The last three decades have been fertile for the establishment of public policies geared to comprehensive health care for various population groups in Brazil. The scope of this article is to present the partial results of the analysis of the narratives of actors who participated in the creation of the Comprehensive Health Care policy for Adolescents and Youths - PNAISAJ in Brazil, in order to e...

Intervention Patients were allocated to GEM (n=294), consisting of a home visit by a social worker, 2 visits to the GEM clinic, and 6 months of management by an interdisciplinary team, or usual care (n=274) for a mean 6 months. A team comprising a geriatrics nurse practitioner, a geriatrician, a social worker, and a nurse assessed patients, set intervention priorities, created a plan of care, a...

Since having health insurance cannot guarantee access to care among the insured persons, their actual health seeking behavior should be evidence reflecting true access. Therefore, the study aimed to present the patterns of health seeking behavior among the insured persons who actually were able to get free services from their registered hospitals under the Social Security Scheme. Purposive samp...

In America, mental health needs surpass the availability of specialized providers. This vulnerable population also has other obstacles for comprehensive care including gaps in medical coverage, stigma, economic barriers, and a geographical mal‑distribution of qualified mental health professionals. A wide availability of primary care providers, including primary care and family nurse practitione...

Background Comprehensive and coordinated management of chronic disease is a major challenge for healthcare systems. Clalit Health Services, a non-profit health fund, insures 4 million people in Israel, and provides comprehensive care through 1,300 primary and secondary clinics and 14 hospitals. The base of the health care is 1150 multi-professional primary care health centers. Clalit has a comp...

BACKGROUND Due to demographic change, general practitioners (GPs) are increasingly required to care for older people with complex health problems. Little is known about the subjective appraisals of GPs concerning the demanded changes. Our objective is to explore how general practitioners view their professional mandates and capacities to provide comprehensive care for older people with complex ...

My name is Charles Cutler. I am Chair of the Board of Regents of the American College of Physicians (ACP), the nation’s largest medical specialty organization, representing 133,000 internal medicine physicians who specialize in primary and comprehensive care of adolescents and adults, internal medicine subspecialists, and medical students who are considering a career in internal medicine. I res...

Central Appalachia residents present unique healthcare challenges. This vulnerable population faces poor health status and low access to health care. 'The Health Wagon' was established to innovatively enhance access to health care for the poor and marginalized rural population of Central Appalachia. This article describes the operations of the Health Wagon, a full mobile medical clinic, in deli...