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PubMed1983

[Training of personnel for the goal of health for all in the year 2000 and primary care strategy: a methodologic proposal].

As a result of health-related resolutions at world and regional level, the training of personnel to implement health activities has become a major factor in meeting the commitments assumed by the countries. The authors describe an alternative training methodology, beginning with an analysis of the problems to be addressed and setting forth some fundamental factors and basic premises to be considered as a prior step in the planning and execution of training activities. The need to fit the training to the particular functions and characteristics of the various staff levels is stressed, with special emphasis on the desirability of building the training around actual jobs and adapting it to the specific nature and characteristics of service in the national context of each country. It is important that this training be perceived as a continuous, ongoing process. With this in view, the authors suggest a number of ways of furthering the training of adults involved in the process, using these approaches as alternatives to the traditional modes, which are based on courses and seminars with a predetermined duration and accordingly create the impression that the education ends when the required number of hours and activities in the course have been completed. The ideas and opinions expressed in this article are validated at the end by a preliminary report on an experiment begun by the Community Health Training Program of Central America and Panama (PASCCAP), a joint activity of the Ministries of Health of the six area countries, that serves as a training facility of the Pan American Health Organization. Subsequent phases of the process will be the subject of later reports.

Curriculum↗
PubMed1978

Foreseeable trends in health care delivery.

"These trends represent the obvious call from society for health change: enlarged access to the system; reduction in the rate of rise in cost; equity in care; and increased quality in care. All of these elements except the cost objective requires not lessened but additional and redistributed resources. If this is pleasing, exert influence to reinforce the trends toward it. If not, speak now to modify the otherwise inevitable."

Costs and Cost Analysis↗
PubMed1980

Some positive benefits that could arise from an 'over-supply' of doctors in Australia.

This paper proposes that five main advantages can flow from an increase in the number of doctors in Australia. These advantages relate to: (1) improvements in the quality of clinical medical care; (2) a renewed emphasis on preventive medical care; (3) a more equitable, need-related distribution of doctors; (4) the ability of doctors to participate in regular professional up-grading programmes; and, (5) an increased capacity to participate in aid programmes within the South-East Asia region. It is argued that these positive factors should also be taken account of, along with the negative consequences, of an increase in the number of doctors in Australia.

Australia↗