Purpose: This paper aims to present a literature review of the health workforce, hospital and clinic systems, infrastructure, primary care, regulatory climate, the pharmaceutical industry and community health behavior of the Kenyan health-care system with the purpose of providing a thorough background on the health-care environment in Kenya.…

Background: Children with intellectual disability are vulnerable to adverse events in hospital due to limited staff skills and system safeguards. Method: A systematic review of the literature explored healthcare staff (HCS) experiences in providing care for children and young persons with intellectual disability in hospital using thematic…

Aims: To estimate effects of brief substance use interventions delivered in general medical settings. Methods: A systematic review and meta-analysis of randomized trials conducted since 1990 of brief substance use interventions in patients of any age or severity level recruited in general medical settings. Primary outcomes were any measure of…

Background: People with mild intellectual disability (ID) experience a higher prevalence of mental health (MH) problems in comparison to the general population, yet there is little consensus on the most appropriate type and nature of services for support and treatment for this specific group of individuals. Objective: The objective of this scoping…

This article reports on the findings of a scoping review of peer-reviewed research that investigates the formal support experiences of adults with an intellectual disability and mental health problems. Seven databases and 21 sources of grey literature were searched and 17 articles were retained for review, demonstrating the dearth of literature in…

This study focuses on the activities of American missionaries in Kayseri, who found a large area of activity during the regression period of the Ottoman Empire. They mostly carried out educational and health activities in Kayseri Station, founded in 1854 as a part of the Western Anatolia Mission. In this study, the schools opened in Kayseri are…

Background: There is growing evidence that people with intellectual disabilities have greater healthcare needs than the general population and that these needs are often unmet. Recently, increasing attention has been drawn to poor care received by people with intellectual disabilities when admitted to hospital. Method: A literature search was…

One literature documents a significant, black-white gap in average test scores, while another finds a substantial narrowing of the gap during the 1980's, and stagnation in convergence after. We use two data sources--the Long Term Trends NAEP and AFQT scores for the universe of applicants to the U.S. military between 1976 and 1991--to show: (1) the…

Purpose: The purpose of this paper is to review evidence related to the factors that influence people's understanding of health information and how miscommunication of health information can jeopardize people's health. Design/methodology/approach: A literature review was conducted of English language articles, cited in major literature databases…

Presents an overview of the use of telemedicine technologies and critical access hospitals in rural areas. Discusses changes in rural population, hospital closures, and federal health care policy. Provides anecdotal evidence on the impact of these innovations in rural Montana, which suggests that different health care solutions are needed for…

Being able to anticipate future needs for health services presents a challenge for health planners. Using existing population projections, two models are presented to estimate the demand for hospital beds in regions of Manitoba in 2020. The first, a current-use projection model, simply projects the average use for a recent three-year period into…

Discusses links between advanced medical technology, increasing numbers of patients with multiple, chronic health problems, and social workers. Asserts hospitals--once the dominant organization in health care--must now become part of a primary care network of community-oriented delivery systems focused on chronic disease management. Discusses the…

Discusses changes in contemporary health care services for rural Appalachians. Examines how rural services are affected by rising costs, technological advancement, aging population, system reorganization, and physician and nurse shortages. Profiles Appalachian Rural Health Program and National Health Service Corps. (TES)

Extended hospital stay after medical treatment has been completed represents a major problem in health care. Space misuse can occur late in the hospitalization, often because planning is not initiated until discharge is imminent. This study sought to determine if variables assessed soon after hospital admission could be used to screen patients at…

To provide a compendium of methodologies on cost impacts of automated hospital information systems (AHIS), this report sponsored by the National Center for Services Research identifies, reviews, and summarizes ten studies on information systems which manage patient care data. The studies were identified by a literature search and those that…