OBJECTIVE To explore the use of external approaches to quality improvement in health care organizations, through a descriptive evaluation of the process and impact of external reviews of clinical governance arrangements at health care provider organizations in the National Health Service (NHS) in England. DESIGN A qualitative study, involving the use of face-to-face and telephone interviews w...

background and objectives: informal payment in the health settings is a significant challenge facing the health system, with consequences such as inequity in access to healthcare services, distrust to health care system, and dissatisfied customers. detailed identification of the nature of the problem is perquisite to developing relevant overcoming strategies. given that, this study aimed at pro...

background: the aim of the study was to compare the effects of 'face-to-face education' and 'educational movies' on  'knowledge' and 'practice' of women of child-bearing-age, in terms of health-care during pregnancy and during infancy in a suburban region near tehran city, iran.   methods: in this quasi-experimental study, the sample included 873 married women. questionnaires for knowledge and ...

OBJECTIVE to analyze the presence and extent of Primary Health Care attributes and the strength of affiliation of children under one year old in a Family Health Unit. METHOD cross-sectional, descriptive study conducted between October 25, 2010 and May 14, 2011 with 44 mothers, using the Primary Care Assessment Tool to collect data. Data were analyzed by calculating the Essential Primary Healt...

Primary care health services in the Irish Republic have undergone fundamental transformation with the establishment of multidisciplinary primary care teams nationwide. Primary care teams provide a community-based health service delivered through a range of health professionals in an integrated way. As part of this initiative ten pilot teams were established in 2003. This research was undertaken...

Across health care, teamwork is a critical element for effective patient care. Yet, numerous well-intentioned training programs may fail to achieve the desired outcomes in team performance. Hope for the improvement of teamwork in health care is provided by the success of the aviation and military communities in utilizing simulation-based training (SBT) for training and evaluating teams. This co...

BACKGROUND Adolescents' consultation of primary health care services remains problematic despite their accessibility. The reproductive health service seeking behavior of adolescents is the object of much research but little is known about how this behavior is influenced by the gatekeeping system. This study aimed to explore general practitioners' perceptions of the appropriateness of gatekeepin...

background: in regard to enhancement of efficiency and productivity of an organization in terms of teamwork, it is necessary to shift to team-centered approach for increasing confidence in health care systems. therefore it is needed to assess effect of the academic training on students' viewpoint in team working. methods: this was a cross-sectional study and was done in kurdistan universit...

BACKGROUND In 2003, the Ethiopian Ministry of Health launched the Health Extension Programme (HEP), which was intended to increase access to reproductive health care. Despite enormous effort, utilization of maternal health services remains limited, and the reasons for the low utilization of the services offered through the HEP previously have not been explored in depth.This study explores women...

Objective: Poor communication and collaboration between members of a patient’s health care team can result in medical errors and poor quality of care. The purpose of this study was to assess communication and consensus regarding patient care goals between members of the health care team (physicians, registered nurses [RNs], and patient care technicians [PCTs]) caring for the same patient on a g...