Integrating services is a hot topic amongst health system policy-makers and healthcare managers. There is some evidence that integrated services deliver efficiencies and reduce service utilisation rates for some patient populations. In their article on Achieving Integrated Care for Older People, Gillian Harvey and her colleagues formulate some critical insights from practice and research around...

the article by cheri wilson, “patient safety and healthcare quality: the case for language access”, highlights 
the challenges of providing culturally and linguistically appropriate services (clas) to patients with 
limited english proficiency (lep). as the us pursues high-value, high-performance healthcare, our ability 
to meet the needs of our most vulnerable will determine whether we succeed...

results the five determinants of cost, inconvenience, fear, organization, and patient-dentist relationship were determined as barriers to access to dental services among which the cost and patient-dentist relationship were identified as the first and last priorities with the coordinates (1.4 and 1.4) and (1.25 and -0.65), respectively. conclusions high cost of dental care has led to not referri...

The patient's experience of their own healthcare is an important aspect of care quality that has been shown to improve clinical and other outcomes. Very little is currently known about patient experience in the management of multimorbidity, although preliminary evidence suggests that it may be poor. Individuals with multimorbidity report better experiences of care when they are knowledgeable an...

THE PURSUIT OF EVIDENCE-BASED MEDICINE IS NOW AT the core of the agenda for improving health care in the United States. All major quality measurement systems use science-based indicators of proper processes of care, such as the ORYX measures of the Joint Commission on Accreditation of Healthcare Organizations, the Health Employer Data and Information Sets measures of the National Committee on Q...

The Lutheran Aid to Medicine in Bangladesh (LAMB) health and development project in rural Bangladesh has developed an integrated maternal and child healthcare system providing appropriate, accessible and affordable health services for the poor, through a home-to-hospital, continuum-of-care approach. LAMB is thus an example of how high-quality maternity health services accessible to women of all...

background: increasing hospital costs and its social and cultural problems has led to the idea of providing healthcare services at home. because of infrastructural and implementation problems, providing healthcare at home in iran has not been initiated yet. therefore, this study set out to elaborate the need for a comprehensive system in order to provide this service in iran. methods: all artic...

There is an increasing demand for acute care services due in part to rising proportions of older people and increasing rates of chronic diseases. To reduce pressure and costs in the hospital system, community-based post-acute care discharge services for older people have evolved as one method of reducing length of stay in hospital and preventing readmissions. However, it is unclear whether they...

background: the 21st century is faced with increase in challenges of urban population and aging. according to statistics, the old population in the world and in iran is increasing. obviously, their health promotion is the concern of the community and achieving it requires purposeful planning. being healthy means to feel good in social, mental, and physical dimensions (definition by the world he...