Unavailability of community doctors Unavailability of local physicians Lack of specialist doctors Unaffordable fulltime physician Local medical disinterest Unanswered need for physician
Although the incidence of cancer continues to rise, partly as a result of the ageing population, the number of consultant oncologists in the UK has remained static since 1980 -- in 1993 it was 1 specialist for every 224,000 of the population. Only Portugal comes lower in the European league, with one oncologist for 250,000. Norway has one for 69,000 and France one for 110,000. Cancer consultants in the UK each looks after around 2,000 patients, half of whom require active care, see two to three times as many patients as their colleagues overseas and are not able to devote enough time to individual patients or keep themselves informed of latest developments. Each oncologist sees an average of 560 new patients every year, in addition to existing patients; by 2000 it is expected that new referrals will average 670 a year. The recommended maximum workload is 350 new patients a year.
The Encyclopedia of World Problems and Human Potential is a collaboration between UIA and Mankind 2000, started in 1972. It is the result of an ambitious effort to collect and present information on the problems with which humanity is confronted, as well as the challenges such problems pose to concept formation, values and development strategies. Problems included are those identified in international periodicals but especially in the documents of some 60,000 international non-profit organizations, profiled in the Yearbook of International Organizations.
The Encyclopedia includes problems which such groups choose to perceive and act upon, whether or not their existence is denied by others claiming greater expertise. Indeed such claims and counter-claims figure in many of the problem descriptions in order to reflect the often paralyzing dynamics of international debate. In the light of the interdependence demonstrated among world problems in every sector, emphasis is placed on the need for approaches which are sufficiently complex to encompass the factions, conflicts and rival worldviews that undermine collective initiative towards a promising future.
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