OBJECTIVES The prominence given to universal implementation of electronic health record (EHR) systems in U.S. health care reform, underscores the importance of devising reliable measures of factors that predict medical care providers' use of EHRs. This paper presents an easily administered provider survey instrument that includes measures corresponding to core dimensions of DeLone and McClean's...

Introduction. Healthcare reforms launched in the early 2000s in Québec, Canada, involved the implementation of new forms of primary healthcare (PHC) organizations: Family Medicine Groups (FMGs) and Network Clinics (NCs). The objective of this paper is to assess how the organizational changes associated with these reforms have impact on patients' experience of care, use of services, and unmet ne...

Primary health care for children in Croatia are mostly provided by primary pediatricians (PP) in the urban and by family doctors in rural areas. During past decades, as apart of health care reforms, primary pediatric care experiences several changes. This study was undertaken in order to investigate the trends in organizational structure and functioning of the PPs, based on routinely collected ...

There is a general shortage of healthcare providers, ranging from physicians to physical therapists. These shortages will reach crisis levels when more than 30 million people are mandated in 2103 to acquire healthcare insurance and are added to pool of prospective patients. Even now, absent those more than 30 million, it is difficult to schedule an appointment with a primary care provider. Thus...

Recent reforms in Australia, England, and the Netherlands have sought to enhance the quality and accessibility of primary care. Quality improvement strategies include postgraduate training programs for family physicians, accreditation of general practitioner (GP) practices, and efforts to modify professional behaviors—for example, through clinical guideline development. Strategies for improving...

Driven by reimbursement incentives for increased access, improved quality and reduced cost, the patient-centered medical home model of health care delivery is being adopted in primary care practices across the nation. The transition from traditional primary care models to patient-centered medical homes presents many challenges, including the assembly of a well-prepared, interprofessional provid...

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...

Numerous studies, across multiple health systems, have demonstrated the value to child health of accessible and high-quality primary care.1–4 The past decade has witnessed an unprecedented pace of primary care reform, most not specific to children. Although the health policy contexts and mechanisms vary across jurisdictions, a common goal of reform efforts is access to timely care with a focus ...