OBJECTIVE If quality improvement interventions, value-based purchasing and/or certification are based on patient assessments, a common definition of quality should be shared by clinicians and patients. The study's objectives were to determine (i) how patients and clinicians define quality care, (ii) in what ways patients' and physicians' definitions differ and (iii) whether patients' definition...

Quality Developmental Screenings Are Essential to Quality Surveillance There is much to praise in the American Academy of Pediatrics’ Clinical Report, “Motor Delays: Early Identification and Evaluation” (Pediatrics. 2013;131:e2016– e2027). The expert panel provided helpful guidance, useful resources, and placed invaluable emphasis on a 48-month visit to evaluate fine motor and other skills esse...

Postdischarge home visits may allow for early identification of medical complications after hospital discharge. The hospitalist home visit program (HHVP) was started with the intention of facilitating communication between primary care providers and hospitalists and reducing hospital utilization postdischarge by earlier identification of nonadherence to discharge treatment recommendations. Duri...

Little is known about where microRNAs (miRNAs) regulate their targets within the cell. In this issue, Li et al. identify a new player in the plant miRNA pathway that implicates the endoplasmic reticulum in miRNA-mediated gene silencing.

Foraging pollinators could visit hundreds of flowers in succession on mass-flowering plants, yet they often visit only a small number--potentially saving the plant from much self-pollination among its own flowers (geitonogamy). This study tests the hypothesis that bumble-bee (Bombus impatiens) residence on a particular plant depends on an assessment of that plant's reward value relative to the ...

Background and Objectives: Visit length is a crucial aspect of patient-physician relationship that its inadequacy can negatively influence the treatment efficiency. Studies on visit length and the factors influencing it are limited in developing countries. Thus, the objective of this study was to survey this variable at provincial level, and provide data on factors affecting it.   Methods: A ...

BACKGROUND Regardless of high maternal deaths in Pakistan, only 37% of pregnant women make four or more antenatal care visits during pregnancy. This proportion has further been diverged between urban and rural. About 62% of women visit clinics for WHO recommended sets of antenatal care (ANC) check-ups in urban as compared to 26% women in rural areas. This study was conducted with the aim to ass...

a model for evaluating the performance of nursing services

extract: most information about family assessment are gathered during home visits have many benefits. one of them is that information about structure and habits of families may be more real when you observe the house and around it to find supportive and obstacles for promotion of family health. in addition family members are often more comprehensive in their home and can better act for their ne...