Academic health centers operate simultaneously in the highly intellectual world of academia and the highly competitive world of health care delivery. As a result of this unique operating circumstance, health care reform will likely exert unique impacts on academic health centers relative to community hospitals and independent providers. This discussion focuses on health care reform from the per...

This study describes the neonatal health care implemented through the Family Health Program in a unit in Guarapuava, State of Paraná, with the aim of supporting the organization of child health care in a family context. It is a descriptive survey based on data from live birth statements and files of families with babies born between October 1, 2003 and September 30, 2004, totaling 90 infants. T...

OBJECTIVE This research describes the process of building a tool which allows assessment of resistance to treatment and its intensity among patients with diabetes. METHODS This study was undertaken in Maccabi Health care Services a preferred provider health care organization. This is a multistage study using both qualitative and quantitative methods. A semi-structured interview using 14 key q...

BACKGROUND This article considers how health services access and equity documents represent the problem of access to health services and what the effects of that representation might be for lesbian, gay, bisexual and transgender (LGBT) communities. We conducted a critical discourse analysis on selected access and equity documents using a gender-based diversity framework as determined by two obj...

OptumInsight www.optuminsight.com Identifying clinical episodes of illness and the services involved in their diagnosis, management, and treatment have become a key business need of any health care organization. Purchasers, consumers, and patients seek greater transparency into the cost, quality, and service of health care delivery. Episodes of care provide a valuable unit of analysis to suppor...

With a focus on delivering low-cost, high-quality care, several organizations using the group employed model (GEM)-with physician groups whose primary and specialty care physicians are salaried or under contract-have been recognized for creating a culture of patient-centeredness and accountability, even in a toxic fee-for-service environment. The elements that leaders of such organizations iden...

Background Globally, there is a large treatment gap for people with mental disorders, and this gap is especially extreme in Low and Middle Income Countries. This gap can be potentially bridged by integrating evidenced based mental health interventions into primary care, but there is little knowledge about how to do this well, especially in countries with weak health systems. Research into the b...

objective: this study proposed a model for provision of an effective universal coverage for mental health services based on global and national experiences, available resources and the nature of primary health care system of iran to reduce the burden of mental health conditions. method: a framework with prioritized mental and social health services was devised through a review of literature and...

objectives: this study was conducted on the estimation of the efficiency of mental health program in primary health care in chaharmahal and bakhtyari province, situated in center of the islamic republic of iran, from 1999 to 2009. methods: one of the important objectives of mental health program is screening of mental health disorders and follow up. according to the prescription of mental healt...

HCO: Health Care Organizations; PPACA: Patient Protection and Affordable Care Act; AHH: ACME Hospital Healthcare; P4P: Pay-for-Performance; FFS: Fee-for-Service; CMS: Centers for Medicare and Medicaid Services; AMI: Acute Myocardial Infarction; HF: Heart Failure; IOM: Institution of Medicine; IS: Information System; BI: Business Intelligence; NHIN: National Health Information Network; CDR: Clin...