, god of medicine, and Hygeia, goddess of hygiene and health, generated a dichotomy between disease and health that remains with us until today. The confusing substitution of Health Services with Medical Services began toward the end of the XIX century. But it was in 1948 when the so called English National Health Service became a landmark in the world with its model being adopted by many countries with resulting distortion of the true meaning of Health Services. The consequences of this fiction have been ominous. It is necessary to call things by their names and not deceive society. To correct the serious imbalance between Medical Services and Health Services, Hygeia and Asclepius must become a brother and sisterhood.
Pneumococcal Pneumonia among Navajo Indians.
Indian Health Service (IHS)-University of New Mexico (UNM) collaborative studies have been in progress at the Gallup Indian Medical Center (GIMC) since July 1971 to determine the feasibility of an antipneumococcal vaccine field trial in the Gallup service...
B. Tempest
Expanding the Circle: Decreasing American Indian Mental Health Disparities through Culturally Competent Teaching about American Indian Mental Health
Recognizing that there has been a lack of systematic teaching about the unique mental health experiences of urban American Indians, this article examines data from national studies and specific case studies to illustrate some issues regarding the mental health of American Indians in urban areas. Some studies have reported that when American…
Mays, Vickie M.; Gallardo, Miguel; Shorter-Gooden, Kumea; Robinson-Zanartu, Carol; Smith, Monique; McClure, Faith; Puri, Siddarth; Methot, Laurel; Ahhaitty, Glenda
Job satisfaction and motivation of health workers in public and private sectors: cross-sectional analysis from two Indian states
BACKGROUND: Ensuring health worker job satisfaction and motivation are important if health workers are to be retained and effectively deliver health services in many developing countries, whether they work in the public or private sector. The objectives of the paper are to identify important aspects of health worker satisfaction and motivation in two Indian states working in public and private
David H Peters; Subrata Chakraborty; Prasanta Mahapatra; Laura Steinhardt
Redeeming Hollow Promises: The Case for Mandatory Spending on Health Care for American Indians and Alaska Natives
The reliance on discretionary spending for American Indian/ Alaska Native health care has produced a system that is insufficient and unreliable and is associated with ongoing health disparities. Moreover, the gap between mandatory spending on a Medicare beneficiary and discretionary spending on an American Indian/Alaska Native beneficiary has grown dramatically, thus compounding the problem. The budget classification for American Indian/Alaska Native health services should be changed, and health care delivery to this population should be designated as mandatory spending. If a correct structure is in place, mandatory spending is more likely to provide adequate funding that keeps pace with changes in costs and need.
Westmoreland, Timothy M.; Watson, Kathryn R.
Library Services to Indians Living Abroad, Specifically in Canada.
Specialized library collections and services are often not geared toward Indian nationals in Canada. Public libraries should serve ethnic minorities by providing staff with language abilities and sharing materials through interlibrary loan. Appendixes include a geographic overview of Canadian public library acts, sample initiatives for…
Prasada-Kole, Usha
Individual health services
Background The German statutory health insurance (GKV) reimburses all health care services that are deemed sufficient, appropriate, and efficient. According to the German Medical Association (BÄK), individual health services (IGeL) are services that are not under liability of the GKV, medically necessary or recommendable or at least justifiable. They have to be explicitly requested by the patient and have to be paid out of pocket. Research questions The following questions regarding IGeL in the outpatient health care of GKV insurants are addressed in the present report: What is the empirical evidence regarding offers, utilization, practice, acceptance, and the relation between physician and patient, as well as the economic relevance of IGeL? What ethical, social, and legal aspects are related to IGeL? For two of the most common IGeL, the screening for glaucoma and the screening for ovarian and endometrial cancer by vaginal ultrasound (VUS), the following questions are addressed: What is the evidence for the clinical effectiveness? Are there sub-populations for whom screening might be beneficial? Methods The evaluation is divided into two parts. For the first part a systematic literature review of primary studies and publications concerning ethical, social and legal aspects is performed. In the second part, rapid assessments of the clinical effectiveness for the two examples, glaucoma and VUS screening, are prepared. Therefore, in a first step, HTA-reports and systematic reviews are searched, followed by a search for original studies published after the end of the research period of the most recent HTA-report included. Results 29 studies were included for the first question. Between 19 and 53% of GKV members receive IGeL offers, of which three-quarters are realised. 16 to 19% of the insurants ask actively for IGeL. Intraocular tension measurement is the most common single IGeL service, accounting for up to 40% of the offers. It is followed by ultrasound assessments with up to 25% of the offers. Cancer screening and blood or laboratory services are also frequent and represent a major proportion of the demand. The ethical, social, and legal aspects discussed in the context of IGeL concern eight subject areas: autonomous patient decisions versus obtrusion, commercialization of medicine, duty of patient information, benefit, evidence, and (quality) control, role and relation of physicians and patients, relation to the GKV, social inequality, formally correct performance. For glaucoma screening, no randomized controlled trial (RCT) is identified that shows a patient relevant benefit. For VUS three RCT are included. However, they do not yet present mortality data concerning screened and non-screened persons. VUS screening shows a high degree of over-diagnosis in turn leading to invasive interventions. To diagnose one invasive carcinoma, 30 to 35 surgical procedures are necessary. Conclusion IGeL are a relevant factor in the German statutory health care system. To provide more transparency, the requests for evidence-based and independent patient information should be considered. Whether official positive and negative-lists could be an appropriate instrument to give guidance to patients and physicians, should be examined. Generally, IGeL must be seen in the broader context of the discussions about the future design and development of the German health care system.
Schnell-Inderst, Petra; Hunger, Theresa; Hintringer, Katharina; Schwarzer, Ruth; Seifert-Klauss, Vanadin Regina; Gothe, Holger; Wasem, Jurgen; Siebert, Uwe
Survey of Services to American Indians Through Institutions of Higher Learning in Seven Northwestern States.
The stated purpose of the Bureau of Indian Services, University of Utah, is to facilitate a greater interaction between Indian people and agency resources available to them. In 1965, the Bureau of Indian Services initiated training and technical assistance services to tribal members and institutions of higher learning in Washington, Nevada,…
Utah Univ., Salt Lake City. Bureau of Indian Services.
Health-seeking behaviors of Native American Indians with persistent mental illness: completing the circle.
Nationally, disparity exists in the delivery of mental health services to minority groups, and an imperative exists that expects culturally responsive care. The purpose of this grounded theory study was to discover health-seeking practices used by Native American Indians (NAIs) with persistent mental illness (PMI). Eighteen interviews were examined using constant comparative analysis. Health-seeking practices emerged as two central categories: health engagement strategy and avoidant strategy. This research assists mental health caregivers in approaching the NAI with PMI in a culturally responsive manner by providing a NAI's perception of health and knowledge of their health-seeking behaviors/practices. PMID:22449565
Yurkovich, Eleanor E; Hopkins Lattergrass, Izetta; Rieke, Stuart
The Indian Health Promotion and Disease Prevention Act of 1985. Hearing before the Select Committee on Indian Affairs. United States Senate, Ninety-Ninth Congress, First Session on S. 400. (Gallup, NM, June 1, 1985).
The document contains transcripts of a Congressional hearing on providing health promotion and disease prevention services to American Indians. The bill under consideration would add the following programs to the Indian Health Care Improvement Act (25, U.S.C. 1603): reduction of drug, alcohol, and tobacco use; improvement of nutrition and physical…
Prison Health Services: An Overview
This article presents a brief overview of prison health services 30 years ago and compares that picture to prison health services today. While there have been substantial improvements in the development of adequate health care delivery systems in prisons, the author notes that there are still underserved populations in our nation's prison systems. Among them are the mentally retarded, the
B. Jaye Anno
American Indian and Alaska Natives Suicide
... in the two reservations studied. 9 Opportunities for Suicide Prevention Protective Factors The 1990 National American Indian Adolescent ... Indian Health Service, American Indian and Alaska Native Suicide Prevention Website http://www.ihs.gov/nonmedicalprograms/nspn/ National ...
Improving Health Promotion to American Indians in the Midwest United States: Preferred Sources of Health Information and Its Use for the Medical Encounter
American Indians and Alaska Natives suffer significant health disparities for many infectious and chronic diseases as compared to the general population. Providing accurate and culturally tailored health information to underserved groups has been shown to influence health behaviors and health outcomes. Little prior research has explored American Indians health information use and preferences. National representative sample surveys such as the Health Information National Trends Survey provide some data on minority groups but are underpowered to provide useful information on American Indians. The present study analyzes data from a survey of over 900 American Indians from the Midwest United States and explores their sources of health information, their preferences for information presentation, and their use of health information prior to and during medical encounters. We conclude that campaigns targeting Natives should be narrowly focused and be community driven or employing community resources. American Indians use a diversity of media sources to obtain health information, with the Internet being underutilized compared to the general population. Partnership with Indian Health Service providers and pharmacists, as well as traditional healers, in the development and dissemination of new health information for Natives may provide the "expert" tone needed to promote health improvements in American Indians.
Geana, Mugur V.; Greiner, K. Allen; Cully, Angelia; Talawyma, Myrietta; Daley, Christine Makosky
Factors Associated with American Indian Teens' Self-Rated Health
Factors related to American Indian (AI) high school students' self-rated health were examined. Self rated health was measured as a single-item with a four-point response option ranging from poor to excellent health. Of the 574 participants, 19% reported "fair" or "poor" health, a percentage more than twice that for U.S. high school students in…
Parker, Tassy
Indian legal system and mental health
Although there was a rich tradition of legal system in Ancient India, the present judicial system of the country derives largely from the British system and is based on English Common Law, a system of law based on recorded judicial precedents. Earlier legislations in respect of mental health were primarily concerned with custodial aspects of persons with mental illness and protection of the society. Indian laws are also concerned with determination of competency, diminished responsibility and/or welfare of the society. United Nations Convention for Rights of Persons with Disabilities (UNCRPD) was adopted in 2006, which marks a paradigm shift in respect of disabilities (including disability due to mental illness) from a social welfare concern to a human right issue. The new paradigm is based on presumption of legal capacity, equality and dignity. Following ratification of the convention by India in 2008, it became obligatory to revise all the disability laws to bring them in harmony with the UNCRPD. Therefore, the Mental Health Act – 1987 and Persons with Disability Act – 1995 are under process of revision and draft bills have been prepared. Human right activists groups are pressing for provisions for legal capacity for persons with mental illness in absolute terms, whereas the psychiatrists are in favor of retaining provisions for involuntary hospitalization in special circumstances.
Narayan, Choudhary Laxmi; Shikha, Deep
Public health services
Unlike clinical care, with its focus on the individual, public health focuses on preventing disease and promoting health in communities based upon a population health analysis. Greater emphasis will be placed upon health promotion and disease prevention, the safety of communities and workers, school-based health programming, and the health of underserved and disadvantaged populations. Public health research has an increased
David M. Scott; Bruce Lubotsky Levin; Ardis Hanson
78 FR 42788 - American Indians Into Nursing; Notice of Competitive Grant Applications for American Indians Into...
...Health Service American Indians Into Nursing; Notice of Competitive Grant Applications for American Indians Into Nursing Program Announcement Type: Competing...applications for the American Indians into Nursing Program (Section 112). This...
75 FR 35070 - American Indians Into Medicine; Notice of Competitive Grant Applications for American Indians...
...Health Service American Indians Into Medicine; Notice of Competitive Grant Applications for American Indians Into Medicine Program Announcement Type: New...applications for the American Indians into Medicine Program. This program is...
75 FR 36414 - American Indians Into Psychology; Notice of Competitive Grant Applications for American Indians...
...Health Service American Indians Into Psychology; Notice of Competitive Grant Applications for American Indians Into Psychology Program Announcement Type: New...applications for the American Indians into Psychology Program. This program is...
Refusing to Provide Health Services
BACKGROUND: Almost every state has a policy explicitly allowing some health care professionals or certain institutions to refuse to provide or participate in abortion, contraceptive services or sterilization services. Even in states without explicit refusal statutes, an individual health care professional's actions may be legally protected by statutes prohibiting discrimination against employees, based on their religious objections. While some of
Good Medicine for Our People. A Coloring Book about Indians and Health Careers.
The Indians into Medicine (INMED) program helps Indian students to attend college and earn degrees in health care fields. Developed by INMED, this coloring book for children conveys through pictures and picture captions the message that American Indians can become health professionals, and that health professionals are needed by the Indian people.…
Gourneau, Linda
Health care's service fanatics.
The Cleveland Clinic has long had a reputation for medical excellence. But in 2009 the CEO acknowledged that patients did not think much of their experience there and decided to act. Since then the Clinic has leaped to the top tier of patient-satisfaction surveys, and it now draws hospital executives from around the world who want to study its practices. The Clinic's journey also holds Lessons for organizations outside health care that must suddenly compete by creating a superior customer experience. The authors, one of whom was critical to steering the hospital's transformation, detail the processes that allowed the Clinic to excel at patient satisfaction without jeopardizing its traditional strengths. Hospital leaders: Publicized the problem internally. Seeing the hospital's dismal service scores shocked employees into recognizing that serious flaws existed. Worked to understand patients' needs. Management commissioned studies to get at the root causes of dissatisfaction. Made everyone a caregiver. An enterprisewide program trained everyone, from physicians to janitors, to put the patient first. Increased employee engagement. The Clinic instituted a "caregiver celebration" program and redoubled other motivational efforts. Established new processes. For example, any patient, for any reason, can now make a same-day appointment with a single call. Set patients' expectations. Printed and online materials educate patients about their stays--before they're admitted. Operating a truly patient-centered organization, the authors conclude, isn't a program; it's a way of life. PMID:23898737
Merlino, James I; Raman, Ananth
Connecting youth with health services
ABSTRACT OBJECTIVE To identify models of health care delivery that support youth access to health and mental health care. DATA SOURCES Information was obtained from PubMed, Ovid MEDLINE, Web of Knowledge, and Sociological Abstracts (CSA Illumina). STUDY SELECTION Studies reviewed in this article provided level I, II, or III evidence. SYNTHESIS Youth access health care, with the support of parents and family, through families' existing health care providers or family physicians. Youth might be reluctant to involve parents or to consult family physicians for health concerns related to substance use, emotional problems, or reproductive concerns. Primary health care service models need to support youth access to care and ensure that youth feel comfortable seeking care for all of their health concerns. School-based and community-based health care centres might be better positioned to meet the needs of youth than traditional office-based practices are. CONCLUSION There is a growing body of evidence on health service models that support effective and accessible delivery of health and mental health services for youth. The health needs and challenges of youth are often predictable. Available evidence highlights the importance of including youth experience and voices in planning, delivery, and evaluation of services.
Anderson, Jennifer Ellen; Lowen, Corrine Ann
42 CFR 137.132 - How does the Indian Tribe submit a final offer?
... Section 137.132 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES TRIBAL SELF-GOVERNANCE Final Offer § 137.132 How does the...
Guidelines for School Health Services.
This publication was designed to assist chief school administrators, school nurses, school physicians, staff, and other school health personnel in developing, implementing, and evaluating sound school health programs for New Jersey public school students. Section I delineates responsibility for school health services, discussing the role of…
Dougherty, Sarah; And Others
Health Systems Analysis: Radiation Therapy Services.
A plan for the distribution of radiation therapy services within Health Services Area I (HSA I) is presented in this report. Four problems concerning health status or health system aspects of megavoltage radiation therapy services within HSA I are identif...
34 CFR 371.1 - What is the Vocational Rehabilitation Services Program for American Indians with Disabilities?
...2013-07-01 false What is the Vocational Rehabilitation Services Program for American Indians...DEPARTMENT OF EDUCATION VOCATIONAL REHABILITATION SERVICE PROJECTS FOR AMERICAN INDIANS...371.1 What is the Vocational Rehabilitation Services Program for American...
Incorporating Traditional Healing into an Urban American Indian Health Organization: A Case Study of Community Member Perspectives
Facing severe mental health disparities rooted in a complex history of cultural oppression, members of many urban American Indian (AI) communities are reaching out for indigenous traditional healing to augment their use of standard Western mental health services. Because detailed descriptions of approaches for making traditional healing available…
Hartmann, William E.; Gone, Joseph P.
American Indian Youth: Who Southwestern Urban and Reservation Youth Turn to for Help with Mental Health or Addictions.
Interviews concerning mental health needs and service configurations with 401 Southwestern American Indian youth aged 12-19 found that 79 percent had mental health or addiction problems. Regardless of disorder, youth were least likely to seek help from traditional healers or specialists and most likely to seek help from informal, natural helping…
Stiffman, Arlene Rubin; Striley, Catherine; Brown, Eddie; Limb, Gordon; Ostmann, Emily
Adoption and the American Indian Child: A Manual for Social Service Workers.
Written for social service workers involved with Indian child welfare cases in which adoption through a state court is being considered, this manual presents basic information about the requirements of the Indian Child Welfare Act of 1978 (ICWA) in cases of Indian adoption. Background material explains that the ICWA--intended to establish…
Zokan delos Reyes, Louise
Traditional Indian spices and their health significance
India has been recognized all over the world for spices and medicinal plants. Both exhibit a wide range of physiological and pharmacological properties. Current biomedical efforts are focused on their scientific merits, to provide science-based evidence for the traditional uses and to develop either functional foods or nutraceuti- cals. The Indian traditional medical systems use turmeric for wound healing, rheumatic
Kamala Krishnaswamy
Indian Health Focus: Youth, 1998-99.
The American Indian and Alaska Native population is a younger population than the general U.S. population. According to the U.S. 1990 Census, 33 percent of the population is younger than 15 years in contrast to 22 and 20 percent for the U.S. All Races and...
42 CFR 137.144 - Is technical assistance available to an Indian Tribe to avoid rejection of a final offer?
... Section 137.144 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES TRIBAL SELF-GOVERNANCE Final Offer Rejection of Final Offers §...
Electronic Health Services
Information and communication technologies have made dramatic changes in our lives. Healthcare communities also made use of these technologies. Using computerized medical knowledge, electronic patients' information and telecommunications a lot of applications are now established throughout the world. These include better ways of information management, remote education, telemedicine and public services. Yet, a lot of people don't know about these technologies and their applications. Understanding the concepts and ideologies behind these terms, knowing how they will be implemented, what is it like to use them and what benefit will be gained, are basic knowledge steps approaching these technologies. Difficulties using these services, especially in developing countries should not be neglected or underestimated.
Khalil, Mounir M; Jones, Ray
Children's mental health service use across service sectors
This DataWatch explores the roles of human service sectors (mental health, education, health, child welfare, and juvenile justice) in providing mental health services for children. The data are from the first wave of the Great Smoky Mountains Study of Youth, a population-based study of psychopathology and mental health service use among children. The results show somewhat higher rates of mental
Barbara J. Burns; E. Jane Costello; Adrian Angold; Dan Tweed; Dalene Stangl; Elizabeth M. Z. Farmer; Al Erkanli
Office of Human Development Services--Grants to Indian tribes for social and nutrition services. Final rule.
The Administration on Aging (AoA), in the Office of Human Development Services, is issuing final regulations for a new program for older Indians authorized by Title VI of the Older Americans Act, as amended. The purpose of this program is to promote the delivery of social and nutrition services for older Indians comparable to the services provided through the State and Community Programs on Aging, under Title III of the Act. Eligible tribal organizations will be able to apply for direct funding to pay the costs of providing social and nutrition services to Indians at 60 and older, including the acquisition, alteration, or renovation of multipurpose senior centers. PMID:10247435
25 CFR 170.166 - What services do Indian LTAP centers provide?
...agreement, an Indian technical assistance program center...participant within the service area; (2) Publish... (4) Maintain a library of technical publications and video...distribute this report to service area...
The British National Health Service
The British National Health Service and its development are described and data are presented on utilization, patient charges, physician remuneration, distribution of services, and other aspects of the NHS. Three government documents outlining new structures for a proposed reorganization are discussed, as well as the issues involved. Implications of the reorganization for the functioning of the system and for the evaluative research needed to maintain it are considered.
Shortell, Stephen M.; Gibson, Geoffrey
DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC HEALTH SERVICE NATIONAL CANCER INSTITUTE NATIONAL CANCER ADVISORY BOARD Summary of Meeting May 22, 2001 Building 31C, Conference Room 10 National Institutes of Health Bethesda, Maryland 118th National
34 CFR 300.712 - Payments for education and services for Indian children with disabilities aged three through five.
...false Payments for education and services for Indian children with disabilities aged...ASSISTANCE TO STATES FOR THE EDUCATION OF CHILDREN WITH DISABILITIES...712 Payments for education and services for Indian children with disabilities...
Developing School Health Services in Massachusetts: A Public Health Model
In 1993 the Massachusetts Department of Public Health (MDPH) began defining essential components of school health service programs, consistent with the public health model. The MDPH designed and funded the Enhanced School Health Service Programs to develop 4 core components of local school health services: (a) strengthening the administrative…
Sheetz, Anne H.
Ecological constraints on mental health services
Proposes 4 principles for community mental health programing that are consistent with an ecological thesis: (1) Assessment methods are focused on the total population rather than on those persons who presently receive a mental health service. (2) Mental health services are designed to reduce a high risk for community service. (3) Professional and research services are created as local community
James G. Kelly
Health Consultation: Ingestion of Lamprey for the Confederated Tribes of Siletz Indians. Lamprey Caught at Willamette Falls, Oregon City, Clackamas County, Oregon, Part of Portland Harbor, Portland, Multnomah County, Oregon. EPA Facility ID: ORSFN1002155.
The Confederated Tribes of the Siletz Indians (CTSI) requested that the Superfund Health Investigation and Education (SHINE) program of the Oregon Department of Human Services investigate the risk of ingesting lamprey. This health consultation focuses on ...
A Nationwide Population-Based Study Identifying Health Disparities Between American Indians/Alaska Natives and the General Populations Living in Select Urban Counties
Objectives. Despite their increasing numbers, little is known about the health of American Indians/Alaska Natives living in urban areas. We examined the health status of American Indian/Alaska Native populations served by 34 federally funded urban Indian health organizations. Methods. We analyzed US census data and vital statistics data for the period 1990 to 2000. Results. Disparities were revealed in socioeconomic, maternal and child health, and mortality indicators between American Indians/Alaska Natives and the general populations in urban Indian health organization service areas and nationwide. American Indians/Alaska Natives were approximately twice as likely as these general populations to be poor, to be unemployed, and to not have a college degree. Similar differences were observed in births among mothers who received late or no prenatal care or consumed alcohol and in mortality attributed to sudden infant death syndrome, chronic liver disease, and alcohol consumption. Conclusions. We found health disparities between American Indians/Alaska Natives and the general populations living in selected urban areas and nationwide. Such disparities can be addressed through improvements in health care access, high-quality data collection, and policy initiatives designed to provide sufficient resources and a more unified vision of the health of urban American Indians/Alaska Natives.
Castor, Mei L.; Smyser, Michael S.; Taualii, Maile M.; Park, Alice N.; Lawson, Shelley A.; Forquera, Ralph A.
77 FR 41190 - Office of Urban Indian Health Programs Funding Opportunity: Title V HIV/AIDS Program
The Indian Health Service published a document in the Federal Register on June 19, 2012, concerning Announcement Type: New Limited Competition. Funding Announcement Number: HHS-2012-IHS-UIHP-0001. Catalog of Federal Domestic Assistance Number: 93.193. The document contained five incorrect...
Prison health services: A utilization study
A prospective study of health service utilization carried out in the Correctional Services of Canada (CSC), Pacific Region, is reported. Health service encounters occurring at the six Regional Institutions with on-site health care centers between May 29th and June 28th, 1984 were surveyed using a health clinic encounter form.
Samuel B. Sheps; Martin T. Schechter; Real G. Prefontaine
India's "tryst" with universal health coverage: reflections on ethnography in Indian health policymaking.
In 2011, India stood at the crossroads of potentially major health reform. A High Level Expert Group (HLEG) on universal health coverage (UHC), convened by the Indian Planning Commission, proposed major changes in the structure and functioning of the country's health system. This paper presents reflections on the role of ethnography in policy-based social change for health in India, drawing from year-long participation in the aforementioned policy development process. It theorizes that international discourses have been (re)appropriated in the Indian case by recourse to both experience and evidence, resulting in a plurality of concepts that could be prioritized for Indian health reform. This articulation involved HLEG members exerting para-ethnographic labour and paying close attention to context, suggesting that ethnographic sensibilities can reside within the interactive and knowledge production practices among experts oriented toward policy change. PMID:24041619
Nambiar, Devaki
42 CFR 137.142 - What is a âsignificant dangerâ or âriskâ to the public health?
...health? 137.142 Section 137.142 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES TRIBAL SELF-GOVERNANCE Final Offer Rejection of...
Student Health Services at Orchard Ridge.
This paper provides a synoptic review of student health services at the community college level while giving a more detailed description of the nature of health services at Orchard Ridge, a campus of Oakland Community College. The present College Health Service program provides for a part-time (24 hrs./wk.) nurse at Orchard Ridge. A variety of…
Nichols, Don D.
The Changing Alaskan Experience--Health Care Services and Cultural Identity
Before Western contact, Alaskan Native populations were self-sufficient in their health practices. Slowly, the Native health care system was replaced by a Western one which was highly effective in treating infectious diseases. As infectious diseases were brought under control by the Indian Health Service, the emergent leading health problems were related to violence, attributed in part to cultural disintegration. New types of Native health providers and new Native-controlled institutions evolved to provide culturally appropriate health and mental health services and to promote a stronger cultural identity.
Dixon, Mim; Myers, Wayne W.; Book, Patricia A.; Nice, Philip O.
Homeless health needs: shelter and health service provider perspective.
The effects of homelessness on health are well documented, although less is known about the challenges of health care delivery from the perspective of service providers. Using data from a larger health needs assessment, the purpose of this study was to describe homeless health care needs and barriers to access utilizing qualitative data collected from shelter staff (n = 10) and health service staff (n = 14). Shelter staff members described many unmet health needs and barriers to health care access, and discussed needs for other supportive services in the area. Health service providers also described multiple health and service needs, and the need for a recuperative care setting for this population. Although a variety of resources are currently available for homeless health service delivery, barriers to access and gaps in care still exist. Recommendations for program planning are discussed and examined in the context of contributing factors and health care reform. PMID:24788048
Hauff, Alicia J; Secor-Turner, Molly
Privacy and occupational health services
Privacy is a key ethical principle in occupational health services. Its importance is emphasised in several laws, in ethical codes of conduct as well as in the literature, yet there is only very limited empirical research on privacy in the occupational health context. Conceptual questions on privacy in the occupational health context are discussed. The baseline assumption is that, in this context, privacy cannot be approached and examined only from the employee's (an individual) vantage point but the employer's (a group) point of view must also be taken into account, and that the concept has several dimensions (physical, social, informational and psychological). Even though privacy is a basic human need, there is no universally accepted definition of the concept and no consensus on whether an organisation can have privacy in the same way as people do. Many of the challenges surrounding privacy in the context of occupational health seem to be associated with the dual loyalties of occupational health professionals towards the employee and employer and with their simultaneous duties of disseminating and protecting information (informational privacy). Privacy is thus not an absolute value, but more research is needed to understand its multidimensional nature in the context of occupational health.
Heikkinen, A; Launis, V; Wainwright, P; Leino-Kilpi, H
Poverty, Tobacco, and Health: An Indian Scenario
Poverty and health have a two-way relationship. Poverty increases the vulnerability of people to disease, and sickness affects their income leading to poverty. Tobacco has been identified as a major avoidable cause of illness and premature death. In India, more than half of men and one-tenth of women use one or more forms of tobacco. Tobacco-use shows a clear and continual increase with decreasing wealth quintiles. Poor smokers, who are at a greater risk of illness, are also at a greater risk of not being treated or of falling into greater poverty if they seek treatment. Poor people spend money on tobacco that could be spent on food, shelter, education, and healthcare. These decisions can entrench families in an ongoing cycle of poverty and ill-health. The direct and indirect costs of tobacco-use are immense for national economy. This has positioned control of tobacco relevant in India's per suite to achieve the goals of poverty eradication and health for all.
Gur, A.
75 FR 16142 - FY 2010 Special Diabetes Program for Indians Community-Directed Grant Program
...Program for Indians Community-Directed Grant Program Announcement Type: New/Competing...Indian Health Service (IHS) is accepting grant applications for the FY 2010 Special Diabetes...for Indians (SDPI) Community- Directed grant program. This competitive grant...
7. U.S. INDIAN IRRIGATION SERVICE BENCHMARK ON MAIN CANAL CHECK STRUCTURE AT PIMA LATERAL TURNOUT - San Carlos Irrigation Project, Marin Canal, Amhurst-Hayden Dam to Picacho Reservoir, Coolidge, Pinal County, AZ
Guidelines for Health Services for Migrant Students.
This publication provides a standard by which California migrant education health staff can plan, implement, and evaluate a health program for students in grades K-12. Following sections which describe current state legislation, the need for health services, and California's objectives and activities regarding health services for migrant students…
Strazicich, Mirko, Ed.
Mental health service delivery systems and perceived qualifications of mental health service providers in school settings
Latest research on the mental health status of children indicates that schools are key providers of mental health services (U.S. Department of Health and Human Services, 2003). The push for school mental health services has only increased as stakeholders have begun to recognize the significance of sound mental health as an essential part of academic success (Adelman & Taylor, 2002).
Decia Nicole Dixon
Mental Health Service Delivery Systems and Perceived Qualifications of Mental Health Service Providers in School Settings
Latest research on the mental health status of children indicates that schools are key providers of mental health services (U.S. Department of Health and Human Services, 2003). The push for school mental health services has only increased as stakeholders have begun to recognize the significance of sound mental health as an essential part of…
Dixon, Decia Nicole
42 CFR 457.125 - Provision of child health assistance to American Indian and Alaska Native children.
...2010-10-01 false Provision of child health assistance to American Indian... Introduction; State Plans for Child Health Insurance Programs and Outreach...Strategies § 457.125 Provision of child health assistance to American Indian...
...2009-10-01 false Provision of child health assistance to American Indian... Introduction; State Plans for Child Health Insurance Programs and Outreach...Strategies § 457.125 Provision of child health assistance to American Indian...
Directory of Health Promotion Services for the Workplace. Michigan Health Service Area 4.
This Directory of Health Promotion Services in the Workplace presents information from health promotion survey questionnaires returned from health promotion service providers in West Central Michigan. Most information has been drawn from the survey conduc...
Career Education and the American Indian: A Handbook for Schools Providing Services to American Indians.
The introduction to the handbook relates Allport's assumptions about the nature of man to an American Indian (especially Sioux) view of the nature of man, as part of a career education model for American Indian children. The book begins with a discussion of values, describing Maslow's hierarchy of needs and examining a Sioux value system. The book…
Ross, Donald D.
42 CFR 137.256 - Under what circumstances may the Secretary reassume a program, service, function, or activity (or...
... 137.256 Section 137.256 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES TRIBAL SELF-GOVERNANCE Reassumption § 137.256...
Health Behaviors and Risk Factors Among American Indians and Alaska Natives, 2000-2010
Objectives. We provided contextual risk factor information for a special supplement on causes of death among American Indians and Alaska Natives (AI/ANs). We analyzed 11 years of Behavioral Risk Factor Surveillance System (BRFSS) data for AI/AN respondents in the United States. Methods. We combined BRFSS data from 2000 to 2010 to determine the prevalence of selected risk factors for AI/AN and White respondents residing in Indian Health Service Contract Health Service Delivery Area counties. Regional prevalence estimates for AI/AN respondents were compared with the estimates for White respondents for all regions combined; respondents of Hispanic origin were excluded. Results. With some regional exceptions, AI/AN people had high prevalence estimates of tobacco use, obesity, and physical inactivity, and low prevalence estimates of fruit and vegetable consumption, cancer screening, and seatbelt use. Conclusions. These behavioral risk factors were consistent with observed patterns of mortality and chronic disease among AI/AN persons. All are amenable to public health intervention.
Cobb, Nathaniel
Health behaviors and risk factors among american indians and alaska natives, 2000-2010.
Objectives. We provided contextual risk factor information for a special supplement on causes of death among American Indians and Alaska Natives (AI/ANs). We analyzed 11 years of Behavioral Risk Factor Surveillance System (BRFSS) data for AI/AN respondents in the United States. Methods. We combined BRFSS data from 2000 to 2010 to determine the prevalence of selected risk factors for AI/AN and White respondents residing in Indian Health Service Contract Health Service Delivery Area counties. Regional prevalence estimates for AI/AN respondents were compared with the estimates for White respondents for all regions combined; respondents of Hispanic origin were excluded. Results. With some regional exceptions, AI/AN people had high prevalence estimates of tobacco use, obesity, and physical inactivity, and low prevalence estimates of fruit and vegetable consumption, cancer screening, and seatbelt use. Conclusions. These behavioral risk factors were consistent with observed patterns of mortality and chronic disease among AI/AN persons. All are amenable to public health intervention. PMID:24754662
Cobb, Nathaniel; Espey, David; King, Jessica
Occupational health assessment of chromite toxicity among Indian miners.
Elevated concentration of hexavalent chromium pollution and contamination has contributed a major health hazard affecting more than 2 lakh mine workers and inhabitants residing in the Sukinda chromite mine of Odisha, India. Despite people suffering from several forms of ill health, physical and mental deformities, constant exposure to toxic wastes and chronic diseases as a result of chromite mining, there is a tragic gap in the availability of 'scientific' studies and data on the health hazards of mining in India. Occupational Safety and Health Administration, Odisha State Pollution Control Board and the Odisha Voluntary Health Association data were used to compile the possible occupational health hazards, hexavalent chromium exposure and diseases among Sukinda chromite mines workers. Studies were reviewed to determine the routes of exposure and possible mechanism of chromium induced carcinogenicity among the workers. Our studies suggest all forms of hexavalent chromium are regarded as carcinogenic to workers however the most important routes of occupational exposure to Cr (VI) are inhalation and dermal contact. This review article outlines the physical, chemical, biological and psychosocial occupational health hazards of chromite mining and associated metallurgical processes to monitor the mining environment as well as the miners exposed to these toxicants to foster a safe work environment. The authors anticipate that the outcome of this manuscript will have an impact on Indian chromite mining industry that will subsequently bring about improvements in work conditions, develop intervention experiments in occupational health and safety programs. PMID:21808494
Das, Alok Prasad; Singh, Shikha
Occupational health assessment of chromite toxicity among Indian miners
Elevated concentration of hexavalent chromium pollution and contamination has contributed a major health hazard affecting more than 2 lakh mine workers and inhabitants residing in the Sukinda chromite mine of Odisha, India. Despite people suffering from several forms of ill health, physical and mental deformities, constant exposure to toxic wastes and chronic diseases as a result of chromite mining, there is a tragic gap in the availability of 'scientific' studies and data on the health hazards of mining in India. Occupational Safety and Health Administration, Odisha State Pollution Control Board and the Odisha Voluntary Health Association data were used to compile the possible occupational health hazards, hexavalent chromium exposure and diseases among Sukinda chromite mines workers. Studies were reviewed to determine the routes of exposure and possible mechanism of chromium induced carcinogenicity among the workers. Our studies suggest all forms of hexavalent chromium are regarded as carcinogenic to workers however the most important routes of occupational exposure to Cr (VI) are inhalation and dermal contact. This review article outlines the physical, chemical, biological and psychosocial occupational health hazards of chromite mining and associated metallurgical processes to monitor the mining environment as well as the miners exposed to these toxicants to foster a safe work environment. The authors anticipate that the outcome of this manuscript will have an impact on Indian chromite mining industry that will subsequently bring about improvements in work conditions, develop intervention experiments in occupational health and safety programs.
Mobihealth: Mobile Services for Health Professionals
The concept behind the MobiHealth project (MobiHealth, 2002). was to bring together the technologies of Body Area Networks\\u000a (BANs), wireless broadband communications and wearable devices to provide mobile healthcare services for patients and health\\u000a professionals. For patients, these technologies enable remote patient care services such as management of chronic conditions\\u000a and detection of health emergencies. For health professionals the technology
Val Jones; Aart van Halteren; Nikolai Dokovsky; George Koprinkov; Jan Peuscher; Richard Bults; Dimitri Konstantas; Ing Widya; Rainer Herzog
Health Service Areas used in SEER*Stat
Health Service AreaPage ofHealth Service Area (SEER 17)Page ofHealth Service Area (SEER 17 excl AK)Page ofHealth Service Area (SEER 13)Page ofHealth Service Area (SEER 9)Page ofHSA # (NCI Modified) Health Service Area (NCI Modified) Description State-county FIPS Butler,
First Annual Report of the Commission on Indian Services. Submitted to Members of the Fifty-Ninth Legislative Assembly and the Governor of the State of Oregon.
Highlighted in this report is the 1976-77 work of the ten member Commission on Indian Services which was established in 1976 to compile information on services available to Indians, to develop programs to inform Indians of services available to them, to develop programs to make Indian wants and needs known to public and private agencies, and to…
Commission on Indian Services, Salem, OR.
Children's Health Services Manual. Revised Edition.
This manual for South Carolina's child health personnel covers program planning, evaluation, monitoring, and administration, and provides standards, procedures, policies, and regulations concerning health services for children in the state. An initial section on children's health services covers eligibility; the Women, Infants and Children…
South Carolina State Dept. of Health and Environmental Control, Columbia.
Medical Services in Social Health Maintenance Organizations.
Evaluated medical services for elderly members in Social Health Maintenance Organization (SHMO) demonstrations. SHMOs generally failed to offer special geriatric medical services to frail elderly, and coordination of SHMO medical services with special long-term care and case management services offered by SHMOs was limited. (Author/NB)
Harrington, Charlene; And Others
Mental health services for rural elderly: Innovative service strategies
This paper reviews issues in planning and delivering mental health services to rural dwelling elderly. First, comparative data on the prevalence of mental illness among rural elderly, and the availability and accessibility of mental health services in rural areas are presented to provide a basis for subsequent discussion. Next, several strategies for improving the development and delivery of geriatric mental
Zona Chalifoux; Jane B. Neese; Kathleen C. Buckwalter; Eugene Litwak; Ivo L. Abraham
Health care practices of the foreign born Asian Indians in the United States. A community based survey.
Although successful utilization of medical and preventive care by members of the non-US born communities is an important public health concern, our knowledge regarding health practices of different ethnic subgroups is limited. In the present study, participants of the health fairs organized during South Asian cultural and religions events were asked anonymously to complete the South Asian Total Health Initiative (SATHI) health survey questionnaire to evaluate their health-related practices, self-health perception, and satisfaction with medical care. Among 1,250 surveyed, 1,016 foreign born Asian Indians adults that represented the fastest growing subgroups of the South Asian born nationals in the US were included in the analysis. We found that the majority reported healthy behavior (exercise activities and abstinence from alcohol or tobacco), high self-health perception, satisfaction with medical care, and compliance with annual routine medical examinations that was directly associated with the annual house income. Approximately 40% of women complied with breast and cervical cancer screenings and less than 20% of men complied with prostate cancer screening guidelines. Presence of chronic conditions (mostly cardiovascular pathology and/or diabetes) that were reported by approximately half of the participants negatively impacted their self-health perception. In conclusion, positive self-reported health perception and compliance with routine health examinations of the surveyed foreign born Asian Indians was reported along with an increased rate of chronic morbidity and underutilization of specific preventive services. Observed discrepancy between self-health perception and health status highlights the need to enhance utilization of preventive services among the non-US born Asian Indian community. PMID:21811880
Mehrotra, Naveen; Gaur, Sunanda; Petrova, Anna
6. CLOSE-UP OF U.S. INDIAN IRRIGATION SERVICE AND U.S. RECLAMATION SERVICE BENCHMARKS ON TURNOUT STRUCTURE IN T3S, R5E, S14 - San Carlos Irrigation Project, San Tan Flood Water Canal, North Side of Gila River, Coolidge, Pinal County, AZ
Model Standards for Community Preventive Health Services.
This is a book of standards which presents a framework for incremental improvement in community health status through preventive health service programming. The model standards cover a finite group of twenty-eight program areas. In addition to preventive ...
Preventive health services: Pregnancy and infant health.
From 1950 to 1977, infant mortality dropped from 30 to 14 deaths per 1,000 live births. The annual decline in infant mortality between 1965 and 1973 was 3.5 percent. The proportion of women receiving prenatal care during the first 3 months of pregnancy also increased-from 68 to 74 percent during the years 1969 to 1977. The factors underlying improvements in infant mortality are complex, but include increased access to prenatal services, increased availability of regionalized intensive care units, and improvements in maternal nutritional status. The principal threats to infant health are birth defects that can lead to lifelong handicapping conditions, and problems associated with low birth weight. Today, approximately seven percent of all babies are of low birth weight (2,500 grams or less). Unfortunately, many children are born to women with an increased risk of having a low birth weight infant, i.e., women making no prenatal visit during the first trimester, and teenagers. Further, in 1978 1 in 4 women giving birth made no prenatal visit during the first trimester and 1 in 20 made no prenatal visit during the first two trimesters.
77 FR 37415 - Office of Urban Indian Health Programs; Title V HIV/AIDS Program
...Indian Health Programs; Title V HIV/AIDS Program Announcement Type: New Limited...Urban Indian Health Programs Title V HIV/AIDS program. This program is authorized...V grants to increase awareness of HIV/AIDS status among urban American...
42 CFR 441.15 - Home health services.
...2013-10-01 false Home health services. 441.15 Section 441.15 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS SERVICES: REQUIREMENTS AND...
Health Locus of Control and its Assessment in Older American Indians.
We examined the validity, operation, and measurement of the health locus of control (HLC) construct in a clinical sample of 244 reservation-dwelling older American Indians from differing tribes. Responses to the 3-scale Multidimensional Health Locus of Co...
R. B. Montague S. M. Manson
Up against the Federal Government's Disinterest in Indian Welfare: An Interview with Senator Mark Hatfield.
In an interview, Senator Mark Hatfield discusses Indian concerns in the 96th Congress. He addresses the role and future of the Senate Indian Affairs Committee, Congressional attitudes towards American Indians, the Indian Health Service, the "Boldt" Supreme Court decision, the Warm Springs Tribe, and the Institute for American Indian Arts. (SB)
American Indian Journal, 1979
Health Needs and Health Services in Rural Ghana. Volume 1.
This volume reports on research aimed to illuminate three main areas in the health sector: the development of health service appropriate to the needs of the disadvantaged groups in developing countries, particularly in the rural areas; community organizat...
Mental Health Services for Native Americans in the 21st Century United States
As the population of American Indians and Alaska Natives continues to expand in the 21st century United States, an increasing number of professional psychologists will be called upon to provide culturally appropriate mental health services for Native American people and their communities. This article provides a general overview of contemporary tribal America before describing the legal, political, and institutional contexts
Joseph P. Gone
Health service use and outcome: Comparison of low charge, integrated, comprehensive services with usual health care
We examined the effects of use of low charge, integrated and comprehensive health care services (Veterans Administration (VA) health care system) on health care service use and health-related outcomes. Data came from the 10-year (1986\\/87–1996\\/97) Duke Established Populations for Epidemiologic Studies of the Elderly, with 159 men aged 65–85 who primarily used VA health services compared with 1,100 men aged
Gerda G. Fillenbaum; Bruce M. Burchett; J. D. Dan; G. Blazer
Health Service Utilization by Nonreturning Freshmen.
A study examined the health service use of 5,088 West Virginia University freshmen and compared the use patterns of students who returned the next fall with those who did not return. Nonreturning students had a higher usage rate and were significantly different in the types of services needed. The influence of student health problems on attrition…
Cavendish, John M.
Funding Early Childhood Mental Health Services & Supports.
This paper is the first of a two-part series on financing early childhood mental health services. It discusses the need for a systemic approach to financing early childhood mental health services and supports and presents a matrix to assist states and communities in the design of comprehensive financing systems. The vertical axis of the matrix…
Wishmann, Amy; Kates, Donald; Kaufmann, Roxane
Acceptance of Swedish e-health services
Objective: To investigate older people's acceptance of e-health services, in order to identify determinants of, and barriers to, their intention to use e-health. Method: Based on one of the best-established models of technology acceptance, Technology Acceptance Model (TAM), in-depth exploratory interviews with twelve individuals over 45 years of age and of varying backgrounds are conducted. Results: This investigation could find support for the importance of usefulness and perceived ease of use of the e-health service offered as the main determinants of people's intention to use the service. Additional factors critical to the acceptance of e-health are identified, such as the importance of the compatibility of the services with citizens' needs and trust in the service provider. Most interviewees expressed positive attitudes towards using e-health and find these services useful, convenient, and easy to use. Conclusion: E-health services are perceived as a good complement to traditional health care service delivery, even among older people. These people, however, need to become aware of the e-health alternatives that are offered to them and the benefits they provide.
Jung, Mary-Louise; Loria, Karla
Communication Access to Health and Social Services
This article describes the efforts of a group of people in the United Kingdom at Connect-the communication disability network-to make health and social services more communicatively accessible to people with aphasia. The project involved listening to people with aphasia talk about their experiences with health and social care services and working…
Parr, Susie; Pound, Carole; Hewitt, Alan
Service network analysis for agricultural mental health
BACKGROUND: Farmers represent a subgroup of rural and remote communities at higher risk of suicide attributed to insecure economic futures, self-reliant cultures and poor access to health services. Early intervention models are required that tap into existing farming networks. This study describes service networks in rural shires that relate to the mental health needs of farming families. This serves as
Jeffrey D Fuller; Brian Kelly; Susan Law; Georgia Pollard; Lyn Fragar
Local Government Health Services in Interwar England:
Summary This article provides a critical discussion of recent work on local government health care and health services in interwar England. A literature review examines case study approaches and comparative quantitative surveys, highlighting conventional and revisionist interpretations. Noting the differing selection criteria evident in some works, it argues that studies based upon a limited number of personal health services provide an insufficient basis for assessing local health activity and policy. There follows a regional study demonstrating various discrepancies between health financing data in local sources and those in nationally collated returns. These in turn give rise to various problems of assessment and interpretation in works relying on the latter, particularly with respect to services for schoolchildren and long-stay patients. The case study points to the importance of integrating poor law medical services in evaluations, and of learning more about the role of government subsidy in supporting expanding services.
Gorsky, Martin
Health Systems Plan. Health Service Area 3 Colorado.
The health service area served by the Western Colorado Health Systems Agency is described, along with the health status of area residents and the health system. Goals, long-range objectives, and strategies for implementation for the period 1978-83 are the...
First impressions: towards becoming a health-literate health service.
A 'health-literate organisation' recognises that miscommunication is very common and can negatively affect consumer care and outcomes, and makes it easier for people to navigate, understand, and use health information and services. This paper reports on the First Impressions Activities conducted by consumers to assess aspects of the literacy environment of a rural health service. The First Impressions Activities consists of three tools to assist health services to begin to consider some of the characteristics of their organisation that help and hinder a consumer's ability to physically navigate their way to and about the health service. The results show that navigation to and within the rural health service was made more complex due to lack of information, difficulty finding information, inconsistent terminology used in signage, missing signage, signage obscured by foliage, and incorrect signage. PMID:24670250
Johnson, Anne
Health Services and Women's Oral Health.
Data on the relative levels of men's and women's dental health are scarce, but the available data do indicate differences in tooth loss and health-related behavior patterns. Better methods for recording and reporting this information are recommended. (MSE)
O'Mullane, Denis; And Others
Medical and Health Services Managers
... health administration often include hospital organization and management, accounting and budgeting, human resources administration, strategic planning, law and ethics, health economics, and health information systems. Some programs allow students ...
Disability in the Health Services Curriculum
\\u000a Health Services, or Health Policy and Management, is a core discipline within schools of public health. For those who pursue\\u000a a concentration, the curriculum is designed to provide students with an understanding of current health care policies and\\u000a the historical context of the organization, structure, financing and regulation of health care in the United States. Course\\u000a offerings typically include the
Carol Tobias
About the Health Services & Economics Branch
Our mission is to support, conduct, and coordinate research on the dissemination of effective cancer-related health services into community practice. We study demographic, social, economic, and health system factors as they relate to providing preventive, screening, diagnostic, and treatment services for cancer. The ultimate purpose of this research is to improve cancer outcomes, reduce cancer-related health disparities, and reduce the burden of cancer to patients, their families, and society.
Adolescent health services--through their eyes
Accepted 16 April 1997? A descriptive survey regarding adolescents' knowledge and use of local health related services and service providers was undertaken using a two stage probability sample. Two hundred and fifty three adolescents aged 14 and 15 years, attending eight of the 16 mainstream secondary schools in Stoke-on-Trent, England, were randomly selected. They were interviewed confidentially, using a semistructured questionnaire. They had used various service providers; knowledge of some local health services was poor. The preferred service provider varied with the nature of the problem. Adolescents had clear views regarding the nature of services they would like to see provided. Factors the adolescents associated with confidentiality were identified. Adolescents need information about local services. Issues they associate with lack of confidentiality should be addressed. Their preferences for care must be taken into account in developing future services.??
Oppong-Odiseng, A; Heycock, E
...recommended decision, what will the Secretary of Health and Human Services or the IBIA do? 900.174...AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE...
...recommended decision, what will the Secretary of Health and Human Services or the IBIA do? 900.167...AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE...
Incorporating Traditional Healing Into an Urban American Indian Health Organization: A Case Study of Community Member Perspectives
Facing severe mental health disparities rooted in a complex history of cultural oppression, members of many urban American Indian (AI) communities are reaching out for indigenous traditional healing to augment their use of standard Western mental health services. Because detailed descriptions of approaches for making traditional healing available for urban AI communities do not exist in the literature, this community-based project convened 4 focus groups consisting of 26 members of a midwestern urban AI community to better understand traditional healing practices of interest and how they might be integrated into the mental health and substance abuse treatment services in an Urban Indian Health Organization (UIHO). Qualitative content analysis of focus group transcripts revealed that ceremonial participation, traditional education, culture keepers, and community cohesion were thought to be key components of a successful traditional healing program. Potential incorporation of these components into an urban environment, however, yielded 4 marked tensions: traditional healing protocols versus the realities of impoverished urban living, multitribal representation in traditional healing services versus relational consistency with the culture keepers who would provide them, enthusiasm for traditional healing versus uncertainty about who is trustworthy, and the integrity of traditional healing versus the appeal of alternative medicine. Although these tensions would likely arise in most urban AI clinical contexts, the way in which each is resolved will likely depend on tailored community needs, conditions, and mental health objectives.
Will elderly seasonal nomads need health services?
The health care needs of 44 elderly, seasonal migrants to a remote desert town in Arizona were examined in this study. Findings suggest that the convenience sample differed from the general population in that they reported good to excellent health, low utilization of health services during the past year, and high levels of social support from family and friends.
Anderson, C; Murphy, J F
Development of the Choctaw Health Delivery System.
The Choctaw Tribe is the first and only tribe to develop a health delivery system to take over an existing Indian Health Service inpatient facility. The takeover was accomplished in January 1984 under the Indian Self-Determination Act through a contract with the Indian Health Service. The Choctaw Health Delivery System includes a 35-bed general…
Nguyen, Binh N.
Clinical Preventive Services for Older Adults: The Interface Between Personal Health Care and Public Health Services
Healthy aging must become a priority objective for both population and personal health services, and will require innovative prevention programming to span those systems. Uptake of essential clinical preventive services is currently suboptimal among adults, owing to a number of system- and office-based care barriers. To achieve maximum health results, prevention must be integrated across community and clinical settings. Many preventive services are portable, deliverable in either clinical or community settings. Capitalizing on that flexibility can improve uptake and health outcomes. Significant reductions in health disparities, mortality, and morbidity, along with decreases in health spending, are achievable through improved collaboration and synergy between population health and personal health systems.
Richards, Chesley L.; Shenson, Douglas
Social Affiliation and the Demand for Health Services: Caste and Child Health in South India *
This paper assesses the role of social affiliation, measured by caste, in shaping investments in child health. The special setting that we have chosen for the analysis – tea estates in the South Indian High Range – allows us to control nonparametrically for differences in income, access to health services, and patterns of morbidity across low caste and high caste households. In this controlled setting, low caste households spend more on their children's health than high caste households, reversing the pattern we would expect to find elsewhere in India. Moreover, health expenditures do not vary by gender within either caste group, in contrast once again with the male preference documented throughout the country. A simple explanation, based on differences in the returns to human capital across castes in the tea estates is proposed to explain these striking results.
Luke, Nancy; Munshi, Kaivan
19 CFR 4.70 - Public Health Service requirements.
...2013-04-01 2013-04-01 false Public Health Service requirements. 4.70...Foreign Clearances § 4.70 Public Health Service requirements. No...foreign quarantine regulations of the Public Health Service. [T.D....
Health Services for Migrant Children.
Intended as a resource for administrators, teachers, nurses, paraprofessionals, health coordinators, and community action personnel who are interested in meeting the health needs of migrant children, this handbook offers suggestions for organizing community resources in providing health care to migrant children. Poor nutrition, the lack of dental…
Bove, Beverly A.
Health Manpower in the Changing Australian Health Services Scene.
Australia, a country that has had an extensive health insurance program for many years and is about to embark on a more comprehensive one, may provide the United States some new approaches in the areas of health services delivery and health manpower. The ...
R. Roemer M. I. Roemer
Healthy People 2000: Public Health Service Action.
The Healthy People 2000 Action Series, a set of three reports that demonstrate that achieving Healthy People 2000 is a responsibility shared by the Federal Government, State governments, and private organizations. Public Health Service Action uses the str...
Hispanic Health Services Research: A Preliminary Bibliography.
This bibliography includes research on the financing, delivery and organization of health services for Hispanics. It is an accumulation of papers, primarily unpublished, prepared by authors at NCHSR and elsewhere. A listing of reports prepared for the fir...
P. Jaramillo
Health services under the General Agreement on Trade in Services.
The potential for trade in health services has expanded rapidly in recent decades. More efficient communication systems have helped to reduce distance-related barriers to trade; rising incomes and enhanced information have increased the mobility of patients; and internal cost pressures have led various governments to consider possibilities for increased private participation. As yet, however, health services have played only a modest role in the General Agreement on Trade in Services (GATS). It is possible that Members of the World Trade Organization have been discouraged from undertaking access commitments by the novelty of the Agreement, coordination problems between relevant agencies, widespread inexperience in concepts of services trade, a traditionally strong degree of government involvement in the health sector, and concerns about basic quality and social objectives. However, more than five years have passed since GATS entered into force, allowing hesitant administrations to familiarize themselves with its main elements and its operation in practice. The present paper is intended to contribute to this process. It provides an overview of the basic structure of GATS and of the patterns of current commitments in health services and of limitations frequently used in this context. The concluding section discusses possibilities of pursuing basic policy objectives in a more open environment and indicates issues that may have to be dealt with in current negotiations on services.
Adlung, R.; Carzaniga, A.
Background Farmers represent a subgroup of rural and remote communities at higher risk of suicide attributed to insecure economic futures, self-reliant cultures and poor access to health services. Early intervention models are required that tap into existing farming networks. This study describes service networks in rural shires that relate to the mental health needs of farming families. This serves as a baseline to inform service network improvements. Methods A network survey of mental health related links between agricultural support, health and other human services in four drought declared shires in comparable districts in rural New South Wales, Australia. Mental health links covered information exchange, referral recommendations and program development. Results 87 agencies from 111 (78%) completed a survey. 79% indicated that two thirds of their clients needed assistance for mental health related problems. The highest mean number of interagency links concerned information exchange and the frequency of these links between sectors was monthly to three monthly. The effectiveness of agricultural support and health sector links were rated as less effective by the agricultural support sector than by the health sector (p < .05). The most highly linked across all areas of activity were Rural Financial Counsellors, the Department of Primary Industry Drought Support Workers and Community Health Centres. Hence for a mental health service network targeting farming families these are three key agencies across the spectrum of case work to program development. The study limitations in describing service networks relate to the accuracy of network bounding, self report bias and missing data from non participants. Conclusion Aligning with agricultural agencies is important to build effective mental health service pathways to address the needs of farming populations. Work is required to ensure that these agricultural support agencies have operational and effective links to primary mental health care services. Network analysis provides a baseline to inform this work. With interventions such as local mental health training and joint service planning to promote network development we would expect to see over time an increase in the mean number of links, the frequency in which these links are used and the rated effectiveness of these links.
Fuller, Jeffrey D; Kelly, Brian; Law, Susan; Pollard, Georgia; Fragar, Lyn
Adolescent health services—through their eyes
A descriptive survey regarding adolescents' knowledge and use of local health related services and service providers was undertaken using a two stage probability sample. Two hundred and fifty three adolescents aged 14 and 15 years, attending eight of the 16 mainstream secondary schools in Stoke-on-Trent, England, were randomly selected. They were interviewed confidentially, using a semistructured questionnaire. They had used
A C K Oppong-Odiseng; E G Heycock
Total Mental Health Services in Georgia.
Discussed are current and proposed Georgia interagency programs for delivering mental health services to behaviorally disordered (emotionally disturbed-socially maladjusted) children through age 21 years by 1976. Considered in a brief overview of state programs are services (such as the Georgia Psychoeducational Center Network) for elementary and…
Yeomans, Beth, Ed.
Mental Health Services in Head Start
This dialog suggests that mental health services in Head Start should be more broadly defined than they currently are in many programs. Specifically, these services should emphasize the important role prevention (e.g., prereferral/identification) plays in promoting mental wellness. Additionally, this dialog briefly addresses the role of the mental…
Frey, Andy
Emergency Health Services Selected Bibliography.
This annotated bibliography contains books, journal articles, visual aids, and other documents pertaining to emergency health care, which are organized according to: (1) publications dealing with day-to-day health emergencies that occur at home, work, and play, (2) documents that will help communities prepare for emergencies, including natural…
Health Services and Mental Health Administration (DHEW), Bethesda, MD.
78 FR 6854 - Health Services Research and Development Service Scientific Merit Review Board; Notice of Meeting
...Health Services Research and Development Service Scientific Merit Review...Health Services Research and Development Service Scientific Merit Review...and nursing research. Applications are reviewed for scientific and...
78 FR 12422 - Health Services Research and Development Service Scientific Merit Review Board, Notice of Meeting
77 FR 42365 - Health Services Research and Development Service Scientific Merit Review Board, Notice of Meeting
Geographic variations in access and utilization of cancer screening services: examining disparities among American Indian and Alaska Native Elders
Background Despite recommendations for cancer screening for breast and colorectal cancer among the Medicare population, preventive screenings rates are often lower among vulnerable populations such as the small but rapidly growing older American Indian and Alaska Native (AIAN) population. This study seeks to identify potential disparities in the availability of screening services, distance to care, and the utilization of cancer screening services for Medicare beneficiaries residing in areas with a higher concentration of AIAN populations. Methods Using the county (n =3,225) as the level of analysis, we conducted a cross-sectional analysis of RTI International's Spatial Impact Factor Data (2012) to determine the level of disparities for AIAN individuals. The outcomes of interest include: the presence of health care facilities in the county, the average distance in miles to the closest provider of mammography and colonoscopy (analyzed separately) and utilization of screening services (percent of adults aged 65 and older screened by county). Results Counties with higher concentrations of AIAN individuals had greater disparities in access and utilization of cancer screening services. Even after adjusting for income, education, state of residence, population 65 and older and rurality, areas with higher levels of AIAN individuals were more likely to see disparities with regard to health care services related to mammograms (p???.05; longer distance, lower screening) and colonoscopies (p???.05; longer distance, lower screening). Conclusions These findings provide evidence of a gap in service availability, utilization and access facing areas with higher levels of AIAN individuals throughout the US. Without adequate resources in place, these areas will continue to have less access to services and poorer health which will be accelerated as the population of older adults grows.
Library Services and Health Care Administration.
Discusses progress made in meeting the information needs of health care administrators and the role of the library in providing information for administrative decision making. Highlights include health care economics; a shifting power structure; quality improvement initiatives; standards; communicating the role and value of library services; and…
Buchanan, Holly Shipp
Profiles of Grant Programs: Public Health Service.
For potential grant applicants and for the general public, the booklet describes the programs of the six Public Health Service agencies in the American health care system. Each program is described concisely in terms of: its purpose and legal basis; applicants' eligibility for grants and the basis for their award; the special requirements made of…
Department of Health , Education, and Welfare, Washington., DC. Office of the Secretary.
Improving access to quality maternal health services.
The accessibility of maternal health care services depends on more than their mere existence. While access to routine prenatal care can be increased through use of mobile outreach clinics or peripheral health facilities, access to care for delivery is complicated by the unscheduled nature of labor, by women's other responsibilities, and by fears for women's safety during night travel. Current modes of service delivery must be changed to make care accessible. Physical barriers posed by lack of communication and transportation must be overcome. Possible strategies include establishment of maternity waiting homes, emergency transport and referral mechanisms, and enhanced communications systems. Another strategy is to authorize health care workers at the lowest level of the health care system to perform emergency obstetric services, such as Cesarean sections. Cost is also a barrier, and institution of user fees has prevented many women from seeking care. There are even hidden costs when services are provided free or for a nominal charge. Efforts to overcome these economic barriers include health insurance schemes. In the long term, communities must be educated to recognize and respond to obstetric emergencies, and the quality of health care offered to women must be improved. In addition, communication must be improved between formal and informal health care systems, between communities and health care facilities, and between women and providers. PMID:12293657
Abouzahr, C
Early Intervention Services in Youth Mental Health
Mental and substance use disorders are leading contributors to the burden of disease among young people in Australia, but young people experience a range of barriers to accessing appropriate treatment for their mental health concerns. The development of early intervention services that provide accessible and effective mental health care has the…
Wade, Darryl; Johnston, Amy; Campbell, Bronwyn; Littlefield, Lyn
Human Services Study. Report on Mental Health.
The mental health component of the countywide human services planning program of the Johnson County Regional Planning Commission in Iowa is described. The report on mental health is one in a series of eight reports outlining the program. The overall goal ...
Poverty and Health Disparities for American Indian and Alaska Native Children: Current Knowledge and Future Prospects
This report explores the current state of knowledge regarding inequalities and their effect on American Indian and Alaska Native children, underscoring gaps in our current knowledge and the opportunities for early intervention to begin to address persistent challenges in young American Indian and Alaska Native children's development. This overview documents demographic, social, health, and health care disparities as they affect American Indian and Alaska Native children, the persistent cultural strengths that must form the basis for any conscientious intervention effort, and the exciting possibilities for early childhood interventions.
Sarche, Michelle; Spicer, Paul
Rebuilding TRUST: A Community, Multi-Agency, State, and University Partnership to Improve Behavioral Health Care for American Indian Youth, their Families, and Communities
American Indian/Alaska Native youth represent the strength and survival of many Nations and Tribes. However, the aftermath of colonialism has resulted in numerous health disparities and challenges for Native youth, including the highest rate of suicide in the United States. With the aims of elucidating the causes of behavioral health disparities, eliminating them, and improving behavioral health care for Native youth, a partnership of providers, community members, and university faculty and staff completed a comprehensive literature review; conducted advisory meetings with 71 American Indian youth, parents, and elders; surveyed 25 service providers; and engaged in ongoing consultation with traditional practitioners. Results from the multiple sources were synthesized and are reported with 20 policy, provider, and research recommendations that recognize the importance of moving beyond exclusive reliance on western models of care and that seek to foster transformation of individuals, families, communities, behavioral health service systems of care, and social structures.
Goodkind, Jessica R.; Ross-Toledo, Kimberly; John, Susie; Lee Hall, Janie; Ross, Lucille; Freeland, Lance; Colleta, Ernest; Becenti-Fundark, Twila
A hospital-based occupational health service.
Responding to the local business community, Sturdy Memorial Hospital developed an occupational health service. Situated about 35 miles south of Boston, Attleboro has a population of 130,000, with jewelry, chemicals, and light manufacturing as its predominant industries. Featuring plant visits by a medical director with specialty training in occupational and internal medicine, the program provides clinical, ancillary, consultative, educational, and a variety of special services. Clinical services include preplacement examinations and treatment of work-related injuries. Ancillary services are audiometric testing, pulmonary function testing, and screening for heavy-metal exposures. Among the consultative services are evaluations as to whether a disease is work related; counseling on the reproductive hazards in the workplace; and disability evaluations. Work-site visits are conducted by an occupational health nurse who participates in medical surveillance and health promotion programs. Within two years the service has become affiliated with more than 60 firms on a noncontractual , fee-for-service basis. Economic self-sufficiency was established within 18 months of the institution of clinical services. PMID:6726486
McCunney, R J
Setting standards for primary health services.
Clear performance guidelines, appropriate resources, supportive supervision, and appropriate training are needed to help primary health workers to uphold high-quality care. The Ministry of Health in Papua New Guinea and authorities of provincial health divisions have developed minimum standards for all levels of the primary health service, which supervisors use to monitor the performance of workers. These levels are aidposts with 1 community health worker, aidposts with 2 community health workers, health subcenters, health centers, and urban clinics. The standards are part of the National Health Plan. They form the basis for developing a national quality assurance plan. These standards allow health workers to understand what they need to do and supervisors to know on what to focus. They also allow the monitoring of quality care and rational planning. They guard against inappropriate health infrastructure development in areas where local politicians are active in sectoral investments. Some examples of standards for the first level of primary health services are: An orderly or a community health worker at an aidpost provides basic care for a population of 500-1000 people. The community health worker provides outpatient care each working day from 8 to 1300 hours. He/she needs to be available to provide care of acute minor illnesses evenings from 18 to 2000 hours and on call for serious illness at all times. The community health worker follows up on mothers and children seen at the maternal and child health clinic. He/she promotes family planning and provides oral contraceptives an injections. Each aidpost must have an outpatient treatment area suitable for conducting child clinics and patient examinations: sink; water supply; pharmacy; and sterilizer. The community health worker's house must have a tin roof, an external tank, and a latrine. PMID:8273154
Garner, P; Thomason, J
New partnerships between animal health services and public health agencies
Summary As Veterinary Services and animal health organisations attempt to respond to a new era of emerging and re-emerging zoonotic diseases, their ability and skill in forming new strategic partnerships will be paramount. While these new partnerships are likely to include many relationships outside traditional Veterinary Services and animal agriculture, none will become more important than the formation of new
L. J. King; N. Marano; J. M. Hughes
Disparities and Chronic Health Care Needs for Elderly American Indians Living on or Near a Reservation
The American Indian tribal nations and communities have long experienced health status worse than that of other Americans. Although major gains in reducing health disparities were made during the last half of the 20th century, most gains stopped by the mid-1980s. Consequently, health disparities continue to exist with marked variation across…
Wright, Kynna N.
76 FR 77549 - Colorado River Indian Tribes-Amendment to Health & Safety Code, Article 2. Liquor
...Amendment to Health & Safety Code, Article 2. Liquor AGENCY: Bureau of Indian Affairs...River Tribal Health and Safety Code, Article 2. Liquor, Section 2-403(12...River Tribal Health and Safety Code, Article 2, Liquor by Ordinance No. 10-03...
42 CFR 23.13 - What nondiscrimination requirements apply to National Health Service Corps sites?
...to National Health Service Corps sites? 23.13 Section 23.13 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES PERSONNEL NATIONAL HEALTH SERVICE CORPS Assignment of National Health Service Corps...
Manpower Needs in Health Services.
All hospitals, nursing homes, clinics, and home nursing and ambulance services in New York State were surveyed to determine projected needs for 39 specific occupations for nursing staff, technicians, and aides. There were 326,000 persons working in the medical care facilities in December 1966, and 182,000 held jobs in the 39 occupations. Hospitals…
Solomon, Herman S.
Advance Data from Vital and Health Statistics, Number 356, April 27, 2005. Health Characteristics of an American Indian and Alaska Native Adult Population: United States, 1999-2003.
This report compares national estimates for selected health status indicators, health behaviors, health care utilization, and health conditions of American Indians and Alaska Natives (AIAN) with those of white, black, and Asian non-AIAN adults 18 years of...
E. Powell-Griner P. F. Adams P. M. Barnes
Health Characteristics of the American Indian or Alaska Native Adult Population: United States, 2004-2008. National Health Statistics Reports, Number 20, March 9, 2010.
This report compares national estimates for selected health status indicators, health behaviors, health care utilization, health conditions, immunizations, and human immunodeficiency virus (HIV) testing status for American Indian or Alaska Native (AIAN) a...
Health promoting health services: a review of the evidence.
In the last 20 years, there have been many developments in health promoting hospitals and health services (HPH), particularly in Europe. In Australia, health promotion (HP) programs are being conducted in the hospital setting; however, developments related to the HPH concept have been slower. To identify the effects and benefits of a health service working under the HPH banner, and to assist HP practitioners in advocacy and planning for their health service to become an HPH, we conducted a literature review. Eight studies met the criteria of research on HPH or evaluation of HP programs within an HPH framework. Seven key themes were identified in these studies. Enablers and barriers to HPH development were analyzed and discussed within these themes. This review found a dearth of high-level research on HPH. In particular, there were few Australian studies. There is limited evidence, therefore, of the efficacy of HPH. Much more high-level research and dissemination of the findings are needed in order to encourage policy-makers and health service administrators to invest resources in HPH and to support the work of HP practitioners interested in developing their health service into an HPH. PMID:20179015
McHugh, Clare; Robinson, Anske; Chesters, Janice
"1970" Inter-Agency Health Meeting (Navajo).
An inter-agency health meeting regarding health services for Navajo Indians is reported on in this document. The meeting, sponsored by the Arizona Commission of Indian Affairs, involved agencies such as the U.S. Public Health Service, Bureau of Indian Affairs, and the Navajo Tribe. Included in the proceedings are reports and remarks by…
Arizona Commission of Indian Affairs, Phoenix.
School Mental Health Resources and Adolescent Mental Health Service Use
Objective: Although schools are identified as critical for detecting youth mental disorders, little is known about whether the number of mental health providers and types of resources that they offer influence student mental health service use. Such information could inform the development and allocation of appropriate school-based resources to…
Green, Jennifer Greif; McLaughlin, Katie A.; Alegria, Margarita; Costello, E. Jane; Gruber, Michael J.; Hoagwood, Kimberly; Leaf, Philip J.; Olin, Serene; Sampson, Nancy A.; Kessler, Ronald C.
Health Services and Rural America.
Rural people lose more days of school and work due to illness than do urban people; have higher infant mortality rates, and have more work-related injuries, all of which are aggravated by lack of access to or even the absence of medical services. Lack of doctors is the most glaring problem (in 1973 there were 138 U.S. counties which had no…
Rural Housing Alliance, Washington, DC.
41 CFR 101-5.307 - Public Health Service.
...2013-07-01 2012-07-01 true Public Health Service. 101-5.307 Section...Health Services § 101-5.307 Public Health Service. (a) The only authorized...assistance of and consultation with the Public Health Service is the Federal...
Climate services to improve public health.
A high level expert panel discussed how climate and health services could best collaborate to improve public health. This was on the agenda of the recent Third International Climate Services Conference, held in Montego Bay, Jamaica, 4-6 December 2013. Issues and challenges concerning a demand led approach to serve the health sector needs, were identified and analysed. Important recommendations emerged to ensure that innovative collaboration between climate and health services assist decision-making processes and the management of climate-sensitive health risk. Key recommendations included: a move from risk assessment towards risk management; the engagement of the public health community with both the climate sector and development sectors, whose decisions impact on health, particularly the most vulnerable; to increase operational research on the use of policy-relevant climate information to manage climate- sensitive health risks; and to develop in-country capacities to improve local knowledge (including collection of epidemiological, climate and socio-economic data), along with institutional interaction with policy makers. PMID:24776719
Jancloes, Michel; Thomson, Madeleine; Costa, María Mánez; Hewitt, Chris; Corvalan, Carlos; Dinku, Tufa; Lowe, Rachel; Hayden, Mary
Climate Services to Improve Public Health
A high level expert panel discussed how climate and health services could best collaborate to improve public health. This was on the agenda of the recent Third International Climate Services Conference, held in Montego Bay, Jamaica, 4–6 December 2013. Issues and challenges concerning a demand led approach to serve the health sector needs, were identified and analysed. Important recommendations emerged to ensure that innovative collaboration between climate and health services assist decision-making processes and the management of climate-sensitive health risk. Key recommendations included: a move from risk assessment towards risk management; the engagement of the public health community with both the climate sector and development sectors, whose decisions impact on health, particularly the most vulnerable; to increase operational research on the use of policy-relevant climate information to manage climate- sensitive health risks; and to develop in-country capacities to improve local knowledge (including collection of epidemiological, climate and socio-economic data), along with institutional interaction with policy makers.
Jancloes, Michel; Thomson, Madeleine; Costa, Maria Manez; Hewitt, Chris; Corvalan, Carlos; Dinku, Tufa; Lowe, Rachel; Hayden, Mary
Perceived Experiences of Discrimination in Health Care: A Barrier for Cancer Screening Among American Indian Women with Type 2 Diabetes
Purpose Breast and cervical cancer-mortality disparities are prominent among American Indian women. These disparities, in part, may result from patients perceived experiences of discrimination in health care. This report evaluates the impact of perceived discrimination on screening for breast and cervical cancer in a sample of 200 American Indian women with type 2 diabetes. Methods Data were collected from patient report and medical records. Prevalence of breast and cervical cancer screening were assessed. Unadjusted and adjusted logistic regression analyses were used to assess associations between perceived discrimination, cancer screening status, and patients' health care-seeking behaviors. Findings Substantial proportions of AI women in our sample were behind the recommended schedules of screening for breast and cervical cancer. Adjusted estimates revealed that perceived discrimination was significantly associated with not being current for clinical breast examination and Pap test, and was close to statistical significance with not being current for mammography. The number of suboptimal health care-seeking behaviors increased with higher mean levels of perceived discrimination. Conclusions Among AI women, perceived discrimination in health care may negatively influence use of breast and cancer screening services, and health care-seeking behaviors. More research is needed among AIs to examine features of health care systems related to the phenomenon patients perceived experience of discrimination.
Gonzales, Kelly L.; Harding, Anna K.; Lambert, William E.; Fu, Rongwei; Henderson, William G.
Community participation in health services
This study critically analyzes and synthesizes community participation (CP) theory across disciplines, defining and beginning to map out the elements of CP according to a preliminary framework of structure, process, intermediate outcomes, and ultimate outcomes. The first study component sought to determine the impact of Sight N' Soul, a CP project utilizing neighborhood health workers (NHWs), on appointment missing in
Laura Caelan McKieran
U.S. Public Health Service Commissioned Corps Pharmacists: Making a Difference in Advancing the Nation's Health
Objective To describe how pharmacy officers in the Commissioned Corps are making a difference in protecting, promoting, and advancing health and safety of the Nation. Summary Pharmacists who serve in the Commissioned Corps of the United States Public Health Service fill roles that are considerably different than their counterparts in the private sector. Their work takes them out from behind the counter and into the world. Pharmacy officers advance the health and safety of the Nation by their involvement in the delivery of direct patient care to medically underserved people, national security, drug vigilance, research and policy-making endeavors. PHS pharmacists fill essential public health leadership and service roles throughout the U.S. Department of Health and Human Services (HHS) and certain non-HHS federal agencies and programs. The Federal Bureau of Prisons, Health Resources and Services Administration, Food and Drug Administration, United States Coast Guard, Indian Health Service, and National Institutes of Health are among the many federal agencies where pharmacy officers are assigned. Conclusion In each setting, pharmacists find traditional roles augmented with assignments and challenges that broaden the scope of their practice.
Flowers, Louis; Wick, Jeannette; Figg, William Douglas; McClelland, Robert H.; Shiber, Michael; Britton, James E.; Ngo, Diem-Kieu H.; Borders-Hemphill, Vicky; Mead, Christina; Zee, Jerry; Huntzinger, Paul
Organizing mental health services: an evidence-based approach
Background and Aims. Health policy makers and program developers seek evidence-based guidance on how to organize and finance mental health services. The Swedish Council on Technology Assessment in Health Care (SBU) commissioned a conceptual framework for thinking about health care services as a medical technology. The following framework was developed, citing empirical research from mental health services research as the
Howard H. Goldman; Sten Thelander
Health Consultation: Aero Dyne Corporation (Aero Dyne), District 4 Lone Butte Memorial Area, Gila River Indian Community, Maricopa County, Arizona.
The Gila River Indian Community (GRIC), Office of Occupational Safety and Health (OSH), has prepared this health consultation through a cooperative agreement with the Agency for Toxic Substances and Disease Registry (ATSDR). This health consultation addre...
Financing for Health Education Services in the United States.
There has been increasing recognition of the important role health education services can have in medical treatment, and in health maintenance and promotion. It has also been recognized that methods used to finance health education services have important...
T. Raichel J. Miller P. LeBrun E. Lee R. L. Davis
Use of expedited partner therapy among chlamydia cases diagnosed at an urban Indian health centre, Arizona.
Chlamydia cases diagnosed in the women's clinic were more likely to receive expedited partner therapy (EPT) and to be re-tested as compared with urgent and emergent care settings. Fewer re-infections occurred among patients who received EPT. Disproportionate rates of chlamydia occur among American Indian (AI) populations. To describe use of EPT among chlamydia cases diagnosed at an urban Indian Health Service (IHS) facility in Arizona, health records were used to extract confirmed cases of chlamydia diagnosed between January 2009 and August 2011. Medical records of 492 patients diagnosed with chlamydia were reviewed. Among the 472 cases who received treatment, 246 (52%) received EPT. Receipt of EPT was significantly associated with being female (odds ratio (OR) 2.1, 1.03-4.4, P < 0.001) and receipt of care in the women's clinic (OR 9.9, 95% CI 6.0-16.2) or in a primary care clinic (OR 2.4, 95% CI 1.1-5.1). Compared with those receiving care in the women's clinic, the odds of receipt of EPT were significantly less in those attending the urgent/express care clinic (OR 0.1, 95% CI 0.06-0.2), and the emergency department (OR 0.1, 95% CI 0.05-0.2). Among treated patients who underwent re-testing (N = 323, 68% total treated) re-infection was less common among those that received EPT (13% versus 27%; OR 0.5, 95% CI 0.3-0.9). In this IHS facility, EPT was protective in preventing chlamydia re-infection. Opportunities to expand the use of EPT were identified in urgent and emergent care settings. PMID:23970704
Taylor, M M; Reilley, B; Yellowman, M; Anderson, L; de Ravello, L; Tulloch, S
Predictors of Employability of Engineering Graduates in Campus Recruitment Drives of Indian Software Services Companies
The purpose of this paper is to identify predictors of employability of undergraduate engineering students in campus recruitment drives of Indian software services companies. Data with respect to the academic background of 559 engineering graduates from a reputed engineering college in South India along with their performance in various non?technical training were analyzed vis?ŕ?vis their performance in the campus recruitment
V. K. Gokuladas
Women's Health. Report of the Public Health Service Task Force on Women's Health Issues. Volume II.
This report identifies a broad spectrum of issues affecting women's health and is divided into four sections: (1) social factors affecting women's health; (2) women's physical health and well-being; (3) health concerns of older women; and (4) issues related to alcohol, drug use and abuse, and the mental health of women. The Public Health Service…
Public Health Service (DHHS), Rockville, MD.
42 CFR 410.170 - Payment for home health services, for medical and other health services furnished by a provider...
...facility (CORF) services: Conditions. 410.170 Section 410.170 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS...
Strategic market positions for mental health services.
Faced with a rapidly changing market, increased legislation and intense competition, mental health service providers must be sophisticated planners and position themselves advantageously in the marketplace. They can effectively position themselves to be profitable and sustaining through market segmentation and sensitivity. The following article will address one concept of marketing that has received less attention but is of critical importance: positioning. As the market environment becomes increasingly competitive, positioning will be the key to success for mental health programs and institutions. PMID:10302552
Ambrose, D M; Lennox, L
Occupational stress in health service employees.
Levels of occupational stress were examined in 383 employees of various occupations in one health district, as a preliminary to devising a strategy to reduce the negative effects of stress in the workplace. In comparison with white collar and professional workers in industry, health workers reported significantly greater pressure at work, higher ratings of physical and mental ill health, lower job satisfaction, less internal control over their working environment but used more coping strategies. Approximately one in eight of the subjects has stress symptoms of equal magnitude to patients attending clinical psychology outpatient clinics. It was also found that job satisfaction and psychosomatic ill health were related to sickness absence amongst health employees. The implications of these findings and the consequent challenges facing health service managers are discussed. PMID:10125073
Rees, D W; Cooper, C L
Arizona Plan for Health Services. Report 3: Goals for Health Services in Arizona.
Seven goals for health systems in Arizona, together with examples of means for achieving the goals, are presented in one of a series of reports comprising the Arizona Plan for Health Services. The overall plan is a general design for providing health serv...
Essential Concepts in Modern Health Services
Health services have the functions to define community health problems, to identify unmet needs and survey the resources to meet them, to establish SMART objectives, and to project administrative actions to accomplish the purpose of proposed action programs. For maximum efficacy, health systems should rely on newer approaches of management as management-by-objectives, risk-management, and performance management with full and equal participation from professionals and consumers. The public should be well informed about their needs and what is expected from them to improve their health. Inefficient use of budget allocated to health services should be prevented by tools like performance management and clinical governance. Data processed to information and intelligence is needed to deal with changing disease patterns and to encourage policies that could manage with the complex feedback system of health. e-health solutions should be instituted to increase effectiveness and improve efficiency and informing human resources and populations. Suitable legislations should be introduced including those that ensure coordination between different sectors. Competent workforce should be given the opportunity to receive lifetime appropriate adequate training. External continuous evaluation using appropriate indicators is vital. Actions should be done both inside and outside the health sector to monitor changes and overcome constraints.
El Taguri, A
Popular Health Promotion Strategies Among Chinese and East Indian Immigrant Women
Purpose: To advance understanding about the popular health promotion strategies and factors associated with the successful transfer and uptake of health messages among Chinese and Indian immigrant women.Methods: Eight focus groups were conducted with 46 immigrant women, 22 from Mainland China and 24 from India, who had lived less than 5 years in Canada. Audiotaped data were transcribed, translated and
Farah Ahmad; Angela Shik; Reena Vanza; Angela Cheung; Usha George; Donna E. Stewart
Geographic Information Systems in Health Care Services
Geographic information systems (GIS) have numerous applications in human health. This chapter opens with a brief discussion of the three dimensions of decision-making in organizations — operational control, management control, and strategic planning. These dimensions are then discussed in terms of three case studies: a practice- improvement case study under operational control, a service-planning case study under management control, and
Brian Hilton; Thomas A. Horan
Early psychosis services at Orygen Youth Health
The cornerstones of the early psychosis service at Orygen Youth Health are its two continuing care streams: the Personal Assessment and Crisis Evaluation (PACE) clinic, which works with young people who are at ultra- high risk of developing psychosis, and EPPIC, which accepts young people who are experiencing a first episode of a psychotic disorder. Because the onset of psychosis
Patrick D McGorry; Alison Yung; Jane Edwards
Health Services & Economics Branch Areas of Research
The most favorable outcomes for cancer patients can be achieved only when cancer treatments of proven efficacy are effectively delivered in the general community. The Health Services and Economics Branch monitors the dissemination of recommended cancer treatment and conducts studies that describe clinical and quality-of-life outcomes of cancer treatment in large, diverse, and representative patient populations.
Health systems analysis: radiation therapy services
SciTech Connect
A plan for the distribution of radiation therapy services within Health Services Area I (HSA I) is presented in this report. Four problems concerning health status or health system aspects of megavoltage radiation therapy services within HSA I are identified: (1) the health status of the populations residing in the area of Lexington, Winchester, Louisa and Fluvanna with respect to cancer; (2) the failure of Rockingham Memorial Hospital to meet minimum volume standards and the projection of a failure to meet this minimum volume standard by 1986; (3) the absence of the specialities of hematology or medical oncology on the medical staff of the hospital at Rockingham; and (4) a lack of registered nurses/licensed practical nurses and a docimetrist at Winchester Memorial Hospital, which could impact on the quality of care. An additional area of concern is the increase in charges on the linear accelerator at the University of Virginia. Preliminary findings do not indicate that radiation therapy services within HSA I are inappropriate. Recommendations for addressing problem areas are proposed.
Not Available
Validation of Health Services Careers Curriculum Manual.
This report is the result of a field test of "Health Service Careers" curriculum materials developed and published by the Curriculum and Instructional Materials Center, Oklahoma State Department of Vocational Technical Education. The results and conclusions reported in the study relate to student achievement and teacher evaluations and comments.…
Stone, Sheila D.
In defence of the National Health Service.
As the Government takes the flack for the chaotic implementation of its re-organisation of NHS structures, the real agenda behind it is starting to emerge. David Cameron's plans are designed to unpick the very fabric of a national health service and undermine its founding values. PMID:23123745
Burnham Mp, Andy
Contract Health Service Delivery Areas (CHSDA) 2006
Contract Health Service Delivery Areas (CHSDA 2006) FIPS State-county CHSDA 2006 CHSDA Region 1001 AL: Autauga County (01001) Not CHSDA East 1003 AL: Baldwin County (01003) CHSDA East 1005 AL: Barbour County (01005) Not CHSDA East 1007 AL: Bibb County
School-Based Health Services: Administrative Rules.
This manual outlines the State of Oregon's program to reimburse medical providers furnishing health services to students with medical disabilities in special education settings. The program was established to comply with federal provisions of the Individuals with Disabilities Education Act of 1990. The guide will assist school personnel in…
Oregon State Dept. of Human Resources, Salem.
The really effective health service delivery system.
When an attempted suicide jumps off the Golden Gate Bridge, should money be spent on saving him, or on safety nets for the bridge? It's up to the director of the health service's new Suicide Division--and he'll get a bonus if he makes the right decision. PMID:10308859
Neuhauser, D
The Unmet Need for Mental Health Services Among Probationers' Children
This study explores the unmet need for mental health services among children with parents on probation. A group of 77 probationers provided information on 170 children. Information about children's need for mental health services was based on the Child Behavior Checklist and information about children's receipt of mental health services was based on the Child and Adolescent Service Assessment. Approximately
Susan D. Phillips; Rachel Venema; Lorena Roque
Health Systems Plan for 1978-1982. Health Service Area 1 Missouri.
Contents: Introduction; National priorities and statewide needs and priorities; General description of the health service area; Health status; Health system: (Introduction, consumer health education, maternal and child care, acute inpatient care services,...
Uganda inherited a socialized medical services system from the British colonial rule. The government through the ministry of health is the main provider of health services in the country. Besides the government, missionary health organizations also provide health services in rural and urban areas of Uganda through cost sharing. Socialized medicine provision is influenced by several factors. The most important
HIV-Related Illnesses: Topics for Health Services Research.
Topics addressed in this report were suggested at a meeting of staff from the National Center for Health Services Research and Health Care Technology Assessment (NCHSR) and other Public Health Service representatives held in 1988 to update the Public Health Service's plan for the prevention and control of human immunodeficiency virus (HIV).…
National Center for Health Services Research and Health Care Technology Assessment (DHHS/PHS), Rockville, MD.
Information Profiles of Indian Reservations in Arizona, Nevada, & Utah.
Based on information provided by Bureau of Indian Affairs (BIA) Agency Offices and by the Indian Health Service, this publication provides profiles of 45 Indian reservations located in Arizona, Nevada, and Utah. These profiles include data on reservations located partially or totally in the adjoining states of Oregon, Idaho, California, and New…
Bureau of Indian Affairs (Dept. of Interior), Phoenix, AZ.
Information Profiles of Indian Reservations in Arizona, Nevada, and Utah.
Based on information provided by Bureau of Indian Affairs (BIA) Agency Offices and by the Indian Health Service, this publication provides profiles of 46 Indian reservations located in Arizona, Nevada, and Utah. These profiles include data on reservations that are: (1) located partially or totally in the adjoining States of Oregon, California,…
A Pre-post Survey Analysis of Satisfaction with Health Care and Medical Mistrust after Patient Navigation for American Indian Cancer Patients
Purpose To assess the impact of patient navigation (PN) on satisfaction with health care and medical mistrust among American Indians (AI) undergoing cancer treatment. Methods This was a pre-post cohort survey study of 52 AI cancer patients who participated in a culturally-tailored PN program during their cancer treatment. Surveys were administered prior to and after cancer treatment assessing medical mistrust and satisfaction with health care using two Likert-type scales. Results Participation refusal rate was 7%. Mean scale scores for satisfaction with health care were significantly improved after PN compared with pre-navigation (p<.0001; Wilcoxon signed-rank test). There was no significant difference in the mean scale scores for medical mistrust after PN compared with those observed prior to treatment (p=.13). Conclusions American Indian cancer patients who received PN services during their cancer treatment showed improvement in levels of satisfaction with health. However, no improvements were observed in levels of medical mistrust.
Guadagnolo, B. Ashleigh; Cina, Kristin; Koop, David; Brunette, Deborah; Petereit, Daniel G.
Health Beliefs and Regimen Adherence of the American Indian Diabetic.
Examines compliance with a medical and behavioral regimen by 60 American Indian diabetics, as it relates to demographic and medical variables, attitudes, perceived beliefs of others, and coping strategies. Concludes that the patient's perceptions of significant others' belief is the best predictor of overall adherence. Contains 29 references. (SV)
Miller, Patricia; And Others
Patient satisfaction with health services in Bangladesh.
Concern over the quality of health care services in Bangladesh has led to loss of faith in public and private hospitals, low utilization of public health facilities, and increasing outflow of Bangladeshi patients to hospitals in neighbouring countries. Under the circumstances, assessment of the country's quality of health care service has become imperative, in which the patient's voice must begin to play a greater role. This study attempts to identify the determinants of patient satisfaction with public, private and foreign hospitals. A survey was conducted involving inpatients in public and private hospitals in Dhaka City and patients who have experienced hospital services in a foreign country. Their views were obtained through exit polls using probability and non-probability (for foreign hospital patients) sampling procedures. Regression models were derived to identify key factors influencing patient satisfaction in the different types of hospitals. Doctors' service orientation, a composite of 13 measures, is the most important factor explaining patient satisfaction. Policy implications are discussed. PMID:17545252
Andaleeb, Syed Saad; Siddiqui, Nazlee; Khandakar, Shahjahan
Health services at the Kennedy Space Center
Comprehensive occupational health services are provided to approximately 17,000 workers at the Kennedy Space Center and an additional 6000 on Cape Canaveral Air Force Station. These areas cover about 120,000 acres encompassing part of the Merritt Island Wild Life Refuge and wetlands which are the habitat of numerous endangered and protected species of wildlife. The services provided at the Kennedy Space Center optimally assure a safe and healthy working environment for the employees engaged in the preparation and launching of this country's Space Shuttle and other important space exploration programs.
Ferguson, E. B.; Humbert, P.; Long, I. D.; Tipton, D. A.
USDA: Animal and Plant Health Inspection Service
The watchword of the U.S. Department of Agriculture's Animal and Plant Health Inspection Service (APHIS) is "protection". The APHIS is primarily considered with improving agricultural productivity and also ensuring the health and care of animals and plants. First-time visitors may wish to click on the "Hot Issues" section to learn more about some of the most pressing issues that the APHIS addresses. Here they will find fact sheets and news updates on avian influenza, the pesky light brown apple moth, and bovine spongiform encephalopathy (BSE). Moving on, visitors can also browse a list of subject headings that include animal health, biotechnology, plant health, and wildlife damage management. Finally, the site also contains an area where concerned visitors can report a pest infestation or suspected instances of agricultural smuggling.
Humanitarian engineering in Mylai Balaji Nagar: An integrated water, environment and public health project for slums in the Indian Subcontinent
Urban slum communities throughout the Indian subcontinent face critical challenges including inadequate access to safe water and environmental degradation, resulting in significant public health impacts. A research collaboration between Queen's University and the Indian Institute of Technology (Madras) has been established on water, environment, and public health in slums, aiming to develop and evaluate technological and policy alternatives for sustainable
S. I. Ali; K. R. Hall; K. Aronson; L. Philip
Health services management in primary schools (Elazig city sample)
Primary school children have low resistance to diseases. In order to live a healthy life, they should be equipped with health literacy skills. Effective primary school health services can only be achieved with the collaboration of related parties. Turkish schools generally do not employ permanent health personnel, and school health services are generally taken to be synonymous with health screening.
I. Bak?r Arabaci
Access to Rural Mental Health Services: Service Use and Out-of-Pocket Costs
Purpose: To examine rural-urban differences in the use of mental health services (mental health and substance abuse office visits, and mental health prescriptions) and in the out-of-pocket costs paid for these services. Methods: The pooled 2003 and 2004 Medical Expenditure Panel Surveys were used to assess differences in mental health service use…
Ziller, Erika C.; Anderson, Nathaniel J.; Coburn, Andrew F.
45 CFR 1326.13 - Supportive services.
...HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON AGING, OLDER AMERICANS PROGRAMS GRANTS TO INDIAN TRIBES FOR SUPPORT AND NUTRITION SERVICES § 1326.13 Supportive services. (a) A tribal organization may provide any of the supportive...
75 FR 27348 - Public Health Services Act; Delegation of Authority
...SERVICES Centers for Disease Control and Prevention Public Health Services Act; Delegation of Authority Notice is hereby given that I have delegated to the Director, Office of Public Health Preparedness and Response (OPHPR), with...
Clinical Issues in Mental Health Service Delivery to Refugees.
Serious limitations exist in the delivery of mental health services to refugees throughout the resettlement process: fragmentation, instability, language barriers, culturally inappropriate treatment methods, and severe staff shortages. Suggested improvements for refugee mental health services emphasize outreach, prevention, treatment approaches,…
Gong-Guy, Elizabeth; And Others
38 CFR 17.98 - Mental health services.
... DEPARTMENT OF VETERANS AFFAIRS MEDICAL...17.98 Mental health services. ...Following the death of a veteran, bereavement...receiving mental health services in connection...treatment of the veteran under 38...
The National Health Service and social inequalities in dental health.
Since establishment of the NHS, remarkable improvements in oral health have been seen. Social differences still remain, but in absolute terms they are far smaller than those which existed prior to creation of the service. Although the improvements have not been unique to the UK, and in consequence may not be entirely ascribed to the NHS, the overall costs to society have been remarkably small when compared with other countries. Furthermore other inequities that existed, such as the availability of services, appear to be less pronounced today than before. The NHS, established as one component of a welfare system to deal with the inequalities within society, has evolved over the last 50 years to remain a highly efficient mechanism to deal with oral health problems. The arguments for maintaining dental services within the NHS must be based upon the contribution they make to improving oral health. Judged on the past 50 years, it has helped to make major inroads into reducing the current inequalities. For the next 50 years, as the service adapts, the profession must remember that it is there for those with least resources not just those with the ability to pay. PMID:9701869
Gelbier, S
Information Technology in Complex Health Services
Abstract Objective: To identify impediments to the successful transfer and implementation of packaged information systems through large, divisionalized health services. Design: A case analysis of the failure of an implementation of a critical application in the Public Health System of the State of New South Wales, Australia, was carried out. This application had been proven in the United States environment. Measurements: Interviews involving over 60 staff at all levels of the service were undertaken by a team of three. The interviews were recorded and analyzed for key themes, and the results were shared and compared to enable a continuing critical assessment. Results: Two components of the transfer of the system were considered: the transfer from a different environment, and the diffusion throughout a large, divisionalized organization. The analyses were based on the Scott-Morton organizational fit framework. In relation to the first, it was found that there was a lack of fit in the business environments and strategies, organizational structures and strategy-structure pairing as well as the management process-roles pairing. The diffusion process experienced problems because of the lack of fit in the strategy-structure, strategy-structure-management processes, and strategy-structure-role relationships. Conclusion: The large-scale developments of integrated health services present great challenges to the efficient and reliable implementation of information technology, especially in large, divisionalized organizations. There is a need to take a more sophisticated approach to understanding the complexities of organizational factors than has traditionally been the case.
Southon, Frank Charles Gray; Sauer, Chris; Dampney, Christopher Noel Grant (Kit)
Health Systems Plan for 1978-1983. Health Service Area 6 North Carolina.
The Eastern Carolina Health Systems Agency prepared this health systems plan (HSP) which addresses major health needs and concerns of citizens in the health service area. The introductory section is concerned with health planning coordination, the plan de...
The Unmet Need for Mental Health Services among Probationers' Children
This study explores the unmet need for mental health services among children with parents on probation. A group of 77 probationers provided information on 170 children. Information about children's need for mental health services was based on the Child Behavior Checklist and information about children's receipt of mental health services was based…
Phillips, Susan D.; Venema, Rachel; Roque, Lorena
38 CFR 3.753 - Public Health Service.
...2013-07-01 2013-07-01 false Public Health Service. 3.753 Section...Compensation Retirement § 3.753 Public Health Service. Disability compensation...of the commissioned corps of the Public Health Service, who was receiving...
Marital Distress and Mental Health Care Service Utilization
Objective: This study was designed to evaluate the association between marital distress and mental health service utilization in a population-based sample of men and women (N = 1,601). Method: The association between marital distress and mental health care service utilization was evaluated for overall mental health service utilization and for…
Schonbrun, Yael Chatav; Whisman, Mark A.
Correlates of Adolescents' Satisfaction with Mental Health Services
While there has been increased attention to consumers' satisfaction with mental health services as an indicator of quality of care, little is known about the construct of consumer satisfaction, especially for youth. The goal of this study was to examine potential correlates of adolescents' satisfaction with mental health services. One hundred eighty adolescents who had received out-patient mental health services
Ann F. Garland; Gregory A. Aarons; Marla D. Saltzman; Marc I. Kruse
Adolescent Access to Online Health Services: Perils and Promise
Purpose: Many health care institutions provide online health services to adult patients and proxy access to parents of young children. Many of the benefits and barriers to providing such services to adolescent patients remain unclear. Methods: The present work is based on a literature review and expert opinion synthesis. Results: Potential benefits of providing online health services to adolescents include
Megan A. Moreno; James D. Ralston; David Grossman
[Problems in health services in the opinion of the public].
Certain results are presented of a representative study of the public opinion on health service functioning in the City of Szczecin. The public opinion was favouring: 1) supplementation of the public health service with alternative health care, 2) partial covering of the expenses for drugs, 3) increased salaries for doctors and nurses, 4) partial payment for medical services. PMID:2267797
Sygit, M; Zienkiewicz, P; Biernacki, Z
75 FR 21508 - Health and Human Services Acquisition Regulation; Corrections
...which revised the Health and Human Services Acquisition Regulation...S. Department of Health and Human Services, Office of the Assistant...The Department of Health and Human Services (HHS) Acquisition...relevant CLPs every 2 years. See Appendix A of OFPP's FAC-COTR...
Rating maternal and neonatal health services in developing countries
Objective To assess maternal and neonatal health services in 49 developing countries. Methods The services were rated on a scale of 0 to 100 by 10-25 experts in each country. The ratings covered emergency and routine services, including family planning, at health centres and district hospitals, access to these services for both rural and urban women, the likelihood that women
Rodolfo A. Bulatao; John A. Ross
Mental Health Services in General Health Care. Volume 2. Coordinated Mental Health Care in Neighborhood Health Centers.
Advantages of providing primary health and mental health services in the same location are argued from a standpoint of the author's experience and a review of the relevant literature. Alternatives to current national mental health policy are suggested to ...
J. F. Borus, B. J. Burns, A. M. Jacobson, L. B. Macht, R. G. Morrill
20 CFR 1002.58 - Is service in the commissioned corps of the Public Health Service considered âservice in the...
...in the commissioned corps of the Public Health Service considered âservice in...the commissioned corps of the Public Health Service considered âservice in...in the commissioned corps of the Public Health Service (PHS) is...
Mental Health Service Delivery to Older People in New South Wales: Perceptions of Aged Care, Adult Mental Health and Mental Health Services for Older People
Objective: To compare the perceptions of aged care services, adult mental health services and mental health services for older people regarding aspects of mental health service delivery for older people in New South Wales, Australia.Method: The NSW Branch of the Faculty of Psychiatry of Old Age in association with the NSW Centre for Mental Health, sent a postal survey to
Brian Draper; Tanya Jochelson; David Kitching; John Snowdon; Henry Brodaty; Bob Russell
Empty Beds: Indian Student Health at Sherman Institute, 1902-1922.
As one of the last nonreservation boarding schools built for American Indian students in the United States, Sherman Institute (Riverside, California) benefited from lessons learned about student health from earlier boarding schools. Excessive student morbidity and mortality at early boarding schools had resulted in a lasting perception of these…
Keller, Jean A.
American Indian and Alaska Native Early Childhood Health, Development, and Education Assessment Research. ERIC Digest.
This digest reports on the very limited research that has focused specifically on early childhood issues in American Indian and Alaska Native (AI/AN) health, development, and education. Extant research focuses primarily on infant mortality, birth weight and growth, obesity, and hearing and speech. Beginning in 1985, a longitudinal study called the…
Hammer, Patricia Cahape; Demmert, William G., Jr.
Usefulness of a Survey on Underage Drinking in a Rural American Indian Community Health Clinic
This study examined the usefulness of a survey on underage drinking in a rural American Indian community health clinic. One hundred ninety-seven youth (90 male, 107 female; age range 8-20 years) were recruited from clinic waiting rooms and through community outreach. The study revealed that the usefulness of the survey was twofold: Survey results…
Gilder, David A.; Luna, Juan A.; Roberts, Jennifer; Calac, Daniel; Grube, Joel W.; Moore, Roland S.; Ehlers, Cindy L.
EPA Science Inventory
American Indians (AI) suffer some of the greatest health disparities in the US. Many conditions, including asthma, obesity, and diabetes, are prevalent among AI and are influenced by the places AI live. In addition, AI have high rates of severe physical housing problems and...
[Financing the public health services. 1967].
Federal statistic figures show that the Brazilian States altogether have, in their respective territories, a collection of taxes which is higher than the Union one. The highest collection of the Central Government which is shown at the official statistics is due to the excess of collection of the federal taxes over the ones of the States; this usually happens in five or six states, of which, in 1964 Guanabara and Săo Paulo were responsible for 91% of this difference. One can not change the present system of competence in Public Health Services in the three levels--central, regional and local--without modifying at the same time the present Brazilian tributary system, where the municipal governments received back in 1962 only 5.6 of the general collection of taxes. Figures from 1955 show that the per capita cost of Public Health Services in Brazil, comprising the three levels, was Cr 123 Cr dollars dollars ( 1.82 US dollars), and in 1962, Cr 827 (US 2.30 US dollars). These three levels of government reserved in 1955, 5.6% of the money spent in its total expenditure for Public Health activities; this percentage declined to 4.5% in 1962. In relation to the sum invested on Public Health government activities, the Union spent in 1962, 36.4% of the total expenses, the States 59.3% and the counties only 5.5%. There is a great disproportion in the distribution of Public Health expenditure among the various Brazilian States, ranging from a minimal percentage over the total public expenses such as the case of Goiás (1.6% in 1964) up to a maximum of 17.2% in Pará in the same year. There is also a considerable variation from one state to another and in 1964 it ranged from the lowest limit of 70 Cr dollars in Maranhăo up to 5.217 in Guanabara. If we analyze the per capita expenses of each state with Public Health activities, using 1964 and 1954 figures represented in 1964 monetary values, we can verify that the expenditure of 20 states dropped of 17.2%. One can not know, without an adequate planning, whether theses per capita expenses with Public Health government-owned services should be increased or not. It is not advisable to perform an international comparison; the figures on hand are not reliable due to the lack of a rational public accountancy system. PMID:17063230
Mascarenhas, Rodolfo Dos Santos
Integrating complementary and alternative medicine into mainstream healthcare services: the perspectives of health service managers
Background Complementary and alternative medicine (CAM) is increasingly included within mainstream integrative healthcare (IHC) services. Health service managers are key stakeholders central to ensuring effective integrative health care services. Yet, little research has specifically investigated the role or perspective of health service managers with regards to integrative health care services under their management. In response, this paper reports findings from an exploratory study focusing exclusively on the perspectives of health service managers of integrative health care services in Australia regarding the role of CAM within their service and the health service managers rational for incorporating CAM into clinical care. Methods Health service managers from seven services were recruited using purposive and snowball sampling. Semi-structured interviews were conducted with the health service managers. The services addressed trauma and chronic conditions and comprised: five community-based programs including drug and alcohol rehabilitation, refugee mental health and women's health; and two hospital-based specialist services. The CAM practices included in the services investigated included acupuncture, naturopathy, Western herbal medicine and massage. Results Findings reveal that the health service managers in this study understand CAM to enhance the holistic capacity of their service by: filling therapeutic gaps in existing healthcare practices; by treating the whole person; and by increasing healthcare choices. Health service managers also identified CAM as addressing therapeutic gaps through the provision of a mind-body approach in psychological trauma and in chronic disease management treatment. Health service managers describe the addition of CAM in their service as enabling patients who would otherwise not be able to afford CAM to gain access to these treatments thereby increasing healthcare choices. Some health service managers expressly align the notion of treating the whole person within a health promotion model and focus on the relevance of diet and lifestyle factors as central to a CAM approach. Conclusions From the perspectives of the health service managers, these findings contribute to our understanding around the rationale to include CAM within mainstream health services that deal with psychological trauma and chronic disease. The broader implications of this study can help assist in the development of health service policy on CAM integration in mainstream healthcare services.
Off-Reservation Indian Survey [Maine].
The needs of the off-reservation Indian population in Maine and recommendations for the correction of these needs are discussed. The program's objectives were (1) to determine the present level of services available to off-reservation Indians in Maine, (2) to determine present housing standards, educational levels, health programs, and geographic…
Sockabasin, Allen J., Comp; Stone, John G., Comp.
Constructs of Health and Environment Inform Child Obesity Prevention in American Indian Communities
Objective:Obesity prevention efforts have had limited success in American Indian (AI) populations. More effective prevention programs might be designed using insights into linkages between parental health beliefs, environmental constraints and healthy lifestyle choices.Methods and Procedures:Focus group sessions (n = 42 participants) were conducted to explore parental perspectives on children's health, diet and physical activity in three Wisconsin Tribal communities. Focus
Alexandra K. Adams; Heather Harvey; David Brown
Culturally and Linguistically Appropriate Services - Advancing Health with CLAS.
To help organizations better serve the increasingly diverse U.S. population, the HHS Office of Minority Health has released enhanced National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care. PMID:25014685
Koh, Howard K; Gracia, J Nadine; Alvarez, Mayra E
Hospital Occupational Health Services Study. VI. Special Information.
Results are reported of health services provided for contract and volunteer hospital workers, of participation by hospital employee unions in the development of health and safety programs and of the policies and practices with respect to the health and sa...
Evaluating consumer preferences for health care services in rural Australia
Service provision to remote rural areas is extremely costly, and only likely to be effective if the services provided are appropriate and accessible to the population. To date, little is known about the attitudes of rural residents (both townsfolk and the farming population) to various services. This study examines people's attitudes towards services generally, and health services in particular, and
J. S. Humphreys; H. C. Weinand
Dysfunctional health service conflict: causes and accelerants.
This article examines the causes and accelerants of dysfunctional health service conflict and how it emerges from the health system's core hierarchical structures, specialized roles, participant psychodynamics, culture, and values. This article sets out to answer whether health care conflict is more widespread and intense than in other settings and if it is, why? To this end, health care power, gender, and educational status gaps are examined with an eye to how they undermine open communication, teamwork, and collaborative forms of conflict and spark a range of dysfunctions, including a pervasive culture of fear; the deny-and-defend lawsuit response; widespread patterns of hierarchical, generational, and lateral bullying; overly avoidant conflict styles among non-elite groups; and a range of other behaviors that lead to numerous human resource problems, including burnout, higher staff turnover, increased errors, poor employee citizenship behavior, patient dissatisfaction, increased patient complaints, and lawsuits. Bad patient outcomes include decreased compliance and increased morbidity and mortality. Health care managers must understand the root causes of these problems to treat them at the source and implement solutions that avoid negative conflict spirals that undermine organizational morale and efficiency. PMID:22534973
Nelson, H Wayne
Substance Abuse and Mental Health Services Administration
Congress established the Substance Abuse and Mental Health Services Administration (SAMHSA) in 1992 to "target effectively substance abuse and mental health services to the people most in need." SAMHSA also administers a number of block grant programs and data collection activities. On their homepage, visitors can get started by clicking on the "Data" link at the top of the page and reading through the "What We Are Doing" section. Here interested parties will find highlights of recent reports, state-level data on these topics, and a series of mental health statistics reports. The top of their homepage contains additional sections of interest, including "Grants", "Publications", "Data", and "Newsroom". Visitors should also take a look at the "Featured Resource", which is also on the homepage. In addition, many of the site's materials are available in Spanish. Visitors can follow SAMHSA on various social networks including Facebook YouTube, and Twitter, and they can also sign up for their mailing list if they wish to keep up with this valuable organization.
THE-MUSS: Mobile u-health service system.
In this paper, we introduce a mobile u-health service system called THE-MUSS. THE-MUSS supports the development and running of u-health services with functions, modules, and facilities that are commonly required for various mobile u-health services. Aiming to achieve reusability and evolvability design goals, basic modules to support bio-signal capturing, processing, analysis, diagnosis, and feedback are developed and stacked in the layered architecture of THE-MUSS. A U-health service platform, design tool, portal, and matrix-based disease group identification method are the major components constituting the THE-MUSS architecture. We confirmed that THE-MUSS is practically useful for mobile u-health services by developing mobile stress and weight management services on THE-MUSS. The more u-health services are developed in THE-MUSS, the better services it can provide in the future. PMID:19762108
Han, Dongsoo; Lee, Minkyu; Park, Sungjoon
Comprehensive Study of the Huron Service Area Health Facility and Service Needs.
A study on the Huron service area health facility and service needs in Michigan is reported. The study was initiated by the East Central Michigan Comprehensive Health Planning Council in February 1974. The study defines health needs for the Huron service ...
Barriers to Sexual Health Services for Young People in Nepal
Although sexual and reproductive health education and services are provided to young people, current rates of HIV infection and pregnancy are increasing in Nepal, indicating that young people do not always use sexual health services. Health facilities have apparently failed to provide young people with specialized sexual health education and services. This study explored the barriers to using sexual health services, including condom-use among young people in Nepal. Participants from 10 focus groups and 31 in-depth interviews, carried out by a same-sex researcher, reported many socioeconomic, cultural and physical norms that impose barriers to accessing information on sexual health and relevant services. It is concluded that the establishment of youth-friendly service centres in convenient places might help encourage young people to use sexual health services.
van Teijlingen, Edwin; Simkhada, Padam; Acharya, Dev Raj
Security Specification and Implementation for Mobile e-Health Services
Different IT applications require different security services. We have been working in the area of e-health applications in a mobile environment, and we have needed to integrate specific security services. We present those security services for mobile e-health services and how we have implemented them. First, the different security threats specially oriented to the e-health applications are described, like patients'
Ramon Martí; Jaime Delgado; Xavier Perramon
Mystery shopping in health service evaluation.
BACKGROUND: Over the last 5 years, primary care telephone triage systems have been introduced in the United Kingdom, United States, Australia, and most recently in New Zealand. Evaluation of the clinical safety of such systems poses a challenge for health planners and researchers. AIM: To evaluate the use of simulated patients in the assessment of aspects of clinical safety in a pilot New Zealand primary care telephone triage service. DESIGN OF STUDY: 'Mystery shopping', an evaluation strategy commonly used in market research, was adapted by using simulated patients for telephone triage service evaluation. SETTING: New Zealand. METHODS: Four scripted clinical scenarios were developed by academic general practitioners, validated in student teaching situations, and then used by simulated patients to make 101 telephone calls. The scenarios were designed to necessitate a referral to a medical practitioner for further investigation. The documentation kept by the callers was compared with the call records from the telephone triage company, and both were analysed for capture and handling of the clinical safety features of each scenario. In cases where the endpoint was not a medical assessment, possible reasons for this were explored. RESULTS: Records were retrieved for 85 telephone calls. Considerable triage variability was discovered. There were discrepancies between expected and actual triage outcomes with 51% of analysed calls resulting in a self-care recommendation. A number of reasons were identified both for the triage variability and the unpredicted outcomes. Audiotaping of consultations would have enhanced the credibility of the evaluation but it would have carried ethical constraints. CONCLUSION: Simulated patients can be used to evaluate the limitations of health services and to identify areas that could be addressed to improve patient safety. Evaluation of patient satisfaction with services is not sufficient alone to evaluate safety.
Moriarty, Helen; McLeod, Deborah; Dowell, Anthony
42 CFR 411.8 - Services paid for by a Government entity.
...infectious diseases or because the individual is medically indigent. (5) Services furnished by a participating hospital or SNF of the Indian Health Service. (6) Services furnished by a public or private health facility thatâ (i) Is not a...
Function Model for Community Health Service Information
NASA Astrophysics Data System (ADS)
In order to construct a function model of community health service (CHS) information for development of CHS information management system, Integration Definition for Function Modeling (IDEF0), an IEEE standard which is extended from Structured Analysis and Design(SADT) and now is a widely used function modeling method, was used to classifying its information from top to bottom. The contents of every level of the model were described and coded. Then function model for CHS information, which includes 4 super-classes, 15 classes and 28 sub-classed of business function, 43 business processes and 168 business activities, was established. This model can facilitate information management system development and workflow refinement.
Yang, Peng; Pan, Feng; Liu, Danhong; Xu, Yongyong
Indian community health insurance schemes provide partial protection against catastrophic health expenditure
Background More than 72% of health expenditure in India is financed by individual households at the time of illness through out-of-pocket payments. This is a highly regressive way of financing health care and sometimes leads to impoverishment. Health insurance is recommended as a measure to protect households from such catastrophic health expenditure (CHE). We studied two Indian community health insurance (CHI) schemes, ACCORD and SEWA, to determine whether insured households are protected from CHE. Methods ACCORD provides health insurance cover for the indigenous population, living in Gudalur, Tamil Nadu. SEWA provides insurance cover for self employed women in the state of Gujarat. Both cover hospitalisation expenses, but only upto a maximum limit of US$23 and US$45, respectively. We reviewed the insurance claims registers in both schemes and identified patients who were hospitalised during the period 01/04/2003 to 31/03/2004. Details of their diagnoses, places and costs of treatment and self-reported annual incomes were obtained. There is no single definition of CHE and none of these have been validated. For this research, we used the following definition; "annual hospital expenditure greater than 10% of annual income," to identify those who experienced CHE. Results There were a total of 683 and 3152 hospital admissions at ACCORD and SEWA, respectively. In the absence of the CHI scheme, all of the patients at ACCORD and SEWA would have had to pay OOP for their hospitalisation. With the CHI scheme, 67% and 34% of patients did not have to make any out-of-pocket (OOP) payment for their hospital expenses at ACCORD and SEWA, respectively. Both CHI schemes halved the number of households that would have experienced CHE by covering hospital costs. However, despite this, 4% and 23% of households with admissions still experienced CHE at ACCORD and SEWA, respectively. This was related to the following conditions: low annual income, benefit packages with low maximum limits, exclusion of some conditions from the benefit package, and use of the private sector for admissions. Conclusion CHI appears to be effective at halving the incidence of CHE among hospitalised patients. This protection could be further enhanced by improving the design of the CHI schemes, especially by increasing the upper limits of benefit packages, minimising exclusions and controlling costs.
Devadasan, Narayanan; Criel, Bart; Van Damme, Wim; Ranson, Kent; Van der Stuyft, Patrick
Schools and adolescent health: strengthening services and improving outcomes
School-based health services have made limited contributions to the well-being of school-age children. However, they have the potential for promoting health and improving service delivery for 50 million children and adolescents enrolled in the nation's schools. Recent changes in health care, particularly the spread of managed care and development of integrated health service networks, have reawakened mainstream interest in school
Julia G Lear
77 FR 50519 - Center for Mental Health Services (CMHS); Amendment of Meeting
...HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Mental Health Services (CMHS); Amendment of Meeting...participant link change for the Substance Abuse and Mental Health Services Administration's...
77 FR 50144 - Center for Mental Health Services (CMHS); Amendment of Meeting Notice
...HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Mental Health Services (CMHS); Amendment of Meeting...and date change for the Substance Abuse and Mental Health Services Administration's...
78 FR 45543 - Center for Mental Health Services; Notice of Meeting
...HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Mental Health Services; Notice of Meeting Pursuant...hereby given that the Substance Abuse and Mental Health Services Administration's...
Coordination between Child Welfare Agencies and Mental Health Service Providers, Children's Service Use, and Outcomes
Objective: Interorganizational relationships (IORs) between child welfare agencies and mental health service providers may facilitate mental health treatment access for vulnerable children. This study investigates whether IORs are associated with greater use of mental health services and improvement in mental health status for children served by…
Bai, Yu; Wells, Rebecca; Hillemeier, Marianne M.
[Computerization in a community health service provider].
As the second largest health service provider organization in Israel, we have been progressively computerized. The process was begun in 1988, focusing on improving administrative and financial processes. Today there is a single centralized database for 6,000 users. The system monitors member eligibility, accounting procedures and clinical processes, including diagnoses, laboratory tests, imaging procedures and drug-prescribing. The potential of the computer for physician support is now being realized through integration of clinical guidelines and reminder systems into the computerized clinical record. In addition, the centralized database is used for quality improvement, facilitating cost-effective drug-prescribing and efficient use of technology. The establishment of a computerized working environment for 2,000 physicians and 4,000 other healthcare workers serving 1.3 million patients is a unique model for the development of community health services. Data regarding demographics, disease patterns, drug-prescribing, use of new technology and costs are now readily available to all, from senior management to the individual physician in independent practice. The computer revolution has also presented a new set of problems such patient-record confidentiality and the effect of the computer on the physician-patient encounter. PMID:12415968
Porter, B
Innovations in Mental Health Services to Disaster Victims.
This monograph was developed to provide mental health and other service delivery workers with an overview of conceptual, programmatic, and educational developments in mental health services to disaster victims over the past 10 years. It was written primarily for national policymakers, administrators, and service providers of disaster relief…
Lystad, Mary, Ed.
The prisoner as patient - a health services satisfaction survey
BACKGROUND: There is evidence for higher morbidity among prison inmates than in the general population. Despite this, patient satisfaction with the prison health services is scarcely investigated. The aim of the present study was to investigate patient satisfaction with prison health services in Norway and to analyze possible patient and service effects. METHODS: The survey took part in 29 prisons
Johan Hĺkon Bjřrngaard; Ĺse-Bente Rustad; Ellen Kjelsberg
CBPR in Indian Country: Tensions and Implications for Health Communication
There is a common perspective among public health researchers and community members that although health promotion or disease prevention practices, programs, and projects should be done with rather than to individuals and communities, for various practical, economic, political, and cultural reasons, this is easier said than done. This study examines community-based participatory research (CBPR) in a university-based research center conducting
Jeffery Chaichana Peterson
Cognitive Appraisals of Specialty Mental Health Services and Their Relation to Mental Health Service Utilization in the Rural Population
Purpose Rural individuals utilize specialty mental health services (eg, psychiatrists, psychologists, counselors, and social workers) at lower rates than their urban counterparts. This study explores whether cognitive appraisals (ie, individual perceptions of need for services, outcome expectancies, and value of a positive therapeutic outcome) of help-seeking for depression symptoms are related to the utilization of specialty mental health services in a rural sample. Methods Demographic and environmental characteristics, cultural barriers, cognitive appraisals, and depression symptoms were assessed in one model predicting specialty mental health service utilization (MHSU) in a rural sample. Three hypotheses were proposed: (1) a higher number of environmental barriers (eg, lack of insurance or transportation) would predict lower specialty mental health service utilization; (2) an increase in cultural barriers (stigma, stoicism, and lack of anonymity) would predict lower specialty mental health utilization; and (3) higher cognitive appraisals of mental health services would predict specialty mental health care utilization beyond the predictive capacities of psychiatric symptoms, demographic variables, environmental barriers, and cultural barriers. Findings Current depression symptoms significantly predicted lifetime specialty mental health service utilization. Hypotheses 1 and 2 were not supported: more environmental barriers predicted higher levels of specialty MHSU while cultural barriers did not predict specialty mental health service utilization. Hypothesis 3 was supported: cognitive appraisals significantly predicted specialty mental health service utilization. Conclusions It will be important to target perceptions and attitudes about mental health services to reduce disparities in specialty MHSU for the rural population.
Deen, Tisha L.; Bridges, Ana J.; McGahan, Tara C.; Andrews, Arthur R.
42 CFR 136.12 - Persons to whom services will be provided.
...a) In general. Services will be made available...belonging to the Indian community served by the local facilities and program. Services will also be...Indian health and medical service program if he/she...as an Indian by the community in which...
Use of online health information resources by American Indians and Alaska Natives
According to the Office of Minority Health, an estimated 4.9 million people living in the United States consider themselves American Indian or Alaska Native (AIAN), either alone or in combination with one or more races/ethnicities. AIAN are a racial/ethnic group experiencing serious health disparities, with very little if any improvement in health outcomes over the last several decades. This study was designed to explore use of the Internet as a health information source among American Indians in the Central Plains region of the United States. Nine hundred and ninety eight Natives in the region were recruited from May 2008 to December 2009 at pow wows, health fairs, through focus groups, career fairs and conferences, and other social and cultural events, and asked to complete a self-administered survey. Although compared with data from the general population, AIAN from our sample may seem heavier Internet users, their use of modern wireless devices is limited, and their usage of Internet to access health information is lower compared to the adult US population. Natives living in the Central Plains region face generational differences in both general and health-related use of the Internet. Inadequate availability of culturally appropriate health information websites may drive AIAN towards search engines and general information websites.
Geana, Mugur; Daley, Christine Makosky; Nazir, Niaman; Cully, Lance; Etheridge, Jesse; Bledowski, Caroline; Choi, Won S.; Greiner, K. Allen
...what will the Secretary of Health and Human Services or the IBIA do? 900.174...HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE INDIAN...what will the Secretary of Health and Human Services or the IBIA do? (a)...
...what will the Secretary of Health and Human Services or the IBIA do? 900.167...HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE INDIAN...what will the Secretary of Health and Human Services or the IBIA do? (a) The...
Health expenses and economic growth: convergence dynamics across the Indian States.
In this paper we explore convergence of real per capita output and health expenses across the Indian States. The new panel convergence methodology, developed by Phillips and Sul (Econometrica 75:1771-1855, 2007), is employed. The empirical findings suggest that these States form distinct convergent clubs, exhibiting considerable heterogeneity in the underlying growth and health expenses factors. These findings should help policy makers in designing appropriate growth-oriented and/or health sector programs and setting priorities in their implementation. PMID:24037442
Apergis, Nicholas; Padhi, Puja
The ecology of health services utilization in Grenada, West Indies
Few empirical investigations into the nature of health services utilization fully acknowledge that the home environment may act as a socio-geographic focus of both disease transmission and of learned health behavior. This paper examines the role of the home environment, as well as of personal characteristics and accessibility, in the utilization of health services in Grenada, West Indies. Bivariate and
Blake D. Poland; S. Martin Taylor; Michael V. Hayes
Indicators Predicting Use of Mental Health Services in Piedmont, Italy
Background: Since the 1978 Italian reform, an integrated network of community mental health services has been introduced. With few exceptions, research on determinants of mental health service use at the district level has focused on inpatient activities and social deprivation indicators. The European Psychiatric Care Assessment Team (EPCAT) standardized methodology allows for an evidence- based comparison of mental health systems
Giuseppe Tibaldi; Carmine Munizza; Sherri Pasian; Sonia Johnson; Luis Salvador-Carulla; Serena Zucchi; Simona Cesano; Cristina Testa; Elena Scala; Luca Pinciaroli
Patient Satisfaction in Public Outpatient Health Care Services
This paper is part of earlier research work conducted in the health care services sector. The customer relationship management concept has encouraged the adoption of a marketing culture not only in the private sector, but in public health care sector as well. In this paper the authors have analysed the factors affecting patient satisfaction in public health care outpatient services.
Hardip Chahal; R. D. Sharma; Mahesh Gupta
The Indian concepts of lifestyle and mental health in old age
Lifestyle is the perception of a particular person or entire society towards life and it is the way people live, think and behave. In Indian lifestyle, principles of Karma (action) and dharma (the righteous way to perform the work) are given significant value. In India, earlier, the life of an individual was being regulated harmoniously according to the stages (Ashrams) of life, i.e., studentship (Brahmcharya); householder (Grihstha); forest dweller (Vanprasth); ascetic (Sanyas) and was meant to maintain the discipline, peace and harmony in the family and society. However, revolution in the social milieu and political scenario changed the patterns of religious beliefs and lifestyle of individuals. And thus, the Indian lifestyle got colored with shadows of cults and cultures. The lifestyle affects the longevity and health in old age. Lifestyles also have role in developing cognitive disorders like Alzheimer's disease (AD). AD found to be more common in socially isolated older adults. Deteriorations in health (especially mental health) are often the results of faulty lifestyles like smoking, alcohol intake, improper diet and lack of exercise as well as an adverse psycho-social milieu. Adopting the advocated principles of Indian concepts of lifestyle and paying proper attention to mental illnesses of older adults and recognizing their problems may preserve mental health in old age.
Tiwari, S. C.; Pandey, Nisha M.
The Indian concepts of lifestyle and mental health in old age.
Lifestyle is the perception of a particular person or entire society towards life and it is the way people live, think and behave. In Indian lifestyle, principles of Karma (action) and dharma (the righteous way to perform the work) are given significant value. In India, earlier, the life of an individual was being regulated harmoniously according to the stages (Ashrams) of life, i.e., studentship (Brahmcharya); householder (Grihstha); forest dweller (Vanprasth); ascetic (Sanyas) and was meant to maintain the discipline, peace and harmony in the family and society. However, revolution in the social milieu and political scenario changed the patterns of religious beliefs and lifestyle of individuals. And thus, the Indian lifestyle got colored with shadows of cults and cultures. The lifestyle affects the longevity and health in old age. Lifestyles also have role in developing cognitive disorders like Alzheimer's disease (AD). AD found to be more common in socially isolated older adults. Deteriorations in health (especially mental health) are often the results of faulty lifestyles like smoking, alcohol intake, improper diet and lack of exercise as well as an adverse psycho-social milieu. Adopting the advocated principles of Indian concepts of lifestyle and paying proper attention to mental illnesses of older adults and recognizing their problems may preserve mental health in old age. PMID:23858270
Tiwari, S C; Pandey, Nisha M
Background There is evidence for higher morbidity among prison inmates than in the general population. Despite this, patient satisfaction with the prison health services is scarcely investigated. The aim of the present study was to investigate patient satisfaction with prison health services in Norway and to analyze possible patient and service effects. Methods The survey took part in 29 prisons in the southern and central part of Norway, representing 62% of the total prison capacity in Norway. A total of 1,150 prison inmates with prison health services experiences completed a satisfaction questionnaire (90% response rate). The patients' satisfaction was measured on a 12-item index. Multilevel analyses were used to analyze both patient and service characteristics as predictors of satisfaction. Results The study revealed high levels of dissatisfaction with prison health services. There were substantial differences between services, with between-service-variance accounting for 9% of the total variance. Satisfaction was significantly associated with a senior staff member's evaluation of the health services possessing adequate resources and the quality of drug abuse treatment. At the patient level, satisfaction was significantly associated with older age, frequent consultations and better self-perceived health. Conclusion Prison inmates' satisfaction with the health services provided are low compared with patient satisfaction measured in other health areas. The substantial differences observed between services - even when adjusting for several known factors associated with patient satisfaction - indicate a potential for quality improvement.
Bj?rngaard, Johan Hakon; Rustad, Ase-Bente; Kjelsberg, Ellen
Areawide Plan for Health. Supplement I, Health Services and Facilities Plan.
The report is a supplement to an areawide plan for health care services as a basic guide in developing hospital and other health services in California's Imperial, Riverside, and San Diego counties. Data presented serve as guidelines in reviewing proposal...
The impact of HRM practices on service quality, customer satisfaction and performance in the Indian hotel industry
The paper investigates the effects of HRM practices on service quality, customer satisfaction and performance in the hotel industry. A conceptual model is developed and four research hypotheses are empirically examined using structural equation modelling. The data were collected via a survey of Indian based hotels. 52 hotels in India responded to questionnaires pooling 52 HR managers 260 employees (5
Mohinder Chand
Factors that influence first-career choice of undergraduate engineers in software services companies : A south Indian experience
Purpose – The purpose of this paper is to identify how undergraduate engineering students differ in their perception about software services companies in India based on variables like gender, locations of the college and branches of engineering. Design\\/methodology\\/approach – Data obtained from 560 undergraduate engineering students who had the opportunity to have multiple job offers from four major Indian software
THE-MUSS: Mobile U-Health Service System
In this paper, we introduce a mobile u-health service system, named THE-MUSS, which supports u-health service development and running, with functions, modules, and facilities that are commonly required for various mobile u-health services. Basic modules to support bio-signal capturing, processing, analysis, diagnosis, feedbacks are prepared and stacked in the system. Reusability and evolvability are elicited as the primary design goals to achieve in developing THE-MUSS after the understanding of u-health service characteristics. U-health service platform, u-health ontology incorporated u-health service design tool, Matrix based disease group identification framework, and u-health portal are the major components constructing the layered architecture of THE-MUSS. Mobile stress and weigh management services are developed on THE-MUSS to confirm and evaluate the usefulness of THE-MUSS in developing mobile u-health services. According to the evaluation, it turned out that THE-MUSS has strength in reusability and evolvability, but also in system flexibility, adaptability, interoperability, and guideline provision for developing u-health services.
Han, Dongsoo; Park, Sungjoon; Lee, Minkyu
Challenges facing occupational health services in the 21st century.
The mission and tasks of occupational health services are reviewed in the context of the global megatrends of productivity increase, population overgrowth, and the implications of changes in the technology of information and communication. Current trends in attempts to achieve harmonization with respect to the concept and tasks of occupational health services in the European Union are described, along with the basic features of occupational health services as a human service organization with implications for the setting of objectives and criteria for assessing quality and performance and ethics. The need to adopt a quality-focused approach to occupational health service programs is emphasized, and some of the inhibitions and obstacles to quality work are mentioned. The need for professional commitment to develop and implement quality concepts is outlined. Evidence-based health care in the setting of occupational health services and some salient aspects of professional ethics in the 21st century are commented on. PMID:10884163
Westerholm, P
Reporting Requirements for OEO Comprehensive Health Services Projects.
Required data on comprehensive health service (CHS) project services and activities are examined in a report prepared by the Office of Economic Opportunity (OEO). CHS projects represent a new effort in primary care. Each project is a complex but integrate...
Public Health Service Numbered Publications. A Catalog: 1950-1962.
The catalog represents the major output of non-periodical literature of the Public Health Service. It includes all the numbered publications of the Service from 1950 through 1962. The catalog is essentially a reference volume, and while representative, do...
Wildlandfire.com: USDA Forest Service References on the American Indian Use of Fire in Ecosystems
Studies examining the use of fire by Native Americans prior to European arrival in North America have received a considerable amount of attention in recent years. This website contains a sizeable collection of references addressing this subject, and was compiled in 2001 by Dr. Gerald W. Williams, an Historical Analyst for the US Forest Service. Dr. Williams introduces the references as "part of the growing literature of the intentional use of fire by American Indians in English speaking portions of North America." Preceding the references, Dr. Williams includes brief summary sections that address the arrival of Europeans, the discoveries and burning practices of early settlers, and documented reasons or purposes for burning by Native Americans. [NL
Reframing diabetes in American Indian communities: a social determinants of health perspective.
American Indians and Alaska Natives (AI/ANs) experience some of the greatest health inequities of any group within the United States. AI/ANs are diagnosed with diabetes more than twice as often as non-Hispanic white Americans. Diabetes is a chronic preventable disease often associated with individual risk factors and behaviors that indicate what interventions are needed to prevent or manage the disease. Individual ameliorative strategies in diabetes prevention and management do not fully address the fundamental causes and complexity of diabetes in American Indian communities. Through the application of a social determinants of health paradigm, social work has the opportunity to reframe diabetes and begin to understand it as a product of and a response to unjust conditions and environments, rather than as a disease rooted solely in individual pathology and responsibility. PMID:23029974
Mitchell, Felicia M
Health services providers and users' opinions on maternal health services in Bangkok metropolis.
Morbidity from pregnancy complications was 19.6% of inpatients in 1990 in Bangkok Metropolis. This study examines the impact of local customs on prenatal, delivery, and postpartum care; the factors affecting use of health services for prenatal care and delivery; and the nature of women's involvement in IEC for maternal health. Data was obtained from a community survey in May 1992 among 526 ever married women, 15-40 years old, from low-income communities in Bangkok Metropolis. In-depth interviews with hospital personnel were conducted at two general hospitals and three health centers, and focus groups were conducted in two communities. Findings show that Hospital A received 220 old and 80 new prenatal patients daily; Hospital B accommodated 130 old and 50 new ones. According to nurses, the major hospital problem was doctors' attitudes toward nurses. Comprehensive services were available at both hospitals. Hospital B encountered patient health problems of minor malnutrition, syphilis, and hepatitis, while Hospital A treated diarrhea and high blood pressure problems. A lack of medical personnel was reported in both settings. Low level of education was reported as related to noncompliance. Incorrect practices were identified as adherence to food taboos that led to deficiencies, consumption of whiskey with traditional medicine, which contaminated breast milk, and discarding mother's first milk. At health centers, which included family planning, doctors only saw high risk patients; complications generally were for swelling, high blood pressure, and vaginal bleeding. Not all centers had a prenatal care diagnostic manual or licensed nurses. Obstacles to delivery of health care included a lack of nurses, refusals at referral centers by low level personnel, and a poor rapport between nurses and patients, which improved with bribes. Poorly educated patients had trouble understanding their health condition. Nurses and focus groups reported that services were not convenient for patients. Migration interfered with keeping appointments. Male doctors were preferred to female doctors as nicer to patients. PMID:12319392
Leoprapai, B; Pramualratana, A; Sirirassamee, B; Tangchonlatip, K; Pattaravanich, U
In this paper, we introduce a mobile u-health service system, named THE-MUSS, which supports u-health service development\\u000a and running, with functions, modules, and facilities that are commonly required for various mobile u-health services. Basic\\u000a modules to support bio-signal capturing, processing, analysis, diagnosis, feedbacks are prepared and stacked in the system.\\u000a Reusability and evolvability are elicited as the primary design goals
Dongsoo Han; Sungjoon Park; Minkyu Lee
THE-MUSS: Mobile u-health service system
In this paper, we introduce a mobile u-health service system called THE-MUSS. THE-MUSS supports the development and running of u-health services with functions, modules, and facilities that are commonly required for various mobile u-health services. Aiming to achieve reusability and evolvability design goals, basic modules to support bio-signal capturing, processing, analysis, diagnosis, and feedback are developed and stacked in the
Dongsoo Han; Minkyu Lee; Sungjoon Park
An Evolving Mobile E-Health Service Platform
ion With the wide spread use of cellular phones and the increased interests in the well-being of people, many vendors of cellular phones start to embed a variety of e-health services in their cellular phones. While the e-health services look different from the service point of view, they share many common features at various levels such as, service structure, unit
Dongsoo Han; Sungjoon Park; Smita Kurkuri
A Population-based Needs Assessment for Mental Health Services
A needs assessment was done to objectively evaluate client need and determine gaps between these needs and the services provided\\u000a by mental health services. The services included were standard case management, assertive case management and residential\\u000a care across the Fraser Health Region in British Columbia, Canada. Assessments involved collection of data on current symptoms,\\u000a functioning, and service use and needs.
Laura Hanson; Denyse Houde; Meryl McDowell; Lois Dixon
Pressing Problems of the Economics and Planning of Health Services.
The report contains a review of the primary tasks in the field of public health including the more effective management of health services through the use of computers and mathematical economic methods.
I. D. Bogatyrev M. P. Roitman
M-Hippocrates: Enabling Reliable and Interactive Mobile Health Services
The lack of reliable communication is still an obstacle for enhanced mobile health services. The new m-Hippocrates software architecture aims to significantly improve mobile health applications using an application-level communication technology called Always Best Packet Switching.
Vittorio Ghini; Stefano Ferretti; Fabio Panzieri
Marriage, Cohabitation, and Men's Use of Preventive Health Care Services
... 2014 Marriage, Cohabitation, and Men's Use of Preventive Health Care Services On This Page Key findings Married men ... other not-married men to have had a health care visit in the past 12 months. Figure 1. ...
Inpatient Pediatric Bed Requirements for Health Service Area VI.
Information about the delivery of inpatient pediatric care in the 27 communities comprising Health Service Area VI of Massachusetts is reported by the North Shore Health Planning Council, Peabody, Massachusetts. Trends in pediatric inpatient treatment are...
Research to Increase Health Services to Children: Terminal Progress Report.
The child health associate is a unique category of allied health professional capable of providing a broad and expanded range of preventive, diagnostic, and therapeutic services to children. Working principally in ambulatory settings as colleagues and ass...
H. K. Silver
Medicare Subvention and the Military Health Services System.
This thesis examines Medicare Subvention and the effects it would have on the Military Health Services System. Current Medicare Subvention legislation is identified and reviewed. The role on the Health Care Financing Administration and how it relates to M...
B. M. Miller
Causal Model of Health Services for Diabetic Patients.
This model of health care process is designed to consider a broad range of relationships and effects, particularly between patient and provider characteristics and process and outcome parameters of health services. The model examines interrelationships am...
S. J. Williams S. M. Shortell J. P. LoGerfo W. C. Richardson
The Contribution of Health Services Research to Improved Dermatologic Care
To translate scientific discovery into improved health, we must study health care itself: ie, how people access health care, costs or other barriers to the provision of good care, and what happens to patients as a result of this care. Health services research (HSR) is the interdisciplinary field that studies health care and its effects. This paper reviews different types of HSR and highlights some dermatologic examples that have resulted in improved health care systems or have helped us understand access to existing systems. The paper also addresses some of the political and systematic challenges for health services research overall, and for individual investigators and program leaders.
Chren, Mary-Margaret
School-Based Mental Health Services: Service System Reform in South Carolina.
This paper reports on the University of South Carolina School-Based Mental Health Project, a program which provides mental health services within a public school setting in an effort to maximize the preventive and educational effects of mental health services within schools. The project is also developing a model to serve as a foundation for a…
Motes, Patricia Stone; Pumariega, Andres; Simpson, Mary Ann; Sanderson, Jennifer
76 FR 30437 - Indian Child Welfare Act; Designated Tribal Agents for Service of Notice
...Traditional Tribe of Texas, Connie Valenzuela, Director Indian Child Welfare, 286...E-mail: tribe.org">firstname.lastname@example.com. Kickapoo Tribe of...Traditional Tribe of Texas, Connie Valenzuela, Indian Child Welfare Director,...
Improving the Recruitment and Retention of American Indian Students in Psychology.
There is a great need to increase the number of American Indian students in psychology, especially in clinical and counseling psychology. Nationally, there are fewer than 200 American Indian psychologists, and most mental health services for Indian people are provided by paraprofessionals, who may be poorly trained for this function. In addition,…
Thomason, Timothy C.
78 FR 15035 - Extension, Without Changes of Agency Information Collection for Indian Self-Determination and...
...projects, the Bureau of Indian Affairs (BIA) and the Indian Health Service (IHS...cooperative agreements (contracts) for award by BIA and IHS, as authorized by the Indian Self-Determination...You may submit comments regarding the BIA information collection activities...
75 FR 8103 - Proposed Renewal of Agency Information Collection for Indian Self-Determination and Education...
...SUMMARY: The Bureau of Indian Affairs (BIA) and Indian Health Service (IHS) are...cooperative agreements for award by the BIA and the IHS, as authorized by the Indian...INFORMATION: I. Abstract Representatives of the BIA and IHS seek renewal of the approvals...
Mobihealth: Mobile Health Services Based on Body Area Networks
In this chapter we describe the concept of MobiHealth and the approach developed during the MobiHealth project (MobiHealth,\\u000a 2002). The concept was to bring together the technologies of Body Area Networks (BANs), wireless broadband communications\\u000a and wearable medical devices to provide mobile healthcare services for patients and health professionals. These technologies\\u000a enable remote patient care services such as management of
Val Jones; Aart van Halteren; Ing Widya; Nikolai Dokovsky; George Koprinkov; Richard Bults; Dimitri Konstantas; Rainer Herzog; R. H. Istepanian; S. Laxminarayan; C. S. Pattichis
Navajo Environmental Health Review by the National Environmental Health Association (Window Rock, Arizona, May 24-27, 1976).
The Indian Health Committee met with key staff of the Indian Health Service (IHS) Area Office to review the environmental health services provided on the Navajo Reservation and make recommendations for improvement or expansion of current programs, if needed. Recommendations were made regarding environmental health and institutional personnel,…
Navajo Health Authority, Window Rock, AZ.
Barriers to mental health services utilization in the Niger Delta region of Nigeria: service users' perspectives
Introduction There is only one neuro-psychiatric hospital for over four million people in the Niger Delta region of Nigeria. Low-income groups in urban and rural areas who access care through public mental health clinics are at greater risk of not accessing the needed mental health care. This study aimed to explored barriers that prevent people from utilizing mental health services, and to identifies key factors to increase access and improved service delivery. Methods A qualitative study was conducted among 20 service users attending the outpatient clinic of Rumuigbo neuropsychiatric hospital. Ten participants were caregivers and 10 were clients, both having accessed services for at least one year. Results The mean age was 37.7 years, 60% were males, 40% were unemployed and only 15% had a regular monthly income, while 65% live in rural areas. Barriers observed in mental health services use were physical, financial and cultural. These include absence of service in rural communities, poor knowledge of mental health services, stigma, transportation problems, waiting time at the facility and cost of service. Conclusion Stigma remains a strong barrier to accessing mental health services, and extensive efforts need to be made to overcome ignorance and discrimination. Mental health services need to be provided throughout the health care system to enable people to access them locally and affordably, preventing the need to travel and promoting service uptake and treatment continuation.
Jack-Ide, Izibeloko Omi; Uys, Leana
Delaware Department of Health and Social Services: Division of State Service Centers Program and Planning Manual.
This program manual is intended to serve as a general guide for implementing the service center program of the Delaware Department of Health and Social Services. Goals of the service center program are to deliver human services as economically as possible...
41 CFR 101-5.304 - Type of occupational health services.
...2013-07-01 2012-07-01 true Type of occupational health services. 101-5.304 Section...Services § 101-5.304 Type of occupational health services. The type of occupational health services made available to...
Telepsychiatry and e-Mental Health Services: Potential for Improving Access to Mental Health Care
Reforming mental health care is a focus of many ongoing initiatives in the United States, both at the national and state levels. Access to adequate mental health care services is one of the identified problems. Telepsychiatry and e-mental health services could improve access to mental health care in rural, remote and underserved areas. The authors discuss the required technology, common
Kaye L. McGinty; Sy Atezaz Saeed; Scott C. Simmons; Yilmaz Yildirim
Consumer Guide to Wasatch Front Maternity Services, 1985-1986. Utah Health Service Area 1.
To help you plan your delivery, the Utah Health Systems Agency has compiled a Guide to Maternity Services which provides information about prices, length of stay, and kinds of services available in Weber, Davis, Salt Lake and Utah counties.
Context Specific Mental Health Services for Children in Foster Care
Although a high proportion of foster children receive mental health services, existing research suggests limited accessibility and effectiveness of these services. This paper discusses strategies to develop a model to deliver evidence-based services using the unique opportunities apparent within publicly funded child welfare systems. An ecologically-focused model providing enhanced services in children's homes and schools could capitalize on these opportunities and radically improve access and effectiveness of mental health services for foster children. We present data from four focus groups conducted with foster parents, caseworkers, and therapists to understand the feasibility of implementing this type of service model. Results support the need for services focused on enhancing interactions in children's foster homes and schools, but also suggest that issues related to priorities and primary roles could limit the extent that caseworkers and agency-based mental health providers would follow through with the proposed service model.
Leathers, Sonya J.; Atkins, Marc S.; Spielfogel, Jill E.; McMeel, Lorri S.; Wesley, Julia M.; Davis, Rafe
45 CFR 1326.15 - Nutrition services.
...1326.15 Public Welfare Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON AGING, OLDER AMERICANS PROGRAMS GRANTS TO INDIAN...
International survey of occupational health nurses' roles in multidisciplinary teamwork in occupational health services.
Access to occupational health services for primary prevention and control of work-related injuries and illnesses by the global workforce is limited (World Health Organization [WHO], 2013). From the WHO survey of 121 (61%) participating countries, only one-third of the responding countries provided occupational health services to more than 30% of their workers (2013). How services are provided in these countries is dependent on legal requirements and regulations, population, workforce characteristics, and culture, as well as an understanding of the impact of workplace hazards and worker health needs. Around the world, many occupational health services are provided by occupational health nurses independently or in collaboration with other disciplines' professionals. These services may be health protection, health promotion, or both, and are designed to reduce health risks, support productivity, improve workers' quality of life, and be cost-effective. Rantanen (2004) stated that basic occupational health services must increase rather than decline, especially as work becomes more complex; workforces become more dynamic and mobile, creating new models of work-places; and jobs become more precarious and temporary. To better understand occupational health services provided by occupational health nurses globally and how decisions are made to provide these services, this study examined the scope of services provided by a sample of participating occupational health nurses from various countries. [Workplace Health Saf 2014;62(7):274-281.]. PMID:25000546
Rogers, Bonnie; Kono, Keiko; Marziale, Maria Helena Palucci; Peurala, Marjatta; Radford, Jennifer; Staun, Julie
42 CFR 417.101 - Health benefits plan: Basic health services.
...non-hospital based health care facility or...not be limited to, room and board, general...use of operating room and related facilities...medically necessary emergency health services both in...crisis intervention mental health...
Health Systems Plan for 1978-1983. Health Service Area 2 South Carolina. Data Appendix.
This appendix to the health systems plan of the Three Rivers Health Systems Agency, Inc., in Columbia, SC., provides statistical data. An overview of the health service area notes population centers, population changes and growth, population by rural-urba...
42 CFR 51b.107 - Is participation in preventive health service programs required by these regulations?
...programs required by these regulations? 51b.107 Section 51b.107 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS PROJECT GRANTS FOR PREVENTIVE HEALTH SERVICES General Provisions §...
Health Systems Plan for West Illinois/East Iowa, 1981-1985. Illinois Health Service Area 10.
The HSP addresses health services in all of the following categories: (1) community health promotion and protection services, (2) prevention and detection services, (3) diagnostic and treatment services, (4) habilitation, rehabilitation and maintenance se...
Who Gets What. Utilization of Health Services in Indonesia.
An evaluation of health service utilization was carried out in five rural districts and a number of urban areas in Indonesia. The study was part of a larger effort to develop economically-related information about the health care services. Utilization was...
Utilization of Health Services in the Great Plains.
The health service guide aids rural decisionmakers in the Great Plains in planning needed health services for their area. By following the guide, rural planners can estimate the number of doctors their area can support; the number of cases by age group, s...
A. May G. A. Doeksen B. L. Green
Health Services at Large Public Institutions: Funding, Utilization, and Staffing
When a mandatory health fee policy for students on campuses of the State University of New York (SUNY) was instituted in fall 1991, the projection was that the policy, which was at the option of individual institutions, would result in significant changes for SUNY health service operations. The changes would affect funding sources, staffing requirements, utilization rates, and services offered.
Marie L. Kunz; Wendy M. Irving; Dennis R. Black
Service Learning: Creating Visibility and Advocacy for Health Education
This paper reviews how service learning pedagogy is being used by one program to 1) increase the visibility of and advocacy for school health education and the coordinated school health program (CSHP) and 2) meet the needs of students in its master's level professional preparation programs. Three benefits to employing service learning are…
Hodges, Bonni C.; Videto, Donna M.
Mental Health and Incarcerated Youth. II: Service Utilization
The incarceration of mentally ill youth is a serious problem not receiving the same attention as in adults. In this study, we examine the level of prior service utilization in incarcerated youth versus youth receiving community mental health services. We randomly recruited youth from middle South Carolina served by a local community mental health center (CMHC; n = 60), hospitalized
Andres J. Pumariega; D. Lanette Atkins; Kenneth Rogers; Larry Montgomery; Cheryl Nybro; Robert Caesar; Donald Millus
Toward the financial integration of public mental health services
The public treatment of seriously mental ill patients continues to be frustrated by the lack of administrative and financial integration of state and community mental health services. Several states have initiated attempts to improve the costeffectiveness of public mental health services through mechanisms that create financial incentives fostering community-based alternatives to psychiatric hospitalization. Examples of such mechanisms include capitation financing
Glenn R. Yank; David S. Hargrove; King E. Davis
Parental Cultural Affiliation and Youth Mental Health Service Use
Studies indicate that African American, Asian/Pacific Islander, and Latino youth have higher rates of unmet mental health needs and lower rates of mental health service utilization compared to non-Hispanic White youth, suggesting that obstacles may exist in the help-seeking and service utilization pathway for minority youth. Parental cultural…
Ho, Judy; Yeh, May; McCabe, Kristen; Hough, Richard L.
38 CFR 18.452 - Health and other social services.
...Pensions, Bonuses, and Veterans' Relief 2 2013-07-01...2013-07-01 false Health and other social services...Pensions, Bonuses, and Veterans' Relief DEPARTMENT...OF THE DEPARTMENT OF VETERANS AFFAIRS-EFFECTUATION...the Basis of Handicap Health and Social Services...
Health promotion services and evaluation in the workplace: pragmatic issues.
1. Nurses in the workplace can positively affect employee health and wellness, which ultimately affects productivity and profit. 2. Evaluative research about health promotion services provides useful data about programs and cost effectiveness. 3. Knowing the issues and variables affecting the provision of health promotion services and the evaluation of program outcomes helps nurses plan appropriate services and programs as well as valid and reliable research projects. 4. Major issues include: system entry, management support and commitment, environmental context, ethical considerations, program variables, research design, instruments and equipment, program sites and times, type of program/services, and recordkeeping. PMID:7695802
Risner, P B; Fowler, B A
Cost-Efficiency and Staffing in Mental Health Services.
While mental health center inpatient services will probably remain largely unaffected by diminishing federal grants, this loss of financial support will affect outpatient care. This paper examines how staffing patterns and work-load levels affect the ability to generate fee-for-service income from outpatient services while holding down costs.…
Wynne, Louis
An Evaluation of an Occupational Health Advice Service
Objective: The objective of this article is to identify the profile of service users of an occupational health (OH) support service and establish areas of need, and to gather client feedback on the experience of participating in the support service and perceived outcomes and the impact of the advice received. Design and Setting: We carried out…
Shearn, P.; Ford, Norma J.; Murphy, R. G.
Understanding Expanded School Mental Health Services in Baltimore City
This article explores the nature of expanded school mental health (ESMH) services in Baltimore City, which at the time of the study were incorporated into 40% of the citys public schools. A provider survey was distributed to ESMH clinicians to gather information on the characteristics of service providers and recipients, types of services being…
Walrath, Christine M.; Bruns, Eric J.; Anderson, Karyn L.; Glass-Siegal, Marcia; Weist, Mark D.
Social Services: By and For Native Americans. Proceedings of a Conference of Eight Indian Research and Demonstration Projects (Santa Fe, New Mexico, June 7-9, 1978).
Four panel presentations in full text are presented commenting on the following: an overview of national Indian strategy; goals and strategies of eight demonstration projects; a review of current federal legislation; and making services for American Indians culturally relevant in child placement, family support, and child care. Representatives, on…
Pacific Training and Technical Assistance Corp., Berkeley, CA.
Title IV-A/Johnson O'Malley Indian Education Program. Final Evaluation Report, 1980-81. Research Services Report 33-07-81/82-003.
During 1980-81, over 500 students from 43 single tribes and 63 combinations of tribes were identified and served by the Indian Education Program in the Phoenix Union High School District in Arizona. Services provided were: remedial assistance in basic skills; Indian Youth Advisors serving as para-counselors, referral sources, and school/community…
Norris, Carol A.; Wheeler, Linda
Background Ensuring health worker job satisfaction and motivation are important if health workers are to be retained and effectively deliver health services in many developing countries, whether they work in the public or private sector. The objectives of the paper are to identify important aspects of health worker satisfaction and motivation in two Indian states working in public and private sectors. Methods Cross-sectional surveys of 1916 public and private sector health workers in Andhra Pradesh and Uttar Pradesh, India, were conducted using a standardized instrument to identify health workers' satisfaction with key work factors related to motivation. Ratings were compared with how important health workers consider these factors. Results There was high variability in the ratings for areas of satisfaction and motivation across the different practice settings, but there were also commonalities. Four groups of factors were identified, with those relating to job content and work environment viewed as the most important characteristics of the ideal job, and rated higher than a good income. In both states, public sector health workers rated "good employment benefits" as significantly more important than private sector workers, as well as a "superior who recognizes work". There were large differences in whether these factors were considered present on the job, particularly between public and private sector health workers in Uttar Pradesh, where the public sector fared consistently lower (P < 0.01). Discordance between what motivational factors health workers considered important and their perceptions of actual presence of these factors were also highest in Uttar Pradesh in the public sector, where all 17 items had greater discordance for public sector workers than for workers in the private sector (P < 0.001). Conclusion There are common areas of health worker motivation that should be considered by managers and policy makers, particularly the importance of non-financial motivators such as working environment and skill development opportunities. But managers also need to focus on the importance of locally assessing conditions and managing incentives to ensure health workers are motivated in their work.
Studies indicate that African American, Asian\\/Pacific Islander, and Latino youth have higher rates of unmet mental health\\u000a needs and lower rates of mental health service utilization compared to non-Hispanic White youth, suggesting that obstacles\\u000a may exist in the help-seeking and service utilization pathway for minority youth. Parental cultural factors may significantly\\u000a impact youth service use, and acculturation is one way
Judy Ho; May Yeh; Kristen McCabe; Richard L. Hough
If I'm an American Indian or Alaska Native, What Do I Need to Know about the Health Insurance Marketplace? (Affordable ....
... a question Where can I learn more about health care for American Indians and Alaska Natives? Printed tribal ... am I required to have health coverage? The health care law requires all people to have minimum essential ...
Outreach health services for street youth.
A voluntary health agency operated a clinic at a drop-in center for street youth. Six hundred nine youths were seen, with an average age of 16 years, 9 months. There were 2,086 diagnoses made during 1,895 visits. Respiratory, dermatologic, and gynecologic problems represented 56% of all diagnoses. Pregnancy tests accounted for 38% of all procedures, 50% of all medications dispensed were either oral antibiotics or decongestants, and 17% of the visits resulted in referrals. This chart review revealed that street youth seen at a drop-in center sought care for common medical problems. Problems related to substance abuse and sexually transmitted diseases were seen much less frequently than anticipated. Elements critical to the success of this clinic included its on-site location, hours of operation when teenagers were using other services, close working relationships between clinic and center staffs, the capability to perform a few simple laboratory procedures, and an on-site pharmacy. PMID:1772896
Reuler, J B
Overpopulation as crisis: redirecting health care services in rural Bangladesh.
This article examines the consequences of a "population-as-crisis" theme on the institutional configuration and resource endowments of health care services in an integrated Ministry of Health and Population Control in Bangladesh. The Ministry's focus on women as child bearers and its emphasis on sterilization supported by incentives has contradictory consequences as women become vulnerable to a limited health service and incentives encourage a focus on meeting sterilization targets. Both undermine people's access to and use of primary health care services. Findings from three studies, undertaken between 1978 and 1983, support the argument that despite international concern with preventive and promotive primary health care, simultaneous support for and emphasis on population control inhibits meeting the goals of a broad-based rural primary health care service. PMID:3557768
Feldman, S
Health beliefs, attitudes and service utilization among Haitians.
Understanding the factors that influence health beliefs, attitudes, and service use among Haitians in the United States is increasingly important for this growing population. We undertook a qualitative analysis to explore the factors related to cancer screening and utilization of health services among Haitians in Boston. Key informant interviews (n=42) and nine focus groups (n=78) revealed that Haitians experience unique barriers to health services. These include language barriers, unfamiliarity with preventive care, confidentiality concerns, mistrust and stigma concerning Western medicine, and a preference for natural remedies. Results suggest that many Haitians could benefit from health system navigation assistance, and highlight the need for comprehensive, rather than disease-focused programs, to decrease stigma and increase programmatic reach. Faith-based organizations, social service agencies, and Haitian media were identified as promising channels for disseminating health information. Leveraging positive cultural traditions and existing communication networks could increase the impact of Haitian health initiatives. PMID:23377722
Allen, Jennifer D; Mars, Dana R; Tom, Laura; Apollon, Guy; Hilaire, Dany; Iralien, Gerald; Cloutier, Lindsay B; Sheets, Margaret M; Zamor, Riché
With the wide spread use of cellular phones and the increased interests in the well-being of people, many vendors of cellular phones start to embed a variety of e-health services in their cellular phones. In this paper, we propose an e-health platform on which e-health services can be systematically developed by utilizing various functions and features, and by following guidelines
Dong-Soo Han; In-Young Ko; Sungjoon Park
42 CFR 410.165 - Payment for rural health clinic services and ambulatory surgical center services: Conditions.
...surgical center services: Conditions. 410.165 Section 410.165 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS...
Homemaker Health Aide Service: Training Manual.
TRaining women for homemaker service is an important function of every agency that provides such services. The Homemaker Service of the National Capital Area, Inc. designed a training manual to be used with either a single new employee or with a group as large as 15. Informal discussions, lectures, practice, and demonstration are methods of…
Administration on Aging (DHEW), Washington, DC.
Building the national health information infrastructure for personal health, health care services, public health, and research
BACKGROUND: Improving health in our nation requires strengthening four major domains of the health care system: personal health management, health care delivery, public health, and health-related research. Many avoidable shortcomings in the health sector that result in poor quality are due to inaccessible data, information, and knowledge. A national health information infrastructure (NHII) offers the connectivity and knowledge management essential
Don E Detmer
Factors associated with health-related quality of life among Indian women in mining and agriculture
Background Women facing social and economic disadvantage in stressed communities of developing countries are at greater risk due to health problems. This paper investigates the relationships between structural, health and psychosocial predictors among women in mining and agricultural communities. This paper is a report of a study of the predictors of the health-related quality of life among Indian women in mining and agricultural communities. Methods A descriptive cross-sectional research design was used. The instruments used are SF-36 Health Survey and Coping Strategy Checklist. ANOVA, MANOVA and GLM were used in the analysis. The study was conducted between January-September 2008 with randomly selected women in a mining (145) and an agricultural community (133) in India. Results Women in the agricultural community had significantly increased Physical Health, Mental Health and SF36 scores compared with those in the mining community. Years of stay, education and employment were significant predictors among women in the agricultural community. 39% (33%) and 40% (26%) of the variance in Physical and Mental health respectively among women in agricultural and mining communities are predicted by the structural, health and psychosocial variables. Conclusion Perceived health status should be recognised as an important assessment of Physical and Mental Health among women in rural stressed communities. Cognitive, emotional and behavioural coping strategies are significant predictors of health related quality of life. Implications. Nurses should use the SF-36 as a diagnostic tool for assessing health related quality of life among women and discuss coping strategies, so that these can target women's adaptive behaviour. This should be an essential part of the nursing process for facilitating adaptive process for improved health related quality of life.
Promoting Teen Health and Reducing Risks: A Look at Adolescent Health Services in New York City.
This study examined data from focus groups with New York City adolescents and interviews with health care providers serving New York City adolescents (hospital based clinics, school based health centers, child health clinics, community health centers, and a multi-service adolescent center) in order to determine how to promote health and reduce…
Citizens' Committee for Children of New York, NY.
ADHD and Health Services Utilization in the National Health Interview Survey
Objective: Describe the general health, comorbidities and health service use among U.S. children with ADHD. Method: The 2001 National Health Interview Survey (NHIS) contained the Strengths and Difficulties Questionnaire (SDQ; used to determine probable ADHD), data on medical problems, overall health, and health care utilization. Results: Asthma…
Cuffe, Steven P.; Moore, Charity G.; McKeown, Robert
Developing an employee counselling service within the British National Health Service
Describes the setting up of a counselling service in a NHS Trust in the North East of England, in response to the Health at Work Initiative. It evaluates this service from a qualitative perspective and discusses the extent to which it has met the Initiative's objectives. The paper concludes that one of the key issues of the Health at Work
Linda Whelan; Maggie Robson; Peter Cook
Investigating Service Users' and Carers' Views of Child and Adolescent Mental Health Services in Northern Ireland
The Review of Mental Health and Learning Disability, Northern Ireland commissioned the present consultation to support the work of its Child and Adolescent Mental Health (CAMH) subgroup. The investigation employed a two-stage qualitative approach to explore views and opinions held by users and carers about CAMH services. Nineteen services…
Teggart, Tom; Linden, Mark
Waivers and exemptions for health services in developing countries
In response to shortages in public budgets for government health services, many developing countries around the world, have adopted formal, or informal systems of user fees for health care. In most countries, user fee proceeds seldom represent more than 15 percent of total costs in hospitals, and health centers, but they tend to account for a significant share of the
Ricardo Bitran; Ursula Giedion
Measuring Child Mental Health Status for Services Research
Epidemiological studies of the prevalence of mental health disorders typically contain multiple measures of mental health, using different instruments and different informants (child, parent, and interviewer). We used the Methods for the Epidemiology of Child and Adolescents Mental Disorder (MECA) study of U.S. youth to assess the effects of employing a range of these measures in mental health services research.
Sherry Glied; Christina W. Hoven; A. Bowen Garrett; Robert E. Moore; Philip Leaf; Hector R. Bird; Sherryl Goodman; Darrel Regier; Margarita Alegria
How do health service managers respond to qualitative research?
During 1992 a qualitative evaluation of a government health service-run community health worker (CHW) project in South Africa found that project workers were doing good work despite serious structural shortcomings related to lack of community participation and inadequate integration of the project in the health district system. Recommendations were made to develop the project in order to enhance community involvement,
Hester Van der Walt; Catherine Mathews
Behavioral Systems Analysis in Health and Human Services
This article provides a behavioral systems approach to improve operational performance in health and human service organizations. This article provides six performance truths that are relevant to any organization and a case study from a community mental health network of agencies. A comprehensive analysis, as described here, will help health and…
McGee, Heather M.; Diener, Lori H.
Research on Mental Health Services for Hispanics: Targets of Convergence
In reaching to serve the mental health needs of new catchment neighborhoods, the 1963 federally funded Community Mental Health Center (CMHC) program stimulated culturally oriented research on the effectiveness of mental health services for Hispanics. The research, at first scattered and diffuse, has converged on a number of targets. This article examines four of the targets of research and how
Lloyd H. Rogler
Utilization of maternal health care services in Southern India
This paper examines the patterns and determinants of maternal health care utilization across different social settings in south India: in the states of Andhra Pradesh, Karnataka, Kerala and Tamil Nadu. Data from the National Family Health Survey (NFHS) carried out during 1992–93 across most states in India are used. Results show that utilization of maternal health care services is highest
K. Navaneetham; A. Dharmalingam
Infusing Early Childhood Mental Health into Early Intervention Services
This article describes the process of enhancing early childhood mental health awareness and skills in non-mental health staff. The author describes a pilot training model, conducted the U.S. Army's Early Intervention Services, that involved: (a) increasing early childhood mental health knowledge through reflective readings, (b) enhancing…
Grabert, John C.
Mobile Health Care over 3G Networks: the MobiHealth Pilot System and Service
Health care is one of the most prominent areas for the application of wireless technologies. New services and applications are today under research and development targeting different areas of health care, from high risk and chronic patients' remote monitoring to mobility tools for the medical personnel. In this direction the MobiHealth project developed and trailed a system and a service
Katarzyna Wac; Richard Bults; Dimitri Konstantas; Halteren van Aart; Val Jones; Ing Widya; Rainer Herzog
Health Needs of Older Adults in Texas Health Service Area 5.
The Texas Area 5 Health Systems Agency, Inc. (TA5HSA), is charged with the responsibility of planning for the health service needs of the population of approximately three million which reside within the nineteen county Texas Health Service Area 5 (THSA5)...
S. B. Eve D. C. Ashworth S. Pickens
Elder Care for the 1980s: Health and Social Service in One Prepaid Health Maintenance System.
Discusses the feasibility of delivering combined health and social services to an elderly population. The social/health maintenance organization (S/HMO), incorporating features of health maintenance organizations with community social services, will be financed on a prepaid, capitated basis through premium contributions from Medicare, Medicaid,…
Diamond, Larry M.; And Others
Health Service Utilization by Women in Prison: Health Needs Indicators and Response Effects
Why women, compared to men, utilize health services at a consistently higher rate within or outside prison confinement is not well known or studied. Health needs and stress factors of 67 imprisoned women and their interrelatedness and impact on health service use were examined. Subgroups with histories of attempted suicide (HAS) and absence of drug use\\/abuse evolved, scoring significantly higher
Ute Goldkuhle
Palestinian mothers' perceptions of child mental health problems and services.
The aim of this study was to explore Palestinian mothers' perceptions of child mental health problems and their understanding of their causes; to determine Palestinian mothers' awareness of existing services and sources of help and support; to identify professionals in the community whom Palestinian mothers would consult if their child had mental health problems; and to establish their views on ways of increasing awareness of child mental health issues and services. Checklists exploring the above issues were completed by 249 Palestinian mothers living in refugee camps in the Gaza Strip. Palestinian mothers equally perceived emotional, behavioural and psychotic symptoms as suggestive of mental ill health in childhood. Mothers perceived multiple causes of child mental health problems, including family problems, parental psychiatric illness and social adversity. A substantial proportion (42.6%) had knowledge of local child mental health care services. Overall, mothers preferred Western over traditional types of treatment, and were keen to increase mental health awareness within their society. Despite a different cultural tradition, Palestinian mothers appear open to a range of services and interventions for child mental health problems. As in other non-Western societies, child mental health service provision should be integrated with existing primary health care, schools, and community structures. PMID:16946953
Thabet, Abdel Aziz; El Gammal, Hossam; Vostanis, Panos
Palestinian mothers' perceptions of child mental health problems and services
The aim of this study was to explore Palestinian mothers' perceptions of child mental health problems and their understanding of their causes; to determine Palestinian mothers' awareness of existing services and sources of help and support; to identify professionals in the community whom Palestinian mothers would consult if their child had mental health problems; and to establish their views on ways of increasing awareness of child mental health issues and services. Checklists exploring the above issues were completed by 249 Palestinian mothers living in refugee camps in the Gaza Strip. Palestinian mothers equally perceived emotional, behavioural and psychotic symptoms as suggestive of mental ill health in childhood. Mothers perceived multiple causes of child mental health problems, including family problems, parental psychiatric illness and social adversity. A substantial proportion (42.6%) had knowledge of local child mental health care services. Overall, mothers preferred Western over traditional types of treatment, and were keen to increase mental health awareness within their society. Despite a different cultural tradition, Palestinian mothers appear open to a range of services and interventions for child mental health problems. As in other non-Western societies, child mental health service provision should be integrated with existing primary health care, schools, and community structures.
A Program Evaluation of a Summer Research Training Institute for American Indian and Alaska Native Health Professionals
In this article, the authors describe a unique summer program to train American Indian/Alaska Native (AI/AN) health professionals in a variety of health research-related skills, including epidemiology, data management, statistical analysis, program evaluation, cost-benefit analysis, community-based participatory research, grant writing, and…
Zaback, Tosha; Becker, Thomas M.; Dignan, Mark B.; Lambert, William E.
Understanding expanded school mental health services in Baltimore City.
This article explores the nature of expanded school mental health (ESMH) services in Baltimore City, which at the time of the study were incorporated into 40% of the city's public schools. A provider survey was distributed to ESMH clinicians to gather information on the characteristics of service providers and recipients, types of services being provided, and their proposed outcomes. Provider reports indicated an impressive service capacity, augmentation of traditional school-based services, and the continual need for increased mental health service hours in their buildings. In addition, the most frequently voiced benefits of the ESMH programs were increased mental health awareness and improved school climate. Implications of the findings for future programming development and research are discussed. PMID:15186511
Walrath, Christine M; Bruns, Eric J; Anderson, Karyn L; Glass-Siegal, Marcia; Weist, Mark D
Afghanistan's Basic Package of Health Services: Its development and effects on rebuilding the health system.
In 2001, Afghanistan's Ministry of Public Health inherited a devastated health system and some of the worst health statistics in the world. The health system was rebuilt based on the Basic Package of Health Services (BPHS). This paper examines why the BPHS was needed, how it was developed, its content and the changes resulting from the rebuilding. The methods used for assessing change were to review health outcome and health system indicator changes from 2004 to 2011 structured along World Health Organisation's six building blocks of health system strengthening. BPHS implementation contributed to success in improving health status by translating policy and strategy into practical interventions, focusing health services on priority health problems, clearly defining the services to be delivered at different service levels and helped the Ministry to exert its stewardship role. BPHS was expanded nationwide by contracting out its provision of services to non-governmental organisations. As a result, access to and utilisation of primary health care services in rural areas increased dramatically because the number of BPHS facilities more than doubled; access for women to basic health care improved; more deliveries were attended by skilled personnel; supply of essential medicines increased; and the health information system became more functional. PMID:24865404
Newbrander, William; Ickx, Paul; Feroz, Ferozuddin; Stanekzai, Hedayatullah
Evaluation of a mental health outreach service for homeless families
Aims: To describe the characteristics of homeless children and families seen by the mental health outreach service (MHOS), to evaluate the impact of this service on the short term psychosocial functioning of children and parents, and to establish perceptions of, and satisfaction with, the service. Methods: Twenty seven children from 23 families who were in receipt of the MHOS and 27 children from 23 families residing in other hostels where no such service was available were studied. The MHOS was delivered by a clinical nurse specialist with expertise in child mental health, who offered the following interventions: assessment and brief treatment of mental health disorders in children; liaison with agencies; and training of homeless centre staff. Results: Children in the experimental group had a significantly higher decrease in Strengths and Difficulties Questionnaire (SDQ) total scores. Having received the intervention was the strongest predictor of improvement in SDQ total scores. There was no significant impact on parental mental health (General Health Questionnaire) scores. Homeless families and staff expressed high satisfaction with the MHOS. Conclusion: This MHOS for homeless families is an innovative intervention which meets the complex and multiple needs of a vulnerable population unable to access mainstream mental health services. The primary objective of the service was to improve child mental health problems; however, the service developed in a responsive way by meeting social and practical needs of families in addition to its clinical role.
Tischler, V; Vostanis, P; Bellerby, T; Cumella, S
Evolution of Women's Trauma-Integrated Services at the Substance Abuse and Mental Health Services Administration
In this article a historical overview of the evolution of the Women's Trauma Integrated Services model at the Substance Abuse and Mental Health Services Administration (SAMHSA) is presented. Milestones in women's services policy development at SAMHSA (1992-1998) and in trauma treatment development for four different trauma populations (1960-1998)…
Salasin, Susan E.
The Early Motherhood Service: An Acceptable and Accessible Perinatal Mental Health Service
Objectives: The aims of this paper are to quantify the effect of an innovative perinatal mental health program, the Early Motherhood Service, to identify factors contributing to its success, and to make recommendations as to its general applicability across other rural services.Method: The study involved stakeholder evaluation, analysis of available outcome data and analysis of consumer feedback data.Results: Service functions
Fiona Judd; Lesley Stafford; Penelope Gibson; Jennifer Ahrens
Health Systems Plan. Health Service Area 3 Kansas.
The Health Systems Agency of Southeast Kansas, Inc., in Wichita developed this health systems plan (HSP) for the 23 counties it serves. Emphasis is placed on the treatment of illness by qualified health care personnel and facilities. Contents: Introductio...
Health Systems Plan. Health Service Area 1 Kansas.
This document presents the health systems plan (HSP) for residents served by the Health Planning Association of Western Kansas, Inc. The plan is divided into the following sections: Introduction, which examines the statutory authority for health planning,...
Organizational Capacity for Service Integration in Community-Based Addiction Health Services
Objectives We examined factors associated with readiness to coordinate mental health, public health, and HIV testing among community-based addiction health services programs. Methods We analyzed client and program data collected in 2011 from publicly funded addiction health services treatment programs in Los Angeles County, California. We analyzed a sample of 14 379 clients nested in 104 programs by using logistic regressions examining odds of service coordination with mental health and public health providers. We conducted a separate analysis to examine the percentage of clients receiving HIV testing in each program. Results Motivational readiness and organizational climate for change were associated with higher odds of coordination with mental health and public health services. Programs with professional accreditation had higher odds of coordinating with mental health services, whereas programs receiving public funding and methadone and residential programs (compared with outpatient) had a higher percentage of clients receiving coordinated HIV testing. Conclusions These findings provide an evidentiary base for the role of motivational readiness, organizational climate, and external regulation and funding in improving the capacity of addiction health services programs to develop integrated care.
Guerrero, Erick G.; Aarons, Gregory A.; Palinkas, Lawrence A.
Awareness of Stem cells & Health Implications of SHED found in Pediatric Dentition among Indian Population.
Background: Primary teeth may be an ideal source of postnatal stem cells to regenerate tooth structures and bone, and possibly to treat neural tissue injury or degenerative diseases. SHED (stem cells from human exfoliated deciduous teeth) were identified to be a population of highly proliferative, clonogenic cells capable of differentiating into a variety of cell types including neural cells, adipocytes, and odontoblasts. The present study was carried out to assess the knowledge, awareness & attitude of parents visiting various dental clinics in tricity area of india regarding stem cells from primary teeth and their potential health benefits. Materials & Methods: A total of 250 parents of pediatric patients seeking dental treatment at various dental clinics in tricity area were included in the study. Parents were personally interviewed with a questionnaire and their responses were immediately computed. Results: Among 250 parents only 95(62%) had knowledge regarding stem cells. While only 47(18.8) were informed regarding stem cells from baby teeth & their benefits. Maximum subjects were informed through internet 21(44.6%) followed by information through friends(23.4%) and dentist(21.2%). Very few were informed through magazines, newspaper and only one (2.1%) person was informed by television. Conclusion: It is important to create more awareness among the populace of our country about the potential health benefits of stem cells from primary teeth. Dentist should educate parents, caregivers and teachers regarding SHED & its benefits, ensuring good health for every Indian child and hence health of future citizens. How to cite the article: Goomer P, Sidhu AK, Tuli P, Kansal S, Bansal K, Thakre GR. Awareness of Stem cells & Health Implications of SHED found in Pediatric Dentition among Indian Population. J Int Oral Health 2014;6(1):44-7. PMID:24653602
Goomer, Pallvi; Sidhu, Arshpreet Kaur; Tuli, Preety; Kansal, Shinam; Bansal, Kanishka; Thakre, Gauri R
Ignorance and utilization: mental health care outside the purview of the Indian state.
The paper discusses different positions by psychiatrists and anthropologists taken towards 'folk' mental health care and summarizes what has been said in favour of the folk sector. Further, examples indicating a changing relationship between the Indian state and the folk sector are outlined, including the impacts of the fire tragedy at the dargah of Erwadi in 2001. On this basis it is argued that a prevailing ignorance of the folk sector has provided it with some autonomy, while at the same time, recent attempts at collaboration tend to utilize folk practitioners rather than valuing their positive elements in their own right. PMID:22870866
Quack, Johannes
Community mental health services--the New Zealand experience.
This overview focuses on a provision of current mental health services in New Zealand and might help professionals from other countries to become familiar with its community based model of care. New Zealand mental health services have undergone significant changes over the last 40 years. These include the closure of old psychiatric hospitals and the development of community based treatment facilities. The New Zealand government has been closely involved with the organisation of mental health services providing strategic directions and financial support. So far much has been accomplished, however some gaps still remain. PMID:17603412
Cupina, Denise Duska
Making customer-service a priority in health care organizations.
Improving customer-service in health care organizations has been linked to better patient care, satisfied staff, a reduction in preventable medical errors, fewer malpractice lawsuits and improved revenue. However, it has been observed that there is sometimes a gap between the level of customer-service provided by health care organizations and their clients' expectations. This paper integrates, synthesizes and extends theory and practice from existing literature to provide health care organizations with strategies for closing this gap. Methods are also outlined for creating, implementing and evaluating an organizational plan for improving customer-service. PMID:19363964
O'Hagan, Joshua; Persaud, David
A Psychological Autopsy of an Indian Adolescent Suicide with Implications for Community Services
This psychological autopsy of the suicidal death of an adolescent Indian boy includes a brief family background, a history of his difficulties, and a report of his psychological evaluation. The report includes an analysis of the resources currently available in Indian communities. (Author)
Blanchard, Joseph D.; And Others
38 CFR 17.242 - Coordination of programs with Department of Health and Human Services.
...of programs with Department of Health and Human Services. 17.242 Section...of programs with Department of Health and Human Services. Programs for...jurisdiction of the Department of Health and Human Services. [32 FR...
42 CFR 413.125 - Payment for home health agency services.
...Payment for home health agency services. 413.125 Section 413.125 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM PRINCIPLES OF REASONABLE COST REIMBURSEMENT; PAYMENT...
76 FR 72417 - Public Health Service Guideline for Reducing Transmission of Human Immunodeficiency Virus (HIV...
...Docket No. CDC-2011-0011] Public Health Service Guideline for Reducing...public comment on the draft ``Public Health Service (PHS) Guideline for...Prevention, (CDC), Attn: Public Health Service Guideline for...
76 FR 58517 - Public Health Service Guideline for Reducing Transmission of Human Immunodeficiency Virus (HIV...
...Docket No. CDC-2011-0011] Public Health Service Guideline for Reducing...requests public comment on the draft Public Health Service Guideline for Reducing...Control and Prevention, Attn: Public Health Service Guideline for...
47 CFR 54.613 - Limitations on supported services for rural health care providers.
...supported services for rural health care providers. 54.613 Section 54...Universal Service Support for Health Care Providers § 54.613 Limitations on supported services for rural health care providers. (a) Upon...
...on supported services for rural health care providers. 54.613 Section... Universal Service Support for Health Care Providers Telecommunications...on supported services for rural health care providers. (a) Upon...
42 CFR 433.56 - Classes of health care services and providers defined.
...2013-10-01 false Classes of health care services and providers defined...Participation § 433.56 Classes of health care services and providers defined...considered as a separate class of health care items or services: (1)...
78 FR 1825 - Notice of Establishment of an Animal and Plant Health Inspection Service Stakeholder Registry
...DEPARTMENT OF AGRICULTURE Animal and Plant Health Inspection Service [Docket No...Notice of Establishment of an Animal and Plant Health Inspection Service Stakeholder Registry AGENCY: Animal and Plant Health Inspection Service, USDA....
26 CFR 54.9815-2713A - Accommodations in connection with coverage of preventive health services.
...connection with coverage of preventive health services. 54.9815-2713A Section...connection with coverage of preventive health services. (a) Eligible organizations...manner specified by the Secretaries of Health and Human Services and...
9 CFR 113.6 - Animal and Plant Health Inspection Service testing.
...2014-01-01 false Animal and Plant Health Inspection Service testing. 113.6...and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE...Applicability § 113.6 Animal and Plant Health Inspection Service testing. A...
42 CFR 483.460 - Condition of participation: Health care services.
... Condition of participation: Health care services. 483.460 Section... Condition of participation: Health care services. (a) Standard...nursing services sufficient to care for clients health needs including those...
Native Americans in the Health Professions: Two Interviews.
Interviews with Dr. Joseph Bell, president of the American Association of Indian Physicians (AAIP), and Wabanang Kuczek, physician assistant, discuss health-care services needed by Native people, AAIP efforts to recruit Indian students into medicine, links to traditional healing, key health issues facing Indian people, and career opportunities as…
Westberg, Jane
Design of user-oriented Meta Service-based repository for e-health service
The target of constructing a user-oriented service repository of e-health is to offer an infrastructure to facilitate the interaction of service providers with its potential consumers directly. A Meta Service-based service description framework and the repository architecture were proposed to meet the requirements from the two types of users. The open and accurate description properties can be utilized by consumers
Xianzhi Huang; Haiyang Wang; Lizhen Cui; Wenjing Cui
Alaska Native community assessment: health care services, knowledge of health issues, and health education.
This project gathered information from 32 Alaska Native communities in Bristol Bay, located in southwestern Alaska, regarding use of health care services and knowledge of health care issues. It also educated residents about health care and their role in improving health status, enabling participants to feel that their involvement in planning health care services is important. In conjunction with the University of Washington Community Development Program and the Alaska Center for Rural Health, a household survey was developed. A coordinator in each community was trained, and packets of surveys and health education materials were delivered to each household or post-office box. Completed surveys were returned, confidentially, to the village clinic. An English/Yup'ik cassette tape explaining the project was also available. Results were analyzed by the University of Washington. The findings were determined to be accurate with a 95% confidence level. Of surveys delivered to households, there was a 66% return rate and an overall return rate of 45%. PMID:10093361
DeCourtney, C A
Health provider perspectives on mental health service provision for Chinese people living in Christchurch, New Zealand
Background Migration imposes stress and may contribute to the incidence of mental illness among natives of mainland China living overseas. Both cultural norms and service inadequacies may act as barriers to accessing needed mental health services. Objective Assess New Zealand health providers' perspectives on the utilization of mental health services by immigrants from mainland China. Methods A qualitative study in Christchurch, New Zealand involved in-depth interviews with nine mental health professionals with experience in providing services to Chinese clients. The interviews were transcribed and thematically analysed. Results Four main themes emerged from the interviews: (1) specific mental health concerns of Chinese migrants; (2) subgroups of migrants most likely to manifest mental health problems; (3) barriers to accessing services; and (4) the centrality of social support networks to the mental health of Chinese migrants. Conclusions Qualitative research with health providers in high-income countries who provide mental health services to the growing numbers of migrants from mainland China can identify areas where improved cultural sensitivity could increase both the utilization of mental health services by Chinese immigrants and the effectiveness of these services.
ZHANG, Qiuhong; GAGE, Jeffrey; BARNETT, Pauline
Availability of essential health services in post-conflict Liberia
Abstract Objective To assess the availability of essential health services in northern Liberia in 2008, five years after the end of the civil war. Methods We carried out a population-based household survey in rural Nimba county and a health facility survey in clinics and hospitals nearest to study villages. We evaluated access to facilities that provide index essential services: artemisinin combination therapy for malaria, integrated management of childhood illness, human immunodeficiency virus (HIV) counselling and testing, basic emergency obstetric care and treatment of mental illness. Findings Data were obtained from 1405 individuals (98% response rate) selected with a three-stage population-representative sampling method, and from 43 of Nimba county's 49 health facilities selected because of proximity to the study villages. Respondents travelled an average of 136 minutes to reach a health facility. All respondents could access malaria treatment at the nearest facility and 55.9% could access HIV testing. Only 26.8%, 14.5%, and 12.1% could access emergency obstetric care, integrated management of child illness and mental health services, respectively. Conclusion Although there has been progress in providing basic services, rural Liberians still have limited access to life-saving health care. The reasons for the disparities in the services available to the population are technical and political. More frequently available services (HIV testing, malaria treatment) were less complex to implement and represented diseases favoured by bilateral and multilateral health sector donors. Systematic investments in the health system are required to ensure that health services respond to current and future health priorities.
Rockers, Peter C; Williams, Elizabeth H; Varpilah, S Tornorlah; Macauley, Rose; Saydee, Geetor; Galea, Sandro
Rural Health Care Provider Access and Utilization for Central California. California Health Service Area 9.
The provisions of health care in a rural setting encompasses a variety of practitioners and funding sources. The main participants include private physicians, county clinics, community health clinics, government agencies, and emergency medical service age...
The effectiveness of M-health technologies for improving health and health services: a systematic review protocol
BACKGROUND: The application of mobile computing and communication technology is rapidly expanding in the fields of health care and public health. This systematic review will summarise the evidence for the effectiveness of mobile technology interventions for improving health and health service outcomes (M-health) around the world. FINDINGS: To be included in the review interventions must aim to improve or promote
Caroline Free; Gemma Phillips; Lambert Felix; Leandro Galli; Vikram Patel; Philip Edwards
Contracting for occupational health service. An insider's view.
A survey of the Fortune 500 companies reveals that contracting for occupational medicine services is frequent. Contacting is most used for services that are highly specialized and infrequently used. About two-thirds of large companies provide at least some routine occupational medicine services with employed physicians. An economic analysis suggests that for large plants, contracting for general occupational medicine services is usually not an effective strategy for saving money. Intangibles, such as integration of the occupational medicine department with all other health related corporate activities, are postulated to significantly influence corporate decision makers when they consider contracting for occupational medicine services. PMID:8014717
Anstadt, G W
An Employer's Basic Guide to Occupational Health Services.
To educate business leaders, occupational health clinic services are outlined in a basic guide. Employers, who are required by law to furnish safe, healthy work environments for employees, derive many benefits from cooperation with occupational medical cl...
D. Jacknow R. R. Silver
Department of Agriculture, Animal and Plant Health Inspection Service
... Welfare Biotechnology Emergency Response Imports & Exports International Services Plant Health Wildlife Damage Alerts And Announcements USDA Licenses ... feed on the flower or fruit of host plants, most often grapes. It was first detected in ...
Primary Design for Developing the Arizona Plan for Health Services.
Initial considerations, background, concepts, and approaches utilized in developing a State health services plan for Arizona are described. Following a chapter outline of the contents of the plan, factors pointing to a need for such a plan are identified,...
Women's well-being and reproductive health in Indian mining community: need for empowerment.
This paper is a qualitative study of women's well-being and reproductive health status among married women in mining communities in India. An exploratory qualitative research design was conducted using purposive sampling among 40 selected married women in a rural Indian mining community. Ethical permission was obtained from Goa University. A semi-structured indepth interview guide was used to gather women's experiences and perceptions regarding well-being and reproductive health in 2010. These interviews were audiotaped, transcribed, verified, coded and then analyzed using qualitative content analysis. Early marriage, increased fertility, less birth intervals, son preference and lack of decision-making regarding reproductive health choices were found to affect women's reproductive health. Domestic violence, gender preference, husbands drinking behaviors, and low spousal communication were common experiences considered by women as factors leading to poor quality of marital relationship. Four main themes in confronting women's well-being are poor literacy and mobility, low employment and income generating opportunities, poor reproductive health choices and