BACKGROUND Research has confirmed a positive link between patient involvement in decision-making and improvements in health outcomes. The objective of this study was to examine the roles of psychological empowerment and health literacy on the elderly's willingness to engage in treatment decisions. METHODS A self-administered questionnaire was completed by a randomly selected sample of Swiss a...

BACKGROUND Diabetes is a common chronic disease, which results in significant morbidity and mortality. Although ethnic variations in disease prevalence are known, variations in the utilization of physician services for the disease (particularly in publicly funded health care systems) are uncertain. METHODS Self-reported ethnicity was determined from two population health surveys in Ontario, C...

conclusions development of the job and task analysis to ensure providing the right training needs, applying more evidences through different studies for reforms, more decentralized equipped system with decision-making tools have been proposed for development. results the results showed the specific method of student selection and clear objectives and standards of training related to the health ...

Multivariate failure time data arise frequently in survival analysis. A commonly used technique is the working independence estimator for marginal hazard models. Two natural questions are how to improve the efficiency of the working independence estimator and how to identify the situations under which such an estimator has high statistical efficiency. In this paper, three weighted estimators ar...

BACKGROUND Precise quantification of health service utilisation is important for the estimation of disease burden and allocation of health resources. Current approaches to mapping health facility utilisation rely on spatial accessibility alone as the predictor. However, other spatially varying social, demographic and economic factors may affect the use of health services. The exclusion of these...

Literature on mother’s education and child health casually observes some nonlinearities and threshold in the relationship. Even though this nonlinearity or threshold has significant bearing on policy matters, any rigorous attempt to address this issue is missing in the literature. In this study we test the existence of such threshold using Demographic and Health Survey (DHS 2003) data for Niger...

OBJECTIVE To find a salutogenic approach for prevention of metabolic syndrome in primary care practice. DESIGN An explanatory sequential mixed-methods procedure was used to find salutogenic approaches for lifestyle change by assessing individual need, potential, and personal motivation. Data from a population health survey and interviews that focused on a sense of coherence were analysed. S...

OBJECTIVE To achieve universal coverage of reproductive healthcare and drastic reduction in maternal mortality, adequate attention and resources should be given to young women. This study therefore aimed to examine the inequality trends in the use of antenatal care (ANC) services and skilled birth attendance (SBA) within a subgroup of Ghanaian women aged 15-24 years between 2003 and 2014. DES...