This paper explores the impact of rapid work changes on the psychological well-being of hospital staff and examines predictors of later psychological distress. A 21% random sample of employees were surveyed in 1995 and in 1997 about their emotional functioning, coping resources, job...

This paper explores the emergence, evolution and dominance of four predominant mean-ings of the concept of medical necessity that have been used in past and current health policy debates about the appropriate level of service coverage under Canada’s health insurance pro-gram. Data for this...