background and objectives: spirituality and spiritual care, as essential components of holistic nursing care, are widely recognized, while spiritual aspect is still overlooked. spirituality has been associated with the caregiver’s sense of well-being and ability to cope. the aim of this study was to determine attitude of intensive care nurses toward spirituality and spiritual care and its relat...

to estimate the prevalence and analyze factors associated with both public and private health services utilization in women population in a western district of iran.a cross-sectional study with 1200 individuals aged 18-49 years carried out in different districts of sanandaj city, western iran, in 2012. the main outcome variable was use of health service in the previous 12 months. the in-depende...

Health reform and the Affordable Care Act have triggered a renewed interest in strengthening access to primary care services, with a focus on ensuring that the nation has appropriately trained physicians practicing where they are needed. There are about 80 primary care physicians per 100,000 people the United States. Not surprisingly, rural areas have a much lower physician-to-population ratio ...

Because managed care is likely to feature prominently in a reformed health care system, policymakers need to examine the impact managed care will have on medical practice, physician supply, and access to primary care providers. Goals for work-force reform should focus on five areas: (1) training physicians in the generalist disciplines of family practice, general internal medicine, and general ...

believe that the growing ability to measure clinical outcomes is an opportunity to more clearly demonstrate that family physicians are this nation’s best hope to create a higher quality, lower cost health care system, but we must provide residents new skills to lead PCMHs and ACOs. Innovation, new ways of looking at and solving problems, therefore, is an imperative for our specialty. We may nee...

As many as 90 million Americans have difficulty understanding and acting on health information. This health literacy epidemic is increasingly recognized as a problem that influences health care quality and cost. Yet many physicians do not recognize the problem or lack the skills and confidence to approach the subject with patients. In this issue of Family Medicine, several articles address heal...

background and objectives: induced demand in healthcare is referred to as provision of unnecessary services or the patient by health services providers, while the patient is not aware of their unnecessity. apart from being unethical, this practice can potentially disturb the supply and demand balance in the health market, pose financial load on the patient, thread the patient’s health by imposi...

background essential primary health care is delivered through the public health center phc network by public health workers (behvarzs). health workers are exposed to different types of stresses while working. objectives the aim of this study is to determine the prevalence of burnout and associated factors among rural health workers in the health centers of birjand university of medical sciences...

recognizing the advantages of primary care as a means of improving the entire health system, this text comments on reforms of publicly funded primary health centers, and the rapid development of private forprofit providers in sweden. many goals and expectations are connected to such reforms, which equally require critical analyses of scarce resources, professional trust/motivation and business ...

objectives: the purpose of this study was to explore the general health status in women as care givers of the elderly people with alzheimer who attending to the iranian association of alzheimer’s disease. methods & materials: in this descriptive –cross sectional study as a introductory stage of a randomized controlled field trial, 150 women were recruited with a consecutive sampling method. the...