Holism in health care, and specifically in pharmacy, are discussed, along with the views of patients and professionals concerning expanded pharmacists' roles, and the effects of those roles. In describing holism in health care, attention is directed to holism and several concepts: wellness versus the absence of disease; prevention; mind, body, and…

Indonesia's efforts to improve its qualitative and quantitative participation in community health activities are discussed. Student and faculty problems in the community health program at Udayana University Medical School in Bali are cited. Knowledge gained from Indonesian programs should be examined by American medical educators for use in…

If the family physician is to focus on the family as a unit of diagnosis and treatment, new knowledge with practical applications for the health care provided is required. Producing this knowledge is the responsibility of the family medicine researcher who will need to use new tools, strategies, and innovative research design. (JMD)

Predicated on the knowledge that effective communication among medical personnel and patients is fundamental to the achievement of successful health care delivery, this paper addresses the practice of chaplain intervention on behalf of the patient in primary care to enhance physician-patient interaction. First the paper defines culture (in the…

"Wrap-up rounds," in which students, residents, and faculty physicians involved with patient care in a clinic gather to discuss the clinic session, are advocated. They allow a structured educational program to take place in an ambulatory care center without interfering with patient flow and care. (MLW)

The primary purpose of this paper is to set forth the rationale for governments' undertaking of strategies that promote the growth of children. The rationale has three dimensions: economic, humanitarian, and political. The primary focus of this paper is on the economic arguments, although the main humanitarian and political arguments are also…

Discusses the need for alternate delivery systems in continuing medical education (CME), the benefits of using computers to deliver CME, and ways to increase the efficiency and cost effectiveness of computer based education. Current and future applications of computer techniques to CME are also examined. (Author/MER)

The Argus Commission, asked to examine the interface between academic pharmacy and education programs in dentistry, optometry, and podiatry, envisioned a primary health care team and considered mechanisms for encouraging development of such teams and reducing competition. Its conclusions and recommendations are summarized here. (MSE)

Health care reforms will dramatically change the culture of medical schools in areas of patient care, research, and education programs. Academic medical centers must construct mutually beneficial partnerships that will position them to take advantage of the opportunities rather than leave them without the diversity of resources needed to make…

This paper presents medical residents' opinions regarding barriers to producing more generalist physicians, such as lack of appropriate training in ambulatory generalist practice and the increased prestige given to specialists. Recommendations are offered to medical schools, residency programs, the community, and the culture of medicine to…

This report examines the possiblities of increasing the amount of preventive work being carried out by primary care workers in European communities. Before making practical recommendations about promoting prevention, an analysis is presented of the main present day problems. These center on the environment (not only physical but also social and…

A solution to the rural health crisis will require not only changes in student selection, curriculum, and training location but also strengthening of the rural economy, improved reimbursement to rural hospitals and primary care physicians, and increased sensitivity among leaders of the medical profession to rural community and practitioner needs.…

Generalist physicians of the future will need new knowledge and skills for continuous improvement of health care. Successful examples can be found in the work of generalist physicians who combine knowledge for improvement with discipline-specific knowledge to improve patient and community health. Curricula can be developed to teach students and…

Problems of access to health care facing Appalachia mountain communities are confounded by unemployment, poverty, low education, and local religious beliefs that barrier people from receiving medical care. This proceedings addresses the issues related to health access and health needs. It contains 20 papers and 12 synopses of presentation. The…

This publication addresses the issues of diverse health care needs and perceptions of the people of Israel based on their ethno-cultural backgrounds. Also studied is the provision of health care services and delivery systems as well as changes in the health care structure with emphasis on regionalization and community oriented primary health care.…