This book presents an overview of the World Health Organization's implementation of continuing education for change in health care in Europe over the past 10 years. The report is organized in six sections. The introductory section asserts the need for change in health care and the rationale for providing continuing education for health care…

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…

A systematic procedure for reviewing a basic nursing curriculum, identifying needed changes, and developing and implementing a plan for change is described. Also examined are techniques used to evaluate the plan and to determine the relevance of the revised curriculum to community health needs. After presenting information on primary health care…

This report discusses world-wide efforts to provide health services in centers that are outside institutions and provide ambulatory care in the patient's home. Emergency services, although a form of primary care, are dealt with only to the extent that they are part of an organization designed to provide general primary care, but not where they are…

Inequities of access to health care and service provisions are considered to be major problems by health policy-makers today. These inequities result from disparities in physician distribution by specialty and geography that are concealed by aggregate analyses of physician supply. This paper describes what is presently known about physician supply…

This is the third progress report of the Brookline Early Education Project (BEEP) which is a program designed to provide diagnostic and educational services to the family through their child's preschool years. This document provides information on (1) the BEEP center, (2) playgroups: transition phase of the education program, (3) dental screening…

At the SUNY at Buffalo School of Medicine the curriculum of the Department of Family Medicine requires that all sophomores spend eight half-days working with a family physician preceptor in his private practice and eight half-days in seminars. Program implementation, requirements, and evaluation are described. (LBH)

At the University of California, Davis, family nurse practitioners who are faculty members in the Department of Family Practice have proven to be effective teachers of medical students and family practice residents. (Author/LBH)

Students at the University of Arizona College of Medicine participated in an exercise in community-oriented primary care. They learned basic principles of health risk analysis and community-oriented care and then designed hypothetical, comprehensive health care services for medical students by using knowledge of health risks specific to their…

Behaviorally disturbed children are treated through the Pediatric/Adolescent Primary Care Unit at Rhode Island Hospital in a program designed to combine the care of children with behavior problems and the training of pediatric residents. The coordination of each child's care becomes the responsibility of a resident or nurse practitioner. (JMD)

Internal medicine residency programs that put increasing emphasis on outpatient experience and continuity of care place demands on residents that conflict with inpatient responsibilities. The development and implementation at the University of Virginia Hospital of a rotational scheduling system aimed at alleviating the conflict is described.…

Literature relating to continuity of medical care, including efforts to teach it to medical students is reviewed, and a University of Washington family medicine preceptorship for teaching continuity is described. An evaluation of the program, which places students with physicians so they can follow the care of a family, is presented. (Author/JMD)

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)

A discussion of the influence of finances on students' decisions to enter medicine or pursue low-paying careers in primary care or clinical investigation looks at three factors: medical school costs, the magnitude of student indebtedness, and the effects of indebtedness on career choice. (Author/MSE)

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…