BACKGROUND In Switzerland, General Practitioners (GPs) play an important role for out-of-hours emergency care as one service option beside freely accessible and costly emergency departments of hospitals. The aim of this study was to evaluate the services provided and the economic consequences of a Swiss GP out-of-hours service. METHODS GPs participating in the out-of-hours service in the city...

OBJECTIVE To investigate how cancer patients in Norway use primary care out-of-hours (OOH) services and describe different contact types and procedures. DESIGN A retrospective cross-sectional registry study using a billing registry data source. SETTING Norwegian primary care OOH services in 2014. SUBJECTS All patients' contacts in OOH services in 2014. Cancer patients were identified by I...

The growing concern over violence against health service staff is reflected in an increasing number of anecdotal reports in both the medical and the lay press describing violent incidents.`6 Family practitioner committees have recently started to gather information on the subject. The Health and Safety Commission has described some of the common factors in assaults against employees.4 These inc...

INTRODUCTION The prognosis of patients with HIV in Africa has improved with the widespread use of antiretroviral therapy (ART) but these successes are threatened by low rates of long-term retention in care. There are limited data on predictors of retention in care, particularly from rural sites. METHODS Prospective cohort analysis of outcome measures in adults from a rural HIV care programme ...

BACKGROUND In the vast state of Queensland, Australia, access to specialist paediatric services are only available in the capital city of Brisbane, and are limited in regional and remote locations. During home-based palliative care, it is not always desirable or practical to move a patient to attend appointments, and so access to care may be even further limited. To address these problems, at t...

BACKGROUND Identification of a Primary Care Physician (PCP) by older patients is considered as essential for the coordination of care, but the extent to which identified PCPs are general practitioners or specialists is unknown. This study described older patients' experiences with their PCP and tested the hypothesis of differences between patients who identify a specialist as their PCP (SP PCP)...

OBJECTIVE To explore educational factors that influence family medicine residents' (FMRs') intentions to offer palliative care and palliative care home visits to patients. DESIGN Qualitative descriptive study. SETTING A Canadian, urban, specialized palliative care centre. PARTICIPANTS First-year (n = 9) and second-year (n = 6) FMRs. METHODS Semistructured interviews were conducted with ...

Introduction: The expansion of activities and performance areas of organizations, modern management issues mean that organizations are no longer satisfied with success in only a limited number of indicators. Mathematical models thus formed and gradually are developed for the assessment of organizations and provide the right tools. This study is conducted to provide a model for improving the ...

BACKGROUND AND AIM: In spite of different reforms and programs, the evidence indicates that Iran dental health sector has not been able to improve the dental situation and decrease the unmet needs. This study assessed the factors which affect the avoiding dental visit during one year ago because of its costs.METHODS: This cross-sectional study was performed on 1158 household heads which were se...

Visit www.cudc.kent.edu/shrink for a slide show on Dresden and some of its neighborhoods .