BACKGROUND Implementation of World Health Organization case management guidelines for serious childhood illnesses remains a challenge in hospitals in low-income countries. Facilitators of and barriers to implementation of locally adapted clinical practice guidelines (CPGs) have not been explored. METHODS This ethnographic study based on the theory of participatory action research (PAR) was co...

background : we need a defined population for determining prevalence and incidence of diseases, as well as conducting interventional, cohort and longitudinal studies, calculating correct and timely public health indicators, assessing actual health needs of community, performing educational programs and interventions to promote healthy lifestyle, and enhancing quality of primary health services....

One in twenty: that's the percentage of people who develop rashes, nausea, or other symptoms after swimming in marine waters with levels of pollution deemed acceptable by the European Union and the U.S Environmental Protection Agency, according to the World Health Organization. Most people infected by pathogens in the water generally will recover quickly, as will those exposed to harmful algal ...

Academic health centers (AHCs) have long been the exemplars of medicine in the United States. They produce “breakthrough” research, pioneer new diagnostic and therapeutic interventions, and train the best and brightest future physicians with emphasis on specialists and subspecialists. Today, they face a perilous future because the health care economic system that supports this enterprise is fad...

This study has two objectives: (1) to examine the relationship between the involvement of community health centers (CHCs) in managed care and various center characteristics, including patient, provider, services, and financial characteristics, that are critically linked with the fulfillment of their mission and (2) to identify factors significantly associated with CHCs' involvement in managed c...

PURPOSE/OBJECTIVES To evaluate the effect of an intervention on healthcare professionals' perceptions of barriers influencing their provision of decision support for callers facing cancer-related decisions. DESIGN A pre- and post-test study guided by the Ottawa Model of Research Use. SETTING Australian statewide cancer call center that provides public access to information and supportive ca...

Background & aim: Maternal health literacy is defined as the cognitive and social skills determining the ability to get access to, understand, and use information to promote mothers’ health and that of their children. This study aimed to investigate maternal health literacy in pregnant women referred to the healthcare centers of Mashhad, Iran. Methods: This cross-sectional study was conducted o...

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....