National governments are responsible for guaranteeing the accessibility, affordability, availability, and social acceptability of public services. If urbanization grows in an unplanned way requires more investments to extend current infrastructure or build new ones. Since, general, cities developing countries lack sufficient economic resources, it is necessary maximize productivity satisfy addi...

BACKGROUND Patients at high risk of emergency hospitalisation are particularly likely to experience fragmentation in care. The virtual ward model attempts to integrate health and social care by offering multidisciplinary case management to people at high predicted risk of unplanned hospitalisation. OBJECTIVE To describe the care practice in three virtual ward sites in England and to explore h...

Ecosystem is affected by uneducated, unplanned and ineffective waste management. The cycle of garbage generation and recycling is effective to make the cities environment more pollution free, clean, green and habitable for healthy living. In an effort to understand the dynamics of waste management and scope in Delhi & NCR the paper looked at the systems in place for collection and recycling of ...

OBJECTIVES Unplanned readmissions to the intensive care unit (ICU) are highly undesirable, increasing variance in care, making resource planning difficult and potentially increasing length of stay and mortality in some settings. Identifying patients who are likely to suffer unplanned ICU readmission could reduce the frequency of this adverse event. SETTING A single academic, tertiary care hos...

BACKGROUND Timely care by general practitioners in the community keeps children out of hospital and provides better continuity of care. Yet in the UK, access to primary care has diminished since 2004 when changes in general practitioners' contracts enabled them to 'opt out' of providing out-of-hours care and since then unplanned pediatric hospital admission rates have escalated, particularly th...

Research has consistently shown that high rates of abortion reflect high levels of unintended pregnancy, and that is certainly the case in Nigeria. Of the estimated 6.8 million pregnancies that occur annually in Nigeria, one in five are unplanned, and half of these end in an induced abortion (Figure 1, page 2). This issue brief highlights the latest scientific evidence on the causes and consequ...

OBJECTIVE To determine whether there are real differences in emergency department (ED) performance between Australian states and territories. METHODS Cross-sectional analysis of 2009-10 attendances at an ED contributing to the Australian non-admitted patient ED care database. The main outcome measure was difference in waiting time across triage categories. RESULTS There were more than 5.8 m...