RESEARCH ISSUES IN CHILD HEALTH. II. SOME MEDICAL AND ECONOMIC ISSUES

PEDIATRICS ◽  
1970 ◽  
Vol 45 (4) ◽  
pp. 702-712
Author(s):  
Robert J. Haggerty
Keyword(s):  
Medical Care ◽  
Care Program ◽  
Screening Tests ◽  
Educational Goals ◽  
Middle Ground ◽  
Critical Research ◽  
Prevalence Data ◽  
Research Issues ◽  
Medical Needs ◽  
Unnecessary Procedures

I have in this discussion advanced the notion that we should combine our humanitarian principles with our critical research questions and carry out the bold medical care experiment characteristic of Head Start's educational goals. We should ensure that children receive a basic comprehensive medical care program and then combine it with controlled experiments to answer some of the high priority questions about which we have so little data, such as manpower innovations, medical needs, screening tests, attitudes, utilization, prevalence data, and costs. The solution, as in so much of life, is not a rigid adherence to a limited, parsimonious program or a totally uncritical and wasteful approach, but a middle ground. The middle is always hard to find and even more difficult to maintain. A comprehensive care program with certain guidelines, requirements of quality, and restrictions on unnecessary procedures is my middle ground with simultaneous stimulation through incentives to carry out specific research projects on top of this.

The Special Perils of Being Old and Sick in Prison

2020 ◽  
Vol 32 (5) ◽  
pp. 276-284
Author(s):  
William J. Jefferson
Keyword(s):  
United States ◽  
Health Care ◽  
Medical Care ◽  
Health Care Providers ◽  
The United States ◽  
United States Constitution ◽  
Care Providers ◽  
Medical Practitioners ◽  
Medical Needs ◽  
Access To Medical Care

The United States Supreme Court declared in 1976 that deliberate indifference to the serious medical needs of prisoners constitutes the unnecessary and wanton infliction of pain…proscribed by the Eighth Amendment. It matters not whether the indifference is manifested by prison doctors in their response to the prisoner’s needs or by prison guards intentionally denying or delaying access to medical care or intentionally interfering with treatment once prescribed—adequate prisoner medical care is required by the United States Constitution. My incarceration for four years at the Oakdale Satellite Prison Camp, a chronic health care level camp, gives me the perspective to challenge the generally promoted claim of the Bureau of Federal Prisons that it provides decent medical care by competent and caring medical practitioners to chronically unhealthy elderly prisoners. The same observation, to a slightly lesser extent, could be made with respect to deficiencies in the delivery of health care to prisoners of all ages, as it is all significantly deficient in access, competencies, courtesies and treatments extended by prison health care providers at every level of care, without regard to age. However, the frailer the prisoner, the more dangerous these health care deficiencies are to his health and, therefore, I believe, warrant separate attention. This paper uses first-hand experiences of elderly prisoners to dismantle the tale that prisoner healthcare meets constitutional standards.

THE PEDIATRICIAN AND THE PUBLIC

PEDIATRICS ◽  
1951 ◽  
Vol 8 (3) ◽  
pp. 435-445
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
Adult Life ◽  
Care Program ◽  
Dental Service ◽  
School Age ◽  
Present Communication ◽  
Dental Services ◽  
The Public ◽  
Comprehensive Programs

THE first communication is on "Health Insurance in Canada from the Paediatric View" by Dr. John Keith with an introductory letter from Dr. Alan Brown. In 1943, the Canadian Medical Association approved the principle of health insurance and set forth the opinion that health insurance programs should be developed by the various provinces in accordance with their local needs (J. Pediat. 31:228, Aug., 1947). In the intervening years some provinces have developed quite comprehensive programs of medical care (Pediatrics 7:430, 1951) whereas other provinces have taken very little action. The present communication describes these endeavors from the viewpoint of the pediatrician. The second communication from Dr. John T. Fulton, Dental Services Adviser of the U. S. Children's Bureau, describes his observations of New Zealand's National Dental Service. The medical care program in New Zealand has received wide publicity; the National Dental Service, which was inaugurated much earlier, has received relatively little comment until recently. The dental care problem everywhere is enormous. Children of school age average to develop one new caries lesion per year. The dental manpower currently available in this country does not begin to be adequate to deal with the problem; the result is that the majority of children enter adult life with a large accumulation of dental defects.

Managed Care

PEDIATRICS ◽  
1992 ◽  
Vol 90 (2) ◽  
pp. 278-279
Author(s):  
JENIFER D. C. CARTLAND ◽  
BETH K. YUDKOWSKY
Keyword(s):  
Managed Care ◽  
Medical Care ◽  
Care Program ◽  
Kaiser Permanente ◽  
Care Plans

In Reply.— Doctors Sapin and Laws raise fundamental concerns about our article that was recently published in Pediatrics.1 We feel that these concerns are addressed adequately in the paper, but we would like to take this opportunity to clarify our findings. Dr Sapin argues that our study characterizes all managed care plans, such as the Kaiser Permanente Medical Care Program in which he practices, as having ineffective referral mechanisms. He holds that pediatricians at Kaiser experience "no barriers to appropriate referrals" and indicates that we did not stress this finding adequately.

scholarly journals Baltimore's Medical Care Program

1950 ◽  
Vol 40 (6) ◽  
pp. 728-730
Author(s):  
Huntington Williams
Keyword(s):  
Medical Care ◽  
Care Program

Localization in Virtual Acoustic Displays

1992 ◽  
Vol 1 (1) ◽  
pp. 80-107 ◽  
Author(s):  
Elizabeth M. Wenzel
Keyword(s):  
Technological Capabilities ◽  
Critical Research ◽  
General Philosophy ◽  
Research Project ◽  
Research Issues ◽  
Computer Interfaces ◽  
The Future ◽  
Multisensory Environment ◽  
Spatial Display ◽  
Advanced Computer

This paper discusses the development of a particular spatial display medium, the virtual acoustic display. Although the technology can stand alone, it is envisioned ultimately to be a component of a larger multisensory environment and will no doubt find its greatest utility in that context. A general philosophy of the project has been that the development of advanced computer interfaces should be driven first by an understanding of human perceptual requirements, and secondarily by technological capabilities or constraints. In expanding on this view, the paper addresses why virtual acoustic displays are useful, characterizes the abilities of such displays, reviews some recent approaches to their implementation and application, describes the research project at NASA Ames in some detail, and finally outlines some critical research issues for the future.

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