BACKGROUND Adults with intellectual disabilities have substantial health inequalities and poor access to health care. We assessed whether practice nurse-delivered health checks could improve the health of adults with intellectual disabilities compared with standard care. METHODS In this cluster-design, single-blind, randomised controlled trial, we included general practices in Scotland, UK. F...

Despite calls from numerous organizations and payers to improve coordination of care, there are few published accounts of how care is coordinated in real-world primary care practices. This study by the Center for Studying Health System Change (HSC) documents strategies that a range of physician practices use to coordinate care for their patients. While there was no single recipe for coordinatio...

this survey was carried out on children less than five years of age from rural areas of three provinces in iran (west azarbaijan, bushehre, and central province), with different health care delivery systems and various types of immunization scheme, to determine the immune status of measles and the vaccine coverage. our results indicate that the rates of measles immunity and vaccine coverage for...

BACKGROUND Long-term sustainment of improvements in care continues to challenge primary care practices. During the 2 years after of our Improving Depression Care collaborative, we examined how well practices were sustaining their depression care improvements. METHODS Our study design used a qualitative interview follow-up of a modified learning collaborative intervention. We conducted telepho...

background clinical decision support systems (cdss or cds) are interactive computer programs, which are designed to assist physicians and other health professionals with decision making tasks. the main purpose of modern cdss is to assist clinicians at the point of care. this means that a clinician would interact with a cdss to help determine diagnosis, analysis, etc. of patient data. material a...

BACKGROUND Most work sites engage in some form of health promotion programming designed to improve worker health and reduce health care costs. Although these programs have typically been delivered through combinations of seminars and print materials, workplace health promotion programs are increasingly being delivered through the Internet. OBJECTIVE The purpose of this research was to evaluat...

BACKGROUND Immigrants make up one fifth of the Canadian population and this number continues to grow. Adequate access to primary health care is important for this population but it is not clear if this is being achieved. This study explored patient reported access to primary health care of a population of immigrants in Ontario, Canada who were users of the primary care system and compared this ...

BACKGROUND Medical tourism is a global health practice where patients travel abroad to receive health care. Voluntourism is a practice where physicians travel abroad to deliver health care. Both of these practices often entail travel from high income to low and middle income countries and both have been associated with possible negative impacts. In this paper, we explore the social responsibili...

BACKGROUND AND OBJECTIVES Discrepancy in care of diabetes between racial and ethnic minority groups and Caucasians is well documented in America. System-based practices have been shown to improve quality of care outcomes. We implemented a disease registry and management system proven successful in a suburban practice network in four community health centers to improve diabetes process outcomes....

The purpose of this article is to examine the concept of case management acuity in the private sector and health insurance industry. In the era of the Affordable Care Act, case management practices across many sectors in the health care system are in a state of flux. In order to understand the context of current practices, a brief review of the various dimensions and definitions related to case...