reducing wastes in the healthcare processes is crucial for developing a high performance health system. adopted from the toyota production system (tps), the lean concept has emerged in recent years as a way of introducing innovative ideas to improve industrial processes. in the context of health care, lean is considered as a continuous improvement model, which provides healthcare organization t...

background: households’ financial protection against health payments and expenditures and equity in utilization of health care services are of the most important tasks of governments. this study aims to measuring equity in household’s health care payments according to fairness in financial contribution (ffc) and kakwani indices in tehran-iran, 2013. methods: this cross-sectional study was condu...

conclusions although the majority of women had pcc records and received advice from healthcare professionals to carry out pchbs, most of them did not adhere to the pchb guideline recommendations. it is therefore suggested that strategies should be adopted to establish pcc services in the healthcare system and encourage clients to adhere to the pchb guideline recommended by the ministry of healt...

background: health inequalitymonitoring especially in health care financing field is very important. hence, this study tends to assess the inequality in household's capacity to pay and out-of-pocket health carepaymentsin tehran metropolis. methods: this cross-sectional study was performed in 2013.thestudy population was selected by stratified cluster sampling, and they constitute the typical ho...

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: the aim of the study was to compare the effects of 'face-to-face education' and 'educational movies' on  'knowledge' and 'practice' of women of child-bearing-age, in terms of health-care during pregnancy and during infancy in a suburban region near tehran city, iran.   methods: in this quasi-experimental study, the sample included 873 married women. questionnaires for knowledge and ...

BACKGROUND Improving maternal health is one of the eight Millennium Development Goals (MDGs) aimed at improving maternal healthcare and reducing maternal mortality. The utilization of maternal health services is influenced by several factors that need to be better understood. The objective of this study was to estimate the role of socio-economic position as a determinant of the utilization of m...