BACKGROUND Case management is widely promoted as a means of ensuring continuity of care, improving patient outcomes, and achieving efficient management of resources. Community matrons have been introduced recently as specialists in the case management of patients with multiple complex problems. AIM To understand how nurse case managers are seen by GPs and NHS managers. SETTING (1) Telephone...

background in early 1990s, tanzania like other african countries, adopted health sector reform (hsr). the most strongly held centralisation system that informed the nature of services provision including health was, thus, disintegrated giving rise to decentralisation system. it was within the realm of hsr process, user fees were introduced in the health sector. along with user fees, various typ...

Background Decentralisation in the health sector has been promoted in low- and middle-income countries (LMICs) for many years. Inherently, decentralisation grants decision-making space to local level authorities over different functions such as: finance, human resources, service organization, and governance. However, there is paucity of studies which have assessed the actual use of decisi...

BACKGROUND Governance, which includes decision-making at all levels of the health system, and information have been identified as key, interacting levers of health system strengthening. However there is an extensive literature detailing the challenges of supporting health managers to use formal information from health information systems (HISs) in their decision-making. While health information...

This study designed to give us a better understanding of the experiences and mechanism of the Government intervention in tourism industry development in Iran. This study is mainly focused on the government relations With local community According to their acceptance or disagreement with tourism development project in their region. Having used Phenomenology Strategy in order to understand the ex...

Anthropogenic activities have increased the number of stressors acting on ecosystems. When multiple stressors act simultaneously, there is a greater probability of additive, synergistic and antagonistic effects occurring among them. Where additive and synergistic effects occur, managers may yield disproportionately large benefits where they first act upon synergies. Stressors act, however, at d...

BACKGROUND Although an evidence-based approach is the ideal model for planning and delivering healthcare, barriers exist to using research evidence to implement and evaluate service change. This paper aims to inform policy implementation and evaluation by understanding the role of research evidence at the local level through implementation of a national chronic conditions management policy. M...