results: the finding revealed that intention of family physicians to reduce referral rate of patients to specialists was significantly related to two theory-based variables of subjective norms (r = 0.38, p < 0.001) and perceived behavioral control (r = 0.43, p < 0.001), and not to attitudes. a stepwise regression entering direct measures of the theory variables explained 35% of the variance on ...

social capital is a multi-faceted phenomenon in social sciences that massively affects many social fields. it can be a helpful factor in promoting health. among the groups with high burnout, nurses have always shown higher levels of burnout. studies have revealed that social capital can be an important factor affecting burnout. this study aimed to determine the extent of the effect of social ca...

background: in some primary health care settings, even where the health services are not available, provisions are not made to ensure continuity of care. this study aimed to determine the availability and level of continuity of care for maternal health services in the primary health centers (phcs) in nnewi, nigeria. methods: this was a cross‑sectional survey. using multistage sampling technique...

background: who suggest that family physician is the core in the world efforts for quality improvement, cost ef­fectiveness, and equity in the health care systems. this study evaluates the impact of the program on accessibility of the services, case finding, patient referral, feedback process and insurance coverage in the rural health units. methods: this study was quasi experimental. it compar...

background: orthopaedic surgeons have a pivotal role in transitioning the care of orthopedic patients from a biomedical to a biopsychosocial model. in an effort to foster this transition, we designed a study aimed to determine surgeons’ attitudes and practice of noticing, screening, discussing psychological illness with patients, as well as making referrals to address psychosocial issues in pat...

Trauma in children has been a concern but given little attention. Lately however, in Oman, it has been widely discussed in light of prevention of road traffic accidents and home accidents. Trauma in children comes only second to acute infection responsible for morbidity in children, with an annual cost of over £200 millions per year in UK.1 However, there are no cost figures from gulf countries...

Background:Few data exist for referral processes in resource-limited settings. We utilized mixed-methods to evaluate the impact of a standardized algorithm and training module developed for locally identified needs in referral/counter-referral procedures between primary health centers (PHCs) and a Guatemalan referral hospital. Methods: PHC personnel and hospital physicians participated in surve...

background: despite the positive impact of cardiac rehabilitation (cr) on quality of life and mortality, the majority of people who could benefit from this program fail to participate in it. the lack of referral from the physician is a common reason that patients give for not seeking cr. the objective of this study was to compare factors affecting cr referral by cardiologists. methods: a cross-...

BACKGROUND There is a high demand for stroke rehabilitation in the Brazilian public health system which should make undertaking clinical trials straightforward. OBJECTIVES The aims of this study were to 1) determine the rate of recruitment of community-dwelling stroke survivors into a randomized trial of the effects of strength training in addition to task-specific gait training, 2) compare t...