Menominee Tribe Health Care Program Planning

Federal legislation authorized the Menominee Indian Tribe of Wisconsin to obtain benefits and services from the Health Services Administration. IHS has developed a health care program for the Tribe that is based on an analysis of their health needs. This study was undertaken to research and evaluate Tribal health services, design a health care plan, and implement an adequate health care delivery program.Information was collected on tribal health problems through existing service records and other supporting data. An analysis of health problems and services was done in three areas: 1) health and socioeconomic problems; 2) health service resources; and 3) a comparison of problems and services. This was followed by the development of alternatives. The final health care plan included provisions for services. facilities, staffing, financial considerations. and implementation.Primary outpatient care is available to serve the Tribe in four counties. The utilization and availability of primary care facilities is not adequate. Barriers to the services include lack of transportation, and a lack of educational programs to teach the procedures for obtaining health care. A general prejudice against treatment at the health care facilities exists. Secondary in-patient care is available to any tribal member within thirty minutes travel time. Long-term care is also available, however, services are fragmented. The major health care problems for the Menominee Tribe are perinatal mortality, infant mortality, congenital abnormalities, otitis media, respiratory diseases, dental diseases, infectious and communicable diseases, accidents, diabetes, alcoholism, vision problems, obesity, and drug abuse. Health problems are directly related to thesocioeconomic status of the Tribe including poverty, lack of work, lack of health insurance, low educational attainment, lack of telephones, lack of central heating, lack of plumbing, lack of transportation, illegitimacy, overcrowded housing, outmigration, and multi-parity.Facilities should be consolidated and centralized. Specifications for the facilities, staffing requirements and square footage necessary are listed. Financial recommendations were proposed with the major one being an incorporated, nonprofit health care organization, enabling the Menominees to own and operate the outpatient facility. Alternatives to service delivery in three basic areas--program alternatives, facility-related alternatives, and financial alternative--were discussed in detail

University of Central Florida 1985 Self Study Southern Association of Colleges and Schools: Department of Public Service Administration Self Study Report

University of Central Florida College of Arts and Sciences Department of Public Service Administration 1985 Self Study for the Southern Association of Colleges and Schools. The study covers philosophy of the university and the college, organizational structure, educational program, financial resources, faculty, library, student development services, physical facilities, special activities, graduate programs, research, summer terms, computers, The Brevard, Daytona and South Orlando Centers and Media

We want you to know about nutrition labels on food

Reprinted January 1984. Facts and recommendations in this publication may no longer be valid. Please look for up-to-date information in the OSU Extension Catalog: http://extension.oregonstate.edu/catalo

Between mediatisation and politicisation: The changing role and position of Whitehall press officers in the age of political spin

Despite widespread critiques of ‘political spin’, the way governments engage with the mass media has attracted relatively little empirical attention. There is a small but growing body of research into bureaucracies’ responses to mediatisation from within which have identified tensions between bureaucratic and party political values, but this has not included the United Kingdom. There are concerns that the traditional dividing line between government information and political propaganda has come under increasing pressure as a higher premium is placed on persuasion by both journalists and politicians battling for public attention in an increasingly competitive market. Within Whitehall, the arrival of Labour in 1997 after 18 years in opposition was a watershed for UK government communications, allowing the government to reconfigure its official information service in line with the party political imperative to deploy strategic communications as a defence against increasingly invasive media scrutiny. Public relations, in government as elsewhere, has grown in scale, scope and status, becoming institutionalised and normalised within state bureaucracies, but how has this affected the role, status and influence of the civil servants who conduct media management? Within the system of executive self-regulation of government publicity that is characteristic of Whitehall, government press officers must negotiate a difficult path between the need to inform citizens about the government’s programme, and demands by ministers to deploy privileged information to secure and maintain personal and party advantage in the struggle for power. Taking 1997 as a turning point, and through the voices of the actors who negotiate government news – mainly press officers, but also journalists and special advisers – this article examines the changing role and position of Whitehall press officers in what has become known as the age of political spin, finding that profound and lasting change in the rules of engagement has taken place and is continuing

Correlates of psychological distress and major depressive disorder among African American men

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/88155/1/lincoln_taylor_watkins_chatters2011.pd

The ombudsman, tribunals and administrative justice section: a 2020 vision for the ombudsman sector

This article analyses the growing role for ombudsman schemes in the UK administrative justice system following the Government reforms post 2010. It argues that the ombudsman institution is perhaps the one example of an administrative justice body that looks set to emerge stronger over the period. But the ombudsman sector needs to guard against complacency, as the demands, expectations and publicity placed upon it are all likely to increase

Trends in the Measurement of Health Utilities in Published Cost-Utility Analyses

Objective:  The Panel on Cost-Effectiveness in Health and Medicine recommended the compilation of a catalog of health state utility weights for use in cost-utility analyses (CUAs), and has given methodological recommendations. This study presents an update, through 2001, to our current registry of utility weights (available at http://www.tufts-nemc.org/cearegistry ; previously at http://www.hsph.harvard.edu/cearegistry ), and documents recent changes in methods used for utility weight elicitation. Methods:  We searched the English-language medical literature for original CUAs reporting outcomes as cost per quality-adjusted life-year (QALY). Two trained readers independently audited each article, abstracting data on the health state descriptions, corresponding utility weights, methods of elicitation, and sources of the estimates. The utility elicitation methods from 1998 to 2001 were compared with the methods used to obtain utilities before 1998. Results:  We identified 306 CUAs published after 1998, reporting 1210 separate health-related utility estimates, bringing the total in our catalog to 2159 weights. Most frequently, health states pertained to the circulatory system and oncology. Methods varied substantially: 36% of authors used direct elicitation (standard gamble, time trade-off or rating scale), 23% used generic health status instruments (EQ-5D, Health Utilities Index, etc.), and 25% estimated weights based on clinical judgment. Community preferences were used in 27% of the values. Compared with pre-1998, utilities published from 1998 to 2001 were more likely to be elicited using a generic instrument, more likely elicited from community samples, and less likely derived from expert opinion, with no formally employed methodology. Conclusions:  Increasingly, analysts conducting CUAs are using generic, preference-weighted instruments, and relying on community-based preferences. Our catalog of utility weights provides a useful reference tool for producers and consumers of CUAs, but also highlights the continued need for improvement in methods and transparency.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72131/1/j.1524-4733.2006.00116.x.pd

Potential for comparative public opinion research in public administration

The public administration and public services have always taken a marginal place in the political scientists’ behavioural research. Public administration students on the other hand tend to focus on political and administrative elites and institutions, and largely ignored citizens in comparative research. In this article we make a plea for international comparative research on citizens’ attitudes towards the public administration from an interdisciplinary perspective. Available international survey material is discussed, and main trends in empirical practice and theoretical approaches are outlined, especially those with a potential impact on public sector reform