This is a challenging time in the field of public mental health. State and federal funding for public behavioral healthcare is declining in a time when the demand for services is increasing. Philosophical changes in mental healthcare service delivery, underscored by the tenets from the President's New Freedom Commission on Mental Health, are creating additional challenges for practitioners. The...

background: the need to provide high quality prenatal care services, which take account of women's views and specifi­cally address their need for information, support and communication, has been advocated and group prenatal care, had been sug­gested as one of the ways to achieve this objective. the purpose of this study was to examine the impact of group versus in­dividual prenatal care on sati...

mcdonough’s perspective on healthcare reform in the us provides a clear, coherent analysis of the mix of access and delivery reforms in the affordable care act (aca) aka obamacare. as noted by mcdonough, this major reform bill is designed to expand access for health coverage that includes both prevention and treatment benefits among uninsured americans. additionally, this legislation includes s...

BACKGROUND One promising way to improve the motivation of healthcare providers and the quality of healthcare services is performance-based incentives (PBIs) also referred as performance-based financing. Our study aims to explore healthcare providers' preferences for an incentive scheme based on local resources, which aimed at improving the quality of maternal and child health care in the Nouna ...

To determine whether adding telehealth technology to traditional home care services increases health-related quality of life (HRQOL) and home care satisfaction, and decreases resource utilization among home care patients. This trial included 37 home care patients receiving services in a Veterans Affairs medical center, randomized into intervention and control groups. Outcome measures included p...

OBJECTIVE This study used a recent patient survey to examine the relationship between having a usual source of care (USC) and the quality of ambulatory medical care experiences in Taiwan, where there is universal health insurance coverage. RESEARCH DESIGN, SUBJECTS, AND MEASURES The study design was a cross-sectional survey of 879 patients in Taichung County, Taiwan. Children and adults visit...

Introduction In order to provide effective healthcare to the rural population, the National Rural Health Mission (NRHM) by government of India proposed introduction of female health workers village level. These workers are called Accredited Social Health Activists (ASHA) and their role is to act at an interface between the community and the government healthcare services. More specifically, she...

Health services throughout the world do not have enough resources to meet the healthcare needs of all of their citizens. Therefore, some form of rationing within health services is inevitable. Even within healthcare systems in which access to health care is guaranteed— however they are funded—this will mean that some who are ill will not necessarily receive treatment when they need it, if at al...

BACKGROUND World Health Organisation recommends that pregnant women with no complications should visit a healthcare provider at least four times to receive sufficient antenatal care services. In Pakistan only 37% of women reported to have had four or more antenatal care visits during their last pregnancy. This study aimed to explore facilitators and barriers to use of antenatal care services in...

Access to quality care is essential for improved health outcomes. Decentralization improves access to healthcare services at lower levels of care, but it does not dismantle structural, funding and programming restrictions to access, resulting in inequity and inequality in population health. Unlike decentralization, Commonization Model of care reduces health inequalities and inequity, dismantles...