a central problem in designing effective models of provider governance in health systems has been to ensure an appropriate balance between the concerns of public sector and/or government decision-makers, on the one hand, and of non-governmental health services actors in civil society and private life, on the other. in tax-funded european health systems up to the 1980s, the state and other publi...

background: exposure to blood-borne pathogens from needle-stick and sharp injuries continues to pose a significant risk to health care workers. these events are of concern because of the risk to transmit blood-borne diseases such as hepatitis b virus, hepatitis c virus, and the human immunodeficiency virus. objective: to benchmark different risk factors associated with needle-stick incidents am...

Background The shortage of qualified health workers in primary health care (PHC) in rural China has been a long-term challenge in China. Health workers’ job preferences and job choices are determined by various external and intrinsic factors. These factors are constantly changing along with the health system reform. This study aims to quantitatively measure job preferences of health workers in ...

BACKGROUND Health care associated infections (HAIs) are a source of concern worldwide. No health service in any country can be considered HAI risk-free. However, there is scarcity of data on the risks to which both patients and health workers are subject in non-hospital settings. The aim of this study was to identify issues that determine the adherence of professionals to precautions for preven...

BACKGROUND There are increasing efforts and attention focused on the delivery of mental health services in primary care in low resource settings (e.g., mental health Gap Action Programme, mhGAP). However, less attention is devoted to systematic approaches that identify and address barriers to the development and uptake of mental health services within primary care in low-resource settings. Our ...

BACKGROUND In Brazil, community health workers have gathered monthly information on people with disabilities to maintain the Primary Care Information System since 1998; however, few studies have used this database for scientific or public health policy purposes. OBJECTIVES This study aimed to evaluate the reliability of information on people with disabilities gathered by community health work...

BACKGROUND Examination of consultation data in a variety of primary care settings in Tanzania shows that, while psychoses are routinely diagnosed and treated at primary care level, depression is rarely recorded as a reason for consultation. Since, epidemiological studies elsewhere show that depression is a much more common disorder than psychosis, a series of studies were undertaken to elucidat...