PURPOSE Having multiple chronic conditions (MCCs) can lead to appreciable treatment and self-management burden. Healthcare provider relational quality (HPRQ) - the communicative and interpersonal skill of the provider - may mitigate treatment burden and promote self-management. The objectives of this study were to 1) identify the associations between HPRQ, treatment burden, and psychosocial out...

W ith the healthcare ministry moving toward managed care, hospitals are becoming increasingly involved in alternative arrangements with other hospitals, physicians, insurers, and employers looking for cost-efficient healthcare services. There are many alternative arrangements, integrated delivery networks ( IDNs) , integrated provider o rgan iza t ions ( I P O s ) , in tegra ted provider arrang...

BACKGROUND The main purpose of this study was to identify factors that influence healthcare quality in the Iranian context. METHODS Exploratory in-depth individual and focus group interviews were conducted with 222 healthcare stakeholders including healthcare providers, managers, policy-makers, and payers to identify factors affecting the quality of healthcare services provided in Iranian hea...

background access to appropriate and affordable healthcare is needed to achieve better health outcomes in africa. however, access to healthcare remains low, especially among the poor. in zambia, poor access exists despite the policy by the government to remove user fees in all primary healthcare facilities in the public sector. the paper has two main objectives: (i) to examine the factors assoc...

OBJECTIVE Nightmares are a robust and modifiable predictor of increased suicidality and poor psychiatric outcomes, yet nightmare screening and treatment remain rare, even in sleep centers. This paper aims to examine what proportion of nightmare sufferers have discussed nightmares with a healthcare provider, as well as possible explanations for low rates of nightmare complaints. METHODS The pr...