The paper presents components of a study (n = 929) that was designed to examine, at one specific point in time, the hospital experience of the patient and the patient's corresponding recovery at home. Variables that captured the hospitalization and recovery experience relate to the degree of patient involvement in decisions about their treatment and discharge plans. Levels of health and recovery-related information reported by patients and their level of confidence in ability to resume regular activities once home were also measured. In general, individuals reported what many would consider having received less than optimal levels of information about their illness and recovery at home. Many patients also reported that they neither participated, nor were consulted on their needs or perceptions during their hospitalization. Expectations were that problems that patients might experience once home would have their origins in problems from within the community. However, the community resources were found to be less implicated and hospital resources more so. This suggests the importance of examining institutional issues even when one is focusing on the delivery of community services.

The world is aging. The United Nations' has estimated an increase in those 65 years of age and older in the world from 6 percent of the total population in 1985 to 9.7 percent of the population by the year 2025. The growth in the elderly population is most significant among the oldest of the old. While the incidence of Alzheimer's disease (AD) is related to advanced age (as are other forms of dementia), it can be concluded that the aging of the world will result in an increase in the worldwide number of AD patients. For example, in the United States presently there are in excess of 2.5 million persons with AD and 100,000 AD patients are dying on a yearly basis-it is the fourth leading cause of death in the United States for the elderly, following heart disease, cancer, and stroke.2 Holmes et al project that the number of AD victims in the United States will increase to over 14 million persons by the year 2050.3 It has been estimated that one-third of all American families have at least one parent who has AD.4

English This study describes marital violence committed against wives working in the academic sector in Medan, Indonesia. Male dominance favoured by the patriarchal culture has in.uenced the responses of women. The violence documented is comparable with that experienced by women in other countries. The study also suggests that marital violence is found across socio-economic groups. French Cette étude décrit la violence conjugale subite par des femmes travaillant dans les secteurs académiques à Medan en Indonésie. La dominance masculine favorisé e par des valeurs sociales patriarcales a influencéles réponses des femmes. La violence documentée est comparable à celle éprouvée par des femmes dans d'autres pays. L'étude fournit des preuves que la violence conjugale se produit à travers les strates socio-économiques. Spanish Este estudio describe la violencia doméstica experimentada por mujeres trabajadoras en sectores académicos de Medan, Indonesia. Los valores sociales patriarcales han promovido la dominació n masculina y han tenido influencia en las respuestas de estas mujeres. Los abusos reportados fueron comparables con los experimentados por mujeres de otros países y ofrecen evidencia de que la violencia conyugal tiene lugar en diferentes estratos socio econó micos y niveles educativos.

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