When the Japanese government adopted Western medicine in the late nineteenth century, it left intact the infrastructure of primary care by giving licenses to the existing practitioners and by initially setting the hurdle for entry into medical school low. Public financing of hospitals was kept minimal so that almost all of their revenue came from patient charges. When social health insurance (S...

Results Of the women who responded (n=1835), almost all had consulted with a conventional care practitioner (99.8%), and just under half (49.4%) consulted with a CAM practitioner of some kind, most common being a massage therapist (34.1%), chiropractor (16.3%) and a meditation/yoga class (13.6%). The women consulted with these different CAM practitioners for a variety of reasons, such as a chir...

INTRODUCTION Integrated care could not only fix up fragmented health care but also improve the continuity of care and the quality of life. Despite the volume and variety of publications, little is known about how 'integrated care' has developed. There is a need for a systematic bibliometric analysis on studying the important features of the integrated care literature. AIM To investigate the g...

BACKGROUND Refugees are a particularly vulnerable group in relation to the development of mental illness and many may have been subjected to torture or other traumatic experiences. General practitioners are gatekeepers for access to several parts of the psychiatric system and knowledge of their patients' refugee background is crucial to secure adequate care. The aim of this study is to investig...

BACKGROUND United Kingdom public health policy has recently re-emphasised the role of primary health care professionals in tackling increasing levels of physical inactivity within the general population. However, little is known about the impact that this has had in practice. This study explores Scottish primary care staff's knowledge, attitudes and experiences associated with advising patients...

OBJECTIVE To document the management of mental health problems (MHPs) by general practitioners. DESIGN A mixed-method study consisting of a self-administered questionnaire and qualitative interviews. An analysis was also performed of Régie de l'assurance maladie du Québec administrative data on medical procedures. SETTING Quebec. PARTICIPANTS Overall, 1415 general practitioners from diffe...

BACKGROUND Health care practitioners in jurisdictions around the world are encouraged to work in groups. The extent to which they actually do so, however, is not often measured. The purpose of this paper is to demonstrate the potential for administrative data to measure how practitioners are interconnected through their care of patients. Our example examined the interconnected care provided by ...

AIMS This article provides insight into the potential economic viability of nurse practitioner employment in Dutch general practices. BACKGROUND General practitioners face the challenging task of finding the most efficient and effective mix of professionals in general practice to accommodate future care demands within scarce health care budgets. To enable informed decision-making about skill ...

background & aim: caregivers’ education should be an active and dynamic process. updated training programs are essential. this research was conducted to assess the effectiveness of virtual education on health care practitioners' self-efficacy in the neonatal unit . methods & materials : in this quasi-experimental research, hospitals affiliated with tehran university of medical sciences that had...