BACKGROUND In 2007, South Africa made family medicine a new speciality. Family physicians that have trained for this new speciality have been employed in the district health system since 2011. The aim of the present study was to explore the perceptions of district managers on the impact of family physicians on clinical processes, health system performance and health outcomes in the district hea...

Background and aims Particulate matter exposure during in utero life may entail adverse health outcomes later in life. Epidemiological studies in adults have linked air pollution’s adverse effects to alterations in gene expression profiles, which can be regulated by epigenetic mechanisms, including microRNAs (miRNAs). MiRNAs have been implicated in diverse biological processes. We investigate t...

believe that the growing ability to measure clinical outcomes is an opportunity to more clearly demonstrate that family physicians are this nation’s best hope to create a higher quality, lower cost health care system, but we must provide residents new skills to lead PCMHs and ACOs. Innovation, new ways of looking at and solving problems, therefore, is an imperative for our specialty. We may nee...

BACKGROUND Since the late 1980s, there has been evidence of an international trend towards more organised primary care. This has taken a number of forms including the emergence of primary care organisations. Underpinning such developments is an inherent belief in evidence that suggests that well-developed primary care is associated with improved health outcomes and greater cost-effectiveness wi...

BACKGROUND AND OBJECTIVES The Patient-centered Medical Home (PCMH) concept, essential functions of primary care, and an appropriate primary care workforce have been shown to improve health outcomes and reduce health care costs. This paper describes a curriculum that uses the PCMH and related health policy concepts as the foundation for didactic, clinical, and self-directed elements. The PCMH-fo...

Background. Low health literacy affects more than one-third of American adults, resulting in poor physician-patient communication, worse health outcomes, and increased medical costs. Many physicians are uninformed of their patients’ health literacy status. Current paper-based surveys require extra staff, time, and resources for administration, while a computer-based survey may provide efficient...

objective: to compare the effect of the physiologic and facilitated labor on the mother and neonate outcomes in the prim gravid women referring to arash hospital. materials and methods: this clinical trial study was performed on 200 low risk pregnant women referring to arash women's hospital in 2012-2013. mothers were divided into two groups of 100 patients using a simple random sampling method...

We used data from the Midlife Development in the United States (MIDUS I) (N = 2,031) to compare three models of how work-family conflict and enrichment might operate to predict well-being (mental health, life satisfaction, affect balance, partner relationship quality). We found no support for a relative-difference model in which the conflict-enrichment balance predicted outcomes. In the work-to...