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At least 37 records · Page 2Linked to original sources

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↗

Delivering equitable care: comparing preventive services in Manitoba.

OBJECTIVES: This study examined preventive care delivered in Manitoba during the 1990s by 3 different methods -childhood immunizations (by physicians and public health nurses under a government program), screening mammography (through a government program introduced in 1995), and cervical cancer screening (no program). METHODS: Longitudinal administrative data, an immunization monitoring system, and Canadian census databases were used. RESULTS: Cervical cancer screening rates remained static and showed strong socioeconomic differences; childhood immunization rates remained high with small socioeconomic gradients. The introduction of the Manitoba Breast Screening Program resulted in rising rates of screening and vanishing socioeconomic gradients. CONCLUSIONS: Manitoba government programs in childhood immunization and screening mammography actively helped the provision of preventive care. Organized programs that target population groups, recognize barriers to access, and facilitate self-evaluation are critical for equitable delivery.

Adult↗

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↗