the key argument of this commentary is that patient choice has a broader meaning than suggested by consumerist choice models. in increasingly marketized health care systems with diversified and knowledge-based service arrangements, patients are continuously obliged to choose insurers, physicians or hospitals and treatments—whether they like it or not. however, health care users refer to a wide ...

Introduction The specialty of intensive care medicine (ICM) is rapidly evolving as economic progress, ageing population, urbanisation, improved living standards, better education and rising patient expectations reshape medicine. A recent report by the Committee on Manpower for Pulmonary and Critical Care Societies (COMPACCS) identified care of the critically ill as one area in medicine that is ...

OBJECTIVE This study analyzed data from a study on the value of libraries to understand the specific role that the MEDLINE database plays in relation to other information resources that are available to health care providers and its role in positively impacting patient care. METHODS A previous study on the use of health information resources for patient care obtained 16,122 responses from hea...

objective: to find out the quality of anc in the upazila health complexes (phc centres) of bangladesh. materials and methods: this cross sectional study was done in purposively selected three upazilas among the clients receiving antenatal care (anc). data were collected with questionnaire cum checklist in the context of two aspects of quality issues, namely assessment of physical arrangements f...

there is an increasing policy emphasis on the integration of care, both within the healthcare sector and also between the health and social care sectors, with the simple aim of ensuring that individuals get the right care, in the right place, at the right time. however, implementing this simple aim is rather more complex. in this editorial, we seek to make sense of this complexity and ask: what...

Health in India is a state subject. Although the central government shares a significant part in establishing health care infrastructure, each of the Indian states determines their priorities for health care financing, and provides services to the population. India’s 12th plan document1 promises to build upon the initiatives that were taken in the 11th plan and expand the reach and coverage of ...

INTRODUCTION The National Health Policy (NHP), 2002 envisages that keeping in mind the availability and spread of allopathic graduates in their jurisdiction, state governments would consider the need for expanding the pool of medical practitioners to include a cadre of licentiates of medical practice, as also practitioners of Indian systems of medicine and homoeopathy. Simple services can be pr...

To facilitate manpower and service need estimates, the long-term care population must be defined in terms of dependency on human assistance in daily functioning. Such a definition of dependency is applied to national population data bases, using the 1977 National Nursing Home Survey and the 1977, 1979, and 1980 National Health Interview Surveys. The four categories of dependency are personal ca...

The paper by Senator Edward M. Kennedy, which follows directly, is one of a series of lectures sponsored by the Medical Student Council. The Lectureship, instituted early in 1974, was designed to bring outstanding teachers of medicine and leaders in public health to the Yale University School of Medicine. This program was organized entirely by medical students on behalf of the student body. The...