Among the potential changes invoked in discussions on health system transformation, a need to revitalize primary care remains paramount. One way of doing this, most agree, is to move more in the direction of team-based care. Professionals such as physician assistants and nurse practitioners may be able to ease some of the physician's clinical care load, but some populations also need help acces...

1. Adolescent workers experience significant morbidity and mortality. Specific characteristics and lifestyle issues of adolescents increase their susceptibility to injury and illness. 2. Occupational and environmental health nurses need to advocate for improved legislation to protect children and adolescents and to develop better data collection and surveillance. 3. Occupational and environment...

BACKGROUND In low-income countries, only about a third of Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) patients eligible for anti-retroviral treatment currently receive it. Providing decentralized treatment close to where patients live is crucial to a faster scale up, however, a key obstacle is limited health system capacity due to a shortage of trained health-car...

1National Tuberculosis Programme Manager, Ministry of Health, Baghdad, Iraq. 2Department of Community Medicine, Saddam College of Medicine, Baghdad, Iraq. 3Chest and Respiratory Diseases Institute, Baghdad, Iraq. ABSTRACT A cross-sectional study was made of 500 patients and 500 health care workers randomly selected from 250 primary health care centres throughout Iraq to evaluate knowledge, atti...

BACKGROUND Street-level workers play a key role in public health policies in Africa, as they are often the ones to ensure their implementation. In Burkina Faso, the State formulated two different user-fee exemption policies for indigents, one for deliveries (2007), and one for primary healthcare (2009). The objective of this study was to measure and understand the determinants of street-level w...

BACKGROUND Equity is one of the major goals of China's recent health system reform. This study aimed to evaluate the equality of the distribution of health resources and health services between hospitals and primary care institutions. METHODS Data of this study were drawn from the China Health Statistical Year Books. We calculated Gini coefficients based on population size and geographic size...

conclusions with regard to the current challenges in iran’s health system, using risk-adjusted capitation as a primary healthcare payment system can lead to useful changes in the health system’s features. however, future research should focus on the development of the risk-adjusted capitation model. background when a country’s health system is faced with fundamental flaws that require the redes...

background: primary health care is the major infrastructure of health care systems. it is clear that making and improving primary health care information systems would not be possible without awareness of their condition. therefore, this comparative study was conducted in order to determine the situation of primary health care information systems in health centers of tehran, iran. methods: this...