INTRODUCTION Strategies to prevent adult chronic diseases, including obesity, must start in childhood. Because many preschool-aged children spend mealtimes in child care facilities, staff should be taught supportive feeding practices for childhood obesity prevention. Higher obesity rates among low-income children suggest that centers providing care to these children require special attention. W...

BACKGROUND Anaphylaxis can occur anywhere. Many young children with a history of allergic reactions or anaphylaxis spend considerable time in child care centers. However, little is known about the centers' knowledge of, experience with, and capability to manage anaphylaxis. OBJECTIVE To evaluate the ability of child care centers to recognize, evaluate, and treat anaphylactic episodes in child...

Background & purpose: Since 2005, a reform known as Rural Insurance and Family Medicine Scheme has introduced to primary health care network in Iran in rural areas and small towns. The content of the reform implies a substantial change in those aspects of health centers that mainly could be categorized as structural quality. Although, this is the requirement of all health care providers, they a...

OBJECTIVES To examine the variability of physical activity environments and outdoor play policies in child care centers and to determine whether this variability is associated with the demographic characteristics of the child care centers surveyed. DESIGN Early Learning Environments Physical Activity and Nutrition Telephone Survey. SETTING Child care centers in Hamilton County (greater Cinc...

Every year, 1.2 billion visits are made in ambulatory care settings, accounting for approximately one third of health care spending in the United States.1,2 Although the vast majority of these visits take place in office-based clinics and emergency departments, an increasing number of patients are seeking care in nontraditional sites such as retail clinics and urgent care centers. Retail clinic...

This study examined access to care for uninsured and Medicaid-insured community health center patients in comparison to nonhealth center patients nationally. Using nationally representative data from 2 major surveys in 2002, there was a positive association between seeking care in community health centers and self-reported access to care for both uninsured and Medicaid patients. This suggests t...

Universal coverage and multiple initiatives to improve health care delivery are crucial components of health care reform. However, the missing link has been a plan to rapidly address the primary care workforce crisis for the underserved. The authors propose a link between primary care graduate medical education and care for the underserved in community health centers, where expansion will be ne...