Symptoms of anxiety, depression, and aggression in non-clinical children: relationships with self-report and performance-based measures of attention and effortful control.

This study investigated the relation between the regulative trait of effortful control, and in particular attention control, and psychopathological symptoms in a sample of 207 non-clinical children aged 8-12 years. For this purpose, children completed self-report scales for measuring regulative traits and various types of psychopathological symptoms (i.e.

Doing away with uncompensated care of the uninsured.

As more people lose their health insurance, an increasing volume of uncompensated care is absorbing billions of dollars of limited resources of the nation's hospitals, health systems, and other provider organizations. As yet, no provider organization has developed a comprehensive management approach to address this growing problem. Currently, the money spent on uncompensated care is viewed as a drain on institutional bottom lines rather than as a fund dedicated to improving the health of uninsured patients and prospective patients.

Managing the uncompensated care problem, Part III.

Six Community Initiatives of a Comprehensive, Uncompensated Care Program. 1. expanded hospitalization coverage.

A community approach to managing uncompensated care.

Estimated at more than $15 billion annually, uncompensated care accounts for most of the community benefit costs reported by the nation's hospitals. Reflecting the most basic of all hospital goals, these expenditures are designed primarily to benefit patients rather than communities.

Community benefits are key. A common link for effective integration.

As the Michigan Health & Hospital Association leads the nation in the commitment to build healthy communities, other organizations are becoming involved in many different kinds of community initiatives with confusion and even conflict resulting. With community concepts assuming a central role in local health care reform, differing methodologies present major challenges in demonstrating benefits to target communities.

Making a real difference. Beyond community service to community benefit.

Community benefits or community benefit? Plural or singular? In general, the "pluralists" come from a health insurance perspective and think about community benefits as elements, like benefits in health insurance contracts. The "singularists" come from a broader perspective, and think about community benefit like community service, as a broad direction and commitment related to mission. But there are important exceptions to this rule, of which the Michigan health & Hospital Association is an outstanding example.

1996 Andrew Pattullo lecture. A vision of the role of health administration education in the transformation of the American health system.

In summary, it is my conviction that each of the AUPHA programs would be well advised to re-discover a shared vision of health care as public service, caring for communities as well as for patients and enrolled populations. I am also convinced that each program should be shaping a shared vision of the role of the academic program in providing intellectual leadership in this respect. These processes can be designed to have impact on all of the activities of the program, starting with low hanging fruit, and moving higher with growing confidence and commitment.

Back to the future: partnerships and coordination for community health.

In the current tumultuous health care scene, competitive health plans and capitated delivery systems are becoming the driving forces in the health care marketplace. Although these plans may be successful in containing costs, their competitive nature prevents them from providing leadership in comprehensive, coordinated initiatives to benefit the entire community. In contrast, executives and trustees at the frontiers of health services management are reaching beyond the current scene toward a vision of community care networks.