disconnects and defects in care – such as duplication, poor integration between services or avoidable adverse events – are costly to the health system and potentially harmful to patients and families. for patients living with multiple chronic conditions, such disconnects can be particularly detrimental. lean is an approach to optimizing value by reducing waste (eg, duplication and defects) and ...

Fifteen area health services currently have formal structures for ongoing community participation. These structures are variously called health councils, health consumer networks, consumer and community health forums, and consultative committees. The role and activities undertaken vary and include local needs assessment, input to planning, and health promotion activities. The two area health se...

there is an escalating demand for geriatric oral healthcare in all developed and developing countries including india. two-thirds of the world’s elderly live in developing countries. this is a huge population that must receive attention from policy-makers who will be challenged by the changing demands for social and health services including oral health services. resources are limited thus rath...

People with mental health problems have a range of health and social care needs that result in both illness and disability (effects of the illness on social functioning and citizenship). If service development is to be creative and innovative, needs assessment has to focus on the identification of actual need--rather than using the existing services as the basis of planning. To be valid, needs ...

OBJECTIVE Little is known about the need and demand for integrated reproductive health and HIV services at the population level. DESIGN Descriptive data analysis of household surveys collected by the Integra Initiative. METHODS Household surveys were conducted among 18-49-year-olds in Kenya (N = 1752) and Swaziland (N = 779) in 2009. Data on fertility intentions, contraceptive use, sexual b...