INTRODUCTION In 2007, a substantial reform changed the administrative boundaries of the Danish health care system and introduced health care agreements to be signed between municipal and regional authorities. To assess the health care agreements as a tool for coordinating health and social services, a survey was conducted before (2005-2006) and after the reform (2011). THEORY AND METHODS The ...

background: screening of students ´ health problems could lead to timely prevention and control of many health disorders. this study aimed to determine the nationwide prevalence of common disorders through school health screening program in iran methods: this cross-sectional national screening program was conducted in 2007-2008 among first- and third-grade- stu­dents in primary schools, first- ...

background: health information system (his) has been utilized for collecting, processing, storing, and transferring the required information for planning and decision‑making at different levels of health sector to provide quality services. in this study, in order to provide high‑quality his, primary health care (phc) providers’ perspective on current challenges and barriers were investigated. m...

Reforms started in 1996 intended that Regional Health Administrations (ARS) should play a relevant role in the process of transforming an integrated model towards a contractual health care model. The essential tool of this transformation would be the Contractualization Agency, established in each ARS. Its role in the new contractualization culture was to negotiate prospective budgets with healt...

Despite its status as a world leader in treatment innovation and medical education, a quality chasm exists in American health care. Care fragmentation and poor coordination contribute to expensive care with highly variable quality in the United States. The rising costs of health care since 1990 have had a huge impact on individuals, families, businesses, the federal and state governments, and t...

background: to evaluate the satisfaction of mothers with the quality of care provided by maternity institutions in east kazakhstan on the basis of the “quality of hospital care for mothers and newborn babies, assessment tool” (who, 2009). methods: this cross-sectional study took place in 2013 and covered five maternity hospitals in east kazakhstan (one referral, two urban and two rural). to obt...

OBJECTIVE To explore the use of external approaches to quality improvement in health care organizations, through a descriptive evaluation of the process and impact of external reviews of clinical governance arrangements at health care provider organizations in the National Health Service (NHS) in England. DESIGN A qualitative study, involving the use of face-to-face and telephone interviews w...

BACKGROUND The unmet needs for health care have been used as an alternative measurement to monitor equity in health services. We sought to examine contextual influences on unmet needs for health care whereas precedent studies have been focused on individual characteristics on them. METHODS AND FINDINGS The current study conducted multilevel logistic regression analysis to assess the effects o...