The organization and curricula of internal medicine residencies programs that emphasize primary care are described and compared with traditional residencies in internal medicine. It is noted that primary care residents spend more time in ambulatory care and are allowed more electives in specialties outside of internal medicine. Out-of-hospital…

The nurse practitioner in health services may become the primary source of medical care in the future. Suggestions are made for preparing for this eventuality. (JD)

Regional variations exist in the staffing levels, character of nursing practice, and use of school nurse practitioners. (JD)

A central feature of the described health education curriculum is a health record kept by the student client. (JD)

Interviews with 16 primary care practitioners and administrators were compared with those of 12 adult patients with limited English proficiency. Practitioners described skills and attitudes needed to communicate with these patients; solutions tended to be improvised. There were discrepancies between practitioners' and patients' descriptions of…

Used Job Descriptive Index to appraise level of job satisfaction of 111 primary-care employees. The results revealed that varied personality types chose occupations in the caregiving field; satisfaction tended to be independent of personality type. Issues such as pay, promotion, and relationships with supervisors and co-workers were important…

Results of a survey of nursing students and qualified nurses in the United Kingdom indicate that nurses tend not to be readers and that they consult colleagues and personal collections for information concerning patient care and for personal use. Findings show that nurses use libraries infrequently except for research and coursework. (12…

A study using microcomputer algorithms for more efficient management of six common pediatric care problems found improvements in all performance measures with computer algorithm use. However, use was discontinued after five weeks because the six physicians perceived the algorithms as too tedious for routine care. (Author/MSE)

A survey of 614 Maine physicians indicated that almost 80% were currently providing care to patients with mental retardation living in the community. Major obstacles in treating such patients were revealed, their importance was assessed, and ratings of the utility of specific measures to lessen these obstacles were identified. (Author/JDD)

Asthma will be a significant public health problem until economic and social progress catches up with medical progress. The article explains asthma and discusses how to handle childhood asthma. Parents, politicians, and health care professionals must unite to assure adequate medical care and healthful living conditions for all children. (SM)

A Boston interdisciplinary health care project places nursing students and medical students in neighborhood health centers for clinical experiences for primary care. The students engage in interdisciplinary seminars, work together with patients and families, and plan projects. (JOW)

Managed care organizations (MCOs) and school health programs share some common goals and some competing, conflicting priorities. Partnerships between the two are important for the effective coordination and delivery of comprehensive adolescent health services. This paper discusses adolescent clinical preventive services, school health services,…

Printed educational material on cholesterol, food, and health-related lifestyle changes used in primary care in Sweden are evaluated. Materials (211 different products) are analyzed from two theoretically grounded perspectives: orientation of knowledge and rhetoric. Findings are related to patients' ability to make use of the material. (Author/EMK)

The increased presence and participation in Australian society of people with an intellectual disability provides challenges for the provision of primary health care. General practitioners (GPs) identify themselves as ill equipped to provide for this heterogeneous population. A major obstacle to the provision of appropriate health care is seen as…

We present 4 key arguments: (1) knowledge translation requires tacit and explicit knowledge that must be introduced into the organization as well as simply acquired by individuals; (2) educating for knowledge translation must go beyond conveying facts and developing capability; (3) a constructivist and collaborative approach to education can…