OBJECTIVE To analyze whether the level of institutional and matrix support is associated with better certification of primary healthcare teams. METHODS In this cross-sectional study, we evaluated two kinds of primary healthcare support - 14,489 teams received institutional support and 14,306 teams received matrix support. Logistic regression models were applied. In the institutional support m...

Healthcare reforms (HR) initiated by many countries impacts on healthcare systems worldwide. Being one of fast developing countries, China launched HR in 2009. Better understanding of its impact is helpful for China and others in further pursuit of HR. Here we evaluate inpatient mortality, a proxy to healthcare quality, in 43 top tertiary hospitals in China during this critical period. This is ...

Comprehensive geriatric assessment (CGA) is the most comprehensively researched model for healthcare delivery to frail older patients. It has been shown, through a series of high-quality research studies and subsequent meta-analyses, to deliver measurable health improvements for frail older people. Although it is well understood by specialists in care of older people, it remains unrecognised by...

BACKGROUND Provision of universal coverage is essential for achieving equity in healthcare, but inequalities still exist in universal healthcare systems. Between 2004/2005 and 2011/2012, the National Health Service (NHS) in England, which has provided universal coverage since 1948, made sustained efforts to reduce health inequalities by strengthening primary care. We provide the first comprehen...

since about four years ago, total quality management (tqm) has been informally introduced into our integrated healthcare and medical education system. with the aim of getting feedback/ learning from the experiences of the universities/schools of medical sciences in setting the ground for tqm implementation, an assessment was done. the survey results show that out of 31 universities/ schools of ...

The assessment of medical practice is evolving rapidly in the United States. An initial focus on structure and process performance measures assessing the quality of medical care is now being supplemented with efficiency measures to quantify the "value" of healthcare delivery. This statement, building on prior work that articulated standards for publicly reported outcomes measures, identifies pr...

background increasing demand for limited healthcare resources raises questions about appropriate use of inpatient beds. in the first paediatric bed utilisation study at a regional university centre in ireland, we conducted a cross-sectional study to audit the utilisation of inpatient beds at the regional paediatric unit (rpu) in university hospital limerick (uhl), limerick, ireland and also exa...

this paper aims to provide a description of the need for culturally and linguistically appropriate services (clas) for limited english proficient (lep) patients, an identification of how the lack of clas for lep patients can compromise patient safety and healthcare quality, and discuss barriers to the provision of clas.

BACKGROUND The main purpose of this study was to identify factors that influence healthcare quality in the Iranian context. METHODS Exploratory in-depth individual and focus group interviews were conducted with 222 healthcare stakeholders including healthcare providers, managers, policy-makers, and payers to identify factors affecting the quality of healthcare services provided in Iranian hea...