There have been major policy changes impacting on community health services such as early discharge and hospital in the home initiatives. The effects of such policies on the client profile of community health services are not well known. Administrative data was used to explore a decade of changes in South Western Sydney Area Health Service community health services. There is a clear shift from ...

Many factors associated with a patient's lifestyle may disrupt timely access to dementia diagnosis and management. The aim of this study was to compare characteristics of lifestyle factors at the time of initial evaluation for dementia across degrees of dementia, and to identify risk factors relating to late detection of dementia, in order to understand the various lifestyle barriers to timely ...

Introduction The Malawi Government designed a 12 year project as one of the policy instruments in achieving the Millennium Development Goals. The project is managed by the Malawi Social Action Fund (MASAF). MASAF was designed as a platform for the implementation of multi-sectoral community Driven Development (CDD) interventions in the areas have been placed in five Community Service Packages (C...

INTRODUCTION Community Health Strategy (CHS) is a new Primary Health Care (PHC) model in Kenya, designed to provide PHC services in Kenya. In 2011, CHS was initiated in Mwingi district as one of the components of APHIA plus kamili program. The objectives of this study was to evaluate the efficiency of the CHS in providing MCH services in Mwingi district and to establish the factors influencing ...

BACKGROUND Community health service in China is designed to provide a convenient and affordable primary health service for the city residents, and to promote health equity. Based on data from a large national study of 35 cities across China, we examined the characteristics of the patients and the utilization of community health institutions (CHIs), and assessed the role of community health serv...

BACKGROUND Home mechanical ventilation probably represents the most advanced and complicated type of medical treatment provisioned outside a hospital setting. The aim of this study was both to explore the challenges experienced by health care professionals in community health care services when caring for patients dependent on home mechanical ventilation, continual care and highly advanced tech...

BACKGROUND With the objective of the national health services systems reform to move care to the community, community health services (CHS) are becoming the gateways of the health system in China. This study aims to evaluate the levels and distributions of the responsiveness of CHS in urban China and identify the relevant features to provide the government with policy advice on the improvement ...

The Mobilizing Action Toward Community Health (MATCH) articles in this issue of Preventing Chronic Disease discuss ideas, policies, and practices that can be used to produce a healthier population in the United States and globally. The articles pose the following questions: 1) How do we best measure long-term wellness at the population level?, 2) How do we provide incentives to organizations to...