PROBLEM Rising demand and increasing waiting times for upper gastrointestinal endoscopy (gastroscopy). DESIGN Quality improvement study with pre- and post-intervention data collection. SETTING Three endoscopy units in two hospital trusts (Singleton, Morriston and Baglan Hospitals endoscopy units), UK. KEY MEASURES FOR IMPROVEMENT Number of gastroscopy requests from general practitioners (...

BACKGROUND Preeclampsia is one of the leading causes of maternal mortality in Ethiopia. It has been increasing and linked to multiple factors, making prevention of the disease a continuous challenge. Yet few studies have been conducted in Ethiopia. This study aimed to assess the prevalence and factors associated with preeclampsia among pregnant women attending antenatal care in Dessie referral ...

OBJECTIVE  To examine the association between payments made by the manufacturers of pharmaceuticals to physicians and prescribing by physicians within hospital referral regions. DESIGN  Cross sectional analysis of 2013 and 2014 Open Payments and Medicare Part D prescribing data for two classes of commonly prescribed, commonly marketed drugs: oral anticoagulants and non-insulin diabetes drugs,...

For patients admitted with worsening heart failure (HF), early follow-up after discharge is recommended. Whether outcomes can be improved when follow-up is done by cardiologists is uncertain. We aimed to determine the association between cardiology follow-up and risk of death for patients with HF discharged from hospital. Using data from the National Heart Failure Audit (England and Wales), we ...

For patients admitted with worsening heart failure, early follow-up after discharge is recommended. Whether outcomes can be improved when follow-up is done by cardiologists is uncertain. We aimed to determine the association between cardiology follow-up and risk of death for patients with heart failure discharged from hospital. Using data from the National Heart Failure Audit (England & Wales),...

The study examined the relationship between budgeting and strategic plan implementation at Narok County Referral Hospital (NCRH). Using a descriptive research design sample size of 30, principal component analysis (PCA) was used to reduce number variables in data set. Correlation showed positive dependent variable (strategic implementation) independent (budgeting). Formal budgetary participatio...

In-patient as well as out-patient psychiatric referrals at Safdarjang Hospital, New Delhi were studied during a short period of 2½ months. The data were analysed with respect to referral rate, sources of referral and psychiatric diagnosis as made by the referring unit, compared with the diagnosis arrived at the department of Psychiatry. The results have been discussed in the study.

BACKGROUND AND OBJECTIVE The Nigeria Health System operates three levels of health care, which correspond to the tiers of government and interacts through a referral system. The national health policy recommends the Primary Health Care (PHC) as the entry point to health care system. However, these facilities are poorly managed leading to underutilization. Therefore, people usually attend any fa...