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Health centers funded through grants under the Health Center Program -- managed by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services -- provide comprehensive primary care services for the medically underserved. This statement summarizes an August 2008 report, ¿Health Resources and Services Administration: Many Underserved Areas Lack a Health Center Site, and the Health Center Program Needs More Oversight.¿ That report examined to what extent medically underserved areas lacked health center sites in 2006 and 2007. To do this, the auditor obtained and analyzed HRSA data and grant application. Illustrations.
Health centers funded through grants under the Health Center Program -- managed by the Health Resources and Services Admin. (HRSA), an agency in the Dept. of Health and Human Services -- provide comprehensive primary care services for the medically underserved. HRSA provides funding for training and technical assistance (TA) and cooperative agreement recipients to assist grant applicants. This report examined: (1) to what extent medically underserved areas lacked health center sites in 2006 and 2007; and (2) HRSA¿s oversight of training and TA cooperative agreement recipients¿ assistance to grant applicants and its provision of written feedback provided to unsuccessful applicants. Includes recommendations. Charts and tables.
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Medicaid, one of the largest federal programs in the United States, gives grants to states to provide health insurance for over 60 million low-income Americans. As private health insurance benefits have relentlessly eroded, the program has played an increasingly important role. Yet Medicaid’s prominence in the health care arena has come as a surprise. Many astute observers of the Medicaid debate have long claimed that “a program for the poor is a poor program� prone to erosion because it serves a stigmatized, politically weak clientele. Means-tested programs for the poor are often politically unpopular, and there is pressure from fiscally conservative lawmakers to scale back the $350-billion-per-year program even as more and more Americans have come to rely on it. For their part, health reformers had long assumed that Medicaid would fade away as the country moved toward universal health insurance. Instead, Medicaid has proved remarkably durable, expanding and becoming a major pillar of America’s health insurance system. In Medicaid Politics, political scientist Frank J. Thompson examines the program’s profound evolution during the presidential administrations of Bill Clinton, George W. Bush, and Barack Obama and its pivotal role in the epic health reform law of 2010. This clear and accessible book details the specific forces embedded in American federalism that contributed so much to Medicaid’s growth and durability during this period. It also looks to the future outlining the political dynamics that could yield major program retrenchment.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Identifies and describes specific government assistance opportunities such as loans, grants, counseling, and procurement contracts available under many agencies and programs.
Provides an overview of American federal agencies and commissions, including the executive branch and legislative branches, independent entities, quasi-official agencies, and more.
With concise, focused coverage of community health nursing, Foundations of Nursing in the Community: Community-Oriented Practice, 4th Edition provides essential information for community practice - from nursing roles and care settings to vulnerable population groups. The book uses a practical, community-oriented approach and places an emphasis on health promotion and disease prevention. Practical application of concepts is highlighted throughout the text in case studies, critical thinking activities, QSEN competencies, and Healthy People 2020 objectives. Evidence-Based Practice boxes highlight current research findings, their application to practice, and how community/public health nurses can apply the study results. Levels of Prevention boxes identify specific nursing interventions at the primary, secondary, and tertiary levels, to reinforce the concept of prevention as it pertains to community and public health care. Focus on health promotion throughout the text emphasizes initiatives, strategies, and interventions that promote the health of the community. Clinical Application scenarios offer realistic situations with questions and answers to help you apply chapter concepts to practice in the community. Case Studies provide client scenarios within the community/public health setting to help you develop assessment and critical thinking skills. What Would You Do? boxes present problem-solving challenges that encourage both independent and collaborative thinking required in community settings. How To boxes offer specific instructions on nursing interventions. NEW! QSEN boxes illustrate how quality and safety goals, competencies, objectives, knowledge, skills, and attitudes can be applied in nursing practice in the community. NEW! Feature box on Linking Content to Practice highlights how chapter content is applied in the role of public/community health nursing. NEW! Healthy People 2020 objectives in every chapter address the health priorities and emerging health issues expected in the next decade.