BACKGROUND Little research attention has been given to attempts to implement organisational initiatives to improve quality of care for mental health care, where there is a high level of indeterminacy and clinical judgements are often contestable. This paper explores recent efforts made at an organisational level in England to improve the quality of primary care for people with mental health pro...

• Tertiary level: ophthalmologists (there are about 40 in the country) and ophthalmic nurses (there are two), working at national and regional referral hospitals. • Secondary/district level: ophthalmic clinical officers (OCOs). There are over 200 in the country. • Primary level: nurses, midwives and other health workers who are trained in eye care and who work at health centres; they are known ...

BACKGROUND Non-concordance with medication remains a major public health problem that imposes a considerable financial burden on the health care system, and there is still a need for studies on correlates of non-concordance. Our first aim is to analyse whether any of the individual characteristics age, educational level, financial strain, self-rated health, social participation, and trust in th...

BACKGROUND All European health systems face several common challenges related to increases in lifestyle and chronic diseases, a decreasing future workforce, inequalities in health and the consequences of societal changes. Primary care, which has the potential to help meet these challenges, would benefit from the contribution of health services research (HSR) on a wide range of topics. As fundin...