Major depression is a leading cause of disability in the United States and is frequently diagnosed and managed within a primary care setting, with less-than-optimal results. Studies have shown that adequate follow up significantly affects patient outcomes, including mortality; however, primary care providers face many challenges in providing this care within the constraints of a primary care se...

background: changes in expectations and requirements of the end users of medical education “community members” and evolution in health services necessitate some changes in the medical education curriculum. to achieve this reform in curricula, obtaining insight into the health care needs of community members and their comments about their physicians is highly required in community-oriented educa...

BACKGROUND Emergency department (ED) utilization has dramatically increased in developed countries over the last twenty years. Because it has been associated with adverse outcomes, increased costs, and an overload on the hospital organization, several policies have tried to curb this growing trend. The aim of this study is to systematically review the effectiveness of organizational interventio...

objectives: this study was conducted on the estimation of the efficiency of mental health program in primary health care in chaharmahal and bakhtyari province, situated in center of the islamic republic of iran, from 1999 to 2009. methods: one of the important objectives of mental health program is screening of mental health disorders and follow up. according to the prescription of mental healt...

BACKGROUND There is an increasing number of patients with a chronic illness demanding primary care services. This demands for effective self-management support, including collaborative goal setting. Despite the fact that primary care professionals seem to have difficulties implementing goal setting, little information is available about the factors influencing the complexity of this process in ...

background: according to the important role of health care apprentice program on medical students’ performance, especially in relation with social accountability of medical education, it is attempted to assess efficacy of health care apprentice program on the level of medical students’ knowledge and skills in the context of primary health care at babol university of medial sciences    methods: ...

OBJECTIVE To determine whether nurse practitioners can provide care at first point of contact equivalent to doctors in a primary care setting. DESIGN Systematic review of randomised controlled trials and prospective observational studies. DATA SOURCES Cochrane controlled trials register, specialist register of trials maintained by Cochrane Effective Practice and Organisation of Care Group, ...