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- The Role of NGOs in Global Health Research for Development
- Global health research is essential for development. A major issue is the inequitable distribution of research efforts and funds directed towards populations suffering the world's greatest health problems. This imbalance is fostering major attempts at redirecting research to the health problems of low and middle income countries. NGOs are contributing...
- White papers 2005-02-21
- Transfer of Health for All Policy - What, How and in Which Direction? A Two-Case Study
- This article explores the transfer of World Health Organization's WHO policy initiative Health for All by the Year 2000 (HFA2000) into national contexts by using the changes in the public health policies of Finland and Portugal from the 1970's onward and the relationship of these changes to WHO policy development...
- White papers 2004-12-07
- The Effect of Ethnicity on Outcomes in a Practice-Based Trial to Improve Cardiovascular Disease Prevention
- Health disparities are a growing concern. Recently, we conducted a practice-based trial to help primary care physicians improve adherence with 21 quality indicators relevant to the primary and secondary prevention of cardiovascular disease and stroke. Although the primary concern in that study was whether patients in intervention practices out performed...
- White papers 2004-12-07
- Reproductive Health Research Challenges
- The paper reveals that reproductive health is defined as a state of physical, mental, and social well-being in all matters relating to the reproductive system at all stages of life. Good reproductive health implies that people are able to have a satisfying and safe sex life and that they have...
- White papers 2004-06-09
- A Qualitative Study of the Impact of the Implementation of Advanced Access in Primary Healthcare on the Working Lives of General Practice Staff
- The North American model of 'advanced access' has been emulated by the National Primary Care Collaborative in the UK as a way of improving patients' access in primary care. The aim of this study was to explore the impact of the implementation of advanced access on the working lives of...
- White papers 2005-09-27
- Quantitative Evaluation of Recall and Precision of CAT Crawler, a Search Engine Specialized on Retrieval of Critically Appraised Topics
- Critically Appraised Topics CATs are a useful tool that helps physicians to make clinical decisions as the healthcare moves towards the practice of Evidence-Based Medicine EBM. A web-based application, namely the CAT Crawler, was developed by Singapore's Bioinformatics Institute to allow physicians to adequately access available appraised topics on the...
- White papers 2004-12-10
- Sicily Statement on Evidence-Based Practice
- A variety of definitions of evidence-based practice EBP exist. However, definitions are in themselves insufficient to explain the underlying processes of EBP and to differentiate between an evidence-based process and evidence-based outcome. Evidence-Based Practice has evolved in both scope and definition. Evidence-Based Practice EBP requires that decisions about health care...
- White papers 2005-01-05
- Influence of Intense Multidisciplinary Follow-Up and Orlistat on Weight Reduction in a Primary Care Setting
- Obesity is the most common health problem in developed countries. Recently, several physicians' organizations have issued recommendations for treating obesity to family physicians, including instructions in nutrition, physical activity and medications. The aim of this study was to examine if effective weight-reducing treatment can be given by a family physician....
- White papers 2005-01-29
- Psychosocial Risk Factors for Obesity Among Women in a Family Planning Clinic
- The epidemiology of obesity in primary care populations has not been thoroughly explored. The study described in this paper contributes to filling this gap by investigating the relationship between obesity and different sources of personal stress, mental health, exercise, and demographic characteristics. Five hundred women who attended family planning clinics...
- White papers 2004-09-20
- Current Practices in Cancer Spatial Data Analysis: A Call for Guidance
- There has long been a recognition that place matters in health, from recognition of clusters of yellow fever and cholera in the 1800s to modern day analyses of regional and neighborhood effects on cancer patterns. The paper here provides a summary of discussions about current practices in the spatial analysis...
- White papers 2005-01-13
- The Burden of Non Communicable Diseases in Developing Countries
- Non communicable diseases are more and more prevalent in developing countries where they double the burden of infective diseases. If the present trend is maintained, the health systems in low-and middle-income countries will be unable to support the burden of disease. Prominent causes for heart disease, diabetes, cancer and pulmonary...
- White papers 2005-01-14
- Cardiovascular Comorbidities Among Public Health Clinic Patients With Diabetes: The Urban Diabetics Study
- The paper involves determining the frequency and distribution of cardiovascular comorbidities in a large cohort of low-income patients with diabetes who had received primary care for diabetes at municipal health clinics. It further reveals that cardiovascular comorbidities were common both before and after diabetes diagnosis in this low-income cohort, but...
- White papers 2005-02-08
- Patient Attitudes Toward Using Computers to Improve Health Services Delivery
- The aim of this white paper study is to examine the acceptability of point of care computerized prompts to improve health services delivery among a sample of primary care patients. The paper suggest method to carry out this study and provides results that yield support for using computers to generate...
- White papers 2002-09-11
- SARS and Hospital Priority Setting: A Qualitative Case Study and Evaluation
- The purpose of this white paper study is to describe and evaluate priority setting in a hospital in response to SARS using the ethical framework 'accountability for reasonableness'. A deadly communicable disease outbreak, such as the Severe Acute Respiratory Syndrome SARS amplifies the difficulties of hospital priority setting. This study...
- White papers 2004-12-19
- Health Care Restructuring and Family Physician Care for Those Who Died of Cancer
- The purpose of this study was to describe the trends in the provision of Family Physician FP visits to advanced cancer patients in Nova Scotia NS during the years of health care restructuring. The paper in its conclusion reveals that Despite hospital downsizing and fewer deaths occurring in hospitals, FP...
- White papers 2005-01-04
- World Health System Performance Revisited: The Impact of Varying the Relative Importance of Health System Goals
- This white paper investigates the feasibility and desirability of using mathematical programming techniques that allow weights to vary across countries to reflect their varying circumstances and objectives. The result shows that by global distributional measures, scores and ranks are found to be not very sensitive to changes in weights, although...
- White papers 2004-07-22
- PRIME - Process Modelling in Implementation Research: Selecting a Theoretical Basis for Interventions to Change Clinical Practice
- The objectives of white paper study are: to amplify and populate scientifically validated theories of behavior with evidence from the experience of health professionals; to use this as a basis for developing predictive questionnaires using replicable methods; to identify which elements of the questionnaire (i.e., which theoretical constructs) predict clinical...
- White papers 2003-12-19
- Do Pediatric Hospitalizations Have a Unique Geography?
- This white paper article assesses the need for a unique system of HSAs to support pediatric small area analyses. It is a cross-sectional analysis of California hospital discharges for two age groups -non-newborns 0-17 years old, and seniors. The measure of interest was index of localization, which is the percentage...
- White papers 2004-01-22
- An Outreach Intervention to Implement Evidence Based Practice in Residential Care: A Randomized Controlled Trial
- The aim of this white paper project was to assess whether outreach visits would improve the implementation of evidence based clinical practice in the area of falls reduction and stroke prevention in a residential care setting. The paper also reveals about the method and the result. In conclusion the paper...
- White papers 2004-04-06
- Assessing the Impact of Heart Failure Specialist Services on Patient Populations
- This white paper document examines the potential impact on readmissions and mortality of specialist heart failure services capable of delivering treatments such as b-blockers and Nurse-Led Educational Intervention (N-LEI). The paper suggests that local use of information from audit, routine administrative data and the literature can help estimate the impact...
- White papers 2004-05-24
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