This book is a brilliant blend of health policy and nursing practice. It identifies the forces that have dominated change in the national health systems of industrialised countries - the shift of priorities from hospital to ambulatory care, the vast expansion in modern technology, the rise in expenditures and efforts at cost-containment, the renewed emphasis on disease prevention and health promotion. At the same time, this book brings to life the impact of these forces and the actual practice of nursing, demonstrating how 'technology' and 'caring' can be harmonised. It shows through international case studies ways for nurses to maximise their contribution to patient care and to contribute to the improved effectiveness of national health systems.' Milton I Roemer, in the Foreword

Electronic communications are already revolutionizing the delivery of health care in homes and communities. The medium will have increasing impact on the delivery of health care in response to the pressure to use limited resources cost-effectively. To date much of telematics in health care has focused on hospital-based bio-medicine. In this book a case is made for reorientation of telematic activity towards the use of "low tech" (social) technologies supported by "Health for All" philosophies. This book uses several case studies of pilot schemes to illustrate how the models can be applied in a variety of settings. Experience of telematics in America, Canada, Germany, Italy, The Netherlands, Portugal and Wales is shared for an international readership of innovators in health care management.