BACKGROUND Many older people presenting to Acute Medical Units (AMU) are discharged after only a short stay (< 72 hours), yet many re-present to hospital or die within 1 year. Comprehensive Geriatric Assessment may improve patient outcomes for this group. METHOD PARTICIPANTS Patients aged > 70 years and scoring positive on a risk screening tool ('Identification of Seniors At Risk') who are...

background and objectives: informal payment in the health settings is a significant challenge facing the health system, with consequences such as inequity in access to healthcare services, distrust to health care system, and dissatisfied customers. detailed identification of the nature of the problem is perquisite to developing relevant overcoming strategies. given that, this study aimed at pro...

background and objectives: the increasing pressure on health systems to improve quality of health care,require them to develop novel conceptual framework and indices aimed at evaluating decision variables in the contemporary complex community. customer quality is a newly introduced concept addressing capability of patients in contribution to healthcare process and cooperation with healthcare pr...

Preference-based health outcome measures were considered in two settings. In the clinical context, utility assessment using the VAS, TTO or SG was described. It is recognized that formal utility assessment is generally not needed in day-to-day clinical practice. When the need to explicitly value alternative health outcomes arises, the VAS is recommended because of its ease of implementation. In...

BACKGROUND Despite economic growth and improved health outcomes over the past few decades, China still experiences striking urban-rural health inequalities. Urban and rural residents distinguished by the hukou system may experience profound disparities because of institutional effect. The aim of this study is to estimate trends in urban-rural disparities in self-care, outpatient care, and inpat...

OBJECTIVE To examine whether depression in patients with advanced cancer is associated with increased rates of physician visits, especially to primary care. DESIGN Retrospective, observational study linking depression survey data to provincial health administration data. SETTING Toronto, Ont. PARTICIPANTS A total of 737 patients with advanced cancer attending Princess Margaret Hospital, w...

background: the aim of the study was to compare the effects of 'face-to-face education' and 'educational movies' on  'knowledge' and 'practice' of women of child-bearing-age, in terms of health-care during pregnancy and during infancy in a suburban region near tehran city, iran.   methods: in this quasi-experimental study, the sample included 873 married women. questionnaires for knowledge and ...

health care wastes, which produce in most hospitals, laboratories and clinics, causes spread of dangerous and contagious diseases and are a serious threat to human health and the environment due to contamination and the losses caused by the lack of health care waste management. now days there are 4 common technologies for the disposal of hospital waste which is taken into consideration by the m...

PURPOSE To determine the sensitivity and responsiveness of the Outcome and Assessment Information Set (OASIS) and the Nursing Outcomes Classification (NOC) to the effects of home healthcare nursing interventions. METHODS A quasi-experimental before-after study was conducted using a sample of 106 home healthcare participants referred to one of seven participating Midwest home healthcare agenci...

The objective of the paper is to review the effects of the implementation of the Resident Assessment Instrument (RAI) on process measures (quality of care plans and staff satisfaction) and outcome measures (health problems and quality of life) in nursing homes. All available publications on the effects of the RAI were included in the review. The most positive effects of the RAI were found in im...