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This comprehensive resource illuminates the past, present, and future of generalist medicine. Generalist Medicine and U.S. Health Policy contains new contributions from preeminent authorities and a selection of groundbreaking articles and reports from the past forty years. Generalist Medicine and U.S. Health Policy covers a broad range of topics that · Examines the current challenges of primary care and generalist medicine · Offers a chronological history of the growth of generalist medicine since the 1950s · Reviews the models of care on which generalist medicine is based · Analyzes the growth of three disciplines3⁄4general internists, family physicians, and pediatricians · Looks at the supply and distribution of generalist physicians · Discusses the education and training of generalist physicians · Reports on the cost and quality of the care provided by generalist versus specialists
GENDER & DECENTRALISATION Gender and Decentralization in Nigeria is a product of two years’ research sponsored by the Gender Unit of the International Development Research Centre (IDRC), Canada, as part of its Gender and Decentralization Program for sub-Saharan Africa. The overall objective of the program was to document and analyze specific state decentralization reforms that have worked to promote women’s rights, and/or reforms that have created barriers to the protection and realization of these rights. At the core of the Nigerian project were women’s representation and political effectiveness in local administration. The issues transcended the usual structural analysis of the political, administrative and fiscal changes associated with decentralization and a breakdown by gender. Given the centrality of equity and accountability issues in current good governance debates, a feminist perspective on voice and action was inserted into the traditional public administration perspective. Going beyond numbers, description of gender inequitable electioneering processes, poor accountability of the state, of political parties and the women’s constituency, the book also focusses on feminist political activism at the grassroots level. The authors also document the potential impact of re-politicizing civil society, and restructuring of gender ideologies to achieve self determination and increase women representation and political effectiveness.
Results are presented of a study of nursing and nursing education that focused on the need for continued federal support of nursing education, ways to attract nurses to medically underserved areas, and approaches to encourage nurses to stay in the profession. Findings are presented on whether the aggregate supply of generalist nurses will be sufficient to meet future demand, and how changes that could occur in the health care system might affect demand. Attention is also directed to: how the current and future supply of nurses may be influenced by the costs of nursing education and the sources of education financing; and education for generalist positions in nursing. In addition, the supply and demand situation for nurses educationally prepared for advanced professional positions in nursing is examined. The influence of employer policies and practices in utilization of nursing resources on demand and supply is also addressed. Finally, areas in which further data and studies are needed to better monitor nursing supply and demand are identified. In addition to 21 recommendations, appendices include information on Nursing Training Act appropriations, state reports on nursing issues, certificates for specialist registered nurses, projections of registered nurse supply and requirements, and doctoral programs in nursing. (SW)
The sixth edition of this annual collection of the year's best work in policy studies. Contributions in this volume reflect the increased emphasis on budget conscious and carefully targeted social programmes. Exemplifying a range of analytic and methodological strategies, this edition features studies from Australia, the United States, West Germany, and Great Britain.