Advances in technology have led to development of new vaccines for adolescents, but these vaccines will be added to a crowded schedule of recommended adolescent clinical preventive services. We reviewed adolescent clinical preventive health care guidelines and patterns of adolescent clinical preventive service delivery and assessed how new adolescent vaccines might affect health care visits and...

The Nordic Atlantic Cooperation (NORA) is an intergovernmental organization under the auspices of the Nordic Council of Ministers. The NORA region comprises Greenland, Iceland, Faroe Islands and western coastal areas of Norway. Historical, cultural and institutional links bind these nations together in multiple ways, and regional co-operation has in recent years become a focus of interest. This...

world action in medical education, notably the global programs of the world federation for medical education, the edinburgh declaration of 1988 and the 1993 world summit, has led to major curricular change in medical schools. for educational reform to result in improved health services of nations, an essential requirement is integration between the medical education system and the health care d...

Reduction in maternal mortality has not been appreciable in most low-income countries. Improved access to transport for mothers is one way to improve maternal health. This study evaluated a free-of-charge 24-hour ambulance and communication services intervention in Oyam district using 'Caesarean section rate' (CSR) and compared with the neighbouring non-intervention district. Ecological data we...

The delivery of mental health services might offer the most paradigmatic window into the fragmentation of health services in the United States. Not only is delivery fragmented across outpatient clinicians, inpatient services, prescription drugs, and other behavioral interventions, but the rise of mental health carveouts has meant that insurance benefits have been fragmented across mental and ph...

with demand for health services continuing to grow as populations age and new technologies emerge to meet health needs, healthcare policy-makers are under constant pressure to set priorities, ie, to make choices about the health services that can and cannot be funded within available resources. in a recent paper, smith et al apply an influential policy studies framework – kingdon’s multiple str...

For the first time experienced clinicians are to be involved in the development of the Australian Health Care Agreements (AHCAs) (2003-2008). As a result doctors, nurses and allied health professionals are hoping that current impediments to necessary change will be removed. Numerous suggestions to improve the Agreement will come forward from the "front line". All clinicians will argue that the ...

OBJECTIVE To identify models of health care delivery that support youth access to health and mental health care. DATA SOURCES Information was obtained from PubMed, Ovid MEDLINE, Web of Knowledge, and Sociological Abstracts (CSA Illumina). STUDY SELECTION Studies reviewed in this article provided level I, II, or III evidence. SYNTHESIS Youth access health care, with the support of parents ...

Background: In the United Kingdom patient experience is being established as a key determinant in informing commissioning decisions and in shaping healthcare delivery. This led to the publication of the National Institute for Health and Clinical Excellence (NICE) guidance on patient experience in adult National Health Service (NHS) services: improving the experience of care for people using adu...

OBJECTIVE to explore the challenges and barriers faced by Palestinian maternal health-care providers (HCPs) to the provision of quality maternal health-care services through a case study of a Palestinian public referral hospital in the Occupied Palestinian Territory. DESIGN AND METHOD descriptive qualitative study. The data are from a broader study, conducted in 2005 at the same hospital as p...