The authors describe a 3-year effort by a public health care system in a large metropolitan area to obtain Federal funds for treating patients with acquired immunodeficiency syndrome (AIDS). During that process, program planners moved incrementally from proposing an exclusively medical model to one emphasizing the activities of a coalition of community based organizations (CBO). Successive proposals for Federal funding reflected increasing understanding of the nature and functioning of CBOs in providing case management and other support services. The third application proposed devoting 34.5 percent of the budget to CBO activities. That application, which was successfully funded, provided leverage and momentum for the concept of the interdisciplinary, broadly based services consortium which has evolved in Denver since 1989. The consortium has been instrumental in the 55.9 percent reduction in the cost of medical care for AIDS patients that has occurred.
Holman, S; Sorin, M D; Crossette, J; LaChance-McCullough, M L;
Published Date:
1994 Jul-Aug
Source:
Public Health Rep. 109(4):521-529
Description:
The New York State Department of Health began its Obstetrical HIV Counseling/Testing/Care Initiative in 1989. The objective of the initiative was to expand the availability of and access to human immunodeficiency virus (HIV) infection counseling and ...
The goal of this study was to identify areas in which an influenza immunization campaign for seniors, sponsored by a health maintenance organization (HMO), could be improved. This study was conducted at Group Health Cooperative of Puget Sound (GHC), ...
Men attending four Seattle gay bars were asked to complete a self-administered questionnaire including measures of sexual behavior, perceptions of peer norms in the area of sexual safety, personal human immunodeficiency virus (HIV) risk estimate, and...
Taylor, V M; Taplin, S H; Urban, N; Mahloch, J; Majer, K A;
Published Date:
1994 Jul-Aug
Source:
Public Health Rep. 109(4):491-499
Description:
The analysis, mobilization, and involvement of medical communities in two counties targeted for intervention by the Washington State Community Breast Cancer Screening Project is described. Principles of community organization were applied to the heal...
Schilling, R; el-Bassel, N; Ivanoff, A; Gilbert, L; Su, K H; Safyer, S M;
Published Date:
1994 Jul-Aug
Source:
Public Health Rep. 109(4):539-547
Description:
In this study, sexual risk behavior of 104 incarcerated female drug users is examined. Findings demonstrate that incarcerated women who use drugs are at high risk for human immunodeficiency virus (HIV) infection because of their behavior prior to arr...
Little is known of the extent to which helper networks of frail older persons change over time and what factors are associated with change. Few national estimates of the scope of change exist to aid policy planners. This study provides national estim...
Lantz, Paula M.; Dupuis, Laurence; Reding, Douglas; Krauska, Michelle; Lappe, Karen;
Published Date:
1994 Jul-Aug
Source:
Public Health Rep. 109(4):512-520
Description:
Hispanic migrant agricultural workers' exposure to pesticides and other agrichemicals places them at increased risk for a variety of acute and chronic conditions, including cancer. As a socioeconomically disadvantaged group, migrant workers also face...
McNutt, Louise-Anne; Strogatz, David S.; Coles, F. Bruce; Fehrs, Laura J.;
Published Date:
1994 Jul-Aug
Source:
Public Health Rep. 109(4):567-570
Description:
To determine whether New York State's high ischemic heart disease mortality rate was due primarily to an urban effect, rates for regions in the State were compared with each other and with national data. New York State mortality rates for the period ...
Turnock, Bernard J.; Handler, Arden; Dyal, William W.; Christenson, Gregory; Vaughn, Edward H.; Rowitz, Louis; Munson, Judith W.; Balderson, Thomas, R.; Richards, Thomas B.;
Published Date:
1994 Jul-Aug
Source:
Public Health Rep. 109(4):478-484
Description:
One of the most difficult forms of public health practice to characterize involves governmental public health agencies, especially at the local level. A lack of consensus within the public health community as to the purpose and content of organizatio...
Callahan, Callahan M.; Rivara, Frederock P.; Koepsell, Thomas D.;
Published Date:
1994 Jul-Aug
Source:
Public Health Rep. 109(4):472-477
Description:
Community involvement in local firearms policy is advocated to be an important component of efforts to curtail violence. This report describes the first evaluation of one such effort, a gun buy-back program conducted in Seattle, WA, during the fall o...
The authors used vital statistics and population data for DeKalb County, GA, in an evaluation of the accuracy of the Consensus Health Status Indicator for assessing adolescent pregnancies and births. The indicator used was the number of births to fem...
Pegues, David A.; Engelgau, Michael M.; Woernle, Charles H.;
Published Date:
1994 Jul-Aug
Source:
Public Health Rep. 109(4):530-538
Description:
Each year, it is estimated that from 350,000 to 739,000 U.S. infants are exposed in utero to one or more illicit drugs. To estimate the prevalence of and risk factors for illicit drug use by women of childbearing age in Alabama, during 2 months in 19...
An estimated 40 percent of the nation's 55,000 persons with acquired immunodeficiency syndrome (AIDS) have received care under the Medicaid Program, which is administered by the Health Care Financing Administration (HCFA) and funded jointly by the Fe...
The Centers for Disease Control (CDC) shaped the basic development and direction of the HIV/AIDS Prevention Program through technical support and financial assistance for State and local health departments and other organizations. Through this provis...
As rural communities struggle to sustain health services locally, innovative alternatives to traditional programs are being developed. A significant adaptation is the rural health network or alliance that links local health departments and community ...