background: in some primary health care settings, even where the health services are not available, provisions are not made to ensure continuity of care. this study aimed to determine the availability and level of continuity of care for maternal health services in the primary health centers (phcs) in nnewi, nigeria. methods: this was a cross‑sectional survey. using multistage sampling technique...

with increasing technology in providing health care services and specialization, health care organization requires application of costing methods for calculating income and expenses to improve the health care services and compensate the costs. for this purpose, most hospitals in the developed countries, estimated system costs based on affiliated diagnostic related groups. according to this new ...

The need for critical care services is increasing as the gap between supply and demand for Intensivists grows (1,2). The pipeline of practicing Intensivists remains relatively stagnant at about 12,000 U.S. adult critical care medicine (CCM)-certified physicians (3). This discordance between patient need and physician supply has potential to worsen patient outcomes, threaten patient safety, and ...

This position paper examines a critical paradox in e-health: there is a striking gap between critical information services for health care that can be implemented today using existing in information and communication technologies and those services that are actually available. Facets of this paradox are examined in the context of Canadian analyses and policy, advanced research on health care re...

You are providing input in planning for critical care services to a large regional health authority. You are considering concentrating some critical care services into high-volume regional centres of excellence, as has been done in other fields of medicine. In your region, this would require several centres with differing levels of expertise that are geographically separated. Given there are in...

disconnects and defects in care – such as duplication, poor integration between services or avoidable adverse events – are costly to the health system and potentially harmful to patients and families. for patients living with multiple chronic conditions, such disconnects can be particularly detrimental. lean is an approach to optimizing value by reducing waste (eg, duplication and defects) and ...

BACKGROUND Women and their babies are entitled to equal access to high quality maternity care. However, when women fit into two or more categories of vulnerability they can face multiple, compound barriers to accessing and utilising services. Disabled women are up to three times more likely to experience domestic abuse than non-disabled women. Domestic abuse may compromise health service access...

BACKGROUND Homeless and marginally housed persons who use alcohol and/or illicit drugs often have end-of-life care needs that go unmet due to barriers that they face to accessing end-of-life care services. Many homeless and marginally housed persons who use these substances must therefore rely upon alternate sources of end-of-life care and support. This article explores the role of harm reducti...