Surveys of directors of Schools of the 21st Century, an educational model that provides integrated services to children and families, examined the availability of school health services. Results found that the services varied greatly in availability and comprehensiveness. Most schools provided basic preventive screenings, health education, and…

Educators in dentistry and osteopathy discuss efforts within their fields to diversify clinical education. Dental school changes focus on curriculum reform, closer education-care delivery relationship, patient centeredness, comprehensive care experiences, and patient care as a distinct mission of dental education. Efforts in osteopathy emphasize…

Discussion of change in dental education looks at the profession's guiding principles and some current social, economic, and professional forces for change. It is argued that these forces require new guiding principles to attain a new vision of dental education. Theory on stages of change, commitment to change, and the learning organization are…

Four professional participants in a well-developed community-based medical education system examine the implications of current change for their various roles, managing a community hospital, directing a local area health education center, teaching family medicine, and as a community preceptor. Some common themes concerning community-based medical…

A study of contemporary public financial support for disability in the United States found that public support totaled $294 billion in 1997 (41.5 million recipients) and was estimated to be $426 billion in 2002. Nationally, 52% of public long-term care financial resources supported persons with disabilities in institutions. (Contains references.)…

Discusses progress made in meeting the information needs of health care administrators and the role of the library in providing information for administrative decision making. Highlights include health care economics; a shifting power structure; quality improvement initiatives; standards; communicating the role and value of library services; and…

This article identifies several national developments that have focused renewed attention on promoting young people's health through schools, highlighting relevant National Heart, Lung, and Blood Institute (NHLBI) initiatives, and summarizing 12 recent NHLBI-funded studies of children and adolescents focusing on developmental stage, gender, and…

Reviews the history of providing noneducational services to children in a school setting from the perspective of past and present reform efforts. Argues that urban school reform should be based on a "children-at-risk" model rather than a "nation-at-risk" model and should incorporate lessons from the past. (SLD)

Discusses establishing relative priorities between health care needs of the young and the old. Argues that it is fair to limit assistance to those already old when there are genuine social needs for children. The elderly should lead the way in recognizing the importance of the needs of children. (SLD)

Describes the Vaughn Street Elementary School in San Fernando (California) plan to become a family services delivery site. Plans include cooperation among agencies; a family center for coordination of services, child care, and educational resources; a social network of mutual assistance; and a parent service exchange bank. (JB)

This paper proposes structural reforms in the U.S. health care system based on the need for (1) workable, affordable solutions; (2) preserving and strengthening the biomedical research enterprise; (3) increased minority participation in science and the health professions; and (4) a culture of character emphasizing health promotion and disease…

Describes proceedings of a meeting of the Association of American Medical Schools' Forum on the Future of Academic Medicine, focusing on ways in which medical schools can and are responding to changing, more competitive marketplaces for health services while sustaining their missions; the health care industry perspective; and characteristics of…

Summarizes Canadian Native Indian's objections to recent health care budget cuts. For many years Canadian Indians enjoyed subsidized health care that included therapy, prescriptions, eyeglasses, dental, and medical transportation. Details the programs to be cut and laments their passing. (MJP)

A survey of 754 University of California at San Francisco doctoral pharmacy graduates from 1980 to 1994 investigated how managed care affected practice patterns and perceptions of the profession. Graduates generally remained satisfied with their education and were optimistic about the profession. Although managed care has created a stressful…

Describes a classroom project in which pharmacy student teams developed a World Wide Web page to market a hypothetical pharmacy and promote pharmaceutical care services. The exercise successfully involved students in using both creative and analytic skills to gain hands-on experience in constructing a mission statement and marketing plan for a new…