Undocumented aliens and uncompensated care: whose responsibility?

Care of Diabetes: Whose Responsibility?

SIR,-Many of the criticisms that Dr Jules Older levels against religious fundamentalists are undoubtedly justified (17 November, p 1359). He does, however, appear to run the risk of throwing out the baby with the bath water. Excessive and often misguided zeal is a characteristic of youth, and this is often accompanied by a narrow perspective of life, which is unduly critical of the views of oth...

Well woman care: whose responsibility?

GENERAL practice primary care teams are taking more lJresponsibility for preventive medicine and there is evidence that patients welcome health promotion activities on the part of their general practitioner. ' Already, in some districts, as little as 5% of pre-school child health services are provided by clinical medical officers2 and, although opinions about this vary, there is general agreeme...

Quality in nursing home care: whose responsibility?

Long term care for elderly people in the United Kingdom is increasingly provided by nursing homes in the independent sector. Between 1983 and 1994 the number of National Health Service (NHS) continuing care beds fell from 55 600 to 37 500 and the number of nursing home beds rose from 18 200 to 148 500.' With an estimated one in four people over 85 currently receiving institutional care' and pro...

ALIENS Estimating the Cost of Their Uncompensated Hospital Case

Adaptation of health care for migrants: whose responsibility?

BACKGROUND In a context of increasing ethnic diversity, culturally competent strategies have been recommended to improve care quality and access to health care for ethnic minorities and migrants; their implementation by health professionals, however, has remained patchy. Most programs of cultural competence assume that health professionals accept that they have a responsibility to adapt to migr...