When adolescents become unintentionally pregnant they face several difficult choices. About equal proportions of pregnant adolescents have unintended births (37 percent) or induced abortions (35 percent), with smaller percentages of adolescent pregnancies ending in miscarriages or intended births (about 14 percent each). Given their young age and
The process leading to teenage pregnancy involves a sequence of turning points or events. Our review of research evidence in the full research report is organized around these turning points and events, including sexual intercourse, use of contraception, pregnancy, and pregnancy resolution. The flow chart shown in Figure 1 presents these transitio
Overview
Adult day health care (ADHC) providers in New Jersey (NJ) are licensed by the state Department of Health and Senior Services Division of Long Term Care Systems under NJ Administrative Code (NJAC) , Chapter 8:43F, whose provisions are summarized in this profile.
Overview
Maryland licenses two types of adult day services--day care and medical day care--through the Office of Health Care Quality (OHCQ) in the Department of Health and Mental Hygiene. Day care services are offered and managed by the Department's Office of Health Services (OHS) through state-funded contracts, and are subject to the state's
Since 1998, progress has made in our understanding of how homeless assistance programs could be more cost-effective and more responsive to consumer needs; however, much more remains to be done. Considerable research has been conducted that shows that various supportive housing models are effective for ending homelessness among most people with sev
When Congress created the permanent housing set-aside within HUD’s McKiney-Vento programs in 2000, it also directed the Department of Housing and Urban Development to require that grantees implement homelessness services management information systems, or HMIS. Congress asked that HUD fund implementation of such systems so that jurisdictions cou
In their 1998 paper, Making Homelessness Programs Accountable to Consumers, Funders and the Public (Culhane et al., 1999), the authors provide a framework for assessing program outcomes that addresses the information needs of the various constituencies for homelessness services (consumers, funders, and the public). Consumers, it was argued, ne
The authors summarize the progress made in the past decade toward making homeless assistance programs more accountable to funders, consumers, and the public. They observe that research on the costs of homelessness and cost offsets associated with intervention programs has been limited to people who are homeless with severe mental illness. But this
PUBLIC LAW 104-191
104th Congress
An Act
To amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use of medical savings accounts, to improve access to
The management of the effective use of penicillin in the early 1940s is often described as one of the most important moments in the history of medicine. 14 This turning point in medical treatment provided physicians the capacity to intervene routinely in the “natural process” by eradicating lethal infection. The effect was to elevate the “
Despite local, state, and national efforts since the mid-1970s to adopt health care advance directives as the central tool to ensure that one’s health care wishes are known, only a minority of Americans have adopted this formal approach to detail their wishes and name their proxy. 1 Meanwhile, medical innovation and technological complexity ha
Relative to other federal data sources like surveys and claims databases, as well as paper charts, electronic health records have some major strengths.
Because of the previously mentioned limitations with using data from a single organization’s EHR for research, the ability to combine EHR data with other electronic data sources is often needed to strengthen study results, particularly for small populations. Combining EHR data across institutions can allow for a larger sample size to increase th
Some small populations may be identifiable using information that is now typically recorded in EHRs. Residents of rural areas may be identifiable by the address and zip code information that is collected for billing purposes, although not all providers collect updated address information at each visit, so some of this information may not be up to
For electronic health records to help solve the challenges of conducting research on small n populations, several conditions need to be present. The first is a critical level of adoption of relatively advanced EHRs by a range of providers (e.g., primary care physicians, specialists, hospitals, laboratory, and pharmacy) so that information about su