background given the rapid pace of changes in community health needs and the mission of healthcare organizations to provide and promote the community’s health, the growing need to increase health system responsiveness to people as a key element of observance and fulfillment of justice is felt more than ever. results confirmatory factor analysis, based on the results of the key informant survey ...

Objective: Trigeminal nerve injury is an uncommon complication of outpatient oral surgery and dental procedures such as removal impacted teeth, placement endosseous implants, even injection local anesthesia. In the field maxillofacial surgery, two most commonly injured branches trigeminal are inferior alveolar lingual nerves. Fortunately, injuries will undergo spontaneous recovery, with only a ...

BACKGROUND Carpal tunnel release (CTR) is among the most common hand surgeries, although little is known about its pattern. In this study, we aimed to investigate temporal trends, age and gender variation and current practice patterns in CTR surgeries. METHODS We conducted a population-based time series analysis among over 13 million residents of Ontario, who underwent operative management fo...

We present a patient who experienced airway obstruction during an elective esophagogastroduodenoscopy (EGD) under anesthesia secondary to previously undiagnosed tracheomalacia. Physiology of airway obstruction with forced breathing maneuvers is discussed along with the potential advantages of dexmedetomidine-ketamine sedation for management of patients with achalasia undergoing outpatient endos...

Injection is one of the most common medical procedures in the health sector. Annually up to 16 billion injections are prescribed in low- and middle-income countries (LMICs), many of them are not necessary for the patients, increase the healthcare costs and may result in side effects. Currently over 40% of outpatient prescriptions in Iran contain at least one injectable medicine. To address the ...

BACKGROUND In recent years, an increasing number of states have enacted laws that impose specific requirements for facilities in which abortions are performed. In this study, we sought to understand the processes used to develop facility standards in the context of other, less politically charged areas of health care and consider implications for the context of abortion. METHODS We conducted ...

OBJECTIVES To evaluate the effectiveness and safety of pleurodesis carried out entirely on an outpatient basis in patients with recurrent malignant pleural effusions and Karnofsky Performance Status scores <70. METHODS This study was a prospective trial comprising patients with symptomatic recurrent malignant pleural effusion and Karnofsky Performance Status scores <70 but >30. All selected p...

BACKGROUND The majority of primary care consultations in Malaysia occur in the general practice clinics. To date, there is no comprehensive documentation of the morbidity and practice activities in this setting. OBJECTIVES We reported the reasons for encounter, diagnoses and process of care in urban general practice and the influence of payment system on the morbidity and practice activities....

UNLABELLED In the face of the progressive implementation of the Affordable Care Act (ACA), a significant regulatory regime, and the Merit-Based Incentive Payment System (MIPS), the Centers for Medicare and Medicaid Services (CMS) released its proposed 2017 hospital outpatient department (HOPD) and ambulatory surgery center (ASC) payment rules on July 14, 2016, and the physician payment schedule...

Following standard practice in the literature, we construct our health care utilization measure by aggregating care provided to Medicare beneficiaries as recorded in the inpatient, outpatient, and carrier claims data. The inpatient file records payments to inpatient hospital providers (such as hospitals), the outpatient file records payments to institutional outpatient providers (such as hospit...