Title VI of the 1964 Civil Rights Act prohibits discriminatory conduct by recipients of federal financial assistance. The law has been used in the past to challenge discrimination in health care. The evolution of the health care system from fee-for-service to managed care holds much promise for minority persons, who historically have faced serious, extensively documented barriers to health care...

The transition and transfer from pediatrics to adult health care of youth with and without special health care needs has become a focus of professional organizations, health care insurers, national policy makers, and providers. To understand transition and transfer at a primary care practice level, all primary care pediatricians in Rhode Island were surveyed. Responses were received from 103 of...

background: according to the important role of health care apprentice program on medical students’ performance, especially in relation with social accountability of medical education, it is attempted to assess efficacy of health care apprentice program on the level of medical students’ knowledge and skills in the context of primary health care at babol university of medial sciences    methods: ...

abstract background: despite the scientific and medical advances for management of complicated health issues, the current maternity care setting has increased risks for healthy women and their babies. the aim of this study was to conduct an overview of published systematic reviews on the interventions used most commonly for management of normal labor and delivery in the first stage of labor. ma...

BACKGROUND Millions of people who need treatment for substance use disorders (SUD) do not receive it. Evidence-based practices for treating SUD exist, and some are appropriate for delivery outside of specialty care settings. Primary care is an opportune setting in which to deliver SUD treatment because many individuals see their primary care providers at least once a year. Further, the Patient ...

of health care practices that are not integrated into its dominant health care system [1] . Complementary and Alternative Medicine (CAM) is attracting more and more attention within the context of health care provision and health sector reform. Practicing CAM is not free of contradictory views and reaction ranged from enthusiasm to skepticism. Use of CAM remains widespread in developing countri...

Introdouction: Oral and dental health is viewed as one of the most important domains of public health, which is of over riding importance among mothers who, with regard to their role in maintaining their health and their children’s health, are considered one of the vulnerable groups. Materials and Methods: This is a cross-sectional study in which 110 pregnant mothers referring to 15 He...

BACKGROUND Despite decades of efforts to improve quality of health care, poor performance persists in many aspects of care. Less than 1% of the enormous national investment in medical research is focused on improving health care delivery. Furthermore, when effective innovations in clinical care are discovered, uptake of these innovations is often delayed and incomplete. In this paper, we build ...

BACKGROUND People with intellectual disabilities (ID) have many comorbidities but experience inequities in access to health care. National Health Service England uses an opt-in incentive scheme to encourage annual health checks of patients with ID in primary care. We investigated whether the first 3 years of the programme had improved health care of people with ID. METHODS We did a longitudin...

OBJECTIVE To compare health care utilization and payments between NCQA-recognized patient-centered medical home (PCMH) practices and practices without such recognition. DATA SOURCES Medicare Part A and B claims files from July 1, 2007 to June 30, 2010, 2009 Census, 2007 Health Resources and Services Administration and CMS Utilization file, Medicare's Enrollment Data Base, and the 2005 America...