Relates how Pima Community College was selected to assess the health, education, and welfare needs of South Tucson, Arizona. Describes the use of an advisory committee; panels for health, education, and welfare; interviews with selected residents; and a survey of service agencies. Enumerates study findings and recommendations. (AYC)

Two theories of hospital liability--respondeat superior and corporate negligence and the legal intricacies of the physician-hospital-patient relationship--that affect hospital liability are examined. The impact of Darling vs Charleston Memorial Hospital as a medicolegal precedent is emphasized. (BH)

A study of the impact of family physicians' participation in continuing medical education activities on the quality of their professional services, as measured by an in-office audit of a random selection of charts, found no relationship between care and educational activities. (MSE)

This article defines the concepts of medical technology and technology assessment and offers a five-level assessment scheme for the evaluation of medical technologies, including (1) biologic plausibility; (2) technical feasibility; (3) intermediate outcomes; (4) patient outcomes; and (5) societal outcomes. This scheme is applied to the use of…

Describes a project that integrated use of a computerized nursing care database into the second-year undergraduate nursing curriculum to enable students to produce sound care plans; promote student understanding of the medical and health conditions which these plans addressed; and enable students to explore the premises and reasoning behind the…

Camp health center management begins with assessing the population served, camp areas impacted, and the contract of care with parents. That information is used to plan the size of the center; its location in the camp; the type of equipment; and considerations such as medication management, infectious disease control, size of in- and out-patient…

Levels of evidence differ according to the audience addressed. Implementation of universal newborn hearing screening requires responses to a complex myriad of diverse groups: the general public, families with children who are deaf or hard of hearing, the deaf and hard of hearing communities, hospital administrators, physicians (pediatricians,…

A hotly debated topic in oropharyngeal dysphagia is the Clinical Swallowing Examination's (CSE) importance in clinical practice. That debate can profit from the application of evidence-based medicine's (EBM) principles and procedures. These can guide both appropriate data collection and interpretation as will be demonstrated in the present report.…

A multi-faceted Rasch measurement (MFRM) model was used to analyze a clinical skills assessment of 173 fourth-year medical students in a Midwestern medical school to investigate four types of rater errors: leniency, inconsistency, halo, and restriction of range. Each student performed six clinical tasks with six standardized patients (SPs), who…

Newborn screening has existed as a state-based public health service since the early 1960s. Every state and most territorial jurisdictions have comprehensive newborn screening programs in place, but in the United States a national newborn screening policy does not exist. This results in different administrative infrastructures, screening…

Purpose: Residential care/assisted living describes diverse facilities providing non-nursing home care to a heterogeneous group of primarily elderly residents. This article derives typologies of assisted living based on theoretically and practically grounded evidence. Design and Methods: We obtained data from the Collaborative Studies of Long-Term…

The purpose of this research was to design, develop, deliver, and evaluate an online dementia care program aimed at enabling healthcare teams deliver better service to residents with dementia in continuing (CC) and long-term care (LTC) facilities. A Community-Based Participatory Research (CBPR) orientation (Minkler & Wallerstein, 2003) was adopted…

Objective: To study the outcomes of children hospitalized for suspected child abuse before and after the implementation of a management protocol in a hospital in Hong Kong. Study period: Two 2-year periods before (1994-1995) and after (2002-2003) the implementation of the protocol in 1998. Methods: This is a retrospective hospital chart review in…

This paper focuses on three issues: (1) gender seems to structure life chances so that women and men end up with quite different fates in later life; (2) maintaining a sense of adequate masculinity seems to remain very important to men until the end of life, and most women also seem to need to experience themselves as feminine, but are less…

In the early 1960's, the Appalachian Regional Commission (ARC) established a goal to make health care more accessible to the people of the mountains. Today, a primary health care facility is within a 30 minute drive of nearly all Appalachian counties. There has also been a substantial, but still inadequate increase in health care professionals in…