Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Government Sponsored Programs”

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.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 865 records · Page 48Linked to original sources
PubMed2000

Education for contraceptive use by women after childbirth.

OBJECTIVES: Postpartum education on contraceptive use is a routine component of discharge planning in many different countries with a wide variety of health care systems. This education is based on assumptions concerning women's receptivity to contraceptive education during the postpartum period and their presumed lack of access to such education after that time. The objective of this review is to assess the effects of education about contraceptive use to postpartum mothers. SEARCH STRATEGY: We searched the Cochrane Controlled Trials Register, MEDLINE, EMBASE, CINAHL, Psychlit, Popline, citations indexes and reference lists of relevant articles. We contacted subject experts to locate additional research, in addition to the Group's Specialised Register of Controlled Trials. Date of the most recent search: April 1999. SELECTION CRITERIA: Trials using random or quasi-random methods of allocation which evaluated the effectiveness of postpartum education about contraceptive use. DATA COLLECTION AND ANALYSIS: Two independent reviewers abstracted data on trial characteristics and results. MAIN RESULTS: Three trials were identified with 5438 women. These trials were conducted in Lebanon, Peru and Nepal. None of the trials examined all major prespecified endpoints. Postpartum education about contraceptive use influenced short-term use assessed between 40 days and three months post-partum. Women in the intervention groups were less likely to be non-users than women in the comparison groups (Odds Ratio (OR) = 0.47, 95% Confidence Interval (CI) 0.39 to 0.58). This benefit was not apparent following analysis of data from better quality studies (OR = 0.67, 95% CI 0.41 to 1.13). An apparent benefit on contraceptive use at six months post-partum (OR = 0.52, 95% CI 0.37 to 0.74) was not apparent following sensitivity analyses (OR = 0.59, 95% CI 0.33 to 1.06). Data are inadequate to assess the impact on cessation of breast feeding and non-attendance at family planning clinics. Unplanned pregnancies, knowledge about contraception and satisfaction with care were not assessed in any trial. REVIEWER'S CONCLUSIONS: The effectiveness of postpartum education about contraceptive use has not yet been established in randomised controlled trials. Such education may be effective in increasing the short-term use of contraception. However, there are only limited data examining a more-important longer-term effect on the prevention of unplanned pregnancies. Research needs to be undertaken to assess the effectiveness of the minimalist education provided in more developed countries and the variety of programs provided in less developed regions. Such research should examine the content, timing, range and organisation of postpartum education on contraceptive use, as well as its impact on breast feeding rates.

Contraception↗
PubMed1987

Documenting effective coordination of medical education programs in response to medical underservice.

The Federal government has in the past initiated a variety of programs in an effort to address the issue of medical underservice throughout the United States. The results of two such programs sponsored by the University of Colorado Health Sciences Center are examined. Their federal and state support have been decreased at a time when encouraging progress was being made in reducing rural Coloradoans' inaccessibility to medical care, although much of the state remains designated a primary care health manpower shortage area. This paper challenges the Federal Government's policy of temporarily "seed" funding programs whose interventions require several years to complete, under the assumption that state legislatures will eagerly pick up financial support for all that document continuing need and effectiveness. It also describes the difficulties this policy and prevailing state legislative attitude pose for program evaluators in performing their professional function.

Area Health Education Centers↗
PubMed1998

Perspective from Western Canada and the Canadian meat industry.

The Canadian broiler chicken and turkey industries are distributed approximately according to human population. Individual components of these industries tend to be smaller than their U.S. counterparts and not to be vertically integrated. The outlook of the poultry meat industries is positive because of increasing per capita consumption of chicken and the potential for gains in turkey consumption. The number of permanently employed poultry scientists at publicly funded institutions has declined in Western Canada. University training in Poultry Science is restricted to four major institutions where it has been integrated into Animal Science and Veterinary Medicine programs. For the most part, poultry scientists have developed successful research programs and this research has been enhanced by scientists employed in term positions. Publicly funded poultry extension has declined but this reduction has been compensated to some degree by industry-sponsored programs and the private sector. The majority of research funding, which was once derived from government, is now provided by industry; government contributions are frequently contingent on initial industry support. The consequence of this type of funding arrangement is a trend to more short-term and less long-term research. Canada has no strategic plan regarding poultry training, research, or extension and this needs to be addressed before there is a further reduction in the country's infrastructure. Modern communication technology offers promise to reduce the isolation of scientists in different parts of Canada.

Agriculture↗
PubMed1989

Meeting the challenge of Hawaii's mental health crisis: new opportunities and innovations in the state mental health system for the 1990s.

Recently, Hawaii's mental health care system has been in the news because of its alleged infamy as one of the poorest systems in the United States of America today. Hawaii has not always been considered a state with a conspicuously poor commitment to mental health. The Department of Health (DOH), the oldest department of health in the United States of America, was formed in 1850 by King Kamehameha III. In fact, Kamehameha III, recognizing the importance of developing programs in mental health, was one of the earliest political leaders in history to support government-sponsored mental health services.

Delivery of Health Care↗
PubMed2000

National data sources on the care and outcomes of patients with community acquired pneumonia.

Despite improved understanding and treatment of community acquired pneumonia (CAP), variations in clinical practice and patient outcomes still exists, resulting in excess healthcare dollars spent and decreased patient satisfaction. The use of treatment and outcomes research data can help providers improve their methods and standardize techniques to control costs and provide the best care for their patients. To better understand the utility and capabilities of this research, this article will compare several administrative and clinical databases. Two, data sources in particular, the EPI-Q Inc. CAP-Compare database and the University HealthSystem Consortium's (UHC) CAP Benchmarking Program contain clinical and utilization data specific to CAP. In addition there are several government and non-government sponsored data sources that include administrative data on many diagnosis including CAP. These include: Healthcare Benchmarking Systems International's EXPLORE database, the Center for Healthcare Industry Performance Studies database, the National Center for Health Statistics'--National Hospital Discharge Survey, and the Medicare Provider Analysis and Review data files.

Benchmarking↗
PubMed2002

Business associates: a HIPAA compliance challenge.

The final rule implementing the privacy standards mandated by the Health Insurance Portability and Accountability Act (HIPAA) of 1996 imposes substantial requirements on covered entities with respect to their business associates--those parties providing certain services to, or on behalf of, the covered entities. A covered entity must develop a contract with each of its business associates that sets forth the conditions under which the business associate may use or disclose the protected health information it receives from the covered entity. The contract also must delineate the covered entity's obligations with respect to the business associate, which include ensuring individuals' access to their protected health information and taking certain steps to respond to a breach of the privacy standards by the business associate. The business associate requirements do not apply to the covered entity's workforce, disclosures to providers for treatment purposes, certain financial transactions, certain jointly administered government programs, and, provided that certain other restrictions are met, disclosures made by group health plans to plan sponsors.

Commerce↗
PubMed1983

The application of the free-market economic model in Chile and the effects on the population's health status.

After the military coup in 1973, probably the most dogmatic application ever of free-market economic policies was implemented in Chile. The military junta has credited the drop in infant mortality since then to the free-market model. This article explores whether lower infant mortality rates are due to improvements in the socioeconomic conditions created by the free-market, or whether they are due to state-sponsored health care services. It concludes that the socioeconomic conditions since 1973 have generally deteriorated, while government supplemental feeding programs and maternal and child health care services have increased. It appears that the free-market has not been the primary determinant of the decline in infant mortality. Rather, state intervention appears to have been more important. Other morbidity statistics, however, indicate a decline in the population's health status since 1973.

Child Health Services↗
PubMed2004

Guide to sexually transmitted disease resources on the Internet.

The Internet provides patients, clinicians, teachers, and researchers with immediate access to reliable information, authoritative recommendations, and the latest research findings and statistics, but quickly finding the best sources while avoiding the unreliable and obsolete can be a problem. We searched the Internet for the most useful English-language Web sites on sexually transmitted diseases (STDs), with annotations, in 4 tables: sites for patients, for clinicians and teachers, and for researchers, and sites dedicated to a single STD. In the process, we found that government-sponsored sites tended to have the most reliable information. This held true regardless of the kind of information we were seeking. Several university-sponsored sites contained information that was outdated or erroneous. Commercial and nonprofit sites sometimes evinced a bias that could mislead some readers. Both health care professionals and laypersons seeking information about STDs on the World Wide Web should generally start their search at government-sponsored sites.

Authorship↗
PubMed2003

International occupational health.

Working conditions for the majority of the world's workers do not meet the minimum standards and guidelines set by international agencies. Occupational health and safety laws cover only about 10 percent of the population in developing countries, omitting many major hazardous industries and occupations. With rare exception, most countries defer to the United Nations the responsibility for international occupational health. The UN's international agencies have had limited success in bringing occupational health to the industrializing countries. The International Labor Organization (ILO) conventions are intended to guide all countries in the promotion of workplace safety and in managing occupational health and safety programs. ILO conventions and recommendations on occupational safety and health are international agreements that have legal force only if they are ratified by ILO member states. The most important ILO Convention on Occupational Safety and Health has been ratified by only 37 of the 175 ILO member states. Only 23 countries have ratified the ILO Employment Injury Benefits Convention that lists occupational diseases for which compensation should be paid. The World Health Organization (WHO) is responsible for the technical aspects of occupational health and safety, the promotion of medical services and hygienic standards. Limited WHO and ILO funding severely impedes the development of international occupational health. The U.S. reliance on international agencies to promote health and safety in the industrializing countries is not nearly adequate. This is particularly true if occupational health continues to be regarded primarily as an academic exercise by the developed countries, and a budgetary triviality by the international agencies. Occupational health is not a goal achievable in isolation. It should be part of a major institutional development that touches and reforms every level of government in an industrializing country. Occupational health and safety should be brought to industrializing countries by a comprehensive consultative program sponsored by the United States and other countries that are willing to share the burden. Occupational health and safety program development is tied to the economic success of the industrializing country and its industries. Only after the development of a successful legal and economic system in an industrializing country is it possible to incorporate a successful program of occupational health and safety.

Financial Support↗
PubMed1994

Ethical issues in palliative care research.

During the last 10 years interest in palliative care research has grown. This interest has brought about an awareness of the unique ethical issues related to research in this special population. Issues related to the vulnerability of patients and families, consent protocols, unstable mental status, and the invasiveness of assessments have been discussed. Unfortunately, devastating physical and psychosocial distress continue to afflict the majority of cancer patients before death. Although our current knowledge of palliative care allows us to help a significant number of patients and families, there are a number of symptoms that are currently intractable. Further, a 50% increase in the number of cancer deaths in Canada is expected between 1990 and the year 2000 (11). Therefore, one of the major ethical issues we must confront during the coming decade is whether we can afford not to make a major commitment to research in palliative care. We are aware that maintaining the status quo of patient care is unacceptable. However, until now, administrators, governments, and clinicians have planned palliative care programs to have only service and some teaching components. And traditional research-sponsoring agencies have not allocated priority to palliative care in their funding strategies. The palliative care community must take the initiative in this debate.

Ethics, Medical↗
PubMed1995

Workers, industry, and the control of information: silicosis and the Industrial Hygiene Foundation.

This essay focuses on the early history of industry and professional relationships around silicosis, the debilitating occupational lung disease, through a study of the role of the Industrial Health Foundation, an industry-sponsored group which has played a critical role in shaping the nation's agenda regarding industrial disease. From its start during the Depression, it has portrayed itself as an industry-sponsored agency that depended upon detached, disinterested professionals and experts to develop effective programs to address occupational disease. As an organization that brought together professional industrial hygienists, business groups, government officials, academics and researchers it serves as a means for understanding the intertwining of industrial and academic agendas. We explore some of the issues that arose regarding public policy and scientific investigations, asking: Under what conditions is it appropriate for professionals and scientists to work together with industrially sponsored organizations? What are the pressures that shape research questions, the range of possible solutions, and the control of scientific data? How can technically trained individuals avoid real or perceived conflicts of interest? At what point does the ostensibly disinterested goals of professionalism conflict with the self-interest of the sponsoring organizations?

Foundations↗
PubMed2000

Development of biotechnology in India.

India has embarked upon a very ambitious program in biotechnology with a view to harnessing its available human and unlimited biodiversity resources. It has mainly been a government sponsored effort with very little private industry participation in investment. The Department of Biotechnology (DBT) established under the Ministry of Science and Technology in 1986 was the major instrument of action to bring together most talents, material resources, and budgetary provisions. It began sponsoring research in molecular biology, agricultural and medical sciences, plant and animal tissue culture, biofertilizers and biopesticides, environment, human genetics, microbial technology, and bioprocess engineering, etc. The establishment of a number of world class bioscience research institutes and provision of large research grants to some existing universities helped in developing specialized centres of biotechnology. Besides DBT, the Department of Science & Technology (DST), also under the Ministry of S&T, sponsors research at universities working in the basic areas of life sciences. Ministry of Education's most pioneering effort was instrumental in the creation of Biochemical Engineering Research Centre at IIT Delhi with substantial assistance from the Swiss Federal Institute of Technology, Zurich, Switzerland to make available state-of-the-art infrastructure for education, training, and research in biochemical engineering and biotechnology in 1974. This initiative catalysed biotechnology training and research at many institutions a few years later. With a brief introduction, the major thrust areas of biotechnology development in India have been reviewed in this India Paper which include education and training, agricultural biotechnology, biofertilizers and biopesticides, tissue culture for tree and woody species, medicinal and aromatic plants, biodiversity conservation and environment, vaccine development, animal, aquaculture, seri and food biotechnology, microbial technology, industrial biotechnology, biochemical engineering and associated activities such as creation of biotechnology information system and national repositories. Current status of intellectual property rights has also been discussed. Contribution to the India's advances in biotechnology by the industry, excepting a limited few, has been far below expectations. The review concludes with some cautious notes.

Agriculture↗
PubMed1985

Access to care: where are the holes in the net? Special concerns for women and children.

America's health care crisis is a very real and serious problem for our women and children. Poor and uninsured women and children have reached record numbers. These groups find themselves in a particularly grave situation, since there is no "safety net" for them. There is neither health insurance nor money available to cover their routine medical care. In addition, millions of poor women and children do not qualify for government sponsored health insurance such as Medicaid. In many states fewer than 40% of children living in poverty are covered the program. Other public health programs are markedly inadequate and fail to reach many of those in need. American women and children need our action to defend against preventable diseases and death. We can no longer afford to have our children born into poverty, hunger and ill health.

Aid to Families with Dependent Children↗