Medically Underserved Area

Publication Title: 
Kennedy Institute of Ethics Journal

The public responsibilities of nonprofit hospitals have been contested since the advent of the 1969 community benefit standard. The distance between the standard's legal language and its implementation has grown so large that the Internal Revenue Service issued a new reporting form for 2008 that is modeled on the Catholic Health Association's guidelines for its member hospitals.

Author(s): 
Craig, David M.
Publication Title: 
Annals of Family Medicine

The life of a family doctor is engaged with the people, families, and community he or she serves. Caring changes lives. Yet, we seldom have the opportunity to hear the gratitude or to reflect upon the privilege. In this essay, two family doctors share the experience of seeing a community celebrate the life of their doctor. In these public reflections on their personal doctor, folks reveal how he saw their needs, understood their fears, and partnered with them to create futures.

Author(s): 
Phillips, William R.
Green, Larry A.
Publication Title: 
Journal of Dental Education

If it is not a naÔve expectation for dentists who have been beneficiaries of public generosity to share their good fortune with the public that made it possible, there may be a rational basis for enhancing the role of dental education in improving access to oral health care by promoting-but not requiring-a voluntary service commitment after graduation commensurate with the magnitude of the subsidy received.

Author(s): 
Bertolami, Charles N.
Berne, Robert
Publication Title: 
Academic Medicine: Journal of the Association of American Medical Colleges

OBJECTIVES: The Leadership Opportunities with Communities, the Underserved, and Special Populations (LOCUS) Program aims to improve medical students' leadership knowledge and skills, to improve self-awareness and motivation for community service, and to provide models for students to integrate community service into their medical careers. DESCRIPTION: The LOCUS program was established as a longitudinal, extracurricular student opportunity at the University of Wisconsin Medical School in the fall of 1998.

Author(s): 
Haq, Cynthia
Grosch, Michelle
Carufel-Wert, Donald
Publication Title: 
Journal of Urban Health: Bulletin of the New York Academy of Medicine

Though altruism and patient advocacy are promoted in medical education curricula, students are given few opportunities to develop these skills. Student-run clinics focusing on the health needs of the underserved can provide important health services to needy patients while providing students with career-influencing primary care experiences. The Columbia-Harlem Homeless Medical Partnership (CHHMP)-a project initiated by medical students to provide primary care to Northern Manhattan's homeless population-serves as a new model of service learning in medical education.

Author(s): 
Batra, Priya
Chertok, Judy Sara
Fisher, Carl Erik
Manseau, Marc William
Manuelli, Victoria Nicole
Spears, James
Publication Title: 
The Medical Journal of Australia

OBJECTIVE: To use data from an evaluation of the Flinders University Parallel Rural Community Curriculum (PRCC) to inform four immediate challenges facing medical education in Australia as medical student numbers increase.

Author(s): 
Couper, Ian D.
Worley, Paul S.
Publication Title: 
Medical Teacher

BACKGROUND: Many medical students come into medicine with altruistic motives; few carry this altruism into their practice. As a result rural, remote and international areas are underserved by the medical community. Teaching social accountability may help students remain altruistic and encourage work in underserved areas. Making The Links (MTL) is a project designed to teach medical students the social aspects of medicine via service-learning. AIMS: The purpose of the study was to explore student reflections on their experiences during the MTL program.

Author(s): 
Meili, Ryan
Fuller, Daniel
Lydiate, Jessica
Publication Title: 
The American Journal of Tropical Medicine and Hygiene

Each year, up to three million deaths due to malaria and close to five billion episodes of clinical illness possibly meriting antimalarial therapy occur throughout the world, with Africa having more than 90% of this burden. Almost 3% of disability adjusted life years are due to malaria mortality globally, 10% in Africa. New information is presented in this supplement on malaria-related perinatal mortality, occurrence of human immunodeficiency virus in pregnancy, undernutrition, and neurologic, cognitive, and developmental sequelae.

Author(s): 
Breman, Joel G.
Alilio, Martin S.
Mills, Anne
Publication Title: 
BMC public health

BACKGROUND: Malaria is a serious illness among children aged 5 years and below in Zambia, which carries with it many adverse effects including anemia and high parasites exposure that lead to infant and childhood mortality. Due to poor accessibility to modern health facilities, malaria is normally managed at home using indigenous and cosmopolitan medicines.

Author(s): 
Kaona, Frederick A. D.
Tuba, Mary
Publication Title: 
The American Journal of Tropical Medicine and Hygiene

Community-based interventions using artemisinin-derived suppositories may potentially reduce malaria-related childhood mortality. However, their sociocultural acceptability is unknown in Papua New Guinea and a formal examination of caregiver's attitudes to rectal administration was needed to inform effective deployment strategies. Caregivers (n = 131) of children with uncomplicated malaria were questioned on their prior experience with, and attitudes to, rectal administration and then offered artesunate suppositories as treatment of their child.

Author(s): 
Hinton, Rachael L.
Auwun, Alma
Pongua, Grace
Oa, Olive
Davis, Timothy M. E.
Karunajeewa, Harin A.
Reeder, John C.

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