BACKGROUND Poor medical care and high fees are two major problems in the world health care system. As a result, health care insurance system reform is a major issue in developing countries, such as China. Governments should take the effect of health care insurance system reform on the competition of hospitals into account when they practice a reform. This article aims to capture the influences ...

BACKGROUND The current health care reform in China launched in 2009 tackles the problem of access to appropriate medicines for its 1.3 billion people by focusing on providing essential medicines to all. To provide evidence for the reform process, we investigated the manufacturing, purchasing, and prescribing of essential medicines in two provinces. METHODS We conducted surveys in 2007 of all ...

Problem-based learning is an educational method characterized by utilization of problems involving patients as a context for students to learn problem-solving skills and acquire knowledge about basic and clinical science. It is a core curriculum in the new pathway of educational reform. Chang Gung University and Chang Gung Memorial Hospital began a program of educational reform in 1998. However...

1. Since the mid-1990s, Uzbekistan has undergone reforms in the health sector focused on restructuring of primary health care in Uzbekistan as well as the establishment of an emergency medical care network. These were defined in the August 1996 Law on Health Protection and the1998 presidential decree outlining a new structural framework for the Uzbek health care system and priority areas for he...

"The future never just happens; it is created. Even though change and information are exploding, they aren't going to explode in your organization unless you have an effervescent culture, and managers driving it who are skilled at assimilating and mastering change. There will be no twenty-first century health care in our hospitals unless we learn how to birth it." —Dr. Clay Sherman, Creating th...

is a vice president of The Camden Group. Ms. Witt's expertise is in medical group and integrated delivery system development and management, including physician-hospital relationships, practice management, performance improvement, physician compensation, managed care, and strategic planning. is a senior vice president of The Camden Group. Ms. Jacobs's expertise is in the areas of physician-hosp...

T hroughout the summer, federal plans for healthcare reform continued to stall, to the chagrin of many in the healthcare and policy communities. Even within the Clinton administration, the tension was apparent between the desire to forge ahead and the need to wait for a politically appropriate moment to unveil the health reform planafter the president's economic package and budget have passed. ...