School-Based Health Clinics: Remaining Viable in a Changing Health Care Delivery System

The changing health care delivery system.

Hospitals in a changing health care system.

Health system change is happening locally, and hospitals are at the center of this change. This paper, which presents data from a 1995 study of fifteen diverse communities, sketches the broad economic and organizational forces affecting hospitals in these communities and the hospitals' responses. Within these larger trends, local flavors and differences emerge. These appear to reflect variation...

Integrative Health Services in School Health Clinics

Objective: Mental health treatment today incorporates neurobiology, genetics, neuro-imaging, and pharmacologic mechanisms, offering more options to patients. For some, these modern approaches are not viable choices due to reasons such as limited access to care, cost, intolerable side effects, and, in the pediatric population, fears of potential long-term effects. With the growing prevalence of ...

School-Based Health Clinics and Sex Education

As comprehensive sex education curricula have been promoted in the schools, clinics have been established to provide teens greater access to birth control information and devices. Proponents cite studies that supposedly demonstrate the effectiveness of these clinics on teen sexual behavior. Yet a more careful evaluation of the statistics involved suggests that school-based health clinics do not...

Health Care Reform—An Integrated Health Care Delivery System Perspective

Why the need for such a radical shift? Because in the past decade, employers’ health care costs have increased more than four times the inflation rate. The average U.S. household spends $15,300 a year for a family of four on health care. And, as a nation, we spend nearly 18 percent of the gross domestic product on health care. If we stay this course, the percentage of health care spending will ...