Some of the principal research advances of the 1970s related to pregnancy and newborn infants and consequent changes in obstetrical practice are summarized in this report. The process of infant-parent attachment (bonding), adolescent pregnancy, and the reproductive hazards of tobacco, alcohol, and poor nutrition have been investigated and, in…

To better assess infant behavior and development in developing countries, cross-cultural psychologists need to more systematically address the following issues: (1) demographic constraints; (2) risk factors; (3) infant care; and (4) the transfer of Western technology to the developing world. (Author/BJV)

This essay is based on a series of roundtables convened through the Knight Collaborative National Medical Education Roundtable. It reports that the challenges and transformations experienced in recent years by community-based medical schools and clinical campuses offer a lens to the whole higher education enterprise, and asks the fundamental…

A position paper presented to Congress for the development of legislation for the education of health professions personnel is provided. Recommendations include: scholarship program for minority and disadvantaged students; program development for cost effectiveness, health protection and promotion, primary care, target populations, and…

The Bureau of Primary Health Care (BPHC) was developed to increase access to comprehensive primary and preventive health care, to improve the health status of medically underserved populations, and to assist communities to identify populations at risk. The needs of women of racial and ethnic minority populations are BPHC's newest initiative;…

A report on a 1981 seminar on continuing education for primary health care, sponsored by the World Health Organization's Regional Office for Europe is presented. The main purpose of the seminar was to determine the characteristics of continuing education as a support measure for primary health care provision, based on an analysis of the…

The history, status, problems, and prospects of postgraduate medical training for primary care practice in the United Kingdom are reviewed in order to provide insight for American medical educators. The British emphasis on hospital-based training is questioned, but is seen as less of a problem for Americans. (Author/JMD)

This paper outlines forces that are intensifying change in health care delivery and describes institutional obstacles preventing medical schools' adjustment of their educational offerings. Health professions education institutions are urged to develop centers for determining regional and local workforce needs and subsequently establish regionally…

Examines cultural factors associated with pregnancy among Hispanic adolescents, highlighting policy areas within the health care delivery system that must be addressed. The paper discusses migratory patterns and service needs, acculturation and pregnancy, valuing of children, access to health services, the role of the health practitioner, and…

This paper explores the broad definition of health in the rural context and relates it to policy, practice, and pedagogical challenges in providing access to services in rural areas. Historically, policy, practice, and teaching institutions have supported a dependency model for health service delivery, forcing rural communities to rely on…

Least-cost health strategies designed to attack the world's leading causes of unnecessary death are explored. Section 1 emphasizes the value of primary health-care procedures--midwifery, maternal education on breastfeeding and weaning, vaccinations, oral rehydration of victims of diarrhea, and antibiotics against respiratory infections--in…

Recognizing the needs, deficiencies, and diversity of school health services is prerequisite to any analysis of need. More uniform programs and more equitable access for all school children to whatever minimal standard of health services should be provided: periodic examination, some limited medical care on the school grounds, intensive health…

Discussed are the issues now emerging that seem likely to dominate thinking, planning, and decision-making in the United States and elsewhere during the next decade. These include campus unrest, China as a world economic force, controlling health-care, birth defects, role of the computer in education, and human language/computer language. (RM)

Traces academic medicine's historical opposition to community medicine and its emphasis on traditional hospital-cased curricula subspecialties, to the neglect of primary and preventive care, community-oriented medicine, and public health. Calls for reducing barriers to basic medical services for all, and for training physicians equipped to respond…

Papers presented, workshop discussions, and conference recommendations are collected in this report of a conference intended to review health needs along the United States-Mexico border and focus on what assistance might practically and realistically be given by the Carnegie Corporation and other private and public funders. Topics of discussion…