since hospitals are an important and integral part of the overall health delivery system, this study was carried out to measure the effectiveness of this institution within the system. the records of 633 hospitalized patients in the pediatrics ward of ghaem hospital in mashhad during 1357 (21 march 1978-20 march 1979) has been consulted. more than half of the patients were hospitalized with the...

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in this paper, the application of neural networks for simulation and optimization of the cogeneration systems has been presented. cgam problem, a benchmark in cogeneration systems, is chosen as a casestudy. thermodynamic model includes precise modeling of the whole plant. for simulation of the steadysate behavior, the static neural network is applied. then using dynamic neural network, plant is...

under the table or informal payments in several middle and low income countries is a serious impediment to health care reform. these payments are effectively a form of systemic corruption. this report shows the efforts of a patient who seek health care for his ankle while being requested to pay under the table in hospital and private clinic. the data were collected by interview and surveying pa...

background in 2004, the health system in iran initiated an organizational reform aiming to increase the autonomy of teaching hospitals and make them more decentralized. the policy led to the formation of a board of trustees in each hospital and significant modifications in hospitals’ financing. since the reform aimed to improve its predecessor policy (implementation of hospital autonomy began i...

conclusions with regard to the current challenges in iran’s health system, using risk-adjusted capitation as a primary healthcare payment system can lead to useful changes in the health system’s features. however, future research should focus on the development of the risk-adjusted capitation model. background when a country’s health system is faced with fundamental flaws that require the redes...

using a hierarchical hybrid fuzzy model, this paper presents an intelligent system to manage the traffic of ambulances and the vehicles for transporting blood and blood products and generally the transportation related to health emergencies. the transportation of emergency patients, emergency accidents and health-related emergencies, and the transportation of blood and blood products should be ...