Independent studies examined a needs v an agency perspective on home health care service needs within a rural county. Interviews with 299 elderly, aged 60-93, revealed there were substantial needs for home health care services and the desire for services varied with residence within the county. (Author)

Cost effectiveness of the program cannot be accurately determined. Assessment is based on actual self-care rather than proving poverty. A flexible approach is taken toward disability level and family support. States should keep community care flexible and available at acceptable cost. (JAC)

The article describes North Carolina's precedent setting Office of Rural Health Services, its background and design, and its significant role in the development of primary health care clinics such as that in Balsom Grove which is staffed by a family nurse practitioner and enjoying wide community support. (SB)

A study of the consequences of medical student involvement in health care examines patient perception of the student role. Approximately one-third of the community health center patients surveyed viewed the student doctors as subordinate to faculty physicians and these persons were less likely to evaluate their interaction with the students in a…

Judgments about the effectiveness of community mental health center (CMHC) directors are affected by the roles the judges have in relation to the centers. CMHC executives were similar to clinical colleagues and different from governing board members in the importance they placed on things that characterize the effective CMHC administrator. (Author)

A successful, cooperative, short-term, crisis intervention, mental health program has been developed between Fulton-McDonough County Community Health Center and the health service of Western Illinois University, with a fulltime consultant provided by the community health center and paid by the university. (MB)

Examined type of service, volume, and mix of services provided to 270 poor and frail elders. Predictors of use and volume of service differed depending on type of service. The most prescribed service combinations included nursing, home health, and homemaker; homemaker only; nursing and home health; nursing and homemaker; and nurse only. (RJM)

The evaluation strategy adopted by a rural Ontario (Canada) community health center is described, focusing on problems caused by multiple programs, variable and culturally diverse client base, and nontraditional approaches to health and wellness. The evaluation attempted to give a broad picture of the center's dynamics, processes, and efficacy.…

Discusses the applications of computer technology to community information and referral (I&R) services, basic planning considerations for automating an I&R service, and the development of an automated I&R system. Examples of computer supported I&R services in operation are given and the Tulsa City-County Library System's approach…

This article describes a community-based approach to health promotion planning and intervention implemented by the Health Promotion Resource Center at Morehouse School of Medicine. The community organization and development model implemented was designed to empower an urban Black community neighborhood to become more self-reliant in addressing…

Information about the consultative practice of nephrology in a community environment was gathered and used to speculate about improvements that could be made in the training of nephrologists in academic medical centers, based on their knowledge of such training. (Author/MLW)

Reviews studies that have attempted to measure levels of community library service, and describes the testing of hypotheses related to the impact of public library system development in Wisconsin on community library services. Conclusions about public library service in Wisconsin and the research methodology used are stated. (16 references) (CLB)

Planning for customer-focused library services requires a reexamination of the business and customers. Libraries must continually collect and evaluate data about the community they serve to accommodate ever-changing needs. (AEF)

The article introduces a special issue on health care for underserved populations, particularly racial and ethnic minorities, describing the emergence of the field of minority health, defining its parameters, and reviewing some of the strategies that will be important in improving the health status of underserved minority populations. (SM)

Highlights some of the conditions affecting rural and small libraries and describes their roles in providing information services. Results of two research investigations report that for many Americans, the community library is perceived as a place for books and is used primarily by women. The complete survey instruments and results are appended.…