Japan is undergoing a set of health care reforms aimed at cutting rising health care costs and increasing the efficiency of health care delivery. This empirical study used a large-scale community survey on 15,302 elderly people 65 years and older (56.0% women) conducted in seven municipalities in 2006, to reveal clear-cut evidence of barriers to necessary care. The reasons for not getting healt...

BACKGROUND More than 9% of Wisconsin residents are without health insurance. Several states have passed legislation to increase access to health care and move toward universal coverage. Wisconsin legislators are also considering health care reform proposals that present alternatives to the current system. OBJECTIVE To describe experiences and concerns of individuals who are uninsured as compa...

background & purpose: since 2005, a reform known as rural insurance and family medicine scheme has introduced to primary health care network in iran in rural areas and small towns. the content of the reform implies a substantial change in those aspects of health centers that mainly could be categorized as structural quality. although, this is the requirement of all health care providers, they a...

McDonough’s perspective on healthcare reform in the US provides a clear, coherent analysis of the mix of access and delivery reforms in the Affordable Care Act (ACA) aka Obamacare. As noted by McDonough, this major reform bill is designed to expand access for health coverage that includes both prevention and treatment benefits among uninsured Americans. Additionally, this legislation includes s...

abstract background: pabon lasso model was applied to assess the relative performance of hospitals affiliated to kurdistan university of medical sciences (kums) before and after the implementation of health sector evolution plan (hsep) in iran. methods: this cross-sectional study was carried out in 11 public hospitals affiliated to kums in 2015. twelve months before and after the implementation...

background equity of access to health and provider payment mechanism in healthcare is a worldwide debated. healthcare reforms are primarily designed to improve productivity, economic efficiency and quality of care; however, an appropriate reimbursement of healthcare providers for services offered to patients and marinating a robust payment mechanism are not elucidated yet. conclusions no single...

Background China's Reform and Open up Policy in 1980s has brought rapid economic development to Chinese society. With the deepening of economic reform, the withdrawal of the state in China has had visible and worrisome consequences for health and for the functioning of health services. The new round of healthcare reform after 2009 has made significant achievements on improving fundamental healt...

Governments have been thrust to the forefront of health care reform efforts as growth in government health care costs was faster than growth in all other sponsor sectors in 1991. In the business sector, real health care costs per worker have risen 65 times faster than real wages and salaries per worker during the past 26 years. Households continue to devote 5 percent of income after taxes to he...

Peter Singer has proposed health care rationing that includes an invidious discrimination against people with disabilities. Unfortunately, Congress has codified the potential for such discrimination in the 2010 Patient Protection and Affordable Care Act. But why should any public official have the discretion to treat the lives of people with disabilities as of "lower value" than the lives of an...