introduction: the main purpose of this study was to assess fulfillment of goals about “health transformation plan (htp) of ministry of health, treatment and medical education” from the perspective of managers, which is as one of the most important management challenges in the health system reform plan. these goals included six packages determined by the ministry of health, treatment and medical...

for more than three decades healthcare decentralization has been promoted in developing countries as a way of improving the financing and delivery of public healthcare. decision autonomy under healthcare decentralization would determine the role and scope of responsibility of local authorities. jalal mohammed, nicola north, and toni ashton analyze decision autonomy within decentralized services...

This article examines the possibilities for health care reform in the 111th Congress. It uses a simple model of policy making to analyze the failure of Congress to pass the Clinton health plan in 1993-1994. It concludes that the factors that created gridlock in the 103rd Congress are likely to have a similar impact in the present.

In response to increasing health expenditures and a high number of physician visits, the German government introduced a copayment for ambulatory care in 2004 for individuals with statutory health insurance (SHI). Because persons with private insurance were exempt from the copayments, this health care reform can be regarded as a natural experiment. We used a difference-in-difference approach to ...

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The Clinton Administration has implied that short-run failures to control health care costs may cause a reexamination of wage and price controls as elements of comprehensive health care reform. The most recent imposition of mandatory wage and price controls was the Economic Stabilization Program (ESP) of the early 1970s. We analyze trends in hospitals' economic behavior and utilization before, ...

Massachusetts' experience with health care reform may be predictive of the effects of national health care reform. Data on employment in the health care industry were examined to determine the impact of the Massachusetts reform on the state's health care workforce.

The time is now. Over the past decade, health care providers have heard about the unprecedented redesign of the health care system. With the presidential election fast approaching, waves of uncertainty are swirling around the Affordable Care Act. No matter the outcomes of the November elections and their impact to the health care reform bill, there are sustainable aspects that will continue to ...

Market-based health care reform during democratic transition in Bosnia and Herzegovina was complicated by the 1992-1995 war, that devastated the country and greater part of its health care infrastructure. The course of the transition and consequences of war for the health system and health professionals are presented here from the perspective of the author. The description of real-life situatio...