The ability to think in terms of a system is critical to achieving common direction, alignment, and commitment in highly distributed health systems. In Canada, provincial and territorial ministries of health provide leadership on the direction of health reform while leadership to align system levels is determined by a far more distributed group of…

Results of a survey of residential adult education in the Province of Quebec are presented in this report. The existence of widespread financial difficulties is documented, together with a frequent lack of adequate community services and suitable facilities. Chapter I reviews the need of nonprofit groups for residential facilities and indicates…

A Quad Cities Centre has been proposed for regional adult education in the area of Galt, Guelph, Kitchener, and Waterloo in southwestern Ontario. Conestoga College of Applied Arts and Technology, the Universities of Guelph and Waterloo, and Waterloo Lutheran University would begin by appointing a steering committee for proposing an executive…