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Results for “Community Financing”

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At least 451 records · Page 25Linked to original sources
PubMed1983

Training of interns and practicum students at community mental health centers.

This study assessed training experiences offered to interns and graduate students at 464 federally funded community mental health centers. Doctoral level internship programs existed at 128 centers, and practicum training was offered at 240 settings. Questionnaires filled out by directors reveal that although the majority of training programs are not as yet APA-approved, they have become an important component in the training network in terms of the number of students being trained. Training and exceptional areas of training are still in traditional clinical areas. However, there has been an evolution of training in community mental health/community psychology areas which is still gaining momentum. Data are presented on consultation settings, orientations to consultation, and the availability of training in consultation. The need for directing effort at obtaining financial support for training is indicated.

Attitude of Health Personnel↗
PubMed1983

Primary care and local health departments: the initiation of a state-sponsored grant program.

This study examines factors that differentiate health service organizations that were successful applicants for a grant program to initiate primary-care services from a matched sample of organizations that did not apply for the program. Factors that were different between the two sets of organizations include the attitudes and behaviors of physicians in the local community, previous success of the organization in obtaining grant support, and employee perceptions of selected organizational and grant program characteristics. These findings suggest that factors both internal and external to the organization are influential in decisions to initiate activities sponsored through grant programs. Implications of these findings for the design of state block grant programs are discussed.

Attitude of Health Personnel↗
PubMed1993

An administrator's dilemma: keeping the innovative mental health and aging programs alive after the grant funds end.

Too often innovative and successful mental health and aging programs terminate when external funding sources end. This article describes one such project that has survived and even flourished well beyond the grant period. The original program is set forth, and changes in both the type of services offered and in the clientele are reviewed. The rationale for deviations from the original model are highlighted. Expansion, contraction and reexpansion of the range of services offered, as well as factors that impeded and enhanced program survival, are noted. The critical role of administrative leadership, vision and support for geropsychiatric services and staff is emphasized.

Aged↗
PubMed2004

Quantitative analysis on economic contribution of community health service in China.

In China, the implementation of community health service shows that the prevention is an essential and important part of our national health system and is helpful to decrease the medical expenditure gradually. According to the data from Health Statistic Information Center of Ministry of Health in China, we calculated that the total health expenditure of China would be decreased 8000.0 million yuan only in 2001, among which, 1188.3 million, 1953.9 million and 4833.0 million yuan were respectively saved for the government budget, the society and resident if implementing the policy of community health service powerfully. And every outpatient can save 15.46 yuan per time. By the quantitative analysis on the economic contribution of community health service, it can be proved that a great economic benefit could be gotten from the implementation of community health service.

China↗
PubMed1984

Structural interests and Australian health policy.

Health policy has been a matter of public discussion in Australia since the late 1960s. Mirroring the United States experience, much of the debate initially centred around the introduction of a universal national health insurance scheme but since the mid 1970s economic conditions have changed and contemporary decisions are often accompanied by rhetoric about the need to constrain costs which are portrayed as increasing out of control. These changes have been associated with changes in the relative influence of the dominant and challenging structural interests within the health sector. This article analyses the influence of those interests in Australian health policy since the mid 1960s.

Australia↗
PubMed2005

The nurse-managed health center safety net: a policy solution to reducing health disparities.

Nurse-managed health centers are critical safety net providers. Increasing support of these centers is a promising strategy for the federal government to reduce health disparities. To continue as safety net providers, nurse-managed health centers need to receive equal compensation as other federally funded providers. Ultimately, the long-term sustainability of nurse-managed centers rests on prospective payments or similar federally mandated funding mechanisms.

Community Health Centers↗
PubMed2004

Improving kidney and live donation rates in Asia: living donation.

Organ transplantation started with organs donated by living subjects. Increasing demands brought cadaveric organ donation. The brain-death law, mandatory for this procedure, is prevalent in all countries involved in organ transplantation except Pakistan. Spain is the leading country in cadaveric organ donation (32.5 pmp). Despite the sources of living and cadaveric organs, both heart-beating and non-heart-beating, the gap between the demand and supply has widened. An example is the United States, where the numbers of patients on the waiting list for kidney transplantation have risen from 30,000 in 1988 to more than 116,000 in 2001. This has caused a resurgence in living donors all over the world. These can be related, unrelated, spousal, marginal, or ABO-incompatible donors. Family apprehensions, medical care costs, and nonexistent social security can be barriers to this form of organ donation. Unrelated organ donation can open the doors to commercialism. To make this process more successful, transplantation should be made reachable by all sectors of the population. This is possible when transplantation is taken to the public sector institutions and financed jointly by the government and community. To increase living organ donation especially in Asian countries, which face barriers of low literacy rates, ignorance, and cultural and religious beliefs, more efforts are needed. Public awareness and education play an important role. Appreciation and supporting the donors is necessary and justified. It is a noble act and should be recognized by offering job security, health insurance, and free education for the donor's children.

Cadaver↗
PubMed2001

Using time-series analyses to detect the health effects of medical care reforms: a Norwegian example.

Reforms of health care financing are controversial because, among other reasons, they might adversely affect public health. Social scientists are expert on many of the mechanisms that could connect these reforms to health. Yet there have been remarkably few attempts by social scientists to contribute to the debate over the health effects of medical care reforms. We suspect that the reasons for this gap include the lack of agreement on a method for such research. We suggest one method and demonstrate its application by testing the hypothesis that the incidence of very low birthweight increased when the financing of health care was changed in four Norwegian communities.

Adolescent↗