richard saltman and antonio duran take up the challenging issue of governance in their article “governance, government and the search for new provider models,” and use two case studies of health policy changes in sweden and spain to shed light on the subject. in this commentary, i seek to link their conceptualization of governance, especially its interrelated roles at the macro, meso, and micro...

Purpose: To determine the number and type of providers and degree they work together to provide integrated chronic illness care for individuals with hepatitis C care in four small Canadian communities. Theory: A complexity theory-based model of front-line staff initiated partnerships for integrated care guided this descriptive comparative study. Methods: In 2008, front-line staff (nurses) in fo...

Service quality and patient satisfaction affect an organization's value-based payments. This new value paradigm calls for a new approach to service education and training for front-line staff. Thoughtfully conceived, department-specific content, infused with patient feedback, value creation, and science of service quality principles, was developed to give front-line staff a deeper understanding...

Delegates at last month’s RCN congress in Liverpool sent out a clear message that the NHS should remain free at the point of delivery (News June 25). A resolution calling for a fixed fee of £10 to be introduced for GP appointments was rejected by 91 per cent of delegates. Speakers said that introducing a charge could deter many people from seeking medical attention and be another nail in the co...

This article explores front-line cruise employees’ interaction with LGBT passengers. Covert data were gathered 70 staff, many of whom from developing countries where attitudes to people can be less accepting. Encounters are illuminated using Allport's (1954) intergroup contact theory. Interactions between staff and gay passengers largely positive, helping normalise homosexuality diminish negati...

Although increasingly complex risk assessment tools are being marketed, little is known about "real world" practitioners' capacity to score them accurately. In this study, we assess the extent to which 78 staff members' scoring of juveniles on the California-Youth Assessment and Screening Instrument (CA-YASI; Orbis Partners, Inc., 2008) agree with experts' criterion scores for those cases. Ther...

Background: The COVID-19 epidemic was a biological disaster that may cause or exacerbate burnout in healthcare professionals (HCPs). Our goal was to determine the impact of the long-term COVID-19 epidemic on burnout in front-line healthcare workers and the factors affecting it. Materials and Methods: This cross-sectional survey on front-line HCPs’ job burnout based on an online platform was co...