In an article in this Journal, Mendlovic and colleagues report on regional variation in medical care across Israeli regions. This study joins a growing literature demonstrating generally high variation in the provision of health care services within developed countries. This commentary summarizes the status of medical care epidemiology and its studies of unwarranted variation in health care, an...

This paper focuses on the relationship between metropolitan and regional health planning based on the processes of regionalization and the Pact for Health in the Baixada Santista Metropolitan Area, São Paulo State, Brazil. The method used was a case study in two stages, namely during initial implementation of the Pact for Health (2007) and the Regional Administration Committees (CGR) and in 201...

Recent policy developments in public health care systems lead to a greater diversity in health care. Decentralization, either geographically or at an institutional level, is the key force, because it encourages innovation and local initiatives in health care provision. The devolution of responsibilities allows for a sort of 'deconstruction' of the status quo by changing both organizational form...

exposure to blood borne pathogens is considered as a common occupational hazard among health care workers all around the world. the aim of the current study was to investigate the factors associated with needle stick and sharp injuries among health care workers of an academic hospital. the current cross-sectional study of health care workers a teaching hospital designed based on a census sampli...

introduction: the scientific, technological and economic development of a society is closely related to its public health. therefore; improvement of health service quality along with increasing the number of health facilities is one of the main concerns of health care authorities in developed countries. this study was designed to compare accreditation models of health care organizations in euro...

background:satisfactionlevel is animportant indicator for measuringthe quality of services. enhancing the quality of services provided in the emergencydepartments need to have thecorrect understanding of the current situationand problems of thesedepartments. this study wasperformed to examine patients satisfaction andtheir problems in the emergencydepartment of alzahra hospital.methods: thisdes...

results the findings showed that the program was used in 380 health houses in 10 cities of iran. the total number of inhabitants covered by the program were 5555258, and 8245 of them were substance abusers. the cases were registered and their data were reported by the managers. the function of health houses, health centers, and district health centers were assessed by considering the number of ...

aim: hypertension is a chronic and asymptomatic disease leading to death of at least 45% of patients with cardiovascular diseases (cvds). self-care is important to minimize the risks and complications caused by hypertension.this aim of the present study was to determine the predictive power of constructs of the health belief model (hbm) in self-care behaviors of patients with hypertension.metho...

background: nowadays, quality of patient care is one of the major and important concerns of health care delivery which is extremely dependent on the medical staff. objectives: the purpose of this study was to investigate the relationship between quality of work life (qwl) and quality of patient care. methods: this study was a descriptive-analytic study based on correlation which was conducted i...

background health care workers (hcws) are at high risk for acquisition of hepatitis b virus (hbv) infection due to occupational exposure to potentially infectious body fluids. this study was carried out to determine the prevalence of hbv markers and vaccination compliance among different categories of hcws in fars province, iran. patients and methods a total of 346 hcws working at gerash and ev...