RRH: Rural and Remote Health. Published article number: 6509 - The pros cons of the implementation a chronic care model in European rural primary care: points view general practitioners

BACKGROUND The problem of access to health care is of growing concern for rural and remote populations. Many Australian rural health funding programs currently use simplistic rurality or remoteness classifications as proxy measures of access. This paper outlines the development of an alternative method for the measurement of access to primary care, based on combining the three key access elemen...

BACKGROUND Poor distribution of essential medicines to primary care institutions has attracted criticism since China adopted provincial centralized regional tendering and procurement systems. This study evaluated the impact of new procurement arrangements that limit the number of distributors at the county level in Hubei province, China. METHODS Procurement ordering and distribution data were...

Ecological evidence has suggested that health systems with a strong orientation towards primary care achieve lower overall costs, better satisfaction of their populations, and better health. Relevant research is essential to informing best practice in primary care settings, as this may be different to best practice in secondary or tertiary settings. However, several barriers have been described...

internationally early intervention programmes for infants and preschoolers with disabilities have proved to be remarkably successful. in many countries, they began with teachers for visually impaired or hearing impaired children visiting the family home to teach parents how they could overcome the child's impairments. the logic of early intervention was inequitable. for example, the sooner...

The Patient Protection and Affordable Care Act (ACA) authorizes several changes to the Resource-Based Relative Value Scale (RBRVS) system that are designed to increase primary care physician personal income and reduce geographic variation in primary care payment. In this brief, the ACA-authorized primary care payment adjustments are modeled in a prototypical rural primary care practice to asses...

background: occupational exposure to percutaneous injuries is a substantial source of infections with blood-borne pathogens among health-care workers. few studies evaluated injection safety practices in saudi arabia. objective: to examine the structure and process of injection safety at primary health care level in jazan health district, to evaluate knowledge, attitudes, and practices of primar...

PURPOSE Remote monitoring technologies (RMTs) may improve the quality of care, reduce access barriers, and help control medical costs. Despite the role of primary care clinicians as potential key users of RMTs, few studies explore their views. This study explores rural primary care clinician interest and the resources necessary to incorporate RMTs into routine practice. METHODS We conducted 1...

BACKGROUND Under conditions of high demand for primary care services in a setting of low financial resources, there is need for brief, easily administered cognitive screening tools for use in the primary care setting, especially in rural areas. However, interpretation of these cognitive tests' results requires knowledge on their susceptibility to cultural, educational and demographic patient ch...