OBJECTIVE To identify models of health care delivery that support youth access to health and mental health care. DATA SOURCES Information was obtained from PubMed, Ovid MEDLINE, Web of Knowledge, and Sociological Abstracts (CSA Illumina). STUDY SELECTION Studies reviewed in this article provided level I, II, or III evidence. SYNTHESIS Youth access health care, with the support of parents ...

Background: In the United Kingdom patient experience is being established as a key determinant in informing commissioning decisions and in shaping healthcare delivery. This led to the publication of the National Institute for Health and Clinical Excellence (NICE) guidance on patient experience in adult National Health Service (NHS) services: improving the experience of care for people using adu...

OBJECTIVE to explore the challenges and barriers faced by Palestinian maternal health-care providers (HCPs) to the provision of quality maternal health-care services through a case study of a Palestinian public referral hospital in the Occupied Palestinian Territory. DESIGN AND METHOD descriptive qualitative study. The data are from a broader study, conducted in 2005 at the same hospital as p...

OBJECTIVES Community mental health clinics are increasingly utilizing independent contractors to provide clinical services. At the same time, many organizations are participating in initiatives intended to increase implementation of evidence-based practices (EBPs). The primary aim of this study was to understand the associations of utilizing independent contractors with clinician knowledge and ...

PURPOSE OF REVIEW A sizable proportion of individuals following a disaster develop mental health problems. The consequences of these disorders can be long lasting. Only recently has research focused on mental health service delivery following disasters. This review examines the rates, predictors, and barriers to mental health service utilization following a disaster. RECENT FINDINGS Most of t...

Stroke remains the third leading cause of death in the US and other Western countries,1 and at least 1 populationbased study found that the incidence of stroke was greater than that of acute coronary syndromes.2 Although there have been substantial falls in stroke incidence in some countries over the last 2 decades,3 a large US study found that the advances in stroke prevention during the 1990s...

The delivery of mental health services might offer the most paradigmatic window into the fragmentation of health services in the United States. Not only is delivery fragmented across outpatient clinicians, inpatient services, prescription drugs, and other behavioral interventions, but the rise of mental health carveouts has meant that insurance benefits have been fragmented across mental and ph...