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PubMed1996

Prologue for a synoptic catalog: combining a hospital library catalog and a bookseller's catalog.

This article introduces the synoptic catalog, a computerized combination of a hospital library catalog and a bookseller's catalog. Majors Scientific Books and Richmond Memorial Hospital Libraries in Virginia collaborated to develop the model. A logical evolution in catalog theory and practice, the design expands the identification, collocation, and evaluation functions of the traditional library catalog. This article explains the procedures and specifications, including system requirements, record mapping, design details, scope, record transmission, timing, record importing, and file maintenance. The result is a single-interface catalog providing simultaneous and consistent searching of combined information databases. Bookseller records in the synoptic catalog can be modified to indicate library ownership. The synoptic catalog design supports cost-effective collection development and focuses on actual information needs of library users. This report discusses user convenience, budget requirements, publisher advertising, collection development, productivity, and library-bookseller relations. User response to the catalog has been favorable, but improvements are needed.

Catalogs, Library↗
PubMed2005

Understanding the policy context for supporting students with psychiatric disabilities in higher education.

Interest in postsecondary education for persons with psychiatric disabilities is high among consumers and advocates. However, the existence of program supports for higher educational goals is very uneven across U.S. states. This study was designed to examine the policy context in which states and educational institutions address needs of individuals with psychiatric disabilities to attend and succeed in postsecondary education. In 10 selected states, telephone interviews were conducted with key informants in state agencies of mental health, vocational rehabilitation, and higher education, as well as representatives of state-level advocacy organizations. Additionally, a search of websites relevant to state policy was conducted. The findings identify factors that facilitate and inhibit the development of policy and programs supportive of students with psychiatric disabilities. Facilitating factors include a strong community college system, progressive philosophy of the state mental health agency, and interest of consumers and the advocacy community. Inhibiting factors include political and budgetary uncertainty, competing priorities in the mental health system, emphasis on a medical rather than rehabilitative model, regulations of the VR system, and lukewarm enthusiasm of the advocacy community. Implications for community mental health services are included, particularly related to further policy development in support of students with psychiatric disabilities.

Adolescent↗
PubMed2002

[Cooperation between office-based medical practices and hospitals in the treatment of schizophrenia in children and adolescents].

Starting from needs assessment and actual situation of child and adolescent psychiatric care the following article describes priorities, gateways, interfaces and problems related to the co-operation of parents, children and adolescents with office- and hospital-based physicians and institutions in the early diagnosis, hospital admission, in-patient treatment and outpatient follow-up of children and adolescents with psychotic disorders. Data from a sample of 100 children and adolescents with psychotic disorders, who have been treated in the Department of Child and Adolescent Psychiatry, Rheinische Kliniken Duesseldorf, are provided to illustrate the possibility of and need for co-operation between office-based medical practices and hospitals. Finally co-operative activities will be specified between: 1. nation-wide quality circles and regional working groups, 2. the schizophrenia research network, 3. the professional bodies and 4. public relations as important opportunities for the improvement of psychoeducation, early diagnosis and treatment.

Adolescent↗
PubMed1997

Community-acquired notifiable infectious diseases in a pediatric hospital: effect on infection control work load.

In a study of the impact of notifiable communicable disease admissions on infection control work load, we found notifiable disease cases to be responsible for less than 10% of admissions but 27% of infection control ward visits and to require extensive community liaison. Measures of work load based on nosocomial infections alone will underestimate infection control activity considerably.

Child↗
PubMed2000

Implementing a new model of integrated women's health in academic health centers: lessons learned from the National Centers of Excellence in Women's Health.

The National Centers of Excellence in Women's Health Program (CoE) represents a new model for women's health in academic health centers that unites women's health research, teaching, clinical care, public education and outreach, and career advancement for women in the health sciences. Lessons learned from the first 3 years of implementation indicate that this type of model requires a transformation from the traditionally fragmented set of activities in academic health centers to an integrated system united around the goal of advancing women's health. The transformation requires institutional commitment, dedicated players, and an ability to build on existing resources and bring added value to the institution. Challenges and strategies to link women's health activities and increase collaboration are also discussed.

Academic Medical Centers↗
PubMed2007

Extending cultural competence through systems change: academic, hospital, and community partnerships.

Work on cultural competence has a long history in nursing, yet we have not successfully institutionalized these attitudes and skills throughout education and practice. An effective approach to promoting widespread cultural competence is to work at the system level in which coalitions of community agencies partner with academic and health care organizations. A systems approach includes all health practitioners, reducing current discrepancies across disciplines, and establishes cultural competence as the standard. Work in and with communities places students and practitioners more consistently in cross-cultural circumstances. Implementing this vision will require national as well as local leadership across public and private sectors.

Attitude of Health Personnel↗
PubMed2003

Correlates of hospital provision of prevention and health promotion services.

This study investigates the factors associated with hospital provision of prevention and health promotion services. The authors conceptualize the provision of these services as a hospital response to the community health concerns of environmental stakeholders. The response depends on hospital recognition and interpretation of institutional and resource dependence pressures and is related to interorganizational linkages, resource dependencies, and information processing structure. Data for the study came from 3,453 U.S. hospitals. The authors found that hospital provision of prevention and health promotion services is positively related to alliance and network membership, the diffusion of such services among other area hospitals, the use of community health status information, and hospital size. Also, for-profit hospitals provide fewer prevention and health promotion services than not-for-profit hospitals. These findings have policy and management implications.

Catchment Area, Health↗
PubMedDate not supplied

Successful public/private donation programs: a review of the Diflucan Partnership Program in South Africa.

A review of the partnership between Pfizer Inc. and the South African Ministry of Health to distribute free Diflucan (fluconazole) in the Diflucan Partnership Program (DPP) demonstrates that product donations may be a useful response to AIDS if they are coupled with efforts to build means of drug distribution and enhance professional healthcare capacity to treat patients. Equally important is the creation of a new set of productive working relationships between stakeholders who came to the project with different backgrounds and perspectives, as well as a frankly disparate set of objectives. A decision tree illustrates how these relationships were built into the DPP. This review concludes with a few lessons learned in providing medicines not only to South Africa, but also to the 77 other African countries now participating in the DPP. As the search for new treatments and vaccines continues, increasing access to existing medicines through targeted donations--including training and infrastructure support--is the most practical way for the health community to address the problem of ill health among the poor. In addition to a detailed analysis of the DPP, there is also a discussion of the benefits of a donation program that addresses the AIDS crises on a global scale. This review may serve as a blueprint for establishing programs that are successful in fighting AIDS and improving the lives of millions of people.

AIDS-Related Opportunistic Infections↗
PubMed1999

Improving access to disability benefits among homeless persons with mental illness: an agency-specific approach to services integration.

OBJECTIVES: This study evaluated a joint initiative of the Social Security Administration (SSA) and the Department of Veterans Affairs (VA) to improve access to Social Security disability benefits among homeless veterans with mental illness. METHODS: Social Security personnel were colocated with VA clinical staff at 4 of the VA's Health Care for Homeless Veterans (HCHV) programs. Intake assessment data were merged with SSA administrative data to determine the proportion of veterans who filed applications and who received disability awards at the 4 SSA-VA Joint Outreach Initiative sites (n = 6709) and at 34 comparison HCHV sites (n = 27 722) during the 2 years before and after implementation of the program. RESULTS: During the 2 years after the initiative began, higher proportions of veterans applied for disability (18.9% vs 11.1%; P < .001) and were awarded benefits (11.4% vs 7.2%, P < .001) at SSA-VA Joint Initiative sites. CONCLUSION: A colocation approach to service system integration can improve access to disability entitlements among homeless persons with mental illness. Almost twice as many veterans were eligible for this entitlement as received it through a standard outreach program.

Adult↗
PubMed2005

Learning from experience: three community health population-based outreach projects for graduate and undergraduate students.

Three outreach activities by a school of nursing, in partnership with community agencies, provided learning experiences in primary and secondary preventive health care for graduate and undergraduate nursing students while addressing health needs in the community. The activities included administration of immunizations to a newly arrived Somali Bantu refugee population, targeted screening of an African-American population at risk for diabetic retinopathy, and general health screening for an underserved Hispanic immigrant population. These activities lend insight and depth to a community health curriculum by allowing students to provide needed services while engaging with culturally diverse clients of varying socioeconomic status. Learner objectives, resources, processes and outcomes are provided for each example.

Black or African American↗
PubMed1979

Area agencies ensure success of disaster drill.

Salem County (NJ) Memorial Hospital cooperated in an areawide disaster drill and found that it took large doses of planning and cooperation to coordinate the effort.

Community-Institutional Relations↗
PubMed1998

Public health and health education in faith communities.

This special issue of Health Education & Behavior is devoted to broadly examining the interconnections among public health, health education, and faith-based communities. In addition to a focus on questions related to the practice of public health and health education within religious settings (e.g., program development, implementation, and evaluation), the articles in this issue examine a broad range of both substantive and methodological questions and concerns. These articles include contributions that address (1) various theoretical and conceptual issues and frameworks explaining the relationships between religious involvement and health; (2) substantive reviews of current research in the area; (3) individual empirical studies exploring the associations between religious involvement and health attitudes, beliefs, and behaviors; (4) evaluations of health education programs in faith communities; and (5) religious institutions and their contributions to the development of health policy. The articles comprising the issue are selective in their coverage of the field and provide different and complementary perspectives on the connections between religious involvement and health. It is hoped that this approach will appeal to a broad audience of researchers, practitioners, policy makers, and others from health education, public health, and related social and behavioral science disciplines.

Community Health Services↗