Assessed service utilization and cost impacts of a consolidated model of long-term care for functionally impaired elders. Compared to traditional long-term care, this model reduces hospital and nursing home stays, redistributes funds to broad range of community-based services, and reduces overall cost of long-term care. (Author/NRB)

Offers proposed definitions of "frail elderly" and "range of institutional care", and argues that an active problem-solving, treatment-oriented approach can reduce unnecessary institutionalization and that the movement to deinstitutionalize the elderly can learn from the history of the deinstitutionalization of other groups.…

A national survey of 69 teaching hospitals (principally affiliated community teaching hospitals) found much variation in direct graduate medical education pass-through costs, supported by Medicare. Analysis suggested variations may be a result of the faculty expenses component, economies of scale, and the contribution of volunteers. Tables and…

Despite some efforts, dental education is not succeeding at creating socially responsible, service-oriented professionals. Further research should be undertaken on the effectiveness of various forms of community health services, improving service to underserved populations, the perceptions of the underserved, clinical experience with health teams,…

Addressing the lack of cooperation between early intervention programs and the rural health community, this monograph presents eight papers by educators and health professionals who identify specific problems and offer solutions in the form of effective collaboration techniques and model programs. Papers by Susan Hastings and Stewart Gabel…

Comprehensive health enhancement programs (CHEPs) are a curricular area required by new Montana accreditation standards. The curriculum combines the disciplines of health and physical education into an integrated, holistic, health-oriented program. A CHEP incorporates an expanded concept of health services--healthy school environment, employee…

A systematic procedure for reviewing a basic nursing curriculum, identifying needed changes, and developing and implementing a plan for change is described. Also examined are techniques used to evaluate the plan and to determine the relevance of the revised curriculum to community health needs. After presenting information on primary health care…

In keeping with its priority to reduce the disproportionate burden of heart, lung, and blood diseases in minority populations, the National Heart, Lung, and Blood Institute has established an outreach project called Building Healthy Hearts for American Indians and Alaska Natives. This background report provides an overview of the cardiovascular…

As part of the National High Blood Pressure Education Program effort, the conference explored the implications and impact of the prevalence of hypertension in Spanish-speaking populations in California. Approximately 150 experts in health fields, representing all levels of government, public and private health care providers, consumers, and health…

A collaborative summer program by the University of Washington medical school, a professional association, and regional and state agencies provides students with an early introduction to community medicine in rural and urban underserved areas. Students (n=74) have been extremely satisfied. Suggestions are made for identifying potential program…

A collection of papers, from the Centre for the Development of Human Resources in Rural Asia (CENDHRRA) Evaluation Seminar (1980) in Bandungan, Central Java, provides guidelines for evaluation of rural development projects of non-governmental organizations (NGOs). The first part of the report contains a summary of group discussions on different…

This collection of 34 papers from various nations reflects the state of the art in the development of community-based medical educational programs. Papers are grouped into the following topical areas: (1) community-oriented education, (2) evaluation, (3) innovation and change, (4) problem-based learning, (5) administration of education, and (6)…

With this Career and Technology Studies (CTS) curriculum guide, secondary students in Alberta can do the following: develop skills that can be applied in their daily lives; refine career-planning skills; develop technology-related skills in community health; enhance employability skills, especially in community health; and apply and reinforce…