objective: sleep disorders are common complaints of women during pregnancy. these disorders are the result of physiological, hormonal, physical changes, affecting before, during, and right after pregnancy. this study aimed to evaluate the quality of life of pregnant women with sleep disorders in the second trimester. materials and methods: in this cross-sectional study, data was collected with ...

Strong primary care systems are often viewed as the bedrock of health care systems that provide high-quality care, but the evidence supporting this view is somewhat limited. We analyzed comparative primary care data collected in 2009-10 as part of a European Union-funded project, the Primary Health Care Activity Monitor for Europe. Our analysis showed that strong primary care was associated wit...

BACKGROUND In order to address several health challenges, the Chinese government issued the National Essential Public Health Services Package (NEPHSP) in 2009. In China's large cities, the lack of funding for community health centers and consequent lack of comprehensive services and high quality care has become a major challenge. However, no study has been carried out to estimate the cost of de...

OBJECTIVE To review recent health policies related to measuring child health care quality, the selection processes of national child health quality measures, the nationally recommended quality measures for child mental health care and their evidence strength, the progress made toward developing new measures, and early lessons learned from these national efforts. METHODS Methods used included ...

Public Health Reports / March–April 2015 / Volume 130 The ability to generate and use large amounts of information about patient and population health, health-care treatment, and the outcomes of care represents a fundamental breakthrough in health-care quality improvement and population health management. Creating and using what has become known as “big data” raises many legal issues, as this i...

The purposes of this article are to review the concepts of health services access and utilization and to analyze how these concepts interrelate. Access is a complex concept (often used inaccurately) which changes over time and according to the context. Health services utilization is at the core of health systems functioning. Despite some disagreement, according to this review the prevailing per...

THE UNITED STATES IS A NATION IN WHICH 47 MILlion citizens have no health insurance, more than 16% of the country’s gross domestic product is spent on rapidly increasing health costs, and stark disparities exist in health care access, exemplified by 20% of the population currently residing in federally designated health professional shortage areas. These formidable challenges have led to renewe...

The challenge facing the Korean National Health Insurance includes what to spend money on in order to elevate the 'value for money.' This article reviewed the changing issues associated with quality of care in the Korean health insurance system and envisioned a picture of an effective pay-for-performance (P4P) system in Korea taking into consideration quality of care and P4P systems in other co...