background: it is necessary to consider into hospital emergency services' quantity and quality in different aspects such as time-to-provider, left-without-treatment and length-of-stay. the aimof this research was to identify the effect of these factors on patient satisfaction in training hospitals. methods: in this descriptive-analytical and cross-sectional study, the sample size was calculated...

BACKGROUND The objective of this systematic review of diverse evidence was to examine the relationship between health system governance and workforce outcomes. Particular attention was paid to how governance mechanisms facilitate change in the workforce to ensure the effective use of all health providers. METHODS In accordance with standard systematic review procedures, the research team inde...

Software as a Service (SaaS) can be viewed as the fourth wave of outsourcing. SaaS is a relatively new type of service delivery model in which a service provider delivers its services over the web to many users on a pay per use or period basis. In the scarce literature available, the SaaS business model is almost always analyzed from the perspective of the service provider perspective, and rare...

The often mentioned but never deeply investigated service characteristic of "no transfer of ownership" is a starting point for a property-rights based foundation of business relationships in the service industry. Looking at the distribution of property-rights between customer and service provider the service exchange could be regarded as an economic relationship in the sense of a limited in tim...

BACKGROUND Health systems worldwide are increasingly holding boards of healthcare organisations accountable for the quality of care that they provide. Previous empirical research has found associations between certain board practices and higher quality patient care; however, little is known about how boards govern for quality improvement (QI). METHODS We conducted fieldwork over a 30-month pe...

BACKGROUND Good governance, clinician engagement, and clear accountabilities for achieving specific outcomes are crucial components for improving the quality of care at both an organizational and health system level. METHODS This article describes the benefits and results reported by Cancer Care Ontario (CCO) in transforming from a direct provider of cancer services to an organization whose r...

Nation-state restructuring has resulted in significant political, economic and social change in rural communities. One manifestation of this transformation has been the changing nature of local governance, characterised by the re-working of central-local relations and public-private responsibilities, such that local informal and voluntary sectors now play an active and direct role in the organi...

Purpose – Within an IT outsourcing relationship, transition represents a critical and complex phase that starts immediately after contract signing. Transition involves handing over outsourced activities from client firm to service provider firm and accompanies a new way of operating. The purpose of this paper is to determine and detail factors influencing the performance of transition phase wit...

Background Systemic and structural issues of rapid response system (RRS) models can hinder implementation. This study sought to understand the ways in which acute care clinicians (physicians and nurses) experience and negotiate care for deteriorating patients within the RRS.   Methods Physicians and nurses working within an Australian academic health centre within a jurisdictional-based model o...