BACKGROUND Coordinated, interdisciplinary services, supported by self-management underpin effective management for chronic low back pain (CLBP). However, a combination of system, provider and consumer-based barriers exist which limit the implementation of such models into practice, particularly in rural areas where unique access issues exist. In order to improve health service delivery for cons...

we argue that the field of health policy and management (hpam) ought to confront the gap between theory, policy, and practice. although there are perennial efforts to reform healthcare systems, the conceptual barriers are considerable and reflect the theory-policy-practice gap. we highlight four dimensions of the gap: 1) the dominance of microeconomic thinking in health policy analysis and desi...

health systems have entered a third era embracing whole systems thinking and posing complex policy and management challenges. understanding how such systems work and agreeing what needs to be put in place to enable them to undergo effective and sustainable change are more pressing issues than ever for policy-makers. the theory-policy-practice-gap and its four dimensions, as articulated by chini...

despite a renewed focus in the field of global health on strengthening health systems, inadequate attention has been directed to a key ingredient of high-performing health systems: management. we aimed to develop the argument that management – defined here as the process of achieving predetermined objectives through human, financial, and technical resources – is a cross-cutting function necessa...

the current limited focus on management in global health activities is highly problematic given the amounts of financial and human resources that are pouring into health system strengthening interventions and the complexity of clinical operations across settings. by ensuring that public health and healthcare practitioners in domestic and international settings receive management training in the...

BACKGROUND The purpose of this paper is to help consolidate and understand management perceptions and experiences of a targeted group (n=7) of Vice-Presidents of international Private Thai hospitals in Bangkok regarding medical tourism impacts. METHODS The method adopted uses a small-scale qualitative inquiry. Examines the on-going development and service management factors which contribute t...

this paper considers the potential problems that may militate against the adoption of organic poultry production in nigeria. factors identified include: higher risk of diseases like coccidiosis and newcastle disease, disease prevention and control / herd health management, disease containment in times of outbreak, land acquisition (land tenure system), market economies / cost-benefit ratio, pas...

introduction: information technology might have some potential effects, such as influencing treatment process, rate and easiness of information retrieval, and information availability for making clinical decisions based on conditions and management, educational and research activities on health service systems. recognizing these effects can be concerned as a foundation to strategic planning in ...