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Pronatalist experience in Europe.

Pronatalist programs and their effects in Europe are reviewed from the 1930s to the present, with individual attention given to France, West Germany, and Romania. The author finds that "where there are low levels of fertility, pronatalist incentives result primarily in accelerating the birth of the second child to an earlier time, especially among younger couples. Average completed family size tends to change little, with usually only a slight increase in the proportion of women giving birth to a third child."

Birth Intervals↗

Immigration and ageing.

"This paper aims to provide an overview of immigration and ageing, and to highlight some implications of the numbers and characteristics of the immigrant elderly for the development of policies for aged care [in Australia]. Particular attention is given to the issues of demographic ageing, family support and institutionalisation." The author uses data from recent official and other published sources to examine the elderly immigrant population by birthplace and racial origin, sex, proportion institutionalized, and proportion handicapped. It is found that "insufficient recognition of the widespread lack of fluency in English among the ethnic minority aged is the greatest obstacle to achieving adequate provision for their needs."

Adult↗

[The role of regional research laboratories of the local government in administering regional EQA programs].

In 1981, the Japanese Ministry of Health and Welfare revised the enforcement of regulations of the Medical Technologists' Act. The amendments stipulate that all independent laboratories are legally obliged to introduce laboratory quality assurance programs and are responsible for the quality of all test results. To ensure adherence to these regulations, regional research laboratories of local governments such as the Tokyo Metropolitan Research Laboratory of Public Health should conduct regional external quality assessment (EQA) programs. We did a survey, in the form of a questionnaire, of the regional research laboratories of public health across the country. We found that commitment to the regional EQA in almost all of these public laboratories is insufficient. The main problem is that restructuring of local governments has resulted in lower budgets and so they are short of human resources. Nationwide EQA programs are only able to detect gross errors and use invalid methods for evaluating routine performance. We conclude that the regional EQA should be further developed.

Japan↗