Background: Despite extensive literature on school-based health center (SBHC) characteristics and outcomes, their quality of care has not been examined nationally. Standardized quality metrics can inform health care delivery and improvement. Methods: SBHC national performance measures (NPMs) were developed by reviewing measures from national child…

Purpose: This article presents a pilot study exploring the applicability of a linguistically adapted, solution-focused brief therapy (SFBT) program, implemented by social workers in Chilean primary care. Method: We completed a single-case design with eight replications. To analyze the results of the program on participants' alcohol use and other…

A large, Midwestern county implemented a four-tiered public health model of children's mental health with an interconnected systems approach involving education, health care, juvenile justice and community mental health sectors. The community sought to promote protective factors in the lives of all youth, while improving the capacity,…

Context: An implicit objective of a state's investments in medical education is to promote in-state practice of state educated physicians. Purpose: To present a tool for evaluating this objective by analyzing the "pipeline" from medical education to patient care, primary care, rural areas, and underserved areas in Pennsylvania. Methods:…

Context: Obesity is a chronic disease of epidemic proportions in the United States. Primary care providers are critical to timely diagnosis and treatment of obesity, and need better tools to deliver effective obesity care. Purpose: To conduct a pilot randomized trial of a chronic care model (CCM) program for obesity care in rural Kansas primary…

Primary health care nurses are frequently overlooked when delivering services to children with developmental disabilities, despite the fact that they are often the first contact many primary caregivers have with rehabilitation professionals and usually remain the bridge between caregivers and professionals. A time series one group design with…

In order to determine the effectiveness of preceptorship programs in encouraging medical and osteopathic students to choose careers in primary care or rural service, a survey of medical and osteopathic schools, students, residents, and physician preceptors was completed. Questionnaires were completed by 92 schools, 837 students, 462 residents, and…

Process evaluation of the Partners for Prevention pilot project testing an office-based system involving 17 Denver (Colorado) physicians in an effort to increase cancer prevention indicates the value of the program philosophy as well as various deficiencies in its operation. New strategies suggested by the evaluation are being tested. (SLD)

A community-based educational network was established to improve the deployment of physicians's assistants away from the original site of training in California's San Francisco Bay Area. The graduates' practice locations for a 7-year period was compared before and after the decentralization of the program. (Author/MLW)

A continuing medical education program is discussed that addresses chronic obstructive pulmonary disease and that links primary care physicians to a source of needed clinical knowledge at a relatively low cost. The educational methods, evaluation design, diagnosis of educational needs, selection of program content and behavioral outcomes are…

A study investigated the perspectives of 31 British adults with intellectual disabilities and 104 carers on their experiences, expectations, and opinions of a primary health care project designed for individuals with intellectual disabilities. Results found that the majority of the individuals with intellectual disabilities were satisfied with the…

The effectiveness of health care for high risk adolescents was studied. Seven funded clinics were compared to three non-funded clinics. Funded clinics detected and treated a wider range of medical and behavioral problems than the others. Males must be encouraged to seek these services. Specific interventions for adolescent patients are needed. (VM)

This evaluation determined expectations of fellowship participants, reasons 18 fellows participated in a 3-week Primary Care Policy Fellowship to establish an interdisciplinary cadre of primary care leaders, and outcomes of the program. The fellows anticipated information on networking and influencing decision making and thought the program met…

Largely descriptive, this final report of the Frontier Nursing Service (FNS) chronicles development and implementation of a Family Nurse Practitioner (PRIMEX) training program in a rural area from 1972-76. Centered in Leslie County, Kentucky, this project was one of seven PRIMEX programs in the nation; accomplishments in all of the projects far…

Data from a study of the preceptorship in family medicine, a required four-week experience for fourth-year medical students at the University of North Carolina, indicate that it was a synthesis experience. Seven functions of the preceptorship, many of which were not official program goals, are identified. (Author/JMD)