OBJECTIVE To determine (i) the cost issues which Saudi health care managers perceive to influence overall quality improvement initiatives, and (ii) the relationship between health care managers' satisfaction with such initiatives and their perceptions regarding the influence of different cost issues on the overall quality improvement initiatives. DESIGN Data were collected through a self-admi...

BACKGROUND Longitudinal studies using multi-level models to examine health inequalities in lower and middle income countries (LMICs) are rare. We explored socio-economic gradients in health among small farm members participating in a pesticide-related health and agriculture program in highland Ecuador. METHODS We profiled 24 communities through key informant interviews, secondary data (percen...

BACKGROUND In March 2013, Kenya transitioned from a centralized to a devolved system of governance. Within the health sector, this entailed the transfer of service provision functions to 47 newly formed semi-autonomous counties, while policy and regulatory functions were retained at the national level. The devolution process was rapid rather than progressive. METHODS We conducted qualitative ...

INTRODUCTION Urban corner store interventions have been implemented to improve access to and promote purchase of healthy foods. However, the perspectives of store owners and managers, who deliver and shape these interventions in collaboration with nonprofit, government, and academic partners, have been largely overlooked. We sought to explore the views of store owners and managers on the role o...

BACKGROUND There is increasing evidence that good district management practices can improve health system performance and conversely, that poor and inefficient management practices have detrimental effects. The aim of the present study was to identify factors contributing to inefficient management practices of district health managers and ways to improve their overall efficiency. METHODS Nine...

BACKGROUND Health systems in low-income countries are often characterized by poor health outcomes. While many reasons have been advanced to explain the persistently poor outcomes, management of the system has been found to play a key role. According to a WHO framework, the management of health systems is central to its ability to deliver needed health services. In this study, we examined how di...

The health information management (HIM) professional is strategically placed to manage information within the public health arena. As managers of information flow, HIM professionals utilize increasing levels of technology to link clinical settings, public health departments, research institutions, and consumers with health information. However, as technology increases the amount and accessibili...

Gender and managerial status have previously been found to relate to work-family conflict, though the combination of gender and managerial status has received less attention. This study explores differences in levels of work-family conflict and related job attitude and health and coping variables among women managers, men managers, women non-managers, and men non-managers at a large organizatio...