BACKGROUND The role of primary care for young people with psychosis, and transitions between specialist mental health services and primary care, are underexplored areas, both clinically and in research terms. AIM To explore service users' perspectives of early intervention services and primary care, in-depth and over time. DESIGN AND SETTING Longitudinal qualitative methodology in five geo...

The aim of this paper is to present the effects of the reform of primary care by privatization and direct contracting between general practitioners/family physicians and the Croatian Institute for Health Insurance, as well as to propose possible improvements. Using the data of the Croatian Institute of Public Health, we analyzed the coverage of population and accessibility of service, managemen...

aim: education is a service, which is influenced by the provider. nowadays, there are a lotof challenges in health care systems, which requires a proper preparation to meet them.medical interns are one of the future components of health care system, who should beprepared very well to meet these challenges. we preformed this survey to assess themedical interns’ satisfaction in shahid beheshti un...

Background A comprehensive primary healthcare (PHC) approach requires clear referral and continuity of care pathways. South Africa is a lower-middle income country (LMIC) that lacks data on the role of intermediate care (IC) services in the health system. This study described the model of service provision at one facility in Cape Town, including reason for admission, the mix of services and ski...

the key argument of this commentary is that patient choice has a broader meaning than suggested by consumerist choice models. in increasingly marketized health care systems with diversified and knowledge-based service arrangements, patients are continuously obliged to choose insurers, physicians or hospitals and treatments—whether they like it or not. however, health care users refer to a wide ...

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...

intervention in early childhood development as one of the social determinants of health, is important for reducing social gap and inequity. in spite of increasingly developing intensive neonatal care wards and decreasing neonatal mortality rate, there is no follow up program in iran. this study was carreid out to design high risk infants follow up care program with the practical aim of creating...

background : in this research primary health care systems were reviewed and the nurses' roles were determined and then a model was designed for health networks in iran. methods: this was a triangulation research done in comparative method. in first step, phc systems reviewed in different countries such as uk, australia, canada, sweden and turkey selected in purposive sampling. in second step, t...

Japan faces to the rapid ageing. This ageing process accompanies with the increase of patients with chronic diseases. Under the highly aged society where most of the aged patients have multiple health and social problems, an integrated service delivery system is required. Primary care has long been regarded as indispensable in order to realize such an appropriate health service delivery system....