Health care evidence based is a 90's trend of health professionals interested in the scientific development of effectiveness and efficiency research into the health management and introducing scientific evidence into the health decision-making process. The development of health services research, outcome management and evidence based medicine, makes possible the new orientation of heath systems...

Reducing mental health stigma and perceived barriers to care is a necessary strategy for addressing the public health problem of suicide among the United States Armed Forces. The purpose of this study was threefold: (a) to empirically evaluate the principal component structure of the Perceived Barriers to Care (PBTC) measure; (b) to gain an understanding of the perceived barriers to seeking men...

Small farms and smallholder farming systems play crucial roles in agricultural development in many developing countries. From the various rural development programs designed to support such farming systems, agricultural extension services are of at most importance. However, the benefit that farmers obtain from these services and the resulting impact depends, to a great extent, by their direct a...

BACKGROUND Health care providers' lack of education on spiritual care is a significant barrier to the integration of spiritual care into health care services. OBJECTIVE The study objective was to describe the training program, Clinical Pastoral Education for Healthcare Providers (CPE-HP) and evaluate its impact on providers' spiritual care skills. METHODS Fifty CPE-HP participants completed...

The mental health of doctors is an issue of growing concern all over the world as it frequently interplays with their professional trainings and responsibilities. This study was done to determine the pattern and correlates of burnout among 204 doctors undergoing residency training. Eligible participants were interviewed using designed questionnaire, General Health Questionnaire (GHQ-12) and Mas...

Japan has been facing a serious shortfall of child and adolescent psychiatric workforce relative to increasing service needs. Likely because of a combination of limited workforce supply and limited trust or perception of effectiveness, mental health services are under-utilized by the educational and child welfare systems. Child and adolescent psychiatry (CAP) has not been a formally established...

BACKGROUND Young people face many barriers in accessing health services that are responsive to their needs. The World Health Organization has led a call to develop services that address these barriers, i.e. youth-friendly health services. Addressing the needs of young people is one of the priorities of Foundation fami, an organisation working in collaboration with the Swiss Federal Department o...

Resource discovery is a core function of e-learning. While initially confined to library environments, it has become pervasive, partly due to the advent of web-based searching and also service-oriented approach. The latter is the focus of this paper as resource discovery (web) services enable existing resources to be identified from a source (library) and re-purposed for educational purposes in...

T he move towards integration of family planning and genitourinary medicine (GUM) services (that is, the reorganisation of the two specialties, strategically and in terms of setting, in a more client centred approach) has recently been gathering momentum in the United Kingdom. Providers of family planning services are increasingly being urged to adopt a broader remit in respect of their clients...

BACKGROUND the population is ageing globally and developing countries are experiencing the most rapid increase in the number of older persons. By 2045 the United Nations estimate that for the first time in history more people will be over 65, than under 15, years of age. The World Health Organization predicts that deaths from non-communicable diseases will rise by 24% in Africa in the next deca...