background & aim: maternal satisfaction of health services is an inherent element of healthcare policies, and quality of midwifery care essentially influences this parameter. this study aimed to evaluate maternal satisfaction of postpartum care and its association with midwifery care at the urban health centers of mashhad, iran in 2012. methods:this descriptive, cross sectional study was conduc...

there is an increasing policy emphasis on the integration of care, both within the healthcare sector and also between the health and social care sectors, with the simple aim of ensuring that individuals get the right care, in the right place, at the right time. however, implementing this simple aim is rather more complex. in this editorial, we seek to make sense of this complexity and ask: what...

Abstract Background: Heart failure necessitates self-care; therefore, self-care training should be based on learning needs (LNs) of patients. Aim: This study aimed to determine the impact of a training program based on learning needs on self-care behaviors among patients with heart failure Method: This clinical trial was performed on 73 patients suffering from heart failure in Zanjan teaching h...

The idea of healthcare quality improvement (QI) and disseminating evidence-based practice has been attractive for local health policy makers in Uzbekistan since the early 2000s. One aspect in need of discussion is the degree to which the country's healthcare system is open for the proposed QI activities. Funding of health care resulted in building and equipping rural primary care practices, tra...

The Patient-Centered Medical Home (PCMH) is a primary care model that provides coordinated and comprehensive care to patients to improve health outcomes. This paper addresses practical issues that arise when transitioning a traditional primary care practice into a PCMH recognized by the National Committee for Quality Assurance (NCQA). Individual organizations' experiences with this transition w...

Introduction: Primary care providers are needed who provide cost-effective, comprehensive care that is teambased and patient-centered (i.e., Patient-Centered Medical Homes-PCMH). Although PCMH implementation is underway in a variety of settings across the U.S, adopting the PCMH model can be challenging even in motivated and efficient practices. The purpose of this study was to help facilitate P...

The healthcare industry is changing, posing challenges to Medicare-certified home healthcare agencies (HHAs). With healthcare reform and the 2011 prospective payment system changes, including reduction in reimbursement to agencies, it is imperative to assess an organization's wound care program. HHAs must provide quality care at lower costs, using evidence-based medicine that may include nontra...

pharmacotherapeutics are always evolving. Transferring research-based knowledge into practice is an essential element of ensuring that patient care is based on scientific principles. Evaluating research for utilization in clinical practice involves more than simply reading research. The critical review of clinical research relevant to critical care nursing practice is fundamental if we are to p...

BACKGROUND AND OBJECTIVES The Patient-centered Medical Home (PCMH) has come to the forefront of primary care practice redesign and can potentially improve health care outcomes and reduce costs. There are several initiatives in medical schools to teach concepts of the PCMH to students, but it is unknown what knowledge and attitudes medical students currently possess. We report students' awarenes...

Background: Simulation teaching means recreating clinical scenario for training / evaluation. Aim: To expose postgraduates to simulation / didactic lecture for postpartum hemorrhage (PPH) management; to assess which method was more effective. Methods: Present prospective study was conducted in Obstetrics Gynecology department of rural tertiary center of Northern India.  Twenty postgraduates wer...