we typically think of acutely and chronically mentally ill patients as those who belong in psychiatric hospitals and the latter category of patients belonging in “regular” hospitals, but the intersection of physical and mental illness draws attention to important challenges for policy-makers and organizational leaders. this article illuminates some broad trends in the health status of people wi...

INTRODUCTION Iran introduced the urban family physician reform, based on the primary healthcare (PHC) approach, in 2012. The reform is restricted to two pilot provinces, which are Fars and Mazandaran and its policymakers request evidence of the reform progress. The study aimed to determine the accessibility of health care in the two pilot sites. METHODS A cross-sectional study using Primary C...

for more than three decades healthcare decentralization has been promoted in developing countries as a way of improving the financing and delivery of public healthcare. decision autonomy under healthcare decentralization would determine the role and scope of responsibility of local authorities. jalal mohammed, nicola north, and toni ashton analyze decision autonomy within decentralized services...

BACKGROUND Liberalization and decentralization of public sector has been triggered in some developing countries and in Iran by the Ministry of Health and Medical Education (MOHME) that granted autonomy to 54 public hospitals. However, establishment of such a complex organizational reform was rather unsuccessful. We aimed to explore the obstacles and barriers caused such a failure and their mech...

This study provides empirical evidence of the implementation outcomes of decentralization and education reform policies conducted in Argentina during the 1990s. The study examines how the reform was adopted at the provincial level, to what extent policy implementation matches national official mandates, and what role organizational factors play in the processes of policy implementation and outc...

We typically think of acutely and chronically mentally ill patients as those who belong in psychiatric hospitals and the latter category of patients belonging in “regular” hospitals, but the intersection of physical and mental illness draws attention to important challenges for policy-makers and organizational leaders. This article illuminates some broad trends in the health status of people wi...

Schools across the country are pressured to reform by federal and state mandates. Because resistance is a major factor in reform failure, it is crucial for principals to discover why teachers resist change. This article explores the leadership and organizational change literature regarding some common barriers to change. Research-based strategies to promote change readiness and steps to overcom...

Performance information systems have been widely adopted by national and local governments. This development has been argued to assist elected politicians in deciding on important questions of resource allocation and organizational reform, potentially creating a system of performance-based budgeting where decision-makers reward high-performers and punish low-performers. Others have argued, howe...

This study examines the relationships between Brazilian psychiatric reform, the adoption of the Centers for Psychosocial Care (CAPS) and the development of the Unified Health System (SUS). The adherence of municipal governments was a variable determinant for the spread of reform, especially due to the continental scale and fragmentation of the Brazilian federation. The article demonstrates the ...