A university health service working cooperatively with a private medical group established a Health Maintenance Organization (HMO) for the entire community. (JD)

Primary health care goes beyond the individual focus of primary care to build interventions for improved health for the entire population. It embodies these principles: equitable distribution, appropriate technology, focus on promotion and prevention, community participation, and a multisectoral approach. (SK)

Observation of 15 nursing students and 15 clinical supervisors in primary care settings revealed that student learning was holistic and meaningful when patient-oriented approaches were used. However, many settings used task-centered approaches, resulting in fragmented learning. (SK)

Discusses strategies for conducting research on detection and treatment of suicidal ideation and behavior in primary health care settings. Examines problems and results from ongoing study of adolescent health care to focus discussion. Illustrates how, depending on questions asked and individual's gender, number of youths considered at risk for…

Looks at the problems associated with the rapidly changing health-care system and the anxiety caused by it. Suggests a shift in nursing education is necessary in order to provide competent primary health-care practitioners. Describes the integrated primary health-care program at Saint Xavier University in Chicago, Illinois. (JOW)

Presents an interview with Dr. Eric Goon, director of the Division of Development of Human Resources, and R. Margaret Truax, a nurse scientist, of the World Health Organization (WHO). They discuss the state of WHO today and its goals for the year 2000. (JOW)

This primary health care model is based on four assumptions: emphasis on collective, not individual, needs; coordination of preventive/episodic care with secondary/tertiary care; comprehensive, holistic approach; and partnership and equality among professional disciplines and community members. Stakeholders involved are medical, nursing, and…

Presents a brief history of the growth of counseling in primary care. Discusses the challenges for primary care counselors and counseling, as well as the need for coordination, regulation and management. Also discusses the imperative for research support and the unique nature of counseling in primary care including challenges to its survival. (MKA)

Presents an overview of the changes in the structures of the new National Health Service in England, Scotland, and Wales and discusses the effects these changes will have on counselors working in primary care. Addresses the issue of supervision. Discusses the requirements of clinical governance and the necessity of appropriate audit and evaluation…

An expert panel identified 20 business concepts important for a family nurse practitioner curriculum. A focus group of practitioners verified the concepts and clarified relevant information to be taught. The business concepts center on management and operations of a clinical practice. (SK)

In this article, the author responds to a set of comments on his original article, "Psychological Treatments." The author responds to each comment. Hal Arkowitz (2005) misread the proposed distinction between "psychological treatments" and "psychotherapy" by presuming that the author was implying that the former is evidence based and the latter is…

Purpose: The purpose of this article is to explore how medical care is delivered to older people in assisted living (AL) settings and to suggest ways for improving it. Design and Methods: We present a review of the limited research available on health care for older AL residents and on building testable models of better ways to organize primary…

The following British case study illustrates how a group of Primary Health Care Trusts expanded partnerships with a university to support the development of 12 new advanced primary nurses (APNs). The cohort of APNs were undertaking new roles and were part of the national pilot of the Department of Health adapted Evercare programme for the "at…

This article extracts principles from two Surgeon General reports, "Closing the Gap: A National Blueprint to Improve the Health of Persons with Mental Retardation" (2002) and "Call to Action to Improve the Health and Wellness of Persons with Disabilities" (2005), and combines them with the Objectives from "Chapter 6 of Healthy People 2010" to…

Objective: Community-based health promotion intervention for improving unhygienic disposal of children's faeces was conducted in a rural area of Nigeria. Setting: The study was conducted in Ife South Local Government area of Osun State, Nigeria. Design: The study was conducted in 10 randomly selected rural villages: five control and five active.…