background and objectives: informal payment in the health settings is a significant challenge facing the health system, with consequences such as inequity in access to healthcare services, distrust to health care system, and dissatisfied customers. detailed identification of the nature of the problem is perquisite to developing relevant overcoming strategies. given that, this study aimed at pro...

background it is believed that healthcare staff play an important role in minimizing complications related to urethral catheterization. the purpose of this study was to determine whether or not healthcare staff complied with the standards for urethral catheterization.   methods this study was conducted in imam reza teaching hospital, tabriz, iran, from july to september 2013. a total of 109 cat...

BACKGROUND The cooperation of patients and their consent to involve medical students in their care is vital to clinical education, but large numbers of students and lack of experience as well as loss of privacy may evoke negative attitudes of patients, which may sometimes adversely affect the clinical teaching environment. This study aimed to explore the attitudes of patients towards medical st...

Several reports have documented the prevalence and severity of emergency department (ED) overcrowding at specific hospitals or cities in Canada; however, no study has examined the issue at a national level. A 54-item, self-administered, postal and web-based questionnaire was distributed to 243 ED directors in Canada to collect data on the frequency, impact and factors associated with ED overcro...

INTRODUCTION One of the most striking developments in twentieth-century medicine has been the growing involvement of laboratory science in day-to-day medical practice. Not only are scientific laboratories employed extensively in the diagnosis and investigation of illness, but it is now commonplace to regard doctors as, in many ways, applied scientists. This is a far cry from the situation at th...

BACKGROUND Casemix adjusted in-hospital mortality is one of the measures used to improve quality of care. The adjustment currently used does not take into account the effects of readmission, because reliable data on readmission is not readily available through routinely collected databases. We have studied the impact of readmissions by linking admissions of the same patient, and as a result wer...

AIM The quality of services plays a primary role in achieving patient satisfaction. The main purpose of this study was to explore the effect of outpatient service quality on patient satisfaction in teaching hospitals in Iran. METHODS this cross-sectional study was conducted in 2014. The study sample included 500 patients were selected with systematic random method from the outpatient departme...

RATIONALE, AIMS AND OBJECTIVES Explicit attention to patient safety during surgical training is needed to improve patient safety. A positive safety climate is associated with greater patient safety and is a requisite for safety teaching at the workplace. The Safety Climate Survey (SCS) measures perceptions of safety climate. This study aims to take a first step in validating the SCS for use amo...

This article employs a quasi-experimental, pre/post comparison group design to determine whether rural hospital closures (n = 11) have had a detrimental impact on access to inpatient and outpatient care for the Medicare population. Closure areas experienced a significant decrease in medical admissions, although admission rates remained higher than in comparison areas. Physician services were no...

* Dr. Resident, Department of ENT and Head and Neck Surgery, T. U. Teaching Hospital, Kathmandu, Nepal. ** Professor, Department of ENT and Head and Neck Surgery, T. U. Teaching Hospital, Kathmandu, Nepal. *** Professor and HOD, Department of Pathology, T. U. Teaching Hospital, Kathmandu, Nepal. **** Dr. Associate Professor, Department of ENT and Head and Neck Surgery, T. U. Teaching Hospital, ...