the article of marc jamoulle shows the importance of the contribution of general practitioners (gps) in improving the quality and the efficiency of the health systems. starting from the concept of quaternary prevention for reducing excessive costs in the preventive procedures, he suggests a change of paradigm in every daily activity of the gp in order to have a stronger ethical approach to the ...

Introduction The Obstetric Unit at the British Military Hospital in Hong Kong cares for a population consisting of Service wives and local Government Entitled Patients. This involves the antenatal, intranatal and postnatal care of women of Caucasian, Chinese and Nepali (Gurkha) stock. This, therefore represents in our view, a unique opportunity to study the obstetric performance of these three ...

BACKGROUND/AIMS The purpose of this study is to understand how outpatients awaiting initial gastroenterology consultation seek medical information on the Internet and how wait times affect Internet usage. MATERIALS AND METHODS A cross-sectional survey of 87 gastroenterology outpatients awaiting consultation was performed at a tertiary care center. RESULTS Fifty-two patients (60%) utilized t...

Research1 on M y c i n l i k e 2 consu l ta t i on systems i nd i ca tes tha t a rule-based system achieves be t te r performance i f guided by models of " t y p i c a l " consu l ta t i on s i t u a t i o n s . One very powerful form of reasoning used by a human consul tant when he is presented wi th a new s i t u a t i o n is tha t of c l a s s i f y i n g and comparing the new s i t u a t i ...

This study tests the group-level causal relationship between the expansion of Kenya's Safe Motherhood voucher program and changes in quality of postnatal care (PNC) provided at voucher-contracted facilities. We compare facilities accredited since program inception in 2006 (phase I) and facilities accredited since 2010-2011 (phase II) relative to comparable non-voucher facilities. PNC quality is...

background: dietary diversity score (dds) measurement was used to assessment of diet quality in different disease like cardiovascular disease. one way to improve the cardiovascular patient's ability is cardiac rehabilitation program that include exercise training, nutrition consultation and psychological treatment. no study was designed to compare the dds before and after dietary consultation a...