background in early 1990s, tanzania like other african countries, adopted health sector reform (hsr). the most strongly held centralisation system that informed the nature of services provision including health was, thus, disintegrated giving rise to decentralisation system. it was within the realm of hsr process, user fees were introduced in the health sector. along with user fees, various typ...

OBJECTIVE To determine if differences between English- and Spanish-speaking parents in ratings of their children's health care can be explained by need for interpretive services. METHODS Using the Consumer Assessment of Health Plans Survey-Child-Survey (CAHPS), reports about provider communication were compared among 3 groups of parents enrolled in a Medicaid managed care health plan: 1) Engl...

BACKGROUND Emerging evidence indicates the extreme forms of violence and acute and longer-term mental health consequences associated with trafficking and exploitation. However, there has been little research on post-trafficking mental health and psychosocial support services for survivors. This study explored the availability and accessibility of mental health and psychosocial support services ...

OBJECTIVES To estimate the degree to which individual and household variables jointly predict utilization of curative ambulatory services in Mexico for four types of health providers. MATERIAL AND METHODS Patient choice of provider (self-care, Ministry of Health, social security, or private provider) when they become ill is modeled using a nested multinomial logit model that uses household an...

introduction: in order to fulfill the health and medical needs of rural people, iran's medical services insurance organization approved a plan to provide rural health insurance in 2005. the plan aimed to make an appropriate context for the activities of private health care service providers in the rural areas and to meet public expectations for access to specialized medical services. in this st...

Poor health status, rapidly escalating health care costs, and seemingly little association between investments in health care and health outcomes have prompted a call for a "pay-for-performance" system to improve population health. We suggest that both health plans and clinical service providers measure and report the rates of 5 behaviors: 1) smoking, 2) physical activity, 3) excessive drinking...

background in recent years, accreditation of private hospitals followed by decentralisation of the italian national health service (nhs) into 21 regional health systems has provided a good empirical ground for investigating the tiebout principle of “voting with their feet”. we examine the infra-regional trade-off between greater patient choice (due to an increase in hospital services supply) an...

INTRODUCTION This research gathered information in 2004 about psychological services provided to five rural communities located in South-west Queensland, Australia. Specifically, the aims of the project were to: (i) undertake an audit of existing psychological services; and (ii) determine the need for psychological services as perceived by providers of current services. METHODS Potential prov...

This article reports on the quality of care delivered by private and public providers of primary health care services in rural and urban India. To measure quality, the study used standardized patients recruited from the local community and trained to present consistent cases of illness to providers. We found low overall levels of medical training among health care providers; in rural Madhya Pra...