The traditional health care landscape, hospitals and private physicians' offices, is undergoing a major shift of focus. "Womb to tomb" care facilities, typified by boutique developments, medical malls, and health parks, are just now in their infancy. This article provides an overview of the likely direction of health care design as shaped by consumer demand.

BACKGROUND The purpose of this study was to determine whether self-perceived health status is predictive of a doctor's office visit in the Longitudinal Study on Aging (LSOA). METHODS This was a population-based longitudinal study of persons aged ≥70 years who participated in the Study on Aging in 1984 and a follow-up survey of the LSOA in 1986. The cohort for the study consisted of 560 blacks...

OBJECTIVE To identify prevalence of previous blood pressure measurement and analyze some associated factors in adolescents. METHODS This cross-sectional study included 6,077 adolescents aged 14 to 19 years. Demographic characteristics included (sex, age, period of study, region of residence, work, skin color, and economic) status, history of blood pressure measurement within last 12 months, l...

conclusions almost many pediatric health professionals believe that teething causes a wide range of symptoms, most of which are minor and related to discomfort rather than physical illness. the current study findings were consistent and in contrast with those of many other studies on professional beliefs of teething symptoms. such beliefs by various staffs may create optimal management of commo...

BACKGROUND The main objective of this research is to identify, categorize, and analyze barriers perceived by physicians to the adoption of Electronic Medical Records (EMRs) in order to provide implementers with beneficial intervention options. METHODS A systematic literature review, based on research papers from 1998 to 2009, concerning barriers to the acceptance of EMRs by physicians was con...

BACKGROUND Since 2000, Israel has had a national program for ongoing monitoring of the quality of the primary care services provided by the country's four competing non-profit health plans. Previous research has demonstrated that quality of care has improved substantially since the program's inception and that the program enjoys wide support among health plan managers. However, prior to this st...

BACKGROUND The evidence supporting the use of vignettes to study physician decision making comes primarily from the study of low-risk decisions and the demonstration of good agreement at the group level between vignettes and actual practice. The validity of using vignettes to predict decision making in more complex, high-risk contexts and at the individual level remains unknown. METHODS We ha...

An interim evaluation study was conducted to understand the implementation of the Tier 1 Program of Project P.A.T.H.S. (Positive Adolescent Training through Holistic Social Programmes) in the 2008/09 school year. One hundred and twenty-eight schools were randomly selected to provide information on the implementation details of the program via interviews, telephone interviews and self-completed ...

Early efforts in physiological research in the United States were produced by lone investigators working in laboratories funded by their own medical practices. In Europe, however, Claude Bernard and Carl Ludwig produced a new model of scientific research laboratories funded by the state that sought to develop the pursuit of biomedical research as an occupation. American physicians such as Henry...