Background: Bariatric surgery with the improvement of obesity-related diseases, increases longevity and quality of life and is more cost-effective when compared to non-surgical Procedures.   Objective: The aim of this study is to compare the cost-effectiveness of Laparoscopic Sleeve Gastrectomy (LSG) and Laparoscopic Roux-en-Y Gastric Bypass (LRYGB).   Method:...

A central problem in designing effective models of provider governance in health systems has been to ensure an appropriate balance between the concerns of public sector and/or government decision-makers, on the one hand, and of non-governmental health services actors in civil society and private life, on the other. In tax-funded European health systems up to the 1980s, the state and other publi...

this paper talks about the measurement of efficiency and productivity of non-life insurance firms in india. this study is focused on twelve private non-life insurance firms and four public sector non-life insurance firms of india in the period 2008-09 to 2012-13. data envelopment analysis (dea) coupled with malmquist productivity index is used in measuring the efficiency as well as productivity...

Public hospitals that are directly managed by government perform poorly in many developing countries. Approaches to improving them through internal managerial reforms have failed, and effective alternatives are much needed. Policymakers are considering reforms through public-private partnerships (PPPs)--a promising but so far unevaluated approach. We present results of a successful reform in Sã...

Running public service organizations that is used in government and public service institutions and agencies, at both sub-national and national levels is a major area of research in public policy in the era of globalization. Thus, the aim of this paper is to probe relationships between new public management and the process of globalization. It argues that the emergence of NPM is the consequence...