Concern for Our Teens: Opinion Leaders Speak Out on
Adolescent Health
By Bruce P. Frohnen, Margaret A. McManus,
Stephanie J. Limb, and Celia R. Straus, July 2010
This
report examines the perspectives of opinion leaders in business,
academia, and the military on adolescents' health and access to care.
It also addresses the leaders' opinions on the role of their community
in health education, and public and private policy actions needed to
improve adolescent health. Information was obtained through interviews
by The National Alliance to Advance Adolescent Health with leaders from
a cross section of large and small firms in both manufacturing and
service sectors; public, private, and community colleges; and
several branches of the military.
Parents’ Perspectives on Health Care for
Adolescents
By Harriette B. Fox, Margaret A. McManus,
and Shara M. Yurkiewicz, June 2010
This report presents parents’
perspectives on teen health problems and ways to better address them.
It reports on what parents understand to be the most pressing health
problems teens today face, what their experiences have been in
accessing needed services for their adolescent children, what they see
as their appropriate role in helping teens to obtain care and stay
healthy, and how they think providers can help them. The report also
presents parents’ recommendations for an ideal health care site
for teens. Information was obtained from seven parent focus groups,
including three with Spanish-speaking parents, conducted in Chicago,
DC, Los Angeles, and Miami.
Adolescents’ Experiences and Views on Health Care
By Harriette B. Fox, Susan G. Philliber,
Margaret A. McManus, and Shara M. Yurkiewicz, March 2010
This report presents
adolescents’ perspectives on their health care experiences and
their ideas about how best to structure a health care delivery system
that is responsive to their needs. It addresses several topics,
including health issues facing adolescents; experiences with seeking
and receiving health care; views on parental involvement; and
preferences for the design, services, and staff at an ideal health
site. Information was obtained through focus groups and supplemental
questionnaires conducted in four cities with over 200 adolescents.
Adolescent Medicine at the Crossroads: A Review of
Fellowship Training and Recommendations for Reform
by Harriette B. Fox, Margaret A. McManus,
Jane E. Wilson, Angela Diaz, Arthur B. Elster, Marianne E. Felice,
David W. Kaplan, Jonathan D. Klein, and Charles J. Wibbelsman, April
2008
This special report examines the
current state of adolescent medicine fellowship programs. It contains
information on the supply and recruitment of fellows; the nature and
content of clinical, research, and leadership training; the
institutional and financial challenges facing training programs today;
and offers recommendations for building the field. Information was
obtained primarily from a national survey of adolescent medicine
fellowship program directors, along with key informant interviews, and
an extensive literature review.
Under
One Roof: Primary Care Models That Work for Adolescents
by Marian Sandmaier, Alyssa D. Bell,
Harriette B. Fox, and Margaret A. McManus, May 2007
This report describes a model of
comprehensive, interdisciplinary physical, behavioral, and reproductive
health care for adolescents operating in 3 different health care
settings — a hospital outpatient department, office practice, and
community health center. The strengths and flexibility of the 3 models
are profiled in detail, along with the financing challenges these
programs confront. Information was obtained through a site visit and
multiple telephone interviews with the programs' providers and
administrators.
Is
the Health Care System Working for Adolescents? Perspectives from
Providers in Boston, Denver, Houston, and San Francisco
by Margaret A. McManus, Kandi I.
Shejavali, and Harriette B. Fox, October 2003
This report provides a comprehensive
assessment of how well adolescents in four urban areas are being served
by the current health care system. It contains provider
perspectives on the extent to which preventive and primary care,
reproductive care, and behavioral health care adequately meet
adolescents’ needs and the main organizational, health insurance,
managed care, and other factors facilitating or impeding access to
these services. The report also includes recommendations for
organizing and financing an optimal health care system for adolescents.
Information was obtained primarily from on-site interviews with health
care providers.
Eligibility,
Benefits, and Cost-sharing in Separate SCHIP Programs
by Harriette B. Fox, Ruti G. Levtov, and
Margaret A. McManus, October 2003
This report describes eligibility,
benefit, and cost-sharing policies in 36 separate SCHIP programs.
Detailed state tables are included on SCHIP and Medicaid income
eligibility levels, SCHIP benefit policies, and premium, copayment, and
coinsurance amounts. The information is based on an analysis of
state plan documents, managed care contracts, and provider and member
manuals, as well as telephone interviews and email correspondence with
state SCHIP agency staff.
Private
Health Insurance for Adolescents: Is It Adequate?
by Harriette B. Fox, Margaret A. McManus,
and Mary B. Reichman, September 2002
This report examines the extent of
private health insurance coverage available for services required by 6
hypothetical adolescents with different health conditions: asthma,
attention deficit hyperactivity disorder, injury, major depressive
disorder, pregnancy with sexually transmitted infections, and substance
abuse with bipolar disorder. The analysis considers the
availability of the benefit, access restrictions and protections
relevant to the adolescent’s condition, and limits in amount and
duration of coverage. Information for the study was obtained from
contract documents for the most commonly sold HMO and PPO product in
each state.