The profession of medicine has a central role to play in ushering in the new paradigm of a health care system that will invest its efforts in health promotion and disease prevention on the one hand and in treatment and rehabilitation of the sick and injured on the other. (MLW)

Discusses the effects of trends in health care services, including an emphasis on primary health care and patient involvement, on the information needs of health care professionals and managers. A proposed information network that would provide point of use access to sources of health care information is described. (three references) (CLB)

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)

The Charles R. Drew University of Medicine and Science surveyed its students (n=44) and those of the University of California at Los Angeles medical school (n=402) to determine whether its initial classes are pursuing primary care careers consistent with the institution's mission. Results suggest student characteristics are at least as influential…

A survey of 63 general medical residents found most accepted the psychosocial role of the primary care physician, found it most appropriate in ambulatory care settings, felt ambivalent about their ability to perform it, and assigned it secondary priority in patient care. More attention by training programs to ambulatory care and psychosocial…

A discussion of basic and clinical science teaching in optometry in the next decade looks at the changing role of primary care and specialist optometrists, the training needs of current and future faculty, recommended curriculum changes, and decision making about delivery of this training. The roles of graduate training, residencies, and…

Summarizes 25 reports addressing the interconnectedness of children's health and education and incorporating a comprehensive health approach, detailing 5 themes: education and health are interrelated; social morbidities threaten public health; a comprehensive, integrated approach is needed; health promotion and education should center around…

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…

Using data on 3,569 women and 15,582 men trained in internal medicine, this study investigated gender differences in choice of primary care practice and their possible relationship to training program type, traditional or primary care. Results indicate women pursued primary care more often than did men, regardless of training program completed.…

Proposes a one-stop model of services to be delivered from pediatric outpatient clinics to improve the delivery of services to low-income preschool children and their families. The needs of low-income preschoolers and their mothers, and how these needs are met by this model, are described. (Author/CR)

Priorities in the delivery of health care to Australian country people with developmental disability were explored through focus groups and interviews of key stakeholder groups from four rural/regional towns. Data were analysed for themes, which converged on lack of access to primary health care providers who lacked knowledge about and had poor…

This annual report presents data on the health status and needs of American children from infancy through adolescence. The report's first section gives general population data, providing context for sections two and three, which present data on health status and service utilization for American children. The fourth section contains state-specific…

This report presents a bill (H.R. 3508) to amend the Public Health Service Act, along with analysis, a report on hearings on the bill, cost estimates and the text of the legislation itself. text of the legislation itself. A section on its purpose explains that it revises and extends Titles VII and VIII which authorize programs relating to the…

This guide replaces the 1975 publication "A Guide for Developing a Comprehensive K-12 School Health Instruction Program." It is designed to provide a framework for local curriculum development by identifying knowledge and skills students should master at each of four levels--grades K-3, 4-6, 7-9, and 10-12. At each level, the…

During the 1987 World Health Organization's Regional Assembly, the Ministers of Health of the African States launched the Bamako Initiative, an effort aimed at reorganizing the health system to ensure universal, permanent accessibility of maternal and child health services. Three conditions were initially seen as necessary for success: improvement…