in a period of less than five decades, the urban residence has dramatically increased in iran. currently more than two thirds of the population live in city dwellings. this rapid urbanization has considerable impact on people’s mental health and psychiatric care. the main strategy of iran's national program of mental health has been the integration of mental health into the primary health ...

BACKGROUND Hypertension (HTN) is a major cause of death in Chinese farmers. Remoteness from population centers may independently affect HTN prevalence and severity. METHODS We used random cluster sampling to select 27 villages in Yunnan province, China. Within each village, we randomly selected 50-80 men and women between the ages of 50 and 70 years. A total of 1,177 participants underwent in...

OBJECTIVES To investigate the association between sick leave prescription and physician burnout and empathy in a primary care health district in Lleida, Spain. METHODS This descriptive study included 108 primary care doctors from 22 primary care centers in Lleida in 2014 (183,600 patients). Burnout was measured with the Maslach Burnout Inventory and empathy with the Jefferson Scale of Physici...

INTRODUCTION Mediterranean countries such as Greece have experienced rapid social change in the last decade. These community changes affect nutritional habits and there is a tendency for the traditional healthy Mediterranean diet to be abandoned. METHODS The parents of children from one rural Greek village on Crete (Neapolis), and one rural village in Sweden (Kisa) were invited to their prima...

BACKGROUND The aging population, rapid urbanization, and epidemiology transition in China call for the improvement and adaptation of the health workforce, especially in underserved rural areas. The aging of village doctors (the former "barefoot doctors") who have served the rural residents for many decades has become a warning signal for the human resources for health in China. This study aims ...

Health care management has really become a burning question of the day and the current health scenario of our rural India is a story of utter deprivation. On one side there are hi-tech medical facilities and use of state-of-art-medical technologies with five star deluxe facilities in a few urban centers’ but in the rural counterpart the stories of helplessness and callousness have become too ap...

OBJECTIVES China is facing the unprecedented challenge of rapidly increasing rural-to-urban migration. Migrants are in a vulnerable state when they attempt to access to primary care services. This study was designed to explore rural-to-urban migrants' experiences in primary care, comparing their quality of primary care experiences under different types of medical institutions in Guangzhou, Chin...

It often seems that the health care numbers and vital statistics in Africa are as hazy as the sun on the horizon. Medical statistics, for example, can come with staggering margins of error. The World Health Organization notes in “2011 World Health Statistics” that “there are considerable uncertainty ranges for many countries due to limitations in data availability, quality and timeliness. Uncer...

BACKGROUND Lack of motorized transport in remote areas and cash in resource-constrained settings are major obstacles to women accessing skilled care when giving birth. To address these issues, a cashless voucher transport scheme to enable women to give birth in a health-care institution, covering poor and marginalized women, was initiated by the National Rural Health Mission in selected distric...