OBJECTIVE Clinical Governance (CG) program has been raised in Iran in order to improve the quality of clinical care. The purpose of this study is to investigate the awareness of clinical governance program among clinical staff working in selected teaching hospitals in Tehran, Iran. METHODS To investigate the CG awareness, a cross-sectional survey was conducted among 345 clinical staff working...

BACKGROUND Late presentation to hospital after onset of stroke affects management and outcomes of the patients. This study aimed to determine the factors associated with time taken to present to hospital after the onset of acute stroke symptoms. METHODS A descriptive cross sectional study was conducted at two teaching hospitals in Zimbabwe. Participants included patients admitted with stroke ...

OVER the last few years the nature of the work of the general physician in the teaching hospital has changed considerably. His exact functions are no longer clear and it is not certain whether the general physician has a future in the large general hospital. The reasons for this include1. The growth of sub-specialities in medicine. These tend to attract direct referrals from general practitione...

In the process of acquiring new skills, physicians-in-training may expose patients to harm because they lack the required experience, knowledge and technical skills. Yet, most teaching hospitals use inexperienced residents to care for high-acuity patients in complex and dynamic environments and provide limited supervision from experienced clinicians. Multiple efforts in the last few years have ...

background satisfaction with health care is an important criterion and variable in assessing the quality of medical care. especially mother’s satisfaction from childbirth care procedure is a determinant factor in psychological and social health the study aimed to assess mothers’ satisfaction in terms of education and information provided by maternal care givers. material and methods a descripti...

Hospitals with lower costs are not necessarily superior to those that are more expensive, because the more costly institutions might offer better outcomes. The purpose of this study was to consider prices and outcomes in an integrated model and thereby determine if teaching hospitals are cost-effective for the care of hip fractures. We analyzed the claims data of a sample of 18,908 Medicare pat...

BACKGROUND Under the Affordable Care Act, health care reimbursement will increasingly be linked to quality and costs. In this environment, teaching hospitals will be closely scrutinized, as their care is often more expensive. Furthermore, although they serve vital roles in education, research, management of complex diseases, and care of vulnerable populations, debate continues as to whether tea...

Imagine the following scenario: You are head of the medical education unit at a large teaching hospital. You have had a contract with an external organisation that provides assessment services, but that contract has just run out and you now need to decide whether to renew or go with an alternative provider. You consider the costs of switching provider but also have less tangible concerns about ...

OBJECTIVE To assess the awareness regarding research skills among clinical and academic post-graduate doctors in teaching hospitals of Karachi. METHODS The cross-sectional study was carried out from August to October 2012 in two teaching hospitals of Karachi. Total 92 doctors who were enrolled in academic and clinical post-graduation programmes were included in the study through convenience s...

BACKGROUND The concept of benefit sharing to enhance the social value of global health research in resource poor settings is now a key strategy for addressing moral issues of relevance to individuals, communities and host countries in resource poor settings when they participate in international collaborative health research.The influence of benefit sharing framework on the conduct of collabora...