Quite often, public health care systems in developing countries are struggling because of incompetence and a lack of provider responsiveness to the needs of consumers. On the contrary, the private sector dominates the system of health provision. In recent years, contracting has been experimented as an approach to ensure delivery of comprehensive public health services in an efficient, effective...

BACKGROUND AND PURPOSE This study sought to evaluate early supported discharge and continued rehabilitation at home after stroke, at a minimum of 6 months after the intervention, in terms of patient outcome, resource use and health care cost. METHODS Eighty-three patients, moderately impaired 5-7 days after acute stroke, were included in a randomized controlled trial, 42 being allocated to th...

During the 1980s, an ambitious project for health development restructured medical services throughout rural Haiti. The "Rural Health Delivery System" (RHDS) pursued several goals of primary health care, including dispensary-based maternal and child health services and the provision of low-cost drugs. Based on fieldwork in a single village, this article examines how local residents pushed the p...

Tim ExTNSION ofmedical care and health education in remote and sparsely populated rural areas has now become one of the main objectives in the plans for the development of health services throughout the world. Rural health services are receiving, deservedly, a high place in the order of priorities of development planning.1'2 In some countries rural health schemes have already been successfully ...

introduction: primary care organizations are the entities through which clinical governance is developed at local level. to implement clinical governance in primary care, awareness about principles, prerequisites and barriers of this quality improvement paradigm is necessary. the aim of this study is to pool evidence about implementing clinical governance in primary care organizations. data sou...

Tel.: (031)373-2032 Fax:(031)373-2039 E-mail: [email protected] Abstract: Curationis 32 (2): 31-37 In South Africa, integration o f services policy was enacted in 1996 with the aim o f increasing health service utilization by increasing accessibility and availability o f all health care services at Primary Health Care (PHC) level. Integration o f PHC services continues to be seen as a pivota...

BACKGROUND The mental health needs of young people are often inadequately met by health services. Quality improvement approaches provide a framework for measuring, assessing and improving the quality of healthcare. However, a lack of performance standards and measurement tools are an impediment to their implementation. This paper reports on the initial stages of development of a clinical audit ...

Retail store-based health clinics, which provide basic preventive services and diagnose and treat simple health ailments, have proliferated rapidly in recent years. Younger families and people that have difficulty accessing health care services--including the uninsured and minorities--are among the groups most likely to use these clinics. Still, in 2007, only 1.2 percent of U.S. families report...