OBJECTIVE To assess the perception of women who gave birth in a hospital on health system responsiveness and their satisfaction. DESIGN A cross-sectional study. SETTING Four district, one regional and one university hospitals in the Songkhla province, Southern Thailand. PARTICIPANTS All women who delivered in the participating hospitals from November 2007 to December 2008. METHODS All w...

Costs and effective management of health care in general, and behavioral health care in particular, have been of primary importance and concern to federal, state, and local governments. With the passage of Health Care Reform (HCR) these concerns will only escalate. Thus, the necessity for the development of innovative, successful, and integrated cost-effective treatments and procedures is evide...

BACKGROUND Information about colonoscopy complications, particularly postpolypectomy bleeding, is limited. OBJECTIVE To quantify the magnitude and severity of colonoscopy complications. DESIGN Retrospective cohort. SETTING Kaiser Permanente of Northern California. PATIENTS 16, 318 members 40 years of age or older undergoing colonoscopy between January 1994 and July 2002. MEASUREMENTS ...

A proforma requesting information regarding various aspects of inpatient psychiatric services was sent to all centres. Information regarding bed strength, total number of patients discharged in the year 1977, their broad diagnostic category, status of admission, outcome of treatment and total number of inpatients on each day (for the year 1977) was collected. National Institute of Mental Health...

It appears that a general draft is not likely to occur. A physician draft is the most likely conscription into the military in the near future. Physicians inducted out of private practice with large practice expense overheads may suffer significant financial hardship. The only specific long-term deferment available to physicians is that of Essentiality of Occupation. Reserve component forces ha...

The concept of caring for patients remotely using telemedicine applications has intrigued computersavvy physicians for years. Although telemedicine implementation remains in its infancy, interest appears to be growing, perhaps fueled by the Internet bubble that led investors into new heights, only to come crashing to the ground within the last year as financial expectations were not met. Though...

Today, Pakistan stands as the sixth most populous country in the world with a projected population of around 162 million people [1]. Around one-third of these people live below poverty level. There are four provinces that are further divided into districts that make up the local government. With the current devolution of power plan, the district governments have been given funds to manage commu...

The purpose of this paper was to highlight 6 important considerations for developing a comprehensive strategy for optimizing the oral health of preschoolers. These considerations are based on the nature of Early Childhood Caries and the strengths and limitations of various components of the pediatric health care delivery system. Emphasized are 3 strategies for optimizing oral health care delive...

As state Medicaid programs move toward value-based payment, states interested in improving adult oral health care access and outcomes are testing creative strategies to integrate dental care into primary care delivery. Through State Innovation Model (SIM) grants from the federal Center for Medicare and Medicaid Innovation, for example, participating states can include oral health integration in...