BACKGROUND In a randomized trial of patients with hip fractures, we previously demonstrated that a hospital-based case manager could increase rates of appropriate osteoporosis treatment to 51% compared with 22% for usual care (P < .001). Alongside that trial, we conducted an economic analysis. METHODS Patients with hip fractures were randomized to usual care (n = 110) or a case manager (n = 1...

background: primary health care is the major infrastructure of health care systems. it is clear that making and improving primary health care information systems would not be possible without awareness of their condition. therefore, this comparative study was conducted in order to determine the situation of primary health care information systems in health centers of tehran, iran. methods: this...

introduction: hospitals performance indicators will help monitoring, evaluation and decision making and therefore must be selected and ranked accurately. the aim of present study is identifying and selecting key hospitals performance indicators. materials and methods: this is a descriptive and mixed (quantitative-qualitative) study. literature review and expert panel has been done to identify a...

BACKGROUND Care for older adults is facing a number of challenges: health problems are not consistently identified at a timely stage, older adults report a lack of autonomy in their care process, and care systems are often confronted with the need for better coordination between health care professionals. We aim to address these challenges by introducing the geriatric care model, based on the c...

objectives this study is the first of its kind to determine the framework, advantages, and limitations of bot contracts for health care projects in selected countries. background advantages and limitations of build-operate-transfer (bot) contracts in various forms of public-private partnership (ppp) arrangements have not been studied. conclusions this study suggests that more information transp...

extractcontinuing education is not new for us because there  is emphasis on learning and continuing education  in our culture including literature, religion, and special  traditions in different ways  .as prophet muhammad (pbuh) says: “seek knowledge from the cradle to the grave” that  it is emphasis on continuous learning and continuous. in the holy quran  the word of “alam “repeatedly stated ...

BACKGROUND A recently updated Cochrane systematic review on the effects of lay or community health workers (LHWs) in primary and community health care concluded that LHW interventions could lead to promising benefits in the promotion of childhood vaccination uptake. However, understanding of the costs and cost-effectiveness of involving LHWs in vaccination programmes remains poor. This paper re...

background: job satisfaction remains as an important concern for both employer and employee. the leaving of work­place and migration to city centers is one of the main results of job dissatisfaction among the primary health care (phc) provid­ers in rural setting of iran, behvarzes. determining the predictor's factors of the phc providers' job dissatisfac­tion and provid­ing appropriate strategi...

OBJECTIVES To estimate the cost effectiveness of on-site antenatal syphilis screening and treatment in Mwanza, Tanzania. To compare this intervention with other antenatal and child health interventions, specifically the prevention of mother to child transmission of HIV (PMTCT). METHODS The economic costs of adding the intervention to routine antenatal care were assessed. Cost effectiveness (C...

BACKGROUND There is a paucity of knowledge on the cost of health care services in Ghana. This poses a challenge in the economic evaluation of programmes and inhibits policy makers in making decisions about allocation of resources to improve health care. This study analysed the overall cost of providing health services in selected primary health centres and how much of the cost is attributed to ...