background: nowadays, entrepreneurship stimulates economical development. it is the center of individual and organizational activities. since the government in developing countries participates in all areas of cultural and socioeconomic affaires, especially in health services, it is very important to change static organizations into dynamic ones. the aim of this study was to detect factors affe...

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...

background: to achieve development goals in a country, having a research plan is necessary. need assessment in health is the first stage of research priority aiming improves health condition in a population. the objective of this study was to determine a list of research projects according to the health problems priority in ramadan province, iran. methods: to determine research priorities in th...

the current challenge in health services research is disability to present comprehensive and effective intervention plans for community health promotion. there are numerous reasons in this regard, some of which can be overcome through performance-based participatory research methods. the population research center (prc) in tehran university of medical sciences (tums) provides the necessary grou...

Background and Aim: Primary health care is a holistic approach that aims to maximize people's health and well-being as quickly as possible in their immediate living environment. The primary health care system is the first point of contact of the people with the health system. Therefore, increasing its resilience will play a significant role in controlling and managing pandemics. This research a...

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...