The goal of this study was to establish the understanding and appreciation of the essence of PHC principles in the two Primary Health Care (PHC) communities. The PHC communities in this study referred to the people who were involved in the operation of the phenomenon, that is health professionals working in the health care centers and the communities served by these health care centers. It was ...

This article presents compelling data supporting a comprehensive enculturation program for physicians entering a medical group practice and fills a void in the literature about improving the process whereby physicians can more effectively enter a medical group. As far back as 1999, a study noted that physicians joining the Mayo Clinic physician group took five years to be fully integrated into ...

The role of the nursing manager has evolved from clinician and bed manager to one with greater accountability for evidence based practice, benchmarking and more recently, budget liability. Casemix data are widely believed to be a means of providing essential information for effective decision making and financial management but have not been widely utilised by nursing managers (Diers & Bozzo, 1...

OBJECTIVES Patients are often accompanied by family or companions during consultations, but little is known about how this might influence the process. We explored how the presence of a companion in a consultation contributes to communication and the decision-making process. DESIGN Observational study. SETTING A teaching hospital and a district general hospital in south-west England. PART...

This study sought at testing a newly developed instrument that measures nurse managers’ actions (NMAs) conducive to Jordanian nurses’ autonomy. NMAs scale was tested using a convenience sample of two hundred and fifty registered nurses (RNs) who were working in a large teaching hospital in Jordan. The highest reported Cronbach’s alpha of actions promoted nurses' autonomy was related to supporti...

BACKGROUND Site-specific content configuration of vendor-based Electronic Health Records (EHRs) is a vital step in the development of standardized and interoperable content that can be used for clinical decision-support, reporting, care coordination, and information exchange. The multi-site, multi-stakeholder Acute Care Documentation (ACD) project at Partners Healthcare Systems (PHS) aimed to d...

OBJECTIVE To evaluate the role of physical examination in decision making for exploring patients with penetrating zone II neck injury. METHODS This was a cross-sectional study being performed in a level I trauma center between 2006 and 2010. The present study reviewed the records of 150 patients with penetrating neck injuries. Of 46 cases with zone II deep platysma neck injuries, 3 patients d...

We considered the allocation of operating room (OR) time at facilities where the strategic decision had been made to increase the number of ORs. Allocation occurs in two stages: a long-term tactical stage followed by short-term operational stage. Tactical decisions, approximately 1 yr in advance, determine what specialized equipment and expertise will be needed. Tactical decisions are based on ...

A parallel can be made between the human rights discourse and the global bioethics discourse along two axes: 1) the ongoing relativist-universalist debate in both fields, 2) the overlap of the two discourses on the issue of the right to treatment as an issue of access.This article links the issue of right to treatment with an analysis of patient autonomy. In bioethics, it has been suggested tha...

OBJECTIVE Retinopathy of prematurity (ROP) is emerging as a significant avoidable cause of childhood blindness in developing countries. This study was conducted to assess the referral system for ROP in the leading health care centers involved in the provision of services to newborns in Karachi, and to assess the awareness of this condition among health care workers in these centers. METHODS A...