OBJECTIVE To develop and implement a service model for people with spinal cord injury (SCI) living in rural regions. DESIGN Service development, pilot evaluation study. SETTING Regional and remote areas of the state of New South Wales, Australia. PARTICIPANTS Persons with SCI, caregivers, and health professionals. INTERVENTION Phase 1 included initial needs analysis, followed by educati...

PROBLEM Healthcare organisations are expected both to monitor inequalities in access to health services and also to act to improve access and increase equity in service provision. DESIGN Locally developed action research projects with an explicit objective of reducing inequalities in access. SETTING Eight different health care services in the Yorkshire and Humber region, including community...

background: the national health accounts keep track of all healthcare related activities from the beginning (i.e. resource provision), to the end (i.e. service provision). this study was conducted to address following questions: how is the iranian health system funded? who distribute the funds? for what services are the funds spent on?, what service providers receive the funds? methods: the req...

PURPOSE OF REVIEW The study discusses key issues and concepts of how to provide basic mental health services for people with mental disorders in low and middle-income countries (LAMICs). RECENT FINDINGS In the last years a considerable gap between mental healthcare needs and available services in LAMICs has been documented. The transformation of hospital-based to community-based mental health...

This study aims to advance understanding of service provision to the homeless population through investigation of the effects of organizational characteristics. A longitudinal study of homelessness obtained structured psychiatric interview data from 400 participants and these individuals' service use and organizational data from 23 organizations over the next 12 months. Substance abuse service ...

We examined the characteristics of patients occupying elderly-mentally-ill acute and assessment beds in all mental health units within North and South Thames Regions; the proportion of patients defined as no longer requiring acute care (inappropriately located); and the unmet need for alternative service provision these patients required. Of the 1510 patients surveyed, 24.4% (n = 368) were defi...

BACKGROUND The full costs of accommodating and supporting young people in the criminal justice system are unknown. There is also concern about the level of mental health needs among young offenders and the provision of appropriate mental health services. AIMS To estimate the full cost of supporting young people in the criminal justice system in England and Wales and to examine the relationshi...

BACKGROUND Deciding what health services are provided is a key consideration in delivering appropriate and accessible health care for rural and remote populations. Despite residents of rural communities experiencing poorer health outcomes and exhibiting higher health need, workforce shortages and maldistribution mean that rural communities do not have access to the range of services available i...