Letters from Abroad

Trends of the journal: letters, reviews, abstracts, and manuscripts from abroad

Home truths from abroad.

I recently paid a visit to Brown University in Providence, Rhode Island. My aim was to exchange ideas about postgraduate training with the medical teachers there. Brown is one of America’s leading universities, and I saw a great deal that challenged my preconceptions about medicine in the USA, and also made me question some of our working practices in the UK. Most of my time was spent observing...

A View from Abroad

In a number of ways, the United ingdom’s National Health Service NHS) is a unique experiment, springng from the fusion at the end of World ar II of a number of synergistic eleents: a powerful desire for social hange; a determination on the part of he populace not to repeat the experince of the broken promises after orld War I; the presence on the table n 1945 of a plan for social service reorm,...

Quality legislation: lessons for Ontario from abroad.

While the Excellent Care for All Act, 2010 (ECFA Act) provides a comprehensive approach to stimulating quality improvement in healthcare, there are other examples of legislations articulating strategies aimed at the same goal but proposing different approaches. This paper reviews quality of care legislations in the Netherlands, the United States, England and Australia, compares those pieces of ...

Physician Payment Reform : Lessons From Abroad