The re-engineering of primary healthcare (PHC) is regarded as an essential precursor to the implementation of National Health Insurance in South Africa, but improvements in the provision of PHC services have been patchy. The authors contend that the role of well- functioning rural district hospitals as a hub from which PHC services can be most efficiently managed has been underestimated, and th...

An arts project was initiated at the newly rebuilt district hospital in the city of Exeter in south west England. This paper describes an independent research evaluation project covering the period from its inception in 1992. The findings include both qualitative and economic aspects and were compared with the authors' wider experience of similar projects. For the first time the responses of cl...

Two year (1998 and 1999) extensive survey was carried out in Mandya district hospital, Karnataka for a period of three years to monitor the prevalence of Staphylococcus aureus, Pseudomonas aeruginosa (S. aureus and Ps. aeruginosa) from the indoor air samples of operation theater labor room, children's ward, male and female general wards postoperative wards etc. A rotary air sampler loaded with ...

BACKGROUND Most sub-Saharan African countries struggle to make safe surgery accessible to rural populations due to a shortage of qualified surgeons and the unlikelihood of retaining them in district hospitals. In 2002, Zambia introduced a new cadre of non-physician clinicians (NPCs), medical licentiates (MLs), trained initially to the level of a higher diploma and from 2013 up to a BSc degree. ...

South Africa made a decision in 2002 to develop so-called mid-level medical workers, now known as clinical associates. This article describes the background to this decision, and the national process of developing the profession and its scope of practice, which was aligned with the needs of the health service, particularly those of rural district hospitals. A common national curriculum was then...

BACKGROUND Much has been written about the patient-centred approach in doctor-patient consultations. Little is known about interactions and communication processes regarding healthcare providers' and patients' perspectives on expectations and experiences of diagnostic imaging investigations within the medical encounter. Patients journey through the health system from the point of referral to th...

The German Research Network On Schizophrenia (GRNS) is a nationwide network currently comprising 16 psychiatric university departments and 14 state and district hospitals, as well as six local networks of psychiatric practices and general practitioners collaborating on about 25 interrelated, multicenter projects on schizophrenia research. The GRNS aims to intensify collaboration and knowledge e...

BACKGROUND In most countries of the sub-Saharan Africa, health care needs have been increasing due to emerging and re-emerging health problems. However, the supply of health care resources to address the problems has been continuously declining, thus jeopardizing the progress towards achieving the health-related Millennium Development Goals. Namibia is no exception to this. It is therefore nece...

OBJECTIVES We examined findings from a randomized controlled intervention trial designed to improve the quality of life of people living with HIV in Thailand. METHODS A total of 507 people living with HIV were recruited from 4 district hospitals in northern and northeastern Thailand and were randomized to an intervention group (n = 260) or a standard care group (n = 247). Computer-assisted pe...

In response to increasing high school graduation requirements along with emerging skills in the workforce, the focus of career academies has evolved from one of keeping students enrolled in high school through graduation to a more robust preparation for college and careers for all students. This new focus may have resulted in a demographic shift in the students participating in career academies...