INTRODUCTION Refugees have many complex health care needs which should be addressed by the primary health care services, both on their arrival in resettlement countries and in their transition to long-term care. The aim of this narrative synthesis is to identify the components of primary health care service delivery models for such populations which have been effective in improving access, qual...

The National Health Service, yet again, is being cajoled and coerced into being more efficient. Many in the NHS resent this, perhaps understandably given the way in which the concept of efficiency has been devalued by this government. It is, however, an unfortunate reaction because efficiency is not something to be despised or feared. Despite the cajoling, little seems to change. The Royal Comm...

OBJECTIVE To improve the quality and uptake of reproductive health service in rural communities in Tanzania. DESIGN Descriptive study of operational research. SETTING One and a half million people living in urban and rural communities in the Mbeya Region of Tanzania. METHOD Design and implementation of a range of service quality improvement measures. INTERVENTIONS Management systems str...

BACKGROUND In 1997 a research based information leaflet designed for men considering being screened for prostate cancer was distributed to general practitioners (GPs) and consumer health information services. OBJECTIVES To investigate consumer health information service staff opinions of the leaflet and the use they made of it. To find out whether such staff would find similar leaflets on oth...

ANALYSIS of the activities of health service staff with a view to improving the quality and efficiency of service to patients is an expanding field of study. With the steady development of group practice and appointments schemes, increasing attention is being given to the roles and functions of receptionists in general practice. Using a questionnaire on administrative activities, Drury and Kuen...

BACKGROUND Abortion services should provide high-quality contraceptive care. The community sexual and reproductive health (SRH) services may be well placed to deliver more abortion care in the UK. We wished to determine the views of health professionals working in SRH regarding their attitudes towards providing more abortion services and also the views of staff within one community SRH centre i...

background there is limited evidence on the course of health service costs before and after psychiatric inpatient treatment, which might also be affected by source of cost data. thus, this study examines: i) differences in health care costs before and after psychiatric inpatient treatment, ii) whether these differences vary by source of cost-data (self-report vs. administrative), and iii) predi...

this commentary on the editorial ‘the politics and analytics of health policy’ by professor calum paton focuses on two issues. first, it points to the unclear links between ideas, ideology, values, and discourse and policy, and warns that discourse is often a poor guide to enacted policy. second, it suggests that realism, particularly ‘programme theory’ are useful tools for health policy analys...

BACKGROUND The Integrated Management of Newborn and Childhood Illness strategy equips health workers with essential knowledge and skills to effectively manage sick children with common neonatal and childhood diseases. Since in-service training is very demanding to achieve the desired coverage of training of health workers, pre-service training is taken as a solution. At the time of the survey, ...