Evidence on the impact of user costs on healthcare demand in 'universal' public National Health Services (NHS) is scarce. The changes in copayments and in the regulation of the provision of free patient transportation, introduced in early 2012 in Portugal, provide a natural experiment to evaluate that impact. However, those changes in user costs were accompanied with changes in the criteria tha...

BACKGROUND The majority of women in sub-Saharan Africa now deliver in a facility, however, little is known about the quality of services for maternal and newborn basic and emergency care, nor how this is associated with patient's perception of their experiences. METHODS Using data from the Service Provision Assessment (SPA) survey from Kenya 2010 and Namibia 2009, we explore whether facilitie...

background and objectives: patient satisfaction is an important indicator of the quality of health and healthcare services. most relevant studies in iran have been conducted in the nation’s capital, and there is a lack of large-scale studies in other regions of this country. in order to help filling this gap, this study was designed to undertake a relatively large-scale assessment of patient sa...

introduction: telemedicine is defined as the ability to provide interactive health care by modern technologies and telecommunications which require related infrastructure and technologies. the aim of this study was to assess infrastructures of telemedicine at health centers, hospitals and clinics affiliated to shiraz university of medical sciences. method: this is a cross-sectional study conduc...

INTRODUCTION Asthma is one of the most common chronic diseases of childhood and is the most common cause of school absenteeism due to chronic conditions. The objective of this study is to estimate direct and indirect costs of asthma in school-age children. METHODS Using data from the 1996 Medical Expenditure Panel Survey, we estimated direct medical costs and school absence days among school-...

Decentralizing health services, including those for HIV prevention and treatment, is one strategy for maximizing the use of limited resources and expanding treatment options; yet few methods exist for systematically identifying where investments for service expansion might be most effective, in terms of meeting needs and rapid availability of improved services. The Nigerian Government, the Unit...

nowadays export development approach is introduced as an accepted principle in my country's external commerce and managers attend trade facility. since top's mission is make policy, support, make needful infrastructure and facilities creation for businessmen, top's marketing services have been survey in my research until exporter's expectations is identified completely. mark...