To promote good personal hygiene practices in students, school health personnel must be informed about dental pit and fissure sealants and related programs. Adoption and maintenance of such programs may depend on the success of school health personnel in educating administrators and policymakers. (SM)

The reasons for offering a course in bioethics to law students and some approaches to take in addressing controversial issues are examined. The use of hypothetical vs. real cases, emphasis on clinical problems, and overall course objectives are discussed. (MSE)

Describes role of nurses in residential camp programs. Discusses ways camp administrators find and hire camp nurses. Emphasizes importance of communication between nurse and other staff for assessing campers' developmental needs and potential health problems. Discusses camping environment, health service needs, and campers' most common health…

The need for reform of the national health care system is particularly evident when viewed from an intergenerational standpoint. None of the generations is currently adequately protected against catastrophic illness or the costs of long-term care. The National Health Care Campaign is sponsoring an initiative for comprehensive intergenerational…

The article reviews the problem of following up high-risk inner city infants. Only 26 percent of infants discharged from urban neonatal intensive care units are followed developmentally. The high incidence (20 percent) of developmental delay identified during developmental screening in inner city community health clinics suggests the importance of…

Primary oral health care, and the scope of services it includes, are defined. The proposed scope of services is a set of basic dental services used by the Indian Health Service. Policy recommendations for improving the integration of primary oral health services with primary health care and delivery are offered. (Author/MSE)

The president of the American Association of Colleges of Pharmacy outlines the association's position on national policy concerning health care reform, then looks at some related controversial issues, including changes in the dispensing of prescriptions, pharmacist-managed medication review, adequacy of pharmacy training, and the role of research.…

Between 1980 and 1988, 132 rural hospitals closed and as a result many rural towns also lost physicians, including 19 communities that were still without a physician 2 years after closure. Smaller, more remote towns had few physicians to begin with and were more likely than larger towns to lose physicians along with their hospitals. (LP)

Discussion of the utilization of research focuses on a case study of the communication and utilization of research at the Department of Veterans Affairs that has led to improved health care. Highlights include health services research; research and development; dissemination methods; user involvement; management environment; leadership; and…

Reviews the unique health care needs of children in the out-of-home care system and the standards developed over the past decade to deliver comprehensive health care services to this population. Raises key policy and practice questions for each standard to facilitate effective implementation of recommendations makes suggestions for future research…

The traditional model for medical faculty development is inadequate in the face of shrinking government support, changes in biomedical research, changes in reimbursement systems, loss of respect for medical professions, and radical changes in the structure of the health care delivery system. Implications of changes in the health care system for…

The costs of outpatient training for medical residents in a community health center (CHC) are analyzed, based on a family practice residency of one medical school. The model used a computer spreadsheet program to determine the financial impact of the program on the CHC. Sensitivity analyses determined the effects of changing productivity, nursing…

Kinship care, or the placement of children with relatives, is increasingly supplementing more traditional forms of family foster care. A study examined significant characteristics of a kinship care system in Baltimore, Maryland, including demographic variables, characteristics of children and caregivers, and facets of the child welfare and health…

Nonpublic school educational choice proposals are largely derived from monetarist economic and social theory and exemplify right-wing privatization goals. The U.S. health care system has plenty of competition among insurers, hospitals, and doctors; but it is the most expensive, least equitable system in the industrial world. The mystical belief…

Study investigated the status of student health center nutrition services. Surveys completed by directors of 168 centers indicated that 79 percent provided some nutrition education and 96 percent had one-to-one counseling. Larger institutions were more likely to have nutrition programs. Registered dietitians were the typical service providers. (SM)