Quality of care in Singapore has seen a paradigm shift from a traditional focus on structural approaches to a broader multidimensional concept which includes the monitoring of clinical indicators and medical errors. Strong political commitment and institutional capacities have been important factors for making the transition. What is still lacking, however, is a culture of rigorous programme ev...

abstract health economic evaluation research plays an important role in selecting cost-effective interventions. the purpose of this study was to assess the quality of published articles in iranian journals related to economic evaluation in health care programs based on drummond’s checklist in terms of numbers, features, and quality. in the present review study, published articles (persian and e...

CONTEXT In July 2005 the National Rural Health Alliance released a discussion paper on advanced nursing practice in rural and remote areas of Australia. The paper called for more debate and research about advanced nursing practice roles, especially on how the roles contribute to quality care and patient health outcomes. Monash University School of Rural Health, Victoria, Australia, completed tw...

Demographic changes in the United States bring diverse cultures, languages, and challenges to health care delivery, particularly for children. Providing high-quality health care that is patient centered and equitable requires tailored care and a focus on both health care disparities and health literacy.1 Major connections between health literacy and disparities include a common focus on improvi...

background health-related quality of life (hrqol) is used as a measure to valuate healthcare interventions and guide policy making. the euroqol eq-5d is a widely used generic preference-based instrument to measure health-related quality of life. objectives the objective of this study was to develop a value set of the eq-5d health states for an iranian population. patients and methods this study...

Improving medication adherence is a critically important, but often enigmatic objective of patients, providers, and the overall health care system. Increasing medication adherence has the potential to reduce health care costs while improving care quality, patient satisfaction and health outcomes. While there are a number of papers that describe the benefits of medication adherence in terms of c...

Analyzing National Health Reform Strategies With a Dynamic Simulation Model. Milstein B, Homer J, Hirsch G. Proposals to improve the US health system are commonly supported by models that have only a few variables and overlook certain processes that may delay, dilute, or defeat intervention effects. We use an evidence-based dynamic simulation model with a broad national scope to analyze 5 polic...

As policy makers and others seek to reduce health care cost growth while improving health care quality, one approach gaining momentum is fee-for-value reimbursement. This payment strategy maintains the traditional fee-for-service arrangement but includes quality and spending incentives. We examined Blue Cross Blue Shield of Michigan's Physician Group Incentive Program, which uses a fee-for-valu...