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 ...

lean thinking requires certain techniques and tools to support lean processing and to penetrate an organization in which 5s system (sorting, set in order, shining, standardization, sustaining) is to develop value process workflow system. kanban, a card containing a set of manufacturing specifications and requirements used to regulate the supply of components, is one of the most famous and impor...

background and objectives: public-private partnership (ppp) is a well-established model to alleviate the risk of investment in health domain. while the model is widely applied in the developed countries, the adoption of the model in many developing countries is hampered partly by the lack of knowledge on dimensions and requirements of its local implementation. the present study, thus, aimed to ...

in 2014, a series of reforms, called as the health sector evolution plan (hsep), was launched in the health system of iran in a stepwise process. hsep was mainly based on the fifth 5-year health development national strategies (2011-2016). it included different interventions to: increase population coverage of basic health insurance, increase quality of care in the ministry of health and medica...

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...

results this study showed that the existence of unused drugs and the number of unused drugs in household have significant difference in four zones (p = 0.01, p < 0.001). also, health insurance coverage was statistically different in various health centers (p = 0.002). also, there is a significant association between unused medication in the household and family size, father’s occupation, and a ...

the health sector, a foremost service sector in nigeria, faces a number of challenges; primarily, the persistent under-funding of the health sector by the nigerian government as evidence reveals low allocations to the health sector and poor health system performance which are reflected in key health indices of the country.notwithstanding, there is evidence that the private sector could be a key...

it’s not long since the advent of pervasive computing by mark weiser and one of its main usages is in healthcare systems. as this technology has been introduced only recently in this field and because we are dealing with peoples’ lives and their data, providing a high level of privacy and security is of great importance. various studies have been performed in which a certain method has been use...

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background: the iranian healthcare system is primarily an insurance based system. this structure has an important influence on the efficiency and equity of the provision of healthcare in iran. this paper reviews the history of the iranian healthcare system and the impact of the iranian health insurance system on healthcare performance based on the results of interviews with key opinion leaders ...