OBJECTIVE To analyze work organization in psychosocial healthcare services from the logic of the service management field. METHODS Organizational analysis was performed, using a case study in a psychosocial healthcare service located in the city of São Paulo, Southeastern Brazil, between 2006 and 2007. A total of five sources of information were analyzed: Ministério da Saúde (Brazilian Minist...

The Island County Environmental Health Initiative (ICEHI) is a demonstration project in the use of the Protocol for Assessing Community Excellence in Environmental Health (PACE EH) to build capacity in the 10 essential services of environmental health. The PACE EH methodology systematically applies the 10 essential services of environmental health through the completion of 13 tasks derived from...

the most important mission of hospitals is to provide appropriate and high quality care for patients. different methods and models have been used to assess the quality of care. one conventional model used recently in many countries is the accreditation model which has been efficient in developing structural, process, and outcome standards. accreditation is a systematic process carried out based...

introduction: recently, the accreditation program has been used increasingly by an emphasis on patient safety. in iran, efforts have been made to establish the accreditation program. in 2011, it replaced previous standards of traditional evaluation system. as the impact of accreditation plan need internal self assessment against minimal standards, this study aimed to survey the readiness of sel...

Chemical mixtures and multiple routes of exposure are frequently difficult problems for exposure and risk assessors. Chemicals can interact synergistically or antagonistically at a variety of physiologic and biochemical loci within target cells. Many of these interactions can be accounted for with a thorough understanding of the pharmacokinetics of the compounds in the mixture. Many pharmacokin...

Background: The importance of assessing student learning outcomes has demanded attention from most everyone involved in the higher education enterprise, as accreditation and funding implications are often linked to the results. Faculty, however, are often critical of the assessment process because outcomes assessment is costly with regard to time, energy and other resources, and evidence of its...

The authors describe the development of the undergraduate medical curriculum at Universidad Peruana Cayetano Heredia, especially over the last 15 years, when they led the Curriculum Committee. They describe the principles that have guided the curriculum development process up to this day; how the competency outcomes were designed and evolved as well as the main influences on the process; how th...

The importance of reliable exposure assessment, as a key component of the overall risk assessment process, has been well described for some considerable time. Yet, despite this widely accepted tenet, many studies conclude significant adverse health effects, with associated public policy implications, in the absence of adequate or, in some cases, even rudimentary, exposure quantification. Moreov...

Risk assessment differs from other medical interventions in that the welfare of the patient is not the immediate object of the intervention. However, improving the risk assessment process may reduce the chance of risk assessment itself being unjust. We explore the ethical arguments in relation to risk assessment as a medical intervention, drawing analogies, where applicable, with ethical argume...

We describe the formative assessment process, using an approach based on social learning theory, for the development of a school-based obesity-prevention intervention into which cultural perspectives are integrated. The feasibility phase of the Pathways study was conducted in multiple settings in 6 American Indian nations. The Pathways formative assessment collected both qualitative and quantit...