conclusions the number of studies conducted on pre-hospital emergency services in iran is limited. to promote public health, consideration of prevention areas, processes to provide pre-hospital emergency services, policymaking, foresight, systemic view, comprehensive research programs and roadmaps, and assessments of research needs in pre-hospital emergency seem necessary. context pre-hospital ...

Introduction: Food quality in hospitals plays a key role in the integrated program for the improvement of nutritional care in hospitals. Providing appropriate nutrition programs in the hospital setting is particularly challenging due to the diverse dietary needs of patients. The present study aimed to determine the influential factors in the satisfaction of patients with the food service in the...

Understanding patient experience is necessary to advance the patient-centred approach to health service delivery. Australia's primary healthcare model, the 'Health Care Home', is based on the 'Patient-Centered Medical Home' (PCMH) model developed in the United States. Both these models aim to improve patient experience; however, the majority of existing PCMH model evaluations have focussed on f...

Achieving universal health coverage (UHC)—defined as access to needed health services to all and protection against financial risks arising from paying for health services [1]—is among the top priorities of reform agendas across many countries. Provision of health services should be determined by individuals’ need rather than their ability to pay and, at the same time, utilization of services b...

BACKGROUND In 2007, West London Mental Health Trust was visited by the Healthcare Commission (now the Care Quality Commission), which identified several issues needing attention. One major concern was the lack of effective interaction between nurses and service users in acute care. AIM To determine why mental health nurses on acute admissions wards struggle to spend one to one time with servi...

Nineteen eighty-six was a most significant year in the life of the mental health services in Northern Ireland. The introduction of new and progressive legislation updates the landmark of reform the 1961 Mental Health Act. The Royal Commission on Mental Health (1957) which laid the foundation to this Act articulated the philosophy of change a change from institutional care to community care. Thi...

Medicare expenditures of hospital outpatient department (HOPD) services are growing rapidly, prompting congressional interest in a prospective payment system. In this article, the authors identify frequently provided services and examine service volume and charges in the HOPD. Relatively few services drive Medicare HOPD spending, and volume is dominated by visits, imaging and laboratory tests, ...

Telemonitoring provides a potentially useful tool for disease and case management of those patients who are likely to benefit from frequent and regular monitoring by health care providers. Since 2008, Geisinger Health Plan (GHP) has implemented a telemonitoring program that specifically targets those members with heart failure. This study assesses the impact of this telemonitoring program by ex...

BACKGROUND In Germany copayment for medical consultation was eliminated in 2013, and in Spain universal health coverage was partly restricted in 2012. This study shows the relationship between income and the use of health services before and after these measures in each country. METHODS Data were taken from the 2009 and 2014 Socio-Economic Panel conducted in Germany, and from the 2009 and 201...