BACKGROUND Team-based care is now recognized as an essential feature of high quality primary care, but there is limited empiric evidence to guide practice transformation. The purpose of this paper is to describe advances in the configuration and deployment of practice teams based on in-depth study of 30 primary care practices viewed as innovators in team-based care. METHODS As part of LEAP, a...

BACKGROUND Although rates of maternal and neonatal mortality have decreased in many countries over the last two decades, they remain unacceptably high, particularly in sub-Saharan Africa. Nevertheless, we know little about the quality of facility-based maternal and newborn care in low-income countries and little about the association between quality of care and health worker training, supervisi...

objectives this study is the first of its kind to determine the framework, advantages, and limitations of bot contracts for health care projects in selected countries. background advantages and limitations of build-operate-transfer (bot) contracts in various forms of public-private partnership (ppp) arrangements have not been studied. conclusions this study suggests that more information transp...

extractcontinuing education is not new for us because there  is emphasis on learning and continuing education  in our culture including literature, religion, and special  traditions in different ways  .as prophet muhammad (pbuh) says: “seek knowledge from the cradle to the grave” that  it is emphasis on continuous learning and continuous. in the holy quran  the word of “alam “repeatedly stated ...

Objective To analyze the practices of primary care focused on the harmful consumption of drugs. Method This is a qualitative study, developed with a dialectical-critical approach. Data collection was carried out through semi-structured interviews with 10 employees of a basic health unit (UBS). Results The demands are not accepted, and if they go beyond the barriers shaped by the historical abse...

BACKGROUND Self-care is a key component of current policies to manage long term conditions. Although most people with long-term health problems care for themselves within lay networks, consultation rates for long-term undifferentiated illness remain high. Promotion of self-care in these individuals requires an understanding of their own self-care practices and needs to be understood in the cont...

The emergence of moral dilemmas in health care practices, in view of the rapid demographic transition in developing countries, and skyrocketing public health care costs, is discussed. The focus is on two aspects of health care that have occupied an important place in the generation of these dilemmas. On the one hand, the tension between commercial strategies involving the health products market...

The objective of this study was to identify leading practices to promote environmentally friendly and efficient efforts in the provision of surgical health care. Health care is the second leading contributor to waste in the United States. Despite widespread enthusiasm for "going green" in the US economy, little substantive information is available to the medical community, to our knowledge. We ...

PURPOSE Health information technology (IT) offers promising tools for improving care coordination. We assessed the feasibility and acceptability of 6 proposed care coordination objectives for stage 3 of the Centers for Medicare and Medicaid Services electronic health record incentive program (Meaningful Use) related to referrals, notification of care from other facilities, patient clinical summ...

The need to access information across different levels of the health care system has prompted attention to standardising electronic patient record (EPR) systems. However, this has proven extremely difficult to achieve. One reason is that much structuring of the EPR content translates into the need to standardise related routines and practices. In this paper, we demonstrate that the Norwegian na...