private healthcare services in vietnam are seen as a major part of the solution to the rapid increase in need and demand for healthcare services. formally recognized over 20 years ago, the private health services coexist with public services and are available all over the country. however, the scale and size of private sector is still small compared to the public sector and public acceptance an...

recognizing the advantages of primary care as a means of improving the entire health system, this text comments on reforms of publicly funded primary health centers, and the rapid development of private forprofit providers in sweden. many goals and expectations are connected to such reforms, which equally require critical analyses of scarce resources, professional trust/motivation and business ...

background: except in emergency cases, all patients should be seen first by a primary healthcare physician who decides whether a referral to secondary care is necessary. the present study examined the reasons for patient self-referral to specialists. methods: a random sample of 1036 individuals was selected from people attending public outpatient clinics and specialists’ offices in the private ...

introduction: the family physician program is one of the most important plans for increasing the equitable access and affordable health services. this study aimed to examine the performance of urban family physicians and associated factors in the third year of its implementation. method: a cross-sectional study was conducted on all family physicians (31 persons) working in the private and publi...

Background and Objectives: The Health System Evolution Plan was developed to improve quality and accessibility of health care services and reduce the costs to protect people from catastrophic out of pocket payments. The aim of current study is investigatation of Health System Evolution Plan effects on performance indices of governmental hospitals affiliated to Iran University o...

This paper presents the findings of a new scorecard designed to assess and monitor multiple domains of U.S. health system performance. The scorecard uses national and international data to identify performance benchmarks and calculates simple ratio scores comparing U.S averages to benchmarks. Average ratio scores range from 51 to 71 across domains of health outcomes, quality, access, equity, an...