UNLABELLED Management continuity, operationally defined as "the extent to which services delivered by different providers are timely and complementary such that care is experienced as connected and coherent," is a core attribute of primary healthcare. Continuity, as experienced by the patient, is the result of good care coordination or integration. OBJECTIVE To provide insight into how well m...

BACKGROUND Major negative life events are associated with higher suicidality. In this association, two mediating paths were hypothesized: (a) via minor negative life events and (b) via depression. METHODS Ninety-six adolescent primary care patients were recruited in clinics, a physician's office, and school nurses' offices. RESULTS (1) Minor negative life events were associated with depress...

OBJECTIVES To investigate the association between sick leave prescription and physician burnout and empathy in a primary care health district in Lleida, Spain. METHODS This descriptive study included 108 primary care doctors from 22 primary care centers in Lleida in 2014 (183,600 patients). Burnout was measured with the Maslach Burnout Inventory and empathy with the Jefferson Scale of Physici...

conclusions development of the job and task analysis to ensure providing the right training needs, applying more evidences through different studies for reforms, more decentralized equipped system with decision-making tools have been proposed for development. results the results showed the specific method of student selection and clear objectives and standards of training related to the health ...

background: primary health care is the major infrastructure of health care systems. it is clear that making and improving primary health care information systems would not be possible without awareness of their condition. therefore, this comparative study was conducted in order to determine the situation of primary health care information systems in health centers of tehran, iran. methods: this...

BACKGROUND Most Americans report having a usual source of medical care, but many also report significant barriers to timely access to such care. This can lead patients to use the emergency department (ED) as a ready alternative to their usual source of medical care, even when such care could be provided more cost-effectively in a primary care setting. The purpose of this study was to examine th...

internationally early intervention programmes for infants and preschoolers with disabilities have proved to be remarkably successful. in many countries, they began with teachers for visually impaired or hearing impaired children visiting the family home to teach parents how they could overcome the child's impairments. the logic of early intervention was inequitable. for example, the sooner...

BACKGROUND Although pediatricians and family physicians are trained in the care of children, previous studies have revealed significant differences in the medical care and specialty referral patterns each provides. During the 1990s, several developments in the population and the health care system (eg, aging of the population and increases in Medicaid managed care) may have resulted in changes ...

The expansion of health insurance coverage through health care reform, along with the aging of the population, are expected to strain the capacity for providing health care. Projections of the future physician workforce predict declines in the supply of physicians and decreasing physician work hours for primary care. An expansion of care delivered by nurse practitioners (NPs), certified nurse m...

objective: this study proposed a model for provision of an effective universal coverage for mental health services based on global and national experiences, available resources and the nature of primary health care system of iran to reduce the burden of mental health conditions. method: a framework with prioritized mental and social health services was devised through a review of literature and...