This publication is a compilation of papers presented at an April 1994 workshop sponsored by the National Center for Education in Maternal and Child Health and the Bureau-funded Johns Hopkins Child and Adolescent Health Policy Center (CAHPC). The papers are as follows: (1) "Defining the Issues and Planning for Change: Health Care Systems, Primary Care, and Reform" (David Heppel); (2) "Health Care systems and Primary Care for Children and Adolescents: Overview and Context" (Bernard Guyer and others); (3) "Delineating Public Roles in Planning, Providing, and Evaluating Primary Care Services for Children and Their Families: Les Nouveax Miserables--Modern Victims of Social Asphyxia" (David R. Smith); (4) "Assessing the Status of Primary Care Services: A Working Approach" (Barbara Starfield); (5) "Developing Population-Based Datasets at National, State, and Local Levels: Potential and Promise" (Deborah Klein Walker); (6) "Assessing the Status of Primary Care Services: Early Experiences of the Child and Adolescent Health Policy Center in Evaluating Primary Care" (Charlyn E. Cassady); (7) "Assessing Needs and Monitoring Progress in the Delivery of Primary Care Services for Children and Youth" (David M. Stevens and others); (8) "Community System Assessment and Child Health Planning in Iowa" (Charles E. Danielson and others); (9) "Evaluating the Delivery of Pediatric Primary Care in New York City" (Lucille Rosenbluth); (10) "Accountability in Primary Health Care Systems: Conceptual Frameworks and Policy Challenges" (Bernard Guyer and others); (11) "Primary Care Provider and System Challenges in Caring for High-Risk Children and Families" (Larry Culpepper); (12) "Meeting the Contemporary Needs of Children and Youth with Developing Primary Care Systems: Issues for Pediatricians in Health Care Reform" (Susan Aronson); (13) "CHIP--A Community Model for a Comprehensive Health Care System" (Peggy Balla); (14) "Pediatric Primary Care Systems Development Initiatives in Arizona" (Jane Pearson); (15) "Health Care Reform and Public Health Consideration in Alabama" (Larry Menefee); (16) "Public Health and Health Care Reform: Healthy People in Healthy Communities" (Martin Wasserman); (17) "What's Needed to Move Forward? State MCH Program Perspectives" (Maxine Hayes); and (18) "Commentary and Closure" (Bernard Guyer). Two appendices include the workshop agenda and a list of participants. (DR)