This is a Health Evidence Network (HEN) synthesis report focusing on the evidence of effective treatment for the types of ill-health from which homeless people often suffer. Homeless people constitute a heterogeneous population characterized by multiple morbidity (primarily alcohol and drug dependence, and mental disorders) and premature mortality. The problems need to be addressed by many meas...

Emergency Department demand continues to rise in almost all high-income countries, including those with universal coverage and a strong primary care network. Many of these countries have been experimenting with innovative methods to stem demand for acute care, while at the same time providing much needed services that can prevent Emergency Department attendance and later hospital admissions. A ...

conclusions it seems that, the preventive instructions are not optimally respected by ers possibly due to the crowded wards, high work load and the need to work rapidly. results cleaning blood tainted skin before phlebotomy or iv line preparation and hand washing before donning latex gloves achieved the maximum (88/150) and minimum (0/150) scores. the most observed barriers of pm were frequent ...

BACKGROUND Adolescent health needs, behaviours and expectations are unique and routine health care services are not well geared to provide these services. The purpose of this study was to explore the perceived reproductive health problems, health seeking behaviors, knowledge about available services and barriers to reach services among a group of adolescents in Sri Lanka in order to improve rep...

Background People Living with HIV (PLHIV) are highly stigmatized and consequently hard-to-access by researchers and importantly, public health outreach in Iran, possibly due to the existing socio-cultural situation in this country. The present study aimed to evaluate the sexual and reproductive health needs of PLHIV in Tehran, the capital of Iran.   Methods As a mixed-method descriptive study, ...

This study evaluated the use of outpatient services by senior citizens (N = 4,003) drawing on data from the baseline study that evaluated the Project for Expansion and Consolidation of the Family Health Strategy (PROESF) in 41 cities in South and Northeast Brazil. Use of outpatient services was greater and more appropriate to the needs of the elderly in the South than in the Northeast. Primary ...

Background: It is difficult to provide health care services to all those in need of such services due to limited resources and unlimited demands. Thus, priority setting and rationing have to be applied. This study aimed at critically examining the concept of rationing in health sector and identifying its purposes, influencing factors, mechanisms, and outcomes.     Methods: The c...

background the current distribution of and access to health services along with the future health needs of the population have prompted wide application of geographic information systems (giss). during recent years, gis has been used in public health management for planning and organization of healthcare services. this study investigates geographical accessibility of residential areas in bandar...