birthweight, 62-65, 141

cancer and cancer screening, 80-81, 87-89, 91, 143

congenital syphilis, 67-69, 141

dental care, 118, 119

excess deaths, 106-109

infant mortality, 58-60, 61, 140

physician contacts, 113-114

prenatal care, 5, 52-54

referral-sensitive procedures, 99, 101-102

Breast cancer, 86-89, 142-143

screening, 8-11, 79-84

Bureau of Health Care Delivery and Assistance, 214

Bureau of Maternal and Child Health, 56

C

Cancer

breast, 8-11, 79-84, 86-89, 142-143

cervical, 8-9, 11, 79-80, 84-87, 89-90, 142-143

lung, 99

registries, 27, 87, 91, 142-143

screening, 8-11, 79-86

Case management, 40, 101

Cervical cancer, 86-87, 89-90, 142-143

screening, 8-9, 11, 79-80, 84-86

Children

abuse of, 133

chronic diseases, 95

dental condition, 118

homeless and migrant, 204-205, 212

physician contacts, 115

well-child care, 56, 74

see also Infant mortality;

Vaccination

Chronic diseases, 11-14, 112, 143-144

among homeless, 210

among migrant workers, 206

avoidable hospitalization, 102-106, 143

continuing care, 91-98

discretionary care, 98-102, 143

excess deaths, 106-112, 144

Claims data, 28

Cocaine, and congenital syphilis, 6, 69, 141

Compliance with treatment, 38

Congenital syphilis, 5-6, 66-69, 141

Cultural factors, 42-43

and birthweight, 65-66, 141

Current Population Survey, 41

D

Data bases, 22, 23-25, 28, 29, 102

on birthweight, 65, 141

see also Discharge records;

Disease reporting and registries;

Surveys;

Vital statistics

Death certificates, 25

HIV data, 174-175

and infant mortality, 56, 59-61

Deaths

among homeless, 210-211

excess, 106-112, 144

Dental services, 14-15, 115-120, 144

for HIV patients, 164

Department of Health and Human Services, 139

Diabetes, 91-92, 96-97, 106, 205

Disabled population, 132-133

Discharge records, 27, 102, 103, 106, 143

for HIV patients, 171-172, 174

for migrant and homeless population, 215

Discretionary care, 98-102, 143

Disease reporting and registries, 28

cancer, 27, 87, 91, 142-143

congenital syphilis, 66-67

HIV, 171, 174

vaccine-preventable disease, 75-76, 78, 142

Domestic violence, 133-134

Drug abuse, 131

among HIV patients, 160

and congenital syphilis, 6, 69, 141

and hospitalization, 105-106

treatment waiting lists, 181-197

Drugs, prescription, 135-136

for HIV treatment, 172-173

Front Matter (R1-R10)

Summary (1-18)

1. Introduction (19-30)

2. A Model for Monitoring Access (31-45)

3. Using Indicators to Monitor National Objectives for Health Care (46-129)

4. Future Indicators (130-136)

5. Recommendations (137-144)

Appendix A: Developing Indicators of Access to Care: The Case for HIV Disease (145-180)

Appendix B: Developing Indicators of Access to Care: Waiting Lists for Drug Abuse Treatment (181-198)

Appendix C: Developing Indicators of Access to Care: The Case for Migrants and the Homeless (199-218)

Appendix D: Ambulatory-Care Sensitive Conditions and Referral-Sensitive Surgeries (219-222)

Index (223-230)