BACKGROUND The complex disease of diabetes mellitus type 2 (T2DM) requires a high standard of quality of care. Clinical practice guidelines define norms for diabetes care that ensure regular monitoring of T2DM patients, including annual diagnostic tests. This study aims to quantify guideline adherence in Dutch general practices providing care to T2DM patients and explores the association betwee...

background: preconception counseling is preventive medicine in obstetrics. preconception care creates an opportunity for examining conditions before pregnancy improving pregnancy outcome. this study was conducted with the aim of determining the adaptation rate of preconception care with the national standards at health care centers, ahvaz, 2014. methods: this descriptive study was conducted at ...

INTRODUCTION Rural areas are often underserviced health areas, lack specialty care services, and experience higher levels of asthma-related burden. A primary care, asthma-focused, performance improvement program was provided to a 6-county, rural-frontier region in Colorado to determine whether asthma care practices could be enhanced to become concordant with evidence-based asthma care guideline...

Acknowledgements The authors are indebted to the Information and Statistics Division of NHS Scotland for its cooperation in providing the data used in this study. Thanks are also due to John Cairns and Robert McMaster for helpful comments on earlier drafts of this paper. HERU is funded by the Chief Scientist Office of the Scottish Executive Health Department (SEHD). The views expressed in this ...

PURPOSE This study sought to describe features of the physical space in which practices integrating primary care and behavioral health care work and to identify the arrangements that enable integration of care. METHODS We conducted an observational study of 19 diverse practices located across the United States. Practice-level data included field notes from 2-4-day site visits, transcripts fro...

BACKGROUND In India, the Home Based Postnatal Newborn Care programme by Accredited Social Health Activists (ASHAs) under the National Rural Health Mission was initiated in 2011 to reduce neonatal mortality rates (NMRs). ASHAs get cash incentives for six postnatal home visits for newborn care. We studied newborn care practices among mothers in Mewat, Haryana, having a high NMR and determined ris...

A research nurse interviewed 55 practice staff in 11 general practices to ascertain their views about their needs for occupational health care. In a second parallel study, a specialist in occupational medicine undertook an in-depth audit of occupational health provision in five other general practices with respect to the organization, the health and safety process, the services and the working ...

INTRODUCTION Although the literature on self-medication among Latino migrant workers (LMWs) is sparse, a few existing studies indicate that this practice is common in this community. The purpose of this paper is to estimate health status, access to health care, and patterns of self-medication practices of a cohort of LMWs in South Florida. METHODS A stratified network-based sample was utilize...

For decades, lesbian sexuality was associated with pathology in the attitudes to and practices of health sciences and psychology. During the twentieth century that position changed gradually. This article analyzes these changes in a theoretical reflection on the domain of lesbian health, dominated by heteronormative and heterosexist concepts and practices both in research and in health care. By...

BACKGROUND Beneficial newborn care practices can improve newborn survival. However, little is known about the factors that affect adoption of these practices. METHODS Cross-sectional study conducted among 1,616 mothers who had delivered in the past year in two health sub-districts (Luuka and Buyende) in Eastern Uganda. Data collection took place between November and December 2011. Data were c...