results in the first three years, the team managed the care of 812 admissions. mean age wasn 44.3 years (sd = 24.8) and mean length of hospital stay was 6.1 days (sd = 10.9). ofn these individuals, 674 attended for 6 month follow-up with 52.2% having a good outcomen on extended glasgow outcome score. patients and their relatives' feedbacks weren excellent with an average score of 4.7/5 on overa...

The historic Alma-Ata Declaration has now become a household word. Its ultimate goal—health for all by the year 2000 A.D. is a dream worth realizing. This seemingly simple and straightforward statement is a tremendous venture in the field of health care and is breathtaking in its scope. The emphasis in health care would follow the principles of Primary Health Clare as mentioned in the Alma Ata ...

ISSUES ADDRESSED To evaluate opportunities for action on social determinants of health (SDH) requires a historical perspective. Plans for addressing SDH should be developed with an awareness of past similar efforts and factors that contributed to their success or failure. METHODS Review of published historical literature on analysis and action on SDH, in particular from the Latin American soc...

in the recent years, advances in medical technologies for end stage cancer patients' care have affected the end-of-life decision-making in clinical practice and exposed oncologists to serious ethical dilemmas. but little is known about oncologists' viewpoints in our country regarding their ethical problems in this mention. we aimed to clarify the ethical dilemmas which iranian oncologists may f...

Letters Community participation in health care Editor – I agree, but only in part, with the views expressed in the editorial " Community participation in health impact assessment: intuitively appealing but practically difficult " (1). The authors have considered many important issues relating to community participation, such as democratic processes, community empowerment, and top-down professio...

Since the Declaration of Alma Ata (World Health Organization, 1978) there has been a steady move world wide for health care to be primary care led, with secondary care offering specialist knowledge and increasingly sophisticated investigation and treatment in support. The vast majority of illness and disease is managed in primary care, but paradoxically, while general practice contributes the g...