There is now extensive evidence demonstrating that there is a gap between the health care that patients receive and the practice that is recommended. In both primary and secondary care there are unwarranted variations in practice and in resulting outcomes that cannot be explained by the characteristics o...
A growing evidence base suggests that health insurance in poor areas can improve people?s access to health care. But the poorest in these areas do not seem to benefit much. Health insurance programs, generally, have not helped in reaching out to the poorest or improving their health care use. And whether...
In some countries, pressure is growing to demonstrate that practising physicians
continue to meet acceptable standards, driven in part by concerns that the
knowledge obtained during basic training may rapidly become out of date. This
takes various forms, from expectations – in some cases backed by vari...
Day care is considered to be an important component of psychiatric services, but the evidence on different forms of day care is not easy to interpret. This review evaluates five main forms of day care for adults with severe mental disorders: acute psychiatric day hospital care, transitional psychiatric d...
Governments are searching for ways to improve the equity, efficiency, effectiveness, and responsiveness of their health systems. In recent years there has been an acceptance of the important role of primary health care in helping to achieve these aims. However, there have been no systematic reviews on pr...
Chronic diseases account for most of the burden of disease in the European Region. Although there are effective interventions for the management of various chronic conditions, there are also wide practice variations in the delivery of care. DMPs are one of the measures intended to address this situation....
Measurement is central to the concept of quality improvement; it provides a means to define what hospitals actually do, and to compare that with the original targets in order to identify opportunities for improvement....
Ensuring the safety of patients and personnel and improving quality have become important objectives for national health systems in developed and developing countries alike, in response to research highlighting poor quality, increasing patient expectations, and media reports. There is a general belief, s...