This study examines the effect of 13 strategic management activities on the financial performance of a national sample of 797 U.S. rural hospitals during the period of 1983-1988. Controlled for environment-market, geographic-region, and hospital-related variables, the results show almost no measurable effect of strategic adoption on rural hospital profitability and liquidity. Where statisticall...

that in rural Uttar Pradesh (UP), only about one-fourth of women delivered their last child in an institution.a In 2005 the Janani Suraksha Yojana ( JSY) was launched as an intervention to address the barriers to institutional delivery, through the introduction of community-based women volunteers called Accredited Social Health Activists (ASHAs). Women in rural areas in low performing states ar...

background: job satisfaction remains as an important concern for both employer and employee. the leaving of work­place and migration to city centers is one of the main results of job dissatisfaction among the primary health care (phc) provid­ers in rural setting of iran, behvarzes. determining the predictor's factors of the phc providers' job dissatisfac­tion and provid­ing appropriate strategi...

BACKGROUND Access to rural health services is compromised in many countries including Australia due to workforce shortages. The issues that consequently impact on equity of access and sustainability of rural and remote health services are complex. DISCUSSION The purpose of this paper is to describe a number of approaches from the literature that could form the basis of a more integrated appro...

the main purpose of this study was to investigate effect of access to health facilities on the health status of rural households at kermanshah province. statistical pupation of this study consisted of all heads of rural households at bisotoun district in harsin township, kermanshah province, iran (n=1020), that 278 of them were selected by the cluster random sampling method. the main instrument...

OBJECTIVE To evaluate whether rural consumer preferences for health services have changed over time or vary across communities with different models of health service delivery. DESIGN Questionnaire survey replicating a 1989 study, with ranking of seven different healthcare services. PARTICIPANTS AND SETTING Adult occupants from a 20% sample of private residences, in towns and on farms, in t...

People living in rural and remote communities often have among the greatest health needs but the most limited access to healthcare services, including specialist care. One solution for increasing access to specialist services is visiting-specialist services or specialist outreach clinics - that is, planned, regular visits by specialist physicians from their usual practice location to see patien...

This article summarizes the perspectives gained in the course of evaluating a 4-year demonstration program that supported rural hospital networks as mechanisms for improving rural health care delivery. Findings include: (1) joining a network is a popular, low-cost strategic response for rural hospitals in an uncertain environment; (2) rural hospital network survival is enhanced by the mutual re...

BACKGROUND In Thailand, the inequitable distribution of doctors between rural and urban areas has a major impact on access to care for those living in rural communities. The rural medical education programme 'Collaborative Project to Increase Rural Doctors (CPIRD)' was implemented in 1994 with the aim of attracting and retaining rural doctors. This study examined the impact of CPIRD in relation...

There is a paucity of research demonstrating how best to address inequalities in health and access to specialist care faced by rural disadvantaged populations in high HIV-prevalent settings in Sub Saharan Africa. Delivering equitable and cost-effective specialist clinical services in many parts of Africa is challenging, given human resource shortages, poor transport infrastructure and competing...