Biomechanical and psychosocial stresses are capable of destabilizing any health care professional. The current health sector reform in Nigeria, which lays emphasis on service delivery on a background of very few radiographers, may lead to an increase in stress level. This study investigated the incidence of occupational stress among radiographers in southeastern Nigeria. 50 self-completion ques...

OBJECTIVE To identify changes in nursing practice and the nursing-practice environment that have occurred with implementation of health sector reform in five countries in the Americas. METHODS An exploratory study of selected settings in Argentina, Brazil, Colombia, Mexico, and the United States of America was conducted between 1997 and 1999 to collect narrative data from 125 professional nur...

This paper offers a conceptual framework for considering the many layers of influences upon health worker motivation. It suggests that worker motivation is influenced not only by specific incentive schemes targeted at workers, but also by the whole range of health sector reforms which potentially affect organizational culture, reporting structures, channels of accountability, etc. In addition, ...

The call of the editorial of the International Journal of Health Policy and Management regarding the “Need to talk about corruption in health systems” is spot on. However, the perceived difficulties of why this is so should be explored from an actor’s perspective, as they differ for government actors, donors and the research community. In particular, false dilemmas around definition pr...

iran is one of the most energy-rich countries subsidizing energy carriers, especially in the agricultural sector, to the extent that the resulting growth is at the expense of the environment. this study tries to investigate the potential impacts of energy price reform on the agro-environment, based on the marginal abatement costs (macs) of emissions. firstly, the energy demand function of the a...

This study assembles a geographic information system (GIS) to relate the 2000 census population (demand) with an inventory of health facilities (supply). It assesses the equity in access to health care by Costa Ricans and the impact on it by the ongoing reform of the health sector. It uses traditional measurements of access based on the distance to the closest facility and proposes a more compr...

BACKGROUND Financial incentives are widely used in performance-based financing (PBF) schemes, but their contribution to health workers' incomes and job motivation is poorly understood. Cambodia undertook health sector reform from the middle of 2009 and PBF was employed as a part of the reform process. OBJECTIVE This study examines job motivation for primary health workers (PHWs) under PBF ref...

This paper has three primary objectives. First, it illustrates how economic transition from a centrally planned to market-oriented economy inevitably transforms the foundation of social protection policies. Economic reform affects China’s urban health care through two primary channels. 1) A large proportional decline in government revenue constrained state capacity to finance health care. This,...