A national survey of health promotion activities in health systems agencies.
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Biomedical subjects
Publications and source records attributed to B U Philips.
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Public Law 93-641 provides health systems agencies (HSAs) with a broad planning preview which has enabled a number of agencies to address environmental health issues in their health systems plans. Opponents of HSA involvement in environmental health planning charge that these activities overextend agency resources, duplicate efforts of other government agencies and involve HSAs in "issues of public policy." Closer examination of these charges finds them lacking in validity. The planning activities of health systems agencies are cooperative in nature, drawing upon the planning efforts of other institutions and agencies. It is illogical to exclude environmental concerns from general health planning in light of the impact of the environment upon health. Charges that issues of public policy are inappropriate topics for health planning are seen as attempts to avoid scrutiny of inconsistant legislative policies. Cooperative planning between health systems agencies and environmental health agencies is considered both desirable and essential for the development of effective health planning.
It appears the problems inherent in the underrepresentation of minorities in the health professions, especially medicine, are likely to continue, at least in the near future. This being the case, it becomes important to maximize the effectiveness of those minorities already in the system.This paper describes a study conducted to verify certain assumptions which underlie programs aimed at increasing minority student enrollment in medical schools. It is assumed minority students are aware of the health problems unique to minority populations, that they plan to do something to address these problems, and that they will have some effect on the problem and the health of minority populations.
The distribution of health personnel and the resulting shortages of health care to economically depressed, ethnic, rural and inner city areas is a serious problem. Recruiting students from and training them in underserved areas has been suggested as one way to improve retention rates among graduates of allied health programs. A one-year follow-up survey of 1974 graduates of allied health programs sponsored by an Area Health Education Center located in an underserved, one ethnic group predominant rural area was done to test this approach. Results show that of the 122 graduates surveyed in this study, one year after graduation 85% had returned to work in the area of their previous residence. Among professional groups, licensed vocational nurses experienced the least migration. Generally, professions requiring higher levels of education showed higher relocation rates. Sex and ethnicity were related to these findings. The appeal of higher salaries or material benefits alone did not appear to attract graduates to migrate. It appears that communities with shortages of health manpower due to maldistribution may be successful in correcting this problem by recruiting students from their own area. Possible explanations and recommendations related to these findings are discussed.
This study concentrated on a sample of 75 young women in high school in the Lower Rio Grande Valley of Texas (LRGV). The effects of socioeconomic status, size of residential community, and career deflection on the types of barriers to career aspirations perceived by these young women were examined. To identify barriers unique to young women, we compared them to a group of young men of similar age from the LRGV who also were aspiring to a health career. The barriers most frequently identified could be overcome by programs already at work in the LRGV sponsored by the Area Health Education Center. Extrapolating from this study, there are 25,007 students in the valley, 5,041 are young women interested in health careers which may indicate a potential improvement in the representation in the health professions.
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The evaluation of physician behavior as an outcome of continuing education has been an ellusive quantity of measure. This paper demonstrates one measure that can be used to evaluate the effect of continuing education in terms of physician behavior.
In an effort to attract minority students to health careers, a special summer education health career experience was developed. A matched comparison group design was utilized to determine the value of this program. Data were collected on both the participants and a matched comparison group three months before and six months after the program. Differences on most of the measures were not significant; however, there was a significant difference on stability of first career choice, indicating that a special summer program can and does have an effect on the participants. The study makes it clear that program effects cannot be assumed unless a follow-up evaluation is undertaken.
During the past two decades the problems of recruiting minority students into careers in the health fields have been addressed by many educators and various special study groups. Recent efforts by schools of medicine and allied health sciences to find viable solutions to the problem have facilitated implementation of career exploration and study-skills programs. Although the focus and sophistication of evaluation designs vary substantially among educational programs of this type, all share some common problems. The positions taken by the authors is that evaluation, both during and at the end of a program, is an essential aspect of the program and that the use of a systematic evaluation model is central to this effort. Data are presented which illustrate the utility of a systematic evaluation model when applied in a realistic test situation (an operational program for minority students). Several advantages of using this model are discussed.
Five hundred eighty-nine adult participants in 10-day drug education courses held at the National Center for Drug Education in Oklahoma were tested before and after each course to assess changes in their attitudes toward drug use and abuse resulting from the course. Twenty-eight opinion statements were found to significantly distinguish the opinions of different occupational groups both before and after the course. Most participants changed their learning priorities for drug education as a result of the course. Participants' personal history of drug use correlated with changes in their learning priorities for drug education.
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