Over the course of the twentieth century, international thrusts towards better healthcare have tended towards adaptations rather than revisions of existing models. As a result, the same inequalities in distribution and access persist. Looking ahead to the nineties, Professor Stuart outlines the most likely avenues of change if efficient and effective national systems of healthcare are to be established.
Professor Stuart was the Gresham Professor of Physic between 1988 and 1992. He was Head of the Department of Medicine at the University of the West Indies, a consultant at University Hospital, Jamaica and a consultant advisor to the Wellcome Trust.