Interviews with 56 practice nurses, 29 general practitioners (GPs), 23 health administrators, and 1 government official revealed that nurses use a variety of education and training opportunities; GPs largely let nurses take responsibility for their continuing education. The informal nature of training opportunities and lack of funding were…

The author argues that the importance of primary health care, with emphasis on preventive aspects of care, requires a socioeconomic and health survey of each community and that the nurse-epidemiologist would be the most effective compiler of such surveys. (MF) Baganda in Uganda was interviewed concerning perceptions of loneliness and social…

Changes in British social policy regarding community health care has implications for local education agency (LEA) providers of adult continuing education. LEAs will either have a role in providing staff training and other learning opportunities, will be forced to provide cheaper forms of community care, or will be ignored altogether. (SK)

Results indicate that costs of the rehabilitation center can be counted in dollars saved by keeping the patient at home instead of in the hospital. Treatment effectiveness, social improvement of patients, and benefits to family and friends cannot be counted in monetary terms. (JAC)

Some of the clinical, social, and administrative issues raised by the Department of Health and Social Security's (DHSS) policy for developing a community psychiatric service are discussed. Questions and answers about policy implementation are also covered, as well as evaluative research findings that bear upon relevant aspects of community…

Need exists for an integrated community health system comprised of a unit within the health care delivery system concentrating on behavioral change and coordinating educational influences on the individual, and a second educational unit providing necessary health knowledge and debating and analyzing the whole system of health care provision. (MB)

Characteristics of the target population, services, and potential source of helpers are determining factors in the cost effectiveness of home health services. Welfare of patients in the experimental group was improved, and lower probability of residential care helped keep costs down. (JAC)

Older adults are generally satisfied with moving to the seaside, and are motivated by a more congenial physical environment and social advantages of living with retirees with similar interests. Unfortunately social and health services have not kept up with the demand. (JAC)

A project examined the changing educational needs of community nurses in Britain with regard to needs assessment and quality of care in the context of the National Health Service and Community Care Act 1990. Phase 1 clarified the term "needs assessment" through focus group discussions. Phase 2 used observations and interviews to examine…

A series of five case studies examines (1) literacy, health, and conscientization in the Mandar region of India; (2) the training of community health workers in Indonesia; (3) the Chinese strategy combining health, political will, and participation; (4) British community-based health education programs, and (5) participatory methodology for…

In most countries, it is the state that has been taking over the support of universities and of teaching hospitals, a trend that has accelerated rapidly over the past 25 years to meet the expanding needs of higher education and of health care. In medicine the problem of university autonomy is further complicated by the long-standing custom that…