America spends more than $700 billion per year on a health care system that is unparalleled in the technological advances it produces, yet many Americans do not receive the basic health care they need. Access to obtaining these health services can be affected by economic, structural, or personal barriers. This paper describes a primary health care delivery that addresses the specific health concerns of a neighborhood. The model forges a partnership with the community while developing collaborative relationships with area health providers. Targeted health services are offered in a community-based, nurse-managed site. Clients receive the basic health services they need, local providers expand their client base with "satellite locations," and the major medical institutions receive more appropriate referrals and have less unnecessary use of the emergency rooms.
Cardiovascular disease begins early in life but might be prevented or delayed by primary prevention programs designed for children and adolescents. Regular physical activity is an important part of primary prevention programs, and school physical edu...
Nyamathi, A M; Lewis, C; Leake, B; Flaskerud, J; Bennett, C;
Published Date:
1995 Mar-Apr
Source:
Public Health Rep. 110(2):166-172
Description:
This study was undertaken to describe sexual behaviors and drug use and other factors that inhibit condom use and needle cleaning among impoverished women who are injection drug users (IDUs) or sexual partners of IDUs. This study also investigated wh...
African American women are at high risk for morbidity and mortality from breast cancer. African American women ages 50 and older have been a difficult group to reach through conventional breast cancer intervention programs. Cultural and health belief...
A 38-week Intergenerational Life History Project is designed to create a collaboration in a lower socioeconomic neighborhood between 50 elderly people in the community ages 80 and older (whose life reminiscences make them historians) and 50 high scho...
This reviews the efforts of the Centers for Disease Control and Prevention to integrate effective health communication into its programs that are designed to change behaviors. Although the 10-step framework for developing and implementing the Centers...
Despite growth in the use of ophthalmologic care in the last decade, little is known about the use of eye care services and patterns of physician contact across population subgroups. As the U.S. population grows older, such information is crucial in ...
Hypertension, a leading risk factor for cardiovascular and renal diseases, occurs in up to 50 million Americans. Despite mounting evidence of the effectiveness of prevention and treatment, physicians are still unable to get their patients to adopt an...
Callif-Daley, Faith A.; Huether, Carl A.; Edmonds, Larry D.;
Published Date:
1995 Mar-Apr
Source:
Public Health Rep. 110(2):154-160
Description:
The principal goal in this study was to quantify false positives in the hospital discharge data of the Birth Defects Monitoring Program conducted by the Centers of Disease Control and Prevention. The two hospital data processing agencies which contri...
Korenbrot, C C; Gill, A; Clayson, Z; Patterson, E;
Published Date:
1995 Mar-Apr
Source:
Public Health Rep. 110(2):125-133
Description:
The authors evaluated enhanced perinatal services developed by public health specialists that were implemented statewide through specially certified Medicaid providers to find out whether they were as effective as those services originally tested in ...
To investigate the potential contribution of public health surveillance systems to the health of children and workers in out-of-home child-care settings, we review existing public health surveillance practice in the United States. We identify issues ...
Holtgrave, David R.; Qualls, Noreen L.; Curran, James W.; Valdiserri, Ronald O.; Guinan, Mary E.; Parra, William C.;
Published Date:
1995 Mar-Apr
Source:
Public Health Rep. 110(2):134-146
Description:
Because of the enormity of the HIV-AIDS epidemic and the urgency for preventing transmission, HIV prevention programs are a high priority for careful and timely evaluations. Information on program effectiveness and efficiency is needed for decision-m...
Ewert, Donnell P.; Westman, Suzanne; Frederick, Paul D.; Waterman, Stephen H.;
Published Date:
1995 Mar-Apr
Source:
Public Health Rep. 110(2):161-165
Description:
A study was undertaken to determine the extent of measles underreporting among preschool-age children. In two community surveys conducted in inner-city Los Angeles during 1990 and 1991, respondents were asked whether preschool-age children in their h...
A 38-week Intergenerational Life History Project is designed to create a collaboration in a lower socioeconomic neighborhood between 50 elderly people in the community ages 80 and older (whose life reminiscences make them historians) and 50 high scho...
Mirambeau, Alberta M.; Wang, Guijing; Ruggles, Laural; Dunet, Diane O.;
Published Date:
Dec 2013
Source:
J Community Health. 38(6):1050-1057.
Description:
Studies have shown that community health workers (CHWs) can improve the effectiveness of health care systems; however, little has been reported about CHW program costs. We examined the costs of a program staffed by three CHWs associated with a small,...
African American women are at high risk for morbidity and mortality from breast cancer. African American women ages 50 and older have been a difficult group to reach through conventional breast cancer intervention programs. Cultural and health belief...
The Public Health Service's Interagency Committee to Improve Access to Immunization Services (ICI) has responsibility for improving the immunization protection of the nation's children and other vulnerable populations. ICI's Action Plan to Improve Ac...
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