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At least 37 records · Page 2Linked to original sources
PubMed1989

The effect of government policy on family practice programs.

Government, both federal and state, has long recognized that the American public does not have ready access to primary care physicians. Federal and state legislation has been passed to establish and fund family practice programs to alleviate the shortage of primary care physicians. In addition to federal and state funds, family practice programs receive financial support from hospitals and generate patient fee income. In the current era of cost containment, family practice programs are more dependent on patient fee income and hospital support.

Comprehensive Health Care↗
PubMed1994

Single payer: do government-run programs meet America's needs?

The impact of a government-run program on our current health care system is not well understood by most Americans. Californians could be in for many unpleasant surprises should the single payer ballot initiative pass this November. The author examines how a single payer program attempts to meet the goals of health care reform and why it fails in many important aspects.

California↗
PubMed1999

The role of the school in children's out-of-school time.

As the primary community institution in the lives of children, schools have much to contribute to plans for addressing the needs of today's youngsters during the time when classes are not being held. In recent years, demands have escalated for after-school child care, educational enrichment, and safe havens that also foster positive youth development. Many programs that respond to these needs are housed in school buildings. Some are operated by the schools, some by community-based organizations, and others by partnerships between schools and outside groups. New public funding for after-school programs often flows through the school system. This article reports the prevalence of school-based programs and discusses extracurricular activities, child care and extended-day programs, enrichment programs, and ambitious efforts to transform the schools into full-time community hubs offering something for residents of all ages. Implementation challenges accompany program expansion, and this article also examines major issues that arise in school-based programs: governance, space, program quality, funding, and accountability. If these programs fulfill their promise, the school of the future may, indeed, be open extended hours for the enrichment of the children and the sustenance of the family.

Adolescent↗
PubMed1992

Government-funding program on reversal of tubal sterilization.

Three hundred and sixty-one women were provided government-funded sterilization reversal services with the technique of microsurgery. A large majority of reasons (89.8%) for requesting reversal surgery was a loss of children, and the mean interval between sterilization and reversal was 28.7 months. Two hundred and seven (69.7%) of 297 follow-up cases have experienced term delivery or intra-uterine pregnancy and 5 cases were ectopic pregnancy. The largest number of reversal clients (63.3%) were sterilized by the laparoscopic unipolar coagulation technique and the next largest group (24.2%) was sterilized by the laparoscopic banding technique. The highest pregnancy rate (77.8%) was shown in clients who had undergone laparoscopic banding technique while the lowest (65.9%) was the group of laparoscopic unipolar coagulation. A more than 60% of the clients became pregnant within 6 months of their reversal surgery, with the shortest interval being 1 month, the longest 39 months, and the mean 7.6 months. A large majority of the successful cases, 81.6%, were pregnant within 1 year of their reversal surgery.

Adult↗
PubMed1991

Government intervention programs in HIV/tuberculous infection. Outline of guidelines for national tuberculosis control programs in view of the HIV epidemic.

Tuberculosis is one of the most widespread infections known in the world. WHO estimates that in 1990, 1.7 billion people, or one third of the world population, are or have been infected with the tubercle bacillus. Fortunately, few of those infected develop active forms of the disease but it is estimated that in 1990, there will be 8 million new cases and 2.9 million deaths from tuberculosis in the world. This already alarming situation of the tuberculosis problem is getting worse, mainly due to the AIDS epidemic. A basic understanding of tuberculosis/HIV epidemiology is necessary and priority actions are to be strongly recommended for application in government intervention programs. They are specified in the present article.

Adolescent↗
PubMed1992

Collaborative governance in the postanesthesia care unit.

The administration at Schumpert Medical Center, Shreveport, LA, is committed to empowering the nursing staff. Due to this commitment, the postanesthesia nurses developed a collaborative governance program that is based on empowerment. This article discusses how to begin the development and implementation process, address staff concerns, and facilitate acceptance of the finished program by the staff. This program has become a successful model for the collaborative governance program at the author's hospital and has resulted in a stimulating and caring working environment for the professional.

Humans↗
PubMed1994

The utilization of employee wellness programs by government, business and industry: a strategic evaluation.

This study ascertains the extent of use of employee wellness programs by a cross section of organizations in the United States. Nearly one-thousand organizational personnel professionals responded to a mail survey asking if their organization provided specific wellness services within five areas: (1) incentive programs, (2) exercise and fitness programs, (3) health screening and prevention, (4) nutritional aid, and (5) educational programs. Organizations were then categorized using Standard Industrial Classification (SIC) codes. The results are strategically valuable to both users and providers of wellness products, providing bench-mark data which: (1) allows comparisons of wellness offerings among similar organizations and across organizational types, and (2) provides product development and segmentation guidance to hospitals and other providers of wellness products.

Efficiency, Organizational↗
PubMed1985

Fraud and abuse of government medical benefit programs by psychiatrists.

Government rosters of physicians suspended from the Medicare and Medicaid programs because of fraud and abuse indicate that psychiatrists form a disproportionately large segment of the total. Of the factors contributing to this situation, the most notable is that because psychiatrists charge for time rather than for services, they are more readily apprehended if they violate the rules. The authors speculate on whether in fact psychiatrists break the law more than physicians in other-specialties or whether the statistics are purely artifactual.

Crime↗