[Cost effective health services in a First and Third World context]

An alarming increase in the per capita costs of curative services compels the nurse manager in both the First and Third World context to see cost-effective care as a priority. To organize a service for the benefit of the consumer, personnel should be developed in organizational strategies. The shortage of trained manpower, especially in the Third World, necessitates educational opportunities to stimulate economical growth. Utilization of personnel and job-enrichment could also contribute towards cost-effective service.