Communication can be both verbal and nonverbal with subtypes that can include positive and negative communication, open and closed communication as well as effective and ineffective communication. Communication is defined as “a process by which information is exchanged between individuals through a ommon system of symbols, signs or behavior” (http://www.merriam-webster.com/dictionary/communicat...

Rochester, New York, has been cited repeatedly for having achieved one of the most cost-effective and efficient health care systems in the country. The determinants of the success of this system include a long history of comprehensive health planning; innovative hospital reimbursement programs; community-rated health insurance; and high levels of mutual cooperation among business, insurers, hos...

OBJECTIVES To explore general practitioners' perceptions of effective health care and its application in their own practice; to examine how these perceptions relate to assumptions about clinicians' values and behaviour implicit in the evidence based medicine approach. DESIGN A qualitative study using semistructured interviews. SETTING Eight general practices in North Thames region that were...

managers and clinicians in purchasing and providing healthcare services."' In this paper we question the extent to which the information in such bulletins will aid clinicians and managers in making decisions about the efficient allocation of scarce healthcare resources, and we suggest improvements to the bulletins such that they can become a better tool for helping healthcare purchasers set pri...

BACKGROUND Effective access measures are intended to reflect progress toward universal health coverage. This study proposes an operative approach to measuring effective access: in addition to the lack of financial protection, the willingness to make out-of-pocket payments for health care signifies a lack of effective access to pre-paid services. METHODS Using data from a nationally representa...

Education systems are changing worldwide and so are the changes in methods of teaching. Since nursing is a profession which requires development of skills in patient care, and in that teaching-learning process, patients cannot be put to risk. Therefore high tech simulation techniques are the best choice, whereby the students are exposed to different high-fidelity simulators and different patien...

Background Continence services in the UK have developed at different rates within differing care models, resulting in scattered and inconsistent services. Consequently, questions remain about the most cost-effective method of delivering these services. Aim To evaluate the impact of a new service led by a continence nurse practitioner compared with existing primary/secondary care provision for p...

n this issue of the MJA, there is important advice from expert bodies about basic management of diabetes and the investigation of kidney disease, which will inform the everyday care of patients. Cheung, the President of the Australian Diabetes Society, encourages us to individualise both the glycated haemoglobin (HbA1c) targets that we strive for in our patients and the choice of pharmacotherap...

This article reviews the literature on primary care settings as learning environments, and examines how the learning opportunities available for nurses and students can be recognised and harnessed. The aim is to establish the effectiveness of primary care settings as learning environments. This article also discusses mentoring experiences of district nurses, school nurses and health visitors.