background: despite the positive impact of cardiac rehabilitation (cr) on quality of life and mortality, the majority of people who could benefit from this program fail to participate in it. the lack of referral from the physician is a common reason that patients give for not seeking cr. the objective of this study was to compare factors affecting cr referral by cardiologists. methods: a cross-...

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 ...

Background & Aims: Teleradiology as an efficient way for avoiding unnecessary transfer of patients to special medical centers requires the images with digital format. However, in some developing countries, including Iran, imaging is being done using non digital devices. In such cases, changing analog images into digital ones can solve the problem. The method which is nowadays used for digita...

background: many of health system services are done in clinical counseling. a patient’s expectation of clinical consultation and physician office visits is to obtain diagnostic-remedial results, while such an expectation can be fulfilled only through an active relationship between the doctor and the patient. the aim of this study is to evaluate the quality of doctor- patient interaction in an e...

introduction: cancer and its treatments have a significant effect on the quality of life (qol) of people who suffer from cancer. nursing consultation involving cancer survivors might be beneficial for other patients as they successfully managed and lived with cancer. but controversies still exist in the research findings as how nursing consultation involving cancer survivors might influence oth...

BACKGROUND Evidence for the use of telephone consultation in childhood inflammatory bowel disease (IBD) is lacking. We aimed to assess the effectiveness and cost consequences of telephone consultation compared with the usual out-patient face-to-face consultation for young people with IBD. METHODS We conducted a randomised-controlled trial in Manchester, UK, between July 12, 2010 and June 30, ...

Draft agreed by CVMP Efficacy Working Party (EWP-V) February 2014 Adopted by CVMP for release for consultation 10 April 2014 Start of public consultation 23 April 2014 End of consultation (deadline for comments) 31 July 2014 Revised draft adopted by CVMP for release for second consultation 21 April 2016 Start of public consultation 29 April 2016 End of consultation (deadline for comments) 31 Ju...