{"title":"A comparison of the professional values and career orientations of male and female medical students: Some unintended consequences of U.S. public policy","authors":"Gary L. Burkett, Dorothy E. Kurz","doi":"10.1016/0165-2281(81)90003-5","DOIUrl":"10.1016/0165-2281(81)90003-5","url":null,"abstract":"<div><p>During the 1970s, partly as a response to U.S. public policy which promoted the objective of equal opportunity for women, there was a dramatic increase in the proportion of women entering careers in medicine. Some observers have expressed the expectation that these women physicians will promote progressive changes in health care and that they will be more likely to emphasize “humanistic” aspects of treating patients. This paper presents data from a national survey of U.S. medical students which provides a comparison of several relevant characteristics of these male and female students. There are several important areas where significant differences are apparent. Women students are more likely to place greater importance on the desire to help people as a career motivation, for example, and are less likely to express satisfaction with the status quo in American health care. There are also significant male-female differences in career plans with respect to areas such as specialty choice and preference for practice setting. These findings are used to consider the question of the probable impact of increased numbers of women physicians on the future of American health care. Projections for the future are made more difficult because of important changes within the medical profession and in the context of health care organization, but it is clear that women physicians do represent some potential for progressive change in American medicine.</p></div>","PeriodicalId":79937,"journal":{"name":"Health policy and education","volume":"2 1","pages":"Pages 33-45"},"PeriodicalIF":0.0,"publicationDate":"1981-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0165-2281(81)90003-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21118355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health education: Structural vs. behavioral perspectives","authors":"Albert C. Watts, Charles L. Breindel","doi":"10.1016/0165-2281(81)90004-7","DOIUrl":"10.1016/0165-2281(81)90004-7","url":null,"abstract":"<div><p>A study of alternative definitions and interpretations of health education in public policy resulted in the identification of a typology of differing perspectives. The two perspectives, behavioral and structural, are described in this paper, along with the three levels of health education programs. The study found: (1) an over-emphasis of public health education policies on individual behavioral changes and (2) a lack of focus in health education programs at the federal level. An analysis was done of the National Consumer Health Information and Health Promotion Act of 1976 to demonstrate these findings. The paper concludes that a balance between the two perspectives is needed, and it offers policy direction to support its conclusion.</p></div>","PeriodicalId":79937,"journal":{"name":"Health policy and education","volume":"2 1","pages":"Pages 47-57"},"PeriodicalIF":0.0,"publicationDate":"1981-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0165-2281(81)90004-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21118356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Donald P. Forster, Brian J. Francis, C.E. Brian Frost, Paul J. Heath
{"title":"Health and education expenditure in the United Kingdom: What priority?","authors":"Donald P. Forster, Brian J. Francis, C.E. Brian Frost, Paul J. Heath","doi":"10.1016/0165-2281(81)90006-0","DOIUrl":"10.1016/0165-2281(81)90006-0","url":null,"abstract":"<div><p>Public expenditure on goods and services per head of population on the National Health Service (NHS) in the United Kingdom has risen less rapidly than some other forms of public expenditure such as education. Revenue expenditure at 1970 market prices on goods and services in the NHS per head of population rose by 38% during the period 1951 to 1968. During the same time interval, expenditure at 1970 market prices on goods and services in education per head of population rose by 84%. Health, as measured by standardised mortality ratios (SMRs), improved over a similar period. This paper argues that, in the long term, the priority given to education expenditure may not necessarily be detrimental to further improvements in community health.</p></div>","PeriodicalId":79937,"journal":{"name":"Health policy and education","volume":"2 1","pages":"Pages 77-84"},"PeriodicalIF":0.0,"publicationDate":"1981-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0165-2281(81)90006-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21179217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of financial incentives on physicians' specialty and location decisions","authors":"Mary A. Fruen , Jack Hadley, Samuel P. Korper","doi":"10.1016/S0165-2281(80)80019-1","DOIUrl":"10.1016/S0165-2281(80)80019-1","url":null,"abstract":"<div><p>Available information is reviewed on the effects of financial incentives on physicians' specialty and location decisions. Income of physicians varies by specialty and geographic area, but evidence is limited on the effects of these differences on career decisions. Only two studies have been done on the relationship of income to specialty choice. These studies showed that the impact of income on specialty choice, if any, is weak. Studies on the relationship of both reimbursement levels and income to physician location choice generally concluded that there is a small, positive correlation between these financial factors and physician density. Thus, increasing physicians' income appears to be viable public policy for attracting physicians to underserved areas. Though rough estimates are calculated of the cost of attracting additional physicians, based on studies reviewed, conclusions on costs of incentive programs are premature.</p></div>","PeriodicalId":79937,"journal":{"name":"Health policy and education","volume":"1 2","pages":"Pages 143-159"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0165-2281(80)80019-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21117434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The participation of the united states government in providing financial support for medical education","authors":"John O. Lostetter, John E. Chapman","doi":"10.1016/S0165-2281(79)80004-1","DOIUrl":"10.1016/S0165-2281(79)80004-1","url":null,"abstract":"<div><p>This paper examines the different issues and topics related to the support of medical education with specific emphasis on federal support. The importance of such an analysis lies in the fact that the current legislation, the Health Professions Educational Assistance Act of 1976 (P.L. 94-484), expires on September 30, 1980. Preparations for new legislation are currently under way. Therefore, discussions, such as those presented in this paper, are appropriate and should be part of the current literature with the hope of generating ideas from potential readers.</p><p>Education, as developed in the US, has been strongly viewed throughout history as a public right (an inherent individual right) which produces public benefits. A discussion of this issue is presented along with an historical analysis of federal support for higher education, including medical education. The purpose is to establish the case that federal involvement (investment) has been and is at such a level that discontinued support could not be absorbed at the local or state level. Conditions and restrictions of federal support are also included in this section.</p><p>Another section of the paper discusses the financial structure (sources of support, costs) found in most medical schools with an emphasis on the need for federal support both in terms of the amount and type of aid desired. The major points stressed are related to preserving institutional autonomy, diversity, and integrity and maintaining equality of educational opportunity. Alternative sources and types of financial support are discussed. The paper concludes with a summary of major points leading to the authors' position of continuing, unrestricted federal support for medical education on an institutional basis.</p></div>","PeriodicalId":79937,"journal":{"name":"Health policy and education","volume":"1 1","pages":"Pages 27-65"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0165-2281(79)80004-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21169142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Whither public health?","authors":"Howard S. Berliner","doi":"10.1016/S0165-2281(80)80021-X","DOIUrl":"10.1016/S0165-2281(80)80021-X","url":null,"abstract":"<div><p>This paper examines the future of Schools of Public Health in the United States. The history of Schools of Public Health is developed by tracing the history of the philanthropies which supported scientific medicine and public health in the early decades of the twentieth century. The role of the theory of disease in shifting the focus of public health from the community to the laboratory is explored.</p><p>This paper argues that Schools of Public Health have lost their legitimacy and no longer have any content area or discipline for which they alone are responsible. The declining public image of public health is explored in light of the recent swine flu and legionnaire disease episodes.</p><p>The current tendencies of Schools of Public Health as miniature business schools or as departments of medical schools are explored and criticized and a revitalized curriculum for Schools of Public Health is posited.</p></div>","PeriodicalId":79937,"journal":{"name":"Health policy and education","volume":"1 2","pages":"Pages 177-186"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0165-2281(80)80021-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21169745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abdullah Basalamah, Edwin Rossinski, Henry Schumacher
{"title":"Medical education at king abdulaziz university","authors":"Abdullah Basalamah, Edwin Rossinski, Henry Schumacher","doi":"10.1016/S0165-2281(79)80007-7","DOIUrl":"10.1016/S0165-2281(79)80007-7","url":null,"abstract":"<div><p>In developing the medical school at King Abdulaziz University in Jeddah, Saudi Arabia, a considerable amount of planning took place to design a curriculum which would be responsive to the health needs of the Kingdom as well as producing graduates to assume leadership roles in medical education, medical practice, and medical research. The curriculum which was finally developed is a post-secondary, seven-year program. The outstanding features include general overall and specific behavioral objectives: a core curriculum which is required of all students enrolled in the health professions; early orientation to the health professions so that a health team attitude can be developed; and the behavioral sciences and human biology introduced at an early stage. Islamic studies deal with a variety of issues related to Islamic life and electives are available in the first year of the program. Introduction to clerkships is an activity that prepares students for greater responsibility for patients. Students are evaluated constantly during their academic progression and a bachelor of science degree is awarded after completion of four years. To proceed further in the medical curriculum, a student must successfully complete a comprehensive examination. A variety of clinical settings will be used and a medical degree awarded upon completion of the curriculum. A teacher development program to strengthen teaching competence will be available.</p></div>","PeriodicalId":79937,"journal":{"name":"Health policy and education","volume":"1 1","pages":"Pages 107-116"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0165-2281(79)80007-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21114979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assuring professional competence in medicine: Expectations of the public","authors":"Melvin A. Glasser","doi":"10.1016/S0165-2281(80)80022-1","DOIUrl":"10.1016/S0165-2281(80)80022-1","url":null,"abstract":"<div><p>A trend toward increased public involvement in assuring professional competence in medicine has resulted as an outgrowth of the consumer movement, the public disenchantment with many traditional institutions, including professions, and broad social acceptance of the concept of health care as a basic human right. Expectations of consumers and the public include a broader definition of professional competence which includes caring and ability to communicate as aspects of curing. Knowledgeable consumers are concerned that inadequate safeguards exist to preclude physicians from practicing beyond their scope of competence and to assure continued competence of a physician over time. While assuring competence is the responsibility of the medical profession, it serves a public function and must be held accountable to public and consumer interests. Consumers should be involved more directly in the process. They can bring valuable judgment to the human questions relating to competence. They can bring a more holistic and humanitarian view to the process. Involvement of consumers, particularly in relation to hearing grievances, would serve to increase public confidence in certifying institutions. They can help assure that public, not merely professional, interests are served. To assure that consumer representation makes a significant contribution, consumer members of certifying bodies should be provided with adequate orientation, continued training and direct staff assistance to aid in understanding technical issues and evaluating technical recommendations.</p></div>","PeriodicalId":79937,"journal":{"name":"Health policy and education","volume":"1 2","pages":"Pages 187-195"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0165-2281(80)80022-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21117436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Influences of a future corporate health system on medical education","authors":"J. Warren Salmon","doi":"10.1016/S0165-2281(80)80010-5","DOIUrl":"10.1016/S0165-2281(80)80010-5","url":null,"abstract":"<div><p>Corporate attention to problems in health care delivery has grown over the last decade. As this focus by the “purchasers” of medical care increases business and industry influence on health policy decisions, significant changes may come about in the delivery system, and eventually in medical education. Whether the evolving corporate design for health care best serves consumer interests is less clear than how the medical profession and medical educators will fare in the next twenty years.</p></div>","PeriodicalId":79937,"journal":{"name":"Health policy and education","volume":"1 4","pages":"Pages 337-344"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0165-2281(80)80010-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21119031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cost containment: Is it unjustly cutting therapeutic mental health services? The plight of neighborhood organizations","authors":"Allen D. Spiegel","doi":"10.1016/S0165-2281(80)80004-X","DOIUrl":"10.1016/S0165-2281(80)80004-X","url":null,"abstract":"<div><p>A national emphasis on cost containment has resulted in the reduction of a host of activities at settlement houses and community centers that were formerly funded by mental health agencies. It is contended that this is penny wise and pound foolish because the neighborhood organizations provide preventive and therapeutic services. A rationale is developed to support this contention with an eleven point chart showing settlement-mental health links, a discussion of the urban condition and population disturbances, a foundation of medical and social models that support the value of settlement house activities, a review of current community mental health concepts that echo the goals of neighborhood organizations and a discussion of the roles of settlements in mental health programs.</p><p>It is concluded that strong evidence exists to support the continued funding of the preventive and therapeutic mental health activities of neighborhood organizations such as settlement houses and community centers.</p></div>","PeriodicalId":79937,"journal":{"name":"Health policy and education","volume":"1 3","pages":"Pages 255-269"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0165-2281(80)80004-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21120106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}