Breast cancer incidence in Pakistan is the highest reported in any South-Central Asian country. It is the most frequent malignancy in women, where it accounts for 38.5% of all female cancers. About half (43.7%) of all breast cancers are locally advanced. We recruited 183 primary care physicians in Pakistan and invited them to attend educational…

Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a comprehensive and integrated approach to the delivery of early intervention and treatment services through universal screening for persons with substance use disorders and those at risk. This paper describes research on the components of SBIRT conducted during the past 25 years,…

This collection contains materials from various sources on the status of children's health, successful children's health programs, and advocacy for children's health. Section 1 contains: (1) the statement by the Children's Defense Fund (CDF) on maternal and child health needs under national health reform; (2) information on uninsured children,…

The European Alcohol Action Plan stresses that health care systems, traditionally involved in the management of alcohol problems, must play a greater role in the detection and prevention of alcohol-related harm. Primary health care is seen as an important setting for identifying individuals at risk from heavy drinking and helping them to reduce…

This guide is a basic resource to help primary care providers offer quality care to lesbian, gay, and bisexual youth and their families. It is intended to be a minicourse, with three sections that combine background information, state-of-the-art research, practical guidelines, and reference information. After a foreword by Joan Holloway, part 1,…

In an effort to intervene before students enter the medical care system at the University of Michigan, a Self Care Resource Corner and accompanying materials were developed and implemented. The objective was to encourage students to view themselves as the primary decision makers for health-related conditions before seeking care from clinicians.…

This research investigated factors affecting children's health, based on empirical analyses of data from Washington, D.C. and national data. By most measures, poor children experience disproportionate morbidity and mortality. Yet certain ear and vision problems exhibit a U-shaped relation to family income in both national statistics and the…

Issues are discussed involved in the application of the "oft-quoted Flexnerian model" to the community base of medical education and care, the singular set of structural problems characterizing a medical school's interface with the community, and the relationship of changes in medical care over the past 30 years to primary care medical education…

This paper outlines selected differences between the United States and Latin America health care systems as they relate to primary mental health care. It notes that historically both the United States and Latin America have relied on custodial psychiatric hospitals. The alternative of community care for psychiatric patients is described as it is…

Increasingly, the health care needs of older people are dominating the field of medicine and the health care system. The supply of physician gerontologists and geriatricians, the attention they pay to the special needs of the elderly, and the adequacy of their training are addressed in these hearings, which consider a Senate bill to improve the…

Essential knowledge, practice, and values for the education of baccalaureate-level nurses are specified in a report developed under the direction of a national panel of representatives from the nursing, health care, and higher education communities. The report, entitled "Essentials for College and University Education for Professional Nursing,"…

The oral testimony of health professionals recorded in this document questions the Federal government's success at assuring prenatal care for poor women. The concern is that many of the infant deaths that occur in the United States might be prevented if the mother had received adequate prenatal care. Programs have improved the health care delivery…

Addresses and team reports from an inter-regional seminar which examined aspects of primary health care in China are presented. Background information about the seminar is given along with an introduction to rural health services in China. The report considers four key issues: China's three-level health care network; involvement of the people;…

This annotated bibliography of health promotion materials describes pamphlets, films, and posters for the general public and contains program guidelines, directories, and technical papers of interest to health professionals. To compile this volume, each Public Health Service agency selected, from among its publications, those which offer…

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…