Given the problematic nature of attempts to reform national delivery systems for health care, the paper reviews the context and logic of reforms in the health sector. After a background on approaches to building capacity within three generations of public sector reforms, it examines the reforms applied to financing, organizing and delivering health services and suggests strategies for reform th...

The re-engineering of primary healthcare (PHC) is regarded as an essential precursor to the implementation of National Health Insurance in South Africa, but improvements in the provision of PHC services have been patchy. The authors contend that the role of well- functioning rural district hospitals as a hub from which PHC services can be most efficiently managed has been underestimated, and th...

An arts project was initiated at the newly rebuilt district hospital in the city of Exeter in south west England. This paper describes an independent research evaluation project covering the period from its inception in 1992. The findings include both qualitative and economic aspects and were compared with the authors' wider experience of similar projects. For the first time the responses of cl...

Aim. To describe health care reforms and analyze the transition of the health care system in Romania in the 19892001 period. Method. We analyzed policy documents, political intentions and objectives of health care reform, described new legislation, and presented changes in financial resources of the health care system. Results. The reforms of the health care system in Romania have been realized...

results the findings showed that the program was used in 380 health houses in 10 cities of iran. the total number of inhabitants covered by the program were 5555258, and 8245 of them were substance abusers. the cases were registered and their data were reported by the managers. the function of health houses, health centers, and district health centers were assessed by considering the number of ...

Given the problematic nature of attempts to reform national delivery systems for health care, the paper reviews the context and logic of reforms in the health sector. After a background on approaches to building capacity within three generations of public sector reforms, it examines the reforms applied to financing, organizing and delivering health services and suggests strategies for reform th...

The Affordable Care Act includes numerous consumer protections that took effect on September 23, 2010. This issue brief examines new state action on a subset of these "early market reforms." The analysis finds that 49 states and the District of Columbia have passed new legislation, issued a new regulation, issued new subregulatory guidance, or are actively reviewing insurer policy forms for com...

background: spouse abuse so called intimate partner violence (ipv) is a common problem in the world. this survey was conducted to identify ipv prevalence and related factors in district health centers in hamadan, western iran, in hope that, by identifying risk factors, preventive guidelines could be understood. methods: in this descriptive analytic cross sectional study, 600 married women from ...

This paper addresses the difficulties in evaluating the impact of choice-based reforms in education by developing an agent-based model that captures the dynamic processes related to moving from a neighborhood-based to choice-based system. Using data from Chicago Public Schools to estimate and set initial conditions of the model, we illustrate how differences in participation rates and capacity ...