introduction: primary care organizations are the entities through which clinical governance is developed at local level. to implement clinical governance in primary care, awareness about principles, prerequisites and barriers of this quality improvement paradigm is necessary. the aim of this study is to pool evidence about implementing clinical governance in primary care organizations. data sou...

background recently, global nursing experts have been aggressively encouraging nurses to pursue creativity and innovation in nursing to improve nursing outcomes. nurses’ creativity plays a significant role in health and well-being. in most health systems across the world, nurses provide up to 80% of the primary health care; therefore, they are critically positioned to provide creative solutions...

OBJECTIVES The purpose of this study was to classify determinants of cost increases into two categories, negotiable factors and non-negotiable factors, in order to identify the determinants of health care expenditure increases and to clarify the contribution of associated factors selected based on a literature review. METHODS The data in this analysis was from the statistical yearbooks of Nat...

CONTEXT Racial and ethnic disparities in the quality of health care are well documented in the U.S. health care system. Reducing these disparities requires action by health care organizations. Collecting accurate data from patients about their race and ethnicity is an essential first step for health care organizations to take such action, but these data are not systematically collected and used...

Sixteen years earlier -in 1978 -WFPHA had developed a position paper representing the views of the international nongovernmental community that was presented at the International Conference on Primary Health Care held in Alma-Ata, of the former Kazakh SSR. That paper expressed the enthusiastic support of nongovernmental organizations (NGOs) for the goal of ‘Health for All’ by the Year 2000 thro...

Managed-care organizations have a unique opportunity, still largely unrealized, to collaborate with health-care providers and epidemiologists to prevent health care-associated infections. Several attributes make these organizations logical collaborators for infection control programs: they have responsibility for defined populations of enrollees and for their overall health, including preventiv...