Health sector organisations are undergoing a period of fundamental change. One set of changes is about increasing the capacity of the system to provide integrated client care. This paper discusses the practices that community health care workers have used to approach some basic issues of service integration. Although the discussion is about practices in community health, the issues are importan...

Background The global burden of mental health conditions has led to the implementation of new models of care for persons with mental illness. Recent mental health reforms in Peru include the implementation of a community mental health model (CMHM) that, among its core objectives, aims to provide care in the community through specialized facilities, the community mental health centers (CMH...

BACKGROUND There are three major models of primary care providers (Community Health Centers, CHCs) in China, i.e., government managed, hospital managed and privately owned CHCs. We performed a systematic review of structures and health care delivery patterns of the three models of CHCs. METHODS Studies from relevant English and Chinese databases for the period of 1997-2011 were searched. Two ...

There have been major policy changes impacting on community health services such as early discharge and hospital in the home initiatives. The effects of such policies on the client profile of community health services are not well known. Administrative data was used to explore a decade of changes in South Western Sydney Area Health Service community health services. There is a clear shift from ...

Reflecting on the current reorganization of the relationship between the state and civil society, the health care field is involved in an intense debate over the organization and use of government and private health services. The authors propose an alternative, consisting of the implementation of primary health care clinics, managed by local institutions and funded by the Unified Health System....

OBJECTIVES To reveal the equity of health workforce distribution in urban community health service (CHS), and to provide evidence for further development of community health service in China. METHODS A community-based, cross-sectional study was conducted in China from September to December 2011. In the study, 190 CHS centers were selected from 10 provinces of China via stratified multistage c...

OBJECTIVE To determine what community health service providers in rural southern Queensland considered were major issues affecting their efficacy. Results will inform the future research strategy of the Centre for Rural and Remote Area Health with the aim of addressing specific regional needs. DESIGN Interactive research workshops. SETTING Health providers and other key stakeholders. SUBJ...