This document examines the 10 essential attributes of primary health care contained in the U.S. Maternal and Child Health Bureau's definition of primary care. Primary care for children and adolescents is personal health care delivered in the context of family, culture, and community; the range of services meets all but the most uncommon health…

Three critical procedural skills in emergency medicine were evaluated using three assessment modalities--written, computer, and animal model. The effects of computer practice and previous procedure experience on skill competence were also examined in an experimental sequential assessment design. Subjects were six medical students, six residents,…

This document discusses a project designed to assess trends in service data and the effectiveness of the services provided over a 10-year period. It begins by describing the services provided by the Wilder Foundation Child Guidance Clinic, an outpatient mental health center serving children and families in the Saint Paul, Minnesota area. A number…

Policy and practice for screening children for lead poisoning have dominated the dialogue about the health care system's role in lead poisoning prevention, with little attention directed to how the health care system responds to a lead-poisoned child once identified. This report details a study of the case management and environmental…

This handbook, first published in 1975, is the primary educational tool used by the National Collegiate Athletic Association Committee on Competitive Safeguards and Medical Aspects of Sports, and is designed to assist schools in the development of safe intercollegiate athletics programs. The handbook's first section on administrative issues covers…

This paper explores the thesis that a discrepancy exists in the treatment of physical disease over mental illness when care is provided by Health Maintenance Organizations (HMOs). Inconsistencies exist in the form of narrowed and abbreviated treatment models coupled with outmoded views towards mental illness. Strategies currently used by HMOs to…

The hyperkinetic label can impair self-image and create negative expectation. It should be used only with confidence in its accuracy and when its use confers help not otherwise available. Guidelines for appropriate diagnosis include prevalence considerations, teacher reports, extent of home difficulties, psychological testing and clinical…

The unique research methodology of a series of 24 specialty surveys of the professional activities of over 10,000 respondent physicians is described. Illustrative data are presented from five specialties (cardiology, family practice, general internal medicine, orthopedic surgery, and psychiatry), and the study's relevance and implications for…

The impact of the 1980s on dental practitioners, dental schools, and those needing dental care, particularly the poor, is described. Economic forecasts and opinion polls are discussed in the belief that deans of dental schools can move to significantly limit the deleterious effects of this period. (MLW)

An attempt is made to predict some of the economic and social forces that will affect academic health centers in the coming decade. It is argued that to survive and prosper medical academe must adjust to a period of little or no real economic growth, but that with this necessary adjustment new opportunities will arise. (JSR)

Five dental schools were given grants to design and implement a training program for dental students in planning and delivering preventive dental services. These programs are described and compared, and it is concluded that all were generally successful and worthy of continuation. (JSR)

Discusses litigation stemming from the Education for All Handicapped Children Act and offers advice to school administrators on handling appeals. (WD)

Recent activities of the General Accounting Office (GAO) related to the allocation of medical resources and services are reviewed. Focus is on the evaluation of programs designed to increase public access to quality health care and to contain health care costs. GAO supervision of grant monies designated for medical research is also discussed. (JMD)

A study to determine the frequency and correlates of cheating among medical students found that cheating is extremely frequent (87.6 percent) among premedical students and less frequent (58.2 percent) but still significant among medical students. The most disturbing finding was the positive correlation between cheating in school and cheating in…

Relations between self-assessed health status and satisfaction with health care were examined using two waves of data obtained from participants in the Medical Outcomes Study. Using a multisample covariance modeling framework, separate models were examined for patients with significant symptoms of depression (N=417) and patients with chronic…