School-based health centers need to form partnerships with organizations in the community in order to remain viable. This article delineates recommendations from two sessions at a meeting of the National Assembly on School-Based Health Care that addressed the issue, focusing on strategies for forming partnerships with communities of faith and the…

Using primary health care and peer leadership models, U.S. nurses trained Lithuanian health professionals as community peer leaders in AIDS prevention. A national continuing education program is in place to sustain the initiative in Lithuania. (SK)

Education of medical students in the basic and clinical sciences must be integrated into a seamless curriculum over four years, team-taught by both a clinician and a basic scientist. Medical students must be able to perform an initial evaluation of a neurological complaint and know when consultation is needed. (Author/MSE)

Objective: To examine (1) the prevalence, types, and severity of child abuse and neglect (CAN) and (2) the relationship between CAN and lifetime psychiatric disorders among American Indian women using primary care services. Methods: A cross-sectional study was conducted among 234 American Indian women, age 18-45 who presented for outpatient…

Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a comprehensive and integrated approach to the delivery of early intervention and treatment services through universal screening for persons with substance use disorders and those at risk. This paper describes research on the components of SBIRT conducted during the past 25 years,…

Objective: To determine whether a systems intervention for primary care providers resulted in increased preventive screening and counseling of adolescent patients, compared with the usual standard of care. Methods: The intervention was conducted in 2 out-patient pediatric clinics; 2 other pediatric clinics in the same health maintenance…

Introduction: In 1996 the University of Michigan Health System created the Guidelines Utilization, Implementation, Development, and Evaluation Studies (GUIDES) unit to improve the quality and cost-effectiveness of primary care for common medical problems. GUIDES's primary functions are to oversee the development of evidence-based, practical…

Background: Although many children with mental health problems are in contact with primary health care services, few receive appropriate help. Methods: Using a pathways to care model, this paper systematically reviews the literature relating to access to services. It separates out the various stages of help-seeking: parental perception of…

A practicum project was conducted to develop a method to enhance the knowledge base of targeted adult cancer patients entering into a treatment plan that included chemotherapy. The educational component necessary for informed consent by the patient had not been consistent; therefore, a videotape was developed containing general information common…

The report presents the proceedings of a 1986 World Health Organization meeting on multiprofessional training programmes (emphasizing an interdisciplinary team approach) for health personnel in Europe. Presented first is an overview of the topic which covers: (1) purposes and definition of multiprofessional education; (2) current trends and…

Health care reform's direct effect on higher education and labor is the subject of this conference report. Individual, panel, and interactive work group presentations addressing the values and options on health care issues are included. Following an introduction, three papers discuss the U.S. health care system: (1) "National Health Care…

Instead of compromising aspects of the curriculum to meet requirements of systematic experimental designs, the authors suggest development of representative curricular research. Such designs require the development of population validity, ecological validity, and referent generality. Examples are given from health-maintenance-organization-based…

Lists issues in planning primary care education, e.g. fear of dilution of excellence, competition for resources, delivery of care, the teaching objective, M.D. and new health professional, benefit and service structure, financial structure, physical and administrative locus, marketing. Emphasis is on coordination of educational research, and…

Discusses historical background of the primary health care team and key questions about team delivery, reviews past experiences in interdisciplinary education for primary care, lists guidelines for future educational experiences, and presents a model for the realistic implementation of these concepts in any health science center. (Author/JT)

Reviews highlights of discussion that followed presentation of papers at the Institute on Primary Care sponsored by the Association of American Medical Colleges (AAMC) in Chicago, Oct. 6-8, 1974. Major topics are protection of traditional and emerging academic, legal and financial constraints, and administrative and educational considerations. (JT)