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Results for “Community Financing”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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At least 685 records · Page 38Linked to original sources
PubMed2004

Federal aid strengthens health care safety net: the strong get stronger.

Two new federal initiatives--community health center expansion and Community Access Program grants--have improved access to care for low-income people and strengthened linkages among safety net providers, according to findings from the Center for Studying Health System Change's (HSC) 2002-03 site visits to 12 nationally representative communities. Grant recipients have added services to fill safety net gaps or to improve collaboration among safety net providers. However, communities with weaker safety nets were less likely to receive federal aid, and funding for both programs is limited, hampering the potential impact on the nation's system of care for low-income and uninsured people.

Community Health Centers↗
PubMed1992

Conflicts of interest. Physician ownership of medical facilities. Council on Ethical and Judicial Affairs, American Medical Association.

In this report, the Council on Ethical and Judicial Affairs revisits the question of referral of patients to medical facilities in which physicians have financial interests ("self-referral"). The Council issued safeguards in 1986 to prevent abuses of self-referral and most recently updated the guidelines in 1989. Recent studies, however, have suggested that problems with self-referral persist; these problems undermine the commitment of physicians to professionalism. The Council has concluded that, in general, physicians should not refer patients to a health care facility outside their office practice at which they do not directly provide care or services when they have an investment interest in the facility. Physicians may invest in and refer to an outside facility if there is a demonstrated need in the community for the facility and alternative financing is not available.

American Medical Association↗
PubMed2005

Building better boards in the new era of accountability.

Healthcare boards are entering a new era of heightened accountability, scrutiny, and reform. Sarbanes-Oxley legislation, Internal Revenue Service scrutiny, pressure from creditors and bond insurers, activist state attorneys general, media attention, and other forces have sharply increased awareness of the importance of governance and have also raised the bar on what is required of boards and what is considered best-practice governance performance. Yet good governance cannot be legislated. The structure, composition, and specific required functions of boards can be legislated or mandated, but the effective function of boards cannot. At the same time that governance faces this new era of accountability, it is also being bombarded with the legions of monumental challenges in the tumultuous healthcare field. Chief executive officers and their boards must be willing to recognize the challenges and risks to the field of governance in general and to their boards in particular. Furthermore, they must be willing to implement new strategies and approaches for successful governance, including becoming compliant with Sarbanes-Oxley requirements; conducting a comprehensive audit of the structure, function, composition, and culture of the board; and seeking board members from outside the community, among many others.

Capital Financing↗
PubMed2005

On future design.

Explore the source record for details and available documents.

Financing, Construction↗
PubMed2005

Adapting behavioral interventions is complex. Myriad factors complicate process.

HIV prevention researchers describe many frustrations with the process of adapting community-based intervention work to fit into the mold of one of the available evidence-based HIV interventions. Increasingly, states are awarding HIV prevention grants only to community-based organizations that base their prevention work on one of the dozen HIV interventions sanctioned by the CDC and included on the Diffusion of Effective Behavioral Interventions list.

Behavior Therapy↗
PubMed2005

A closer look at two popular interventions. Mpowerment and Street Smart being adapted.

HIV prevention researchers are learning firsthand how challenging it is to translate existing evidence-based interventions for different populations and dissemination. Translating the Mpowerment project and Street Smart for use in communities and populations that are different from the interventions' original use, investigators are discovering that some challenges can be predicted, but many are small nuances that become important as an intervention is changed.

Budgets↗