Healthcare systems in many developing countries do not have enough healthcare providers or healthcare facilities to service their populations. In recent times, nations and groups are setting up health insurance programmes as one way of addressing the myriad of problems that confront healthcare delivery. Develtere et al., discussed the role of mutual health insurance in helping address the situa...

Recent proposals for re-defining the roles Africa's health workforce are a continuation of the discussions that have been held since colonial times. The proposals have centred on basing the continent's healthcare delivery on non-physician clinicians (NPCs) who can be quickly trained and widely distributed to treat majority of the common diseases. Whilst seemingly logical, the success of these p...

As states across the country seek new strategies to improve the coordination of physical and behavioral health services for high-need, high-cost Medicaid populations, there is an emerging array of options for doing so. In determining which integration model to pursue, states can either leverage existing capacity or pursue new care delivery systems to support fully integrated, patient-centered c...

A Whole Person Care model was developed by The New England School of Whole Health Education following a 2-year pilot study that demonstrated the transformational effects of whole health education. This holistic model of health education and behavioral interaction provides a tool for nurses, physicians, and staff to redirect the momentum of care toward in-the-moment, relationship-centered whole ...

The migration of nursing professionals from developing countries such as Zimbabwe to industrialised countries is taking place at an alarming rate, with little signs of slowing down. In Africa, nurses form the backbone of the healthcare delivery system and their migration has a huge negative impact on health service provision. Drawing on evidence from selected health institutions, the paper show...

Continuous change in complex healthcare environments is a challenge for nurse leaders, but it can also be a boon. Change can leverage the introduction of innovations that improve the quality of care delivery. It all depends on how change is managed. The author describes major leadership strategies and tools to effectively manage change, particularly innovative changes that result in better outc...

rent insights on functional sensitivity is not so much whether the 15%, 20%, or 30% interassay CV should have been chosen, but rather concerns the necessity for manufacturers and laboratories to use the same clinically relevant protocol for establishing interassay precision when comparing assays [3]. Further, because functional sensitivity varies across laboratories that are using the same manu...

T here is growing recognition among investigators, funding agencies, and other constituencies that the clinical trial enterprise in the United States is not keeping pace with our health system's need for more and better information to guide clinical decision making. 1 The need for better information is largely driven by the rapid pace of discovery in biology, technology, and health services del...

As states' Medicaid programs continue to evolve from traditional fee-for-service to value-based health care delivery, there is growing recognition that systemwide multipayer approaches provide the market power needed to address the triple aim of improved patient care, improved health of populations, and reduced costs. Federal initiatives, such as the State Innovation Model grant program, make s...

BACKGROUND Tuberculosis (TB) notification in India by the Revised National TB Control Programme (RNTCP) provides information on TB patients registered for treatment from the programme. There is limited information about the proportion of patients treated for TB outside RNTCP and where these patients access their treatment. OBJECTIVES To estimate the proportion of patients accessing TB treatme...