Colorectal cancer represents a major health problem and an important economic burden in Puerto Rico. In the 1990's, the Commonwealth of Puerto Rico implemented a health care reform through the privatization of the public health system. The goal was to ensure access to health services, eliminate disparities for medically indigent citizens and provide special coverage for high-risk conditions suc...

The debate over comprehensive health care reform is at a critical juncture. Fact and fiction are becoming increasingly blurred as the debate moves into the public arena. As the sponsors and purchasers of the bulk of group health plans in America, employers will play an important role in the eventual solution. The status quo is not an option for American business, and meaningful reform must addr...

OBJECTIVES In national and local discussions of health care reform, there is disagreement about whether a national health insurance plan should be mandatory or voluntary. This study describes characteristics of low- income people who were more likely or less likely to be covered by a voluntary plan. METHODS Survey data were available from an evaluation of Washington State's Basic Health Plan,...

A variety of economic factors have created a growing demand for health care reform and the rapid expansion of managed care plans. Absence of a clear, commonly accepted definition of managed care constitutes one of the major difficulties in constructing a useful dialogue about managed care and its likely effects. This paper defines basic managed care models and outlines for each the degree of fi...

INTRODUCTION Employee satisfaction is considered to be an important component in the promotion of service quality and increased efficiency and effectiveness in the reform plan for a healthcare system. Neglecting this issue could result in a lack of success in achieving the healthcare system's objectives. The healthcare reform plan is being implemented to achieve the objectives of the healthcare...

recent proposals for re-defining the roles africa’s health workforce are a continuation of the discussions that have been held since colonial times. the proposals have centred on basing the continent’s healthcare delivery on non-physician clinicians (npcs) who can be quickly trained and widely distributed to treat majority of the common diseases. whilst seemingly logical, the success of these p...

While Congress has actually taken little action on health care reform, there has been no shortage of discussion on Capitol Hill. This year alone Congress has considered more than 100 bills on health care that range from two pages to more than 200 pages. In addition, the Bush administration released a 94-page outline of its health care reform program. President-elect Bill Clinton also has a heal...