background: except in emergency cases, all patients should be seen first by a primary healthcare physician who decides whether a referral to secondary care is necessary. the present study examined the reasons for patient self-referral to specialists. methods: a random sample of 1036 individuals was selected from people attending public outpatient clinics and specialists’ offices in the private ...

The ambition of the Canadian Institutes for Health Research Health System Impact (HSI) Fellowship initiative to modernise the health system is impressive. Embedded researchers who work between academia and nonacademic settings offer an opportunity to reframe the problem of evidence uptake as a product of a gap between those who produce knowledge and those who use it. As such, there has been an ...

Background and Objectives: Monitoring of health organizations by the regulatory bodies is crucial to ensure high performance of health system. Although Iranian health settings are monitored by the MOHME in various ways, periodic evaluation of their continuous commitment to the national licensure standards in health domain is rare. The aim of the present study was to highlight t...

background and purpose: to determine an appropriate financial model for the health system of iran, several studies have been conducted. but it seems that these studies were not comprehensive and further investigation is required. so to design a valid and enforceable mechanism, the study of policy interventions will be considered through consensus of all stakeholders. this investigation was done...

cooperation of all health sectors and early diagnosis of the disease are the key factors for controlling tuberculosis. this study assesses the patterns of reported tuberculosis cases in iran.this was a cross sectional study. tuberculosis cases were defined according to world health organization and iran's national tb guidelines. final data were prepared for analysis using spss16 software.public...

PURPOSE: In this paper, we investigate the impact of economic crisis on Greece's National Health System and population health. Also included is a critical assessment health policies implemented, as compared with other countries, positive proposals. ΜETHODS: We used data from international, European, Greek databases to conduct literature review compile statistics. RESULTS: Greece spent less in 2...

Background: Households’ financial protection against health payments and expenditures and equity in utilization of health care services are of the most important tasks of governments. This study aims to measuring equity in household’s health care payments according to fairness in financial contribution (FFC) and Kakwani indices in Tehran-Iran, 2013. Methods: This cross-sectional study was c...