INTRODUCTION Healthcare organisations serve clients from diverse Indigenous and other ethnic and racial groups on a daily basis, and require appropriate client-centred systems and services for provision of optimal healthcare. Despite advocacy for systems-level approaches to cultural competence, the primary focus in the literature remains on competency strategies aimed at health promotion initia...

A variety of forces are driving the use of technology in the health care field—population ageing, chronic illness, quality outcomes, self-care, patient empowerment, consumer convenience, and rising costs. From an integrated care perspective, mobile communications, remote monitoring and other innovative technologies—the core applications of what is increasingly known as telehealth, telemedicine ...

The international animal health community is advocating a more widespread use of quantitative risk assessment in making international trade decisions. In this article, the authors explain why quantitative risk assessment is a valuable tool, outline a process with key steps for developing a quantitative risk assessment, and describe a method for quantifying the uncertainty associated with the re...

BACKGROUND national policy recommends routine re-assessment of disabled patients and their carers at 6 months after stroke onset. The clinical and resource outcomes of this policy were investigated. DESIGN prospective, single-blind, randomised controlled trial in two centres. PARTICIPANTS a total of 265 patients with a disabling stroke and their carers. INTERVENTIONS a structured re-asses...

Berkeley Power Station was a world leader when in June 1962 it became the UK's first commercial nuclear power station to produce electricity for the National Grid. Berkeley then stood at the leading edge of nuclear technology. After 27 years of successful operation and the supply of nearly 40 billion units of electricity, Berkeley ceased generation in March 1989. Just as it was at start-up, Ber...

The past 5 years have seen increasing calls to reexamine our assessment and intervention practices to ensure that they reflect the profession's basic focus on occupation. Although a number of noteworthy efforts in this direction have been presented for adult practice areas, implementation of occupation-centered assessment in pediatric has been hampered by the lack of a consistent framework to g...

BACKGROUND The Kenyan Ministry of Health- Department of Standards and Regulations sought to operationalize the Kenya Quality Assurance Model for Health. To this end an integrated quality management system based on validated indicators derived from the Kenya Quality Model for Health (KQMH) was developed and adapted to the area of Reproductive and Maternal and Neonatal Health, implemented and ana...

quality of life is now considered an important health outcome and in many types of research measuring quality of life is an integral part of the assessment of health interventions. this article focuses on the differences that exist between the numerous definitions of quality of life and the instruments developed for its measurement.

Background This study investigated the effects of integrating primary chronic care with current healthcare activities in two local government health units (LGHU) of the Philippines on knowledge and skills of the LGHU staff and clinical outcomes for people with diabetes. Design Integration was accomplished through health service reorganization, (re)distribution of chronic care tasks, and trainin...

OBJECTIVE The aim of this study was to implement self-care support for leg lymphedema patients using mobile phones and to investigate the effects thereof. PATIENTS AND METHODS A total of 30 patients with lymphedema following female genital cancer surgery (stages I to II) who were referred from a nearby gynecologist were randomly divided into groups for routine self-care support (control group...