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Biomedical subjects

W Farrant

Publications and source records attributed to W Farrant.

7 recordsLinked to original sources

Addressing the contradictions: health promotion and community health action in the United Kingdom.

Within mainstream health education/promotion in the United Kingdom, the last few years have witnessed an upsurge of interest in community development, sometimes coupled with an undermining of the fundamental principles of this approach. This article addresses some of the contradictions and dilemmas that this development has presented for the community health movement. Current trends in health promotion policy and practice are examined in relation to broader health and welfare policy of the 1980s, the history of community development in health, and the background to the World Health Organization's "Health for All by the Year 2000" and health promotion initiatives. The possibilities and limitations of utilizing the rhetoric, to support community health action, are explored with reference to recent attempts by the community health movement to "reclaim" Health for All.

Community Health Services↗

Medical student projects in practical health promotion.

This paper describes a programme of projects on health promotion policy carried out by students of St Mary's Hospital Medical School as part of the community medicine course. The programme of work draws together three themes which have recurred in recommendations on the future of medical education: the need to locate health within its social and economic context, the importance of training doctors in health promotion, and the educational value of project work. From a practical service perspective, the information gained thereby has been extremely valuable in assisting the development, implementation and monitoring of local health promotion policies.

Community Health Services↗

Attitudes of Ugandan medical students toward 'straight' and 'modified' ECT.

In Third World countries, limited resources of anaesthetists and resuscitation facilities mean that electroconvulsive therapy (ECT) is usually given 'straight' (i.e. without anaesthetic and muscle relaxant). This study compared the attitudes of Ugandan medical students towards ECT given straight and ECT administered with muscle relaxant and general anaesthesia (i.e. 'modified' ECT). Results confirmed the clinical impression that students regarded straight ECT as an inhumane method of treatment. However, whilst this was a major factor influencing students' preference for modified ECT as a treatment for themselves or for a close friend, it was relatively unimportant in determining their choice of ECT technique for a patient. Convenience of administration was the main criterion applied by students when deciding whether they would prefer to administer straight or modified ECT to a patient. Implications for medical education and the development of professional attitudes are discussed.

Attitude of Health Personnel↗

Service models in community-based health: some findings from a literature review.

The findings from a review of the literature on community-based health services in Canada in 1991 indicate that two systems of health care exist side by side: the clinical care of the sick and the supportive care of those seeking to keep well. Organizational models of clinical care have not altered much since the introduction of health insurance. The medical profession has been resistant to changing traditional forms of practice organization from fee-for-service businesses treating individuals in isolation to components of an integrated comprehensive health care system. Traditional public health departments offering supportive and preventive care have been more ready to adapt to change. They are now working closely with provincial continuing-care organizers to provide home care for those who might otherwise need institutional care; however they are not closely linked with the clinical care services. More recently, public health departments have engaged in the health promotion movement to give citizens increased control over the conditions affecting their health. Yet we perceived a conflict between the rhetoric and the reality of their work.

Canada↗