BACKGROUND There has been almost no research into mental health services in Eastern Europe. A pathways study is a quick and useful starting point, requiring few resources. AIMS To improve understanding of prior care-seeking and treatment of new patients seen at mental health services. METHOD Pathways diagrams were drawn showing the routes of care-seeking for 50 new patients in eight centres...

As the largest and most widely distributed of primary care physicians, family physicians have an important role in providing mental health care, especially in rural and underserved areas. However, the proportion of family physicians who report providing mental health care is low. Policy barriers such as payment for mental health services should be explored to ensure access to mental health care...

Over the last decade, research about health psychology in primary care has reiterated its contributions to mental and physical health promotion, and its role in addressing gaps in mental health service delivery. Recent meta-analyses have generated mixed results about the effectiveness and cost-effectiveness of health psychology interventions. There have been few studies of health psychology int...

BACKGROUND In South Africa, the provision of primary health care is a basic service designed to be cost effective and bring healthcare as close as possible to the population, particularly to those people of low economic status. It is a service which is provided free of charge by the South African government and as part of the millennium health goals, it is intended that the service should be ac...

from 22 may 1976 to 19 february 1977 out of 27742 patients which were referred to health and social welfare network of west azerbaijan in chonqralu (field laboratory of school of public health and institute of public health research in health services development research project in iran), 22693 (81.81%) simple cases were managed by the behvarz (female front line health worker), in nine health ...

background: changes in expectations and requirements of the end users of medical education “community members” and evolution in health services necessitate some changes in the medical education curriculum. to achieve this reform in curricula, obtaining insight into the health care needs of community members and their comments about their physicians is highly required in community-oriented educa...

BACKGROUND Policies suggest that primary care should be more involved in delivering cardiac rehabilitation. However, there is a lack of information about what is known in primary care regarding patients' invitation or attendance. AIM To determine, within primary care, how many patients are invited to and attend rehabilitation after myocardial infarction (MI), examine sociodemographic factors ...

abstract background: the world health organization emphasizes on integration of sexual health into primary health care services, educating people and health care workers about sexuality, and promoting optimal sexual health. despite the high prevalence of sexual problems, these problems are poorly managed in primary health care services. this study was conducted to evaluate the efficacy and feas...

conclusions with regard to the current challenges in iran’s health system, using risk-adjusted capitation as a primary healthcare payment system can lead to useful changes in the health system’s features. however, future research should focus on the development of the risk-adjusted capitation model. background when a country’s health system is faced with fundamental flaws that require the redes...

OBJECTIVE To evaluate, in a developing country, the effect of a short training programme for general health care workers on the management of common skin diseases--a neglected component of primary health care in such regions. METHODS We provided a one-day training programme on the management of the skin diseases to 400 health care workers who worked in primary health care centres in the Bamak...