Profound changes are under way in Cuban medical education. Some aspects of this transformation represent radical shifts, others a deepening of processes already in motion. Together, these changes reflect a progressive sense of urgency over the last four decades to: 1) scale up physician training to meet the needs of the whole population; 2) recruit and train scientifically prepared and socially...

OBJECTIVE Compare health care utilization and charges for low-back-pain (LBP) patients receiving advanced imaging or physical therapy as a first management strategy following a new primary care consultation. DATA SOURCE Electronic medical record (EMR) and insurance claims data. STUDY DESIGN Retrospective analysis of propensity-matched groups. DATA COLLECTION/EXTRACTION Claims and EMR data...

sarah was  a 22 year old woman who passing her first pregnancy.  the  pregnancy was unplanned and random and she did not know her last menstrual history. he was visited at home by a midwife community health. no important problem was found in his medical history but he was  smoking 20 cigarettes daily . it was noteworthy that saeed ,his wife, had transient neonatal diabetes history. although sar...

conclusions it was concluded that hcos need an hit clearly designed with km and they have to recognize where knowledge is resided, when designing strategies to warrant that knowledge is being created and transferred in the best way and to the right persons. otherwise, the hcos do not use an efficiency-oriented hit. results according to the obtained results 15% of the subjects highly used clinic...

Background: This study focussed on the perception of Medical Health Care Professionals (MHCPs) and Local Consumers (LHCCs) traditional health-care systems (THCS) collaboration both modern system in western Ladakh, India. Methods: The area was based distribution three different socio-cultural groups valleys (Lower Indus, Suru Wakha Chu) Ladakh. A detailed field investigation undertaken for perce...

background and objectives: induced demand in healthcare is referred to as provision of unnecessary services or the patient by health services providers, while the patient is not aware of their unnecessity. apart from being unethical, this practice can potentially disturb the supply and demand balance in the health market, pose financial load on the patient, thread the patient’s health by imposi...

background essential primary health care is delivered through the public health center phc network by public health workers (behvarzs). health workers are exposed to different types of stresses while working. objectives the aim of this study is to determine the prevalence of burnout and associated factors among rural health workers in the health centers of birjand university of medical sciences...

recognizing the advantages of primary care as a means of improving the entire health system, this text comments on reforms of publicly funded primary health centers, and the rapid development of private forprofit providers in sweden. many goals and expectations are connected to such reforms, which equally require critical analyses of scarce resources, professional trust/motivation and business ...