BACKGROUND Prior studies have shown that many patients are interested in Internet-based technology that enables them to control their own care. As a result, innovative eHealth services are evolving rapidly, including self-assessment tools and secure patient-caregiver email communication. It is interesting to explore how these technologies can be used for supporting self-care. OBJECTIVE The ai...

BACKGROUND to our knowledge no research has investigated the effect of home visiting nurse (HVN) interventions on individual instrumental activities of daily living (IADL). OBJECTIVE to investigate the effects of an HVN intervention on the difficulty or dependence in six individual IADLs. DESIGN a secondary analysis of a randomised controlled study comparing an HVN intervention (n = 237) wi...

OBJECTIVE To assist in the interpretation of the Stanford Health Assessment Questionnaire (HAQ) score changes for individual patients with rheumatoid arthritis (RA), by determining the minimum size of score change that can confidently be considered to reflect a significant change in disability from the patient's perspective. METHOD HAQ score changes were calculated for 40 clinic patients with...

BACKGROUND China is investing considerably in health care reforms to address issues in its health care system. An example is access to innovative drugs, which remains challenging because it is largely dependent on patient self-pay. Recognizing this, the government has invested considerably in its basic medical insurance. As health care expenditure increases, there are growing concerns on budget...

conclusions: quality of peripartum care is moderate in lorestan province, therefore, continuous evaluation of quality of care by administrators and hospital staff is essential to improve this quality and will ultimately result in maternal and neonatal health improvement. results: the mean percentages of compatibility with desirable situation were 54%, 57% and 66% in first, second and third stag...

Accepted for publication 9 March 1992 The organisation and planning of health service delivery has long been dominated by concerns other than the evaluation of health services outcomes. The thrust of the Griffiths' inquiry into the management of the NHS,l resulting in the 1984 reforms, was towards the achievement of greater accountability. The then Department of Health and Social Security promu...

INTRODUCTION Portions of Montgomery County, Virginia, are designated a Medically Underserved Area with a large portion of this population experiencing limited access to healthcare services. In September 2008, the Federal Bureau of Primary Care awarded the authors a planning grant to assess community need in Montgomery County and to develop a strategic plan to establish a Federally Qualified Hea...

As the most influential catalysts for health care reform in America, the time for nurses to emulate wellness and prevention has never been more critical. By creating healthy habits for ourselves, we flourish as ambassadors of self-care for our patients, families, colleagues, and communities. By taking care of ourselves first, we bring positive energy and vitality to work that positively affects...