PURPOSE To describe the procedures used in developing Clinical and Regulatory Protocols for primary care teams to use in the management of the most common scenarios of impaired vision in Southern Brazil. METHODS A retrospective review of 1.333 referral forms from all primary care practitioners was performed in Ribeirão Preto city, during a 30-day period. The major ophthalmic diagnostic catego...

background & aim: prenatal care is a key strategy for achieving public health goals, primary healthcare objectives, and the millennium development goals. the aim of this study was to investigate the factors influencing the use of prenatal care services in order to design suitable interventions and promote the use of these services. methods:in this systematic quantitative literature review, stud...

Objectives: This study aimed to assess the components of oral health care system in some developed countries and propose a model for Iran   Methods: The present study was a qualitative, cross-sectional, and comparative research that took place in 2012. Oral health care systems in some developed countries were reviewed to propose a framework for Iran. This framework was discussed and revie...

Nurse practitioners have long included high-quality behavioral health in the care they provide to individuals and families nationwide. Just as the principles of the medical home have been an integral part of nurse practitioners' practice, so has the concept of whole person orientation incorporating both physical and mental or behavioral health care. It is therefore encouraging that organized me...

Our healthcare sector daily collects a huge data including clinical examination, vital parameters, investigation reports, treatment follow-up and drug decisions etc. But very unfortunately it is not analyzed and mined in an appropriate way. The Health care industry collects the huge amounts of health care data which unfortunately are not “mined” to discover hidden information for effective deci...

Strengthening health care overall is essential to the health of our nation and promoting access to health care as well as controlling health care costs in a quality cost-effective manner. Nurse practitioners have demonstrated to be effective and cost-effective providers in prior research; however, many states restrict their practice. We examined for a statistically significant relationship betw...

This study focuses on the use of alternative health care practitioners by Canadians aged 15 and over using data from the 1994-95 National Population Health Survey. A total of 17,626 respondents were selected. Consultation with an alternative health care provider or with a chiropractor was deemed to be an indicator of the use of alternative health care. In 1994-95, an estimated 15% of Canadians ...

BACKGROUND Few studies have investigated the service needs of persons who inject drugs (PWID) who live in less populated regions of Canada. With access to fewer treatment and harm reduction services than those in more urban environments, the needs of PWID in smaller centres may be distinct. As such, the present study examined the needs of PWID in Prince Edward Island (PEI), the smallest of Cana...

I analyze the relationship between health care institutions and the utilization of outpatient services by individuals aged 50 and above. I use cross-sectional micro data from thirteen European countries. I focus on the out-of-pocket costs of health care utilization, the gatekeeper role of general practitioners, and how these institutional settings are related to public and private care utilizat...

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...