School-based health centers (SBHCs) are a policy innovation designed to increase health care access among youth. The centers offer primary and acute care, often to underserved populations. We describe SBHCs, trace their history, and analyze the three great political challenges they face: moral opposition triggered by concern about reproductive health services in schools; funding in a managed ca...

Managed care for mental health services, which began in the private, commercial sector, has spread over the past few years to the public mental health sector as well. Recently, states have begun considering whether to include the forensic population within their privatized managed care systems. This article explores some of the complexities and special challenges unique to forensic services and...

AIM Because the Dutch population has a growing number of older people, an increasing burden on mental health services is expected. To facilitate policy making for the future, it is important to know what changes there have been in use of mental health services by elderly in the past. This study investigates changes in the use of mental health services by older adults in the period 1990-2004. ...

Introduction. Universities of Medical Sciences & Health Services were established with the aim of training and development of efficient health manpower for improving the community health. The people of the community have common health problems and needs, so universities of medical sciences and health services can affect diagnosing the problems, providing the health needs and developing health c...

nowadays, medical tourism reports impressive growth in terms of number of persons, income and number of countries involved in cross-border flows. so this study was undertaken to clarify entrepreneurship opportunities and bio-ethics boundaries in medical tourism. for tourism entrepreneurs, these outgoing flows related to medical procedures and tourism become an opportunity that cannot be ignored...

0 d 0 eceived October 24, 003; revised and ccepted January 4, 2004. eprint requests: Nancy J. lexander, Ph.D., Organon harmaceuticals USA, Inc., 6 Livingston Avenue, oseland, New Jersey 7068 (FAX: 973-325-4699; -mail: n.alexander@ rganonusa.com). UMD–New Jersey edical School, Newark, ew Jersey. Organon Pharmaceuticals SA, Inc., Roseland, New ersey. Organon International, nc., Roseland, New erse...

The delivery of prevention services to children and adolescents through traditional healthcare settings is challenging for a variety of reasons. Parent- and community-focused services are typically not reimbursable in traditional medical settings, and personal healthcare services are often designed for acute and chronic medical treatment rather than prevention. To provide preventive services in...

This study examines women's use and expenditures for medical care in the US. In 2000, 91% of women aged 18 years and older used any form of health care services. Overall, 82% of adult women reported an ambulatory care visit, and 11% had an inpatient hospital stay. Mean expense per person with expenses was 3219 dollars for that year. We examined use and expenditures by sociodemographic character...

Integrating services is a hot topic amongst health system policy-makers and healthcare managers. There is some evidence that integrated services deliver efficiencies and reduce service utilisation rates for some patient populations. In their article on Achieving Integrated Care for Older People, Gillian Harvey and her colleagues formulate some critical insights from practice and research around...