Objective. There is limited theory regarding the real-world implementation of mental health care in the primary care setting: a type of organizational coordination intervention. The purpose of this study was to develop a theory to conceptualize the potential causes of barriers and facilitators to how local sites responded to this mandated intervention to achieve coordinated mental health care. ...

OBJECTIVE To describe patient-reported access to primary health care across 4 organizational models of primary care in Ontario, and to explore how access is associated with patient, provider, and practice characteristics. DESIGN Cross-sectional survey. SETTING One hundred thirty-seven randomly selected primary care practices in Ontario using 1 of 4 delivery models (fee for service, establis...

Objectives: This study aimed to assess the components of oral health care system in some developed countries and propose a model for Iran   Methods: The present study was a qualitative, cross-sectional, and comparative research that took place in 2012. Oral health care systems in some developed countries were reviewed to propose a framework for Iran. This framework was discussed and revie...

PURPOSE Homeless individuals face unique challenges in health care. Several US initiatives seeking to advance patient-centered primary care for homeless persons are more likely to succeed if they incorporate the priorities of the patients they are to serve. However, there has been no prior research to elicit their priorities in primary care. This study sought to identify aspects of primary care...

BACKGROUND Promoting respect and dignity is a key component of providing quality care during facility-based childbirth and is becoming a critical indicator of maternal health care. Providing quality care requires essential skills and attitudes from healthcare providers, as their role is central to optimizing interventions in maternity settings. METHODS In 13 facilities in Kenya we conducted a...

In the recent debate on the role of the specialty of public health medicine" the stimulation and support of quality improvement in patient care services have received insufficient attention. The disciplines which underpin the practice of public health, particularly epidemiology, statistics, medical informatics, and the management sciences, are highly relevant to improving health care quality. P...

OBJECTIVE The purpose of this study was to assess the relationship of patients' self-reported well-being, self-management, and diabetes control with factors related to the patient's health care. RESEARCH DESIGN AND METHODS This was a cross-sectional survey of national samples of patients with diabetes (n = 5,104) from the multinational study of Diabetes Attitudes, Wishes and Needs (DAWN). Pat...

PURPOSE This article describes a strategy for rural providers, communities, and policy makers to support or establish accountable care organizations (ACOs). METHODS ACOs represent a new health care delivery and provider payment system designed to improve clinical quality and control costs. The Patient Protection and Affordable Care Act (ACA) makes contracts with ACOs a permanent option under ...

INTRODUCTION Family history of certain chronic diseases is a risk factor for those diseases. We assessed demographic characteristics associated with familial risk for common diseases and whether familial risk was associated with intent to share family history with a health care provider among urban Appalachian women. METHODS Urban Appalachian women (N = 88) with less than a college education ...

Improved understanding of the factors that influence malaria care seeking behaviour is necessary in order to enhance the effectiveness of current malaria control strategies. This paper empirically examines the factors that affect household choice of malaria treatment options in Ghana. The treatment options considered were choice of a public provider of health care, a private provider, purchase ...