conclusions geographic accessibility of pharmacies at night and on holidays has to be addressed by provincial health policymakers. materials and methods the analysis was based on straight-line distance measurements. we considered 150, 300, 450, 600, and 750 m for pedestrians, and 1, 2, and 3 km for driving accessibility as the acceptable distances. we calculated the number and percentage of hou...

background & aim: nowadays, home health care services play significant roles in modern societies. such services allow the elderly and needy people to pass their treatment process at their own houses in a friendly environment. in this paper, weekly routing and scheduling problem of home health care personnel was investigated. methods & materials: insufficient number of expert personnel or overla...

the situation of people with disabilities in the developing countries should be a matter of great concern. there are today close to 250 million severely and moderately disabled persons in these countries; the annual increase is 10 million. most of them are poor, dependent neglected, excluded from education, training and jobs; they die early and have no power while alive. between 15 and 20% of a...

The aim of this study was to analyse high blood pressure detection, management, control and associated factors among residents accessing community health services (CHSs) in Beijing. We screened for HBP in 9524 individuals aged 50 years or older who accessed care in four Beijing CHSs. Among the 9397 residents with questionnaire responses that qualified them for inclusion in the study, 5029 patie...

To assess the effects of the gatekeeper policy implemented in Shenzhen, China, in conjunction with a labor health insurance program, on channeling patients toward community health centers (CHCs).Eight thousand patients who visited 8 CHCs in Shenzhen were surveyed between May 1, 2013 and July 28, 2013. Half of the patients were subject to gatekeeper policy and the other half of them were not. St...

In publications which have compared the health expenditure in the component parts of the United Kingdom by applying the Resource Allocation Working Party (RAWP) formula to the health budget of England, Scotland, Wales, and Northern Ireland it has been previously concluded that Scotland's hospital and community health services expenditure is more than 19% above what would be a fair distribution....

It is apparent that hospital-dominated health care produces limited health outcomes and is an unsustainable health care system strategy. Community-centred health care has been demonstrated to be a more cost-efficient and cost-effective alternative to hospital-centred care, particularly for prevention and care of persistent, long-term or recurrent conditions. Nevertheless, hospital-centred servi...

Mental health services in Malawi are centralized in the three tertiary units which are located one in each of the three regions of Malawi and this means that most people with mental health problems do not get help. With severe shortages of mental health professionals in the country, integration of mental health into existing primary and community health services is the most feasible way of incr...