Child Health and the Community
This update of a 1975 case study of the service and research program of the University of Rochester's department of pediatrics picks up 20 years later, examining demographic, economic, and health system changes in the community, utiliation patterns and evaluating old and new programs.
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the setting and the problems
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abortion abortion law adenoidectomy admissions adolescents ambulatory analysis Andersen average babies behavioral problems birthrate Blue Cross census tract changes Chapter child health children with chronic chronic illness clinic comparison area decrease described disease disorders doctor effect emergency room estimate evaluation factors Figure frequently functioning health services ical illegitimacy illness behavior impact increased inner city interview Journal KLAUS major manpower maternal measures Medicaid medicine mental health migrant Monroe County mothers needs Neighborhood Health Center parents patients pattern pediatric nurse practitioner pediatricians Percent percentage physicians PLESS PNPs population population pyramid present psychological public health nurses relationship reported RNHC Rochester Neighborhood Health sample sampling fraction scores social stress Strong Memorial Hospital Suchman survey symptoms Table target area tion Tonsillectomy University of Rochester users variables visits well-baby well-child York