OBJECTIVE To analyze variation in tonsillectomy procedure rates between health care system types around the world. STUDY DESIGN International database analysis. METHODS The 2015 Organization for Economic Co-operation and Development (OECD) Health Statistics surgical procedures database was used to ascertain tonsillectomy procedure volumes for 31 countries. Each country's health system type ...

abstract background and objectives: study of clinical competence in nursing helps determine the quality of health care delivered to patients. given the priority of observance of principles over caretaking and necessity of spirituality existence at the core of health care provision, this study was conducted to investigate clinical competence and its relationship with professional ethics and spir...

BACKGROUND Preventive care for chronic disease risk behaviours by mental health clinicians is sub-optimal. Little research has examined the association between clinician attitudes and such care delivery. This study aimed to explore: i) the attitudes of a multi-disciplinary group of community mental health clinicians regarding their perceived role, perception of client interest, and perceived se...

background : although diabetes control and prevention program has been initiated in tehran, iran and five other large cities in the country since 2010, patients' satisfaction with the services provided by this program has not been evaluated yet. the aim of this study was to determine the patient satisfaction with this program in tehran. methods : this cross-sectional study, were conducted in 15...

OBJECTIVE Health policies aimed at promoting collaboration amongst providers have led to different initiatives, amongst them integrated healthcare delivery systems (IDS); these have been analysed mainly in the USA but hardly so in Colombia or Spain . This article thus analyses the experience of two IDS in Catalonia for identifying elements for improvement. METHODS This was a case-study carrie...

References 1 Baraitser P, Fettiplace R, Dolan F, et al. Quality, mainstream services with proactive and targeted outreach: a model of contraceptive service provision for young people. J Fam Reprod Health Care 2002; 28: 90–94. 2 Social Exclusion Unit. Report on teenage pregnancy. London: Department of Health, June 1999. 3 Family Planning Association. Putting sexual health on the agenda: listenin...

Objectives: To determine the extent to which clinicians provide health information and advice about prevention of STDs/HIV, pregnancy and substance use to adolescent patients; and investigate if clinicians’ demographic and practice-related factors are associated with provision of such information and advice. Methods: Administration of questionnaire to 197 practicing clinicians in health facilit...

this is a commentary on gilbert and colleagues’ (1) paper on morality and markets in the national health service (nhs). morality and values are not ephemeral qualities and universal healthcare is not simply an aspiration; it has to be enshrined in law. the creation of the uk nhs in 1948 was underpinned by core legal duties which required a system of public funding and delivery to follow. the mo...