Describes seven case studies from a range of health settings in terms of the diversity of expression of the principles of community-oriented primary care (COPC). Suggests COPC is not limited to publicly funded programs. Argues that the organization of financing and the lack of feasible quantitative tools hinder the full development of the COPC…

A longitudinal study of 1,761 children found that children in nonsmoking households used significantly more outpatient services than did those in smoking households, a relationship largely accounted for by the use of more preventive medical services by those in nonsmoking households. (CMG)

Medically treated unintentional injuries of children and adolescents were studied for one year in the clinic and the emergency room of a health maintenance organization. The highest rates of injury resulted from falls, recreational activities, and competitive sports. Restricted activity was needed for 55.9 per cent of the injuries. (VM)

Using vital records for live births which occurred in New York City in 1968, and infant deaths among them, this study of Risks, Medical Care, and Infant Mortality examined the characteristics of prenatal care among pregnant women from a wide range of racial, social, and economic backgrounds. (Author/SB)

Determines the incidence of end-stage renal disease (ESRD) among Native Americans and Whites in the United States from 1983-86. Findings indicate 1,075 Native American cases represented an annual incidence 2.8 times the rate for Whites. Fifty-six percent of Native American cases and 27 percent of White cases were attributed to diabetes. (JS)

Screening tests indicated that 141 out of 106,565 infants examined in New York City during 1979-80, had various forms of sickle cell anemia. Follow-up of 131 patients confirmed the original diagnoses, suggesting that the New York City Follow-up Program for Sickle Cell Screening of newborns was successful. (Author/MJL)

Examines ethnic differences in infectious disease-related mortality in New Mexico's American Indian, Hispanic White, and other White populations from 1958-87. Findings indicate that for most infectious causes, American Indians had the highest mortality rates, followed by Hispanics. Discusses the influence of cultural beliefs and medical practices.…

A three-hour, two-stage workshop for staff nurses on providing education and psychological support to 148 patients who had abdominal surgery. After the workshop the patients used fewer sedatives or antiemetics, fewer hypnotics, and were discharged from the hospital on the average half a day sooner. (Author/BJV)

Analyzes results of a 1982-84 survey of health conditions and needs among Mexican Americans in the Southwest, Cuban Americans in Dade County, Florida, and Puerto Ricans in the New York City area, a sample including approximately 76 percent of the 1980 U.S. Hispanic-origin population. (DM)

Presents information on who gets medical care and what the needs for medical care are. A proposal for a National Health Service for mothers and children and what services this should include is presented along with other recommendations for reform. [Available from American Public Health Association, Inc., 1015 Eighteenth Street, N.W. Washington,…

Based on an analysis of 46 small geographic areas, birth weight statistics were related to variables of income, home maintenance, medical and dental care, and aid to dependent children. It was suggested that birth weight statistics may be more effective than infant mortality statistics for many purposes where death data are now used. (EH)

Presents a broad overview of recent trends, programs, and ideas aimed at solving the problem of unintended adolescent pregnancy. Asserts that the general problem of teenage parenthood results from a lack of options available to poor youngsters who, often, are members of minority groups. (KH)

Compares the mortality and morbidity (relative incidence of disease) among infants born to women under age 20 with those of older women. Results underscore the increased health problems of the infants of young mothers and the limited nature of the resources available to help them and their families with these problems. (CMG)