clinical learning occurs in the context of a dynamic environment. learning environment found to be one of the most important factors in determining the success of an effective teaching program. to investigate, from the attending and resident's perspective, factors that may affect student leaning in the educational hospital setting at shiraz university of medical sciences (sums). this study comb...

background and objectives: informal payment in the health settings is a significant challenge facing the health system, with consequences such as inequity in access to healthcare services, distrust to health care system, and dissatisfied customers. detailed identification of the nature of the problem is perquisite to developing relevant overcoming strategies. given that, this study aimed at pro...

OBJECTIVE The objective of this study was to establish the effectiveness of interventions to reduce frequent emergency department (ED) use among a general adult high ED-use population. METHODS Systematic review of the literature from 1950-January 2015. Studies were included if they: had a control group (controlled trials or comparative cohort studies), were set in an ED or acute care facility...

Nutrition is essential for human health. Malnutrition in the hospital setting is common, and often underrecognised. Malnutrition increases morbidity, length of stay and mortality in patients, and increases postoperative complications. Patients’ nutritional status should be screened upon admission and if there is evidence of a poor nutritional state, the patient should be referred for further ev...

In an attempt to control rapid growth in hospital costs, beginning in the mid-1970s several states implemented rate-setting programs to regulate hospital payments. In seven states, rate-setting was in effect for a substantial period of time (14 years or more). While most of these programs were discontinued by the mid-1990s, two are still active. In five of the seven states, the rates of increas...

OBJECTIVE To evaluate inpatient rehabilitation in public facilities in Australia against a utilization review tool used in the USA. DESIGN Prospective cohort study. SUBJECTS Patients identified in the acute wards of a regional referral hospital and subsequently transferred to a public inpatient rehabilitation facility. METHODS The InterQual utilization review criteria were applied to days...