The following scenarios were developed in 1993, and apply the five economic systems, Blue, Red, Green, Yellow and Pink, developed by Prof. J. Galtung to the future of health care in Hawai'i. These five systems provide the internal logic with which we can develop and compare 5 macro scenarios or visions of health care and their impact on health care delivery and health status of Hawai'i resident...

Several models of service care delivery have emerged to meet the challenges of providing health care to our growing multi-ethnic world. This article will present Campinha-Bacote's model of cultural competence in health care delivery: The Process of Cultural Competence in the Delivery of Healthcare Services. This model views cultural competence as the ongoing process in which the health care pro...

As Secretary of Illinois' largest agency, the Department of Human Services, Secretary Baker provides a thorough overview of the role her agency plays in the ongoing health and welfare of the citizens of Illinois. Her contention that government should play a critical role in health care delivery is buttressed by the DHS' role as a funding agent, its contributions of staff and systems, and the di...

objective: this study focused on the factors affecting the institutional delivery and delivery assisted by health professionals in urban slums. materials and methods: a semi-structured questionnaire was developed to collect information from women aged 15-49 who had at least one birth. totally 540 eligible women were interviewed. results: the results showed that around 20% of women delivered at ...

The aim of this thesis was to study the development of integrated delivery systems (IDSs). An IDS is a form of institutionalised partnership between organisations and health care professionals, aimed at facilitating cooperation at the levels of management, support services and the primary processes. The purpose of developing an IDS is to achieve control, quality and efficiency in health care de...

BACKGROUND Regular review and support for asthma self-management is promoted in guidelines. A randomised controlled trial suggested that unscheduled health care usage was similar when patients were offered self management support by a lay-trainer or practice nurses. METHODS Following the RCT, a costing study was undertaken using the trial data to account for the cost of delivery of the servic...

introduction: hospitals performance indicators will help monitoring, evaluation and decision making and therefore must be selected and ranked accurately. the aim of present study is identifying and selecting key hospitals performance indicators. materials and methods: this is a descriptive and mixed (quantitative-qualitative) study. literature review and expert panel has been done to identify a...

background : in the recent decade, due to the overwhelming importance of health and prevention of diseases, nurses, having the most number of the health care team, are acting in any positions of the health care delivery system; because nursing have a key role in promotion of health and health care everywhere. the objective of this research was to study the desired positions of nursing in the he...

background: avoidable mortality (am) is one of the most important health indicators (hi) and represents the quality of care in a hospital.objective: this study measured the efficacy of a training program for a hospital healthcare staff to reduce am.methods: this epidemiological study on community intervention analyzed time-series data on hi by semesters from 2008 to 2015. the pre-intervention p...