Chronic diseases are acknowledged to be the major cause of death and disability worldwide, and are predicted to rise to 73% and 60% respectively by 2020. The complexity of health care for chronic disease is increasing; due to several factors including ageing populations and preventable co-morbidities. Family medicine faces increasing challenges in the management of complex multi-morbidity, with...

STUDY OBJECTIVES To investigate whether changing the stated time frame for COOP-WONCA charts has any effect on responses. Specifically, to assess the effect of attempting to avoid the situation where the time frame crosses the onset of an acute episode. DESIGN A randomised controlled trial of two time frames, nested within a main trial comparing early discharge with a hospital at home scheme ...

BACKGROUND The objective of this article is to describe the design of a study to evaluate the clinical and economic effects of a Disease Management model on functional health, quality of care and quality of life of persons living in homes for the elderly. METHODS This study concerns a cluster randomized controlled clinical trial among five intervention homes and five usual care homes in the N...

r esum e. abstract. Early research and experience in the area of Concurrent Object-Oriented Programming (COOP) has demonstrated diiculties in integrating concurrency and object-oriented features, and more particularly inheritance. Since then, most research has focused on support for inheritance and the speciication and reuse of synchronization constraints on message acceptance. Although there h...

African-American women who use crack are vulnerable to HIV because of the complex social circumstances in which they live. Drug-abuse treatment for these women during pregnancy may provide time for changing risk behaviors. This paper examines the initial 6-month feasibility of a women-focused HIV intervention, the Women's CoOp, adapted for pregnant women, relative to treatment-as-usual among 59...