Academic journal article Scholarly Inquiry for Nursing Practice

Introduction

Academic journal article Scholarly Inquiry for Nursing Practice

Introduction

Article excerpt

It was a typical media day on Monday, May 11,1992. Headlines in a major New York metropolitan area newspaper, Newsday, announced the following: "Hearts in Need: Coronary Specialists Avoiding High Risk Operations;" "Top Execs Fare Well Despite Slump;" and "Menopause: The Last Taboo." In the first article, David Zinman related that cardiac surgery is being determined not by patient need but by published hospital and physician success and failure statistics. In the second article, Greg Steinmetz reported on the Forbes Magazine article, listing the 15 highest paid CEOs in the country. Of the 15, three in the first five and three additional in the total number headed health care-related firms. Michele Ingrassia, in the comprehensive third article on menopause, explained the secretiveness, the social stigma, myths, truths, symptoms, and, at long last, the health care and psychological help that have been so badly neglected. In every way, health and health care are big news?and big business ?and of vital concern to each of us in the health care professions.

We, the editors of Scholarly Inquiry, began thinking of devoting a special issue to access to health care, prompted by headlines like these, by our receipt of Patricia Stevens' timely, comprehensive, and thought-provoking article, and by our own interests and individual experiences both as providers and recipients of health care.

We devoted much time and effort to planning the format and choosing outstanding representatives of varied disciplines and with varied perspectives. What we hope to accomplish is to provide a forum for the knowledge, the beliefs, the thoughts, and the concerns of our authors, thereby promoting your thoughts and questions, your ideas, and your motivation to act.

Having said all of that, I'd like to introduce our authors, first our primary author, Patricia Stevens, followed in alphabetical order by the respondents.

Patricia Stevens is a postdoctoral fellow at the University of California at San Francisco (UCSF). Her fellowship is funded by a National Research Service Award from the National Center for Nursing Research. Her research is about lesbians living with Human Immunodeficiency Virus (HIV), specifically their acess to health care services, interactions with health care providers, and self-care practices. Stevens' work has so far resulted in more than 20 articles and book chapters.

Peter S. Arno, Ph.D., is an Associate Professor in the Department of Epidemiology and Social Medicine at the Montefiore Medical Center, Einstein College of Medicine, New York. He received his doctorate in economics from the New School for Social Research, and was a postdoctoral research fellow at the Institute for Health Policy Studies and the Institute for Health and Aging at the University of California, San Francisco. Arno is a renowned author, researcher, and speaker on major issues and problems including economics of health care, AIDS, substance abuse, and homelessness. He is a co-author of the new book, Against the Odds: The Story of AIDS, Drug Development, Politics & Profits.

Mila Aroskar, Ed.D., R.N., F. A. A.N., is Associate Professor in the Division of Health Services Administration at the School of Public Health, and Faculty Associate at the Center for Biomedical Ethics, University of Minnesota, Minneapolis. She received her doctorate in curriculum development from the State University of New York at Buffalo. She is a former Joseph P. Kennedy, Jr. Fellow in Medical Ethics, Harvard University. Aroskar is a noted author, lecturer and consultant on ethics in nursing and health care, recently co-authoring Ethical Dilemmas and Nursing Practice, 3rd Ed.

Virginia Trotter Belts, M.S.N., J.D., R.N., is a Research Associate Professor and Senior Research Associate at the Vanderbilt University Institute for Public Policy Studies. Her varied educational background, first in psychiatric-mental health nursing and then in law, led her to postdoctoral study in health policy at the Institute of Medicine, National Academy of Sciences in Washington. …

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