In the future, QICs should increasingly become oriented to changing clinic systems and workflows that can support better care for a broad set of diseases and thus move towards more patient-centred care.
For example, 43.4% (49/113) added clients who changed their contraceptive methods and 17.7% (20/113) added clients who changed clinics without changing contraceptive methods.
3 These epidemiologic data indicate that the HIV epidemic in the US and other countries with access to HAART will cause a change in the nature of HIV clinics, changing the focus from health concerns in younger patients to a broader age range, with an increasing focus on geriatric issues, including issues relating to bone health.
Newborns are usually bathed immediately after birth, but there is some evidence of changing trends since clinics are encouraging delayed bathing.
Pregnancy is often associated with changing residence and, consequently, clinics.
There seems to be a large potential for reducing workload in some of the clinics by changing the habits of patients to make contact by telephone instead of by direct attendance.
We defined positive care-seeking behavioral change as changing from doing nothing, self-medication, or home remedies to consulting health personnel, visiting health facilities where health professionals were assigned, and changing from using a rural health post to health center or a private clinic.
Sales of Amgen's Epogen have been declining because of changing financial incentives for dialysis clinics and because of safety concerns, particularly those related to blood clots and heart attacks.
Frelimo expanded and altered the health care system to better serve the majority population, establishing rural health care clinics and thus changing the emphasis from curative care designed principally to serve the settler population to preventive care aimed at the majority.
To cope with this changing general setup of the clinic's daily routine organizational and structural changes have to be realized and the introduction of new regulatory mechanisms is indispensable.
