Abstract：
:(1) BACKGROUND: In 2011, new chronic disease guidelines were introduced across Mongolia. No formal advice was provided regarding role delineation. This study aimed to analyse the roles that different primary care providers adopted, and the variations in these, in the implementation of the guidelines in urban Mongolia; (2) METHODS: Ten group interviews with nurses and ten individual interviews each with practice doctors and practice directors were conducted. Data was analysed using a thematic approach based on the identified themes relevant to role delineation; (3) RESULTS: There was some variability and flexibility in role delineation. Factors involving teamwork, task rotation and practice flexibility facilitated well the guideline implementation. However, factors including expectations and decision making, nursing shortage, and training gaps adversely influenced in the roles and responsibilities. Some role confusion and dissatisfaction was identified, often associated with a lack of training or staff turnover; (4) CONCLUSIONS: Findings suggest that adequate ongoing training is required to maximize the range of roles particular provider types, especially primary care nurses, are competent to perform. Ensuring that role delineation is specified in guidelines could remove confusion and enhance implementation of such guidelines.
journal_name
Int J Environ Res Public Healthauthors
Chimeddamba O,Ayton D,Bazarragchaa N,Dorjsuren B,Peeters A,Joyce Cdoi
10.3390/ijerph13040407subject
Has Abstractpub_date
2016-04-07 00:00:00pages
407issue
4eissn
1661-7827issn
1660-4601pii
ijerph13040407journal_volume
13pub_type
杂志文章abstract：:The consumption of food has a significant impact on the environment, individuals and public health. This study aims to investigate the integrative effects of consumers' personal and situational factors on their attitude and purchase behavior of organic meat. The consumption of this product has been widely regarded as ...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph16061037
更新日期：2019-03-22 00:00:00
abstract：:Although adverse effects of smoking on bone health are all well known, data on how smoking interacts with cartilage structure in otherwise healthy individuals remains conflicting. Here, we ascertain the effects of cigarette smoking on sonoelastographic properties of distal femoral cartilage in asymptomatic adults. Dem...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph13040434
更新日期：2016-04-21 00:00:00
abstract：:(1) Background: The emergency linked to the spread of COVID-19 in Italy has led to inevitable consequences on the penitentiary system. The risks of this emergency in prisons is mainly related to the problem of persistent overcrowding that makes social distancing difficult and the isolation of any contagion hard to arr...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17218033
更新日期：2020-10-31 00:00:00
abstract：:This study focuses on the chemical weathering process under the influence of human activities in the Jiulongjiang River basin, which is the most developed and heavily polluted area in southeast China. The average total dissolved solid (TDS) of the river water is 116.6 mg/L and total cation concentration ( TZ + ) is 1....
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph16030440
更新日期：2019-02-02 00:00:00
abstract：:Habitual physical activity is an important determinant of health, yet many people are considered to be inactive. Identification of the obstacles to greater participation is necessary for the development of strategies to overcome those obstacles. The weather has been identified as a perceived barrier to participation i...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章,评审
doi：10.3390/ijerph6102639
更新日期：2009-10-01 00:00:00
abstract：:Background: Paediatric acute hematogenous osteomyelitis (AHOM) is a serious disease requiring early diagnosis and treatment. To review the clinical presentation, management and organisms responsible for AHOM, and to explore risk factors for complicated AHOM, a large cohort referring to a single center over a 6-year pe...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph14050477
更新日期：2017-05-04 00:00:00
abstract：BACKGROUND:The frequency of take-out food consumption has increased rapidly among Chinese college students, which has contributed to high obesity prevalence. However, the relationships between take-out food consumption, body mass index (BMI), and other individual factors influencing eating behavior among college studen...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph16061071
更新日期：2019-03-25 00:00:00
abstract：:Postpartum depression (PPD) is one of the most common examples of postnatal morbidity, but the subsequent risks of autoimmune diseases in patients with PPD have yet to be fully investigated. This nationwide population-based study utilized data of the National Health Insurance Research Database of Taiwan for the period...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph15081783
更新日期：2018-08-20 00:00:00
abstract：:In the transitional period of China's urbanization, commuting problems and demands are diversified and multi-level, so commuting research topics, viewpoints, and analysis paths should be organically combined to dynamically adapt to the complex commuting contradictions. Based on this, this paper introduces the resilien...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17051475
更新日期：2020-02-25 00:00:00
abstract：:Child abuse and neglect, considered criminal acts under the Criminal Code of Canada, play an important role in substance use, violence, and other criminal behaviour in adulthood. We adopted the life course perspective to identify modifiable contextual influences and co-occurring individual, social, and familial determ...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph10115470
更新日期：2013-10-28 00:00:00
abstract：:From 1985 to 2013, the mean birth weight of infants in Japan decreased from 3120 g to 3000 g, and the low-birth-weight rate among live births increased from 6.3% to 9.6%. No prospective study has elucidated the risk factors for poor fetal growth and preterm birth in recent Japanese parents, such as increased parental ...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph15020369
更新日期：2018-02-21 00:00:00
abstract：:The rate of exposure to second-hand smoke (SHS) is relatively high in several countries, including Vietnam, and health issues related to SHS have worsened in recent years, especially for pregnant women and their infants. Enhancement of knowledge, attitude, and practice (KAP) scores of pregnant women in Vietnam could r...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17103744
更新日期：2020-05-25 00:00:00
abstract：:Good nutrition is important for children's learning, growth, and development, yet food intake during school hours does not align with recommendations. In Australia, most school children currently bring a packed lunch from home, but what if there was a different way? This project aimed to engage a diverse range of stak...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17217935
更新日期：2020-10-29 00:00:00
abstract：:There has recently been a huge number of publications concerning various aspects of vitamin D, from the physiological to therapeutic fields. However, as a consequence of this very fast-growing scientific area, some issues still remain surrounded by uncertainties, without a final agreement having been reached. Examples...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章,评审
doi：10.3390/ijerph16020189
更新日期：2019-01-11 00:00:00
abstract：:Total cholesterol (TC) directly correlates with overweight/obesity, but it remains unclear if this association varies by race and ethnicity. We assessed the association as well as the racial/ethnic heterogeneity in this relationship. Data on 63,863 children were assessed using electronic medical records between 2010 a...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph13010019
更新日期：2015-12-23 00:00:00
abstract：:During an opening panel of the 2018 International Health Congress in Oxford, a question was raised as to how protection could be offered to young researchers in particular who explore new ideas [...]. ...
journal_title：International journal of environmental research and public health
pub_type： 社论
doi：10.3390/ijerph16081457
更新日期：2019-04-24 00:00:00
abstract：:Mental health (MH) has a relevant burden on the health of populations. Common MH disorders (anxiety and non-psychotic depression) are well associated to socioeconomic individual and neighborhood characteristics, but little is known about the influence of urban structure. We analyzed among a Turin (Northwest Italy) urb...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph121114898
更新日期：2015-11-20 00:00:00
abstract：:Background: Due to the importance of energy efficiency and economy in endurance performance, it is important to know the influence of different paddling cadences on these variables in the stand-up paddleboarding (SUP). The purpose of this study was to determine the effect of paddling at different cadences on the energ...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章,随机对照试验
doi：10.3390/ijerph17134893
更新日期：2020-07-07 00:00:00
abstract：:There has been a great deal of international discussion on the nature and relevance of endocrine disrupting compounds in the environment. Changes in reproductive organs of fish and mollusks have been demonstrated in rivers downstream of sewage discharges in Europe and in North America, which have been attributed to es...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph2006030020
更新日期：2006-06-01 00:00:00
abstract：:The study aimed to develop and evaluate a violence prevention program for nursing students to improve communication self-efficacy, problem-focused coping style, emotion-focused coping style, and the ability to cope with violence. Using an eight-session violence prevention program, the study was designed as quasi exper...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17114004
更新日期：2020-06-04 00:00:00
abstract：:Physician scientists in Japan are often too busy to be sufficiently involved in research work. This cross-sectional study aimed to investigate their experiences negotiating with their superiors to improve their research environment and determine its relationship with psychological burnout. Among 1790 physician awardee...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17145221
更新日期：2020-07-20 00:00:00
abstract：:Rural Australians are less physically active than their metropolitan counterparts, and yet very little is known of the candidate intervention targets for promoting physical activity in rural populations. As rural regions are economically, socially and environmentally diverse, drivers of regular physical activity are l...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph13010116
更新日期：2016-01-08 00:00:00
abstract：:The use of medicinal plants has been done since ancient times and may even be considered the origin of modern medicine. Compounds of plant origin have been and still are an important source of compounds for drugs. In this study a bibliometric study of all the works indexed in the Scopus database until 2019 has been ca...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17103376
更新日期：2020-05-12 00:00:00
abstract：:Pollution levels have been increasing in water ecosystems worldwide. A water quality index (WQI) is an available tool to approximate the quality of water and facilitate the work of decision-makers by grouping and analyzing numerous parameters with a single numerical classification system. The objective of this study w...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph14050439
更新日期：2017-04-29 00:00:00
abstract：:The study describes a cluster of 71 malignant mesothelioma cases among Bari residents without asbestos exposure other than residential exposure. This small cohort, as expected, was composed of a majority of females (56.34%) with a M/F ratio of 0.8, ages ≤ 65 years old (52.11%) and the epithelioid morphological type (7...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17082636
更新日期：2020-04-12 00:00:00
abstract：:Mixed methods research has been increasingly recognized as a useful approach for describing and explaining complex issues in palliative care and end-of-life research. However, little is known about the use of this methodology in the field and the ways in which mixed methods studies have been reported. The purpose of t...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章,评审
doi：10.3390/ijerph17113853
更新日期：2020-05-29 00:00:00
abstract：:This paper applies a structural equation modeling approach to study the formation of consumers' perceived health risk of genetically modified (GM) foods based on a cross-sectional dataset of 508 consumers in Xi'an, China. The results indicate a high percentage of respondents who believe that GM foods might threaten hu...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph16040574
更新日期：2019-02-16 00:00:00
abstract：:The primary aim of this study was to examine associations between problematic Internet use, depression and sleep disturbance, and explore whether there were differential effects of problematic Internet use and depression on sleep disturbance. A total of 1772 adolescents who participated in the Shantou Adolescent Menta...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph13030313
更新日期：2016-03-14 00:00:00
abstract：:Objective: This study was designed to assess the prevalence of reproductive tract infections (RTIs) among an internal-migrant population of reproductive age in China. We also analyzed the knowledge, attitude, and practices related to these infections. Methods: A cross-sectional study using the quota-sampling method wa...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph16040655
更新日期：2019-02-22 00:00:00
abstract：:Subjective responses of satisfaction with basic services delivery is an indicator of service delivery performance. This study provides an overview of the status of basic service delivery and determines the factors associated with service delivery satisfaction within informal settlements targeted for upgrading in South...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17124400
更新日期：2020-06-19 00:00:00
