AIM To measure the accessibility to healtcare services in order to reveal their quality and to improve the overall coverage, continuity and other features. MATERIAL AND METHODS We used the software ESRI Arc GIS 9.3, the Network Analyst function and data provided by Ambulance Service of Iasi (A.S.I.) with emergencies statistics for the first four months of 2012, processed by Microsoft Office E...

BACKGROUND As individuals age, they are more likely to experience increasing frailty and more frequent use of hospital services. First, we explored whether initiating home-based primary care in a frail homebound cohort, influenced hospital use. Second, we explored whether initiating regular home care support for personal care with usual primary care, in a second somewhat less frail cohort, infl...

BACKGROUND Health services across the world increasingly face pressures on the use of expensive hospital services. Better organisation and delivery of primary care has the potential to manage demand and reduce costs for hospital services, but routine primary care services are not open during evenings and weekends. Extended access (evening and weekend opening) is hypothesized to reduce pressure ...

OBJECTIVE The aim of this study was to determine the incidence and clinical characteristics of asthma exacerbations seen by emergency services in Barcelona, Spain (the ASMAB-I study). PATIENTS AND METHODS The emergency services considered in the study served a population of 1 203 598 inhabitants aged over 14 years. Episodes treated in hospital emergency departments and by emergency services c...

Objectives. To examine the utilisation pattern of accident and emergency services and to study the possible impact of a user-fee policy on non-emergency attendances in Hong Kong. Design. Retrospective study. Methods. Four different scenarios are postulated to examine the impact on the number of accident and emergency attendances of a user-fee policy from 2000 to 2029. Patient volume data of acc...

OBJECTIVE The purpose of this study was to analyze patterns of mental health-related service utilization before and after hospitalization for attempting suicide. METHODS This retrospective cohort study included all persons 15 years or older with a clinical diagnosis of schizophrenia (N=195) or depression (N=330) hospitalized in Montreal, Quebec, from April 2003 to December 2004 for attempting...

background and objectives: many iranian public hospitals are faced with serious financial challenges such as shortage of income and heavy debts. nevertheless, many of the healthcare services are often remained unearned for not being included in the clinical records or patient bill, resulting in considerable loss of legitimate hospital in­come. given the limited studies in this area in iran, the...

objective: to assess the availability of trauma care services in a district referral hospital of southern india. methods: this was a cross-sectional study being performed during 2013 in a tertiary healthcare centre in southern indian. a detailed assessment of trauma care services was done in a 400 bed speciality hospital which is an apex referral hospital in the public health system using a che...