Effects of changes in a pediatric practice--expansion of the number of pediatricians and incorporation into a university hospital setting--on continuity of care and utilization were examined, results showing a marked decline in the continuity of sick visits. Discussion emphasizes the need for a deliberate plan of continuity in primary care.…

In order to determine the effectiveness of preceptorship programs in encouraging medical and osteopathic students to choose careers in primary care or rural service, a survey of medical and osteopathic schools, students, residents, and physician preceptors was completed. Questionnaires were completed by 92 schools, 837 students, 462 residents, and…

The author argues that the importance of primary health care, with emphasis on preventive aspects of care, requires a socioeconomic and health survey of each community and that the nurse-epidemiologist would be the most effective compiler of such surveys. (MF) Baganda in Uganda was interviewed concerning perceptions of loneliness and social…

The author believes that, in order to obtain the care he needs, the diabetic must assume responsibility for the treatment of his condition, in that he must understand the physical and psychological aspects of diabetes, know how the health system works, and use this knowledge in the personal management of his diabetes. (Author/PHR)

Discusses the relationship of economics to health, health services, and supply and demand of health care. Examines alternative mechanisms by which health resources can be allocated and considers who should make decisions about rationing medical care. (DB)

Several of the reasons frequently offered to support involvement of a medical school in a faculty practice plan are discussed, and related business and tax considerations are described. Aspects of establishing and operating specific types of group practice plans are reported. Benefits to faculty, medical schools, and the public are addressed.…

Methods and results of resident participation in this aspect of a postgraduate pediatric curriculum at the Montefiore Hospital and Medical Center, Bronx, New York, are described. Peer discussion and group problem-solving and exploration are used and evaluations suggest a positive impact on learning and patient care. (LBH)

This is a discussion of some of the reasons for the high cost of health care in the United States in government programs, hospital wages, physician's fees, excess beds, too many specialists, and high technology--and some of the proposed solutions to these problems. (BB)

Nonphysician women instructors from a women's health center taught the pelvic examination to second-year Harvard Medical School students. Demonstrating the procedure and acting as subjects, they also showed how patients can be offered explanations of the procedure and their own health during the examination. (Author/LBH)

The evolution of the family practitioner as a specialist to replace the general practitioner is described. The deficiencies of general practice have been remedied by providing intellectually rigorous postgraduate programs, a unique area of expertise, and specialty status. (Author/LBH)

Discusses two core values and 10 principles to be used in development of systems of care for severely emotionally disturbed children and their families. (RJC)

To sensitize medical students to the complexities of geriatric patient care, the geriatrics faculty of Upstate Medical Center's Clinical Campus developed Geriatrix, a role-playing game. Students attempt to win points in a board game containing Fact, Concept, and Crisis Squares. Crises promote exposure to ethical dilemmas and invite intense debate…

Sixty-one pediatricians surveyed by questionnaire provided data on training recommendations, education received in behavior management and development, personal evaluation of such training for practice, and the most frequent behavior questions asked by parents across five developmental age categories. (Author/LBH)

The Sickness Impact Profile (SIP) is designed to measure health status in terms of sickness-related changes in behavior. Its content incorporates the perspectives of clinicians, patients, and the apparently healthy, and consists of 235 items. Its reliability and validity were supported in a study with both experienced physicians and residents.…

The total number of applicants for first-year programs in graduate medical education through the National Intern and Resident Matching Program in 1976 exceeded the number of positions offered for the second consecutive year. There were deficits in the number of openings offered in the primary care specialties and surfeits in medical and surgical…