Drivers of quality Patients should receive the care they need, which is known to be effective, and in a way that does not harm them. Patients should not receive care that is not necessary, leading to waste and increased risks of side effects. These 3 aspects (effectiveness, appropriateness, and safety of care) represent a basis to define and measure quality of care from the perspective of the h...

Objective To analyse educational activities carried out in the state of Minas Gerais, Brazil, considered permanent education in healthcare. Method This is a mixed methods study with a qualitative approach and the participation of 492 municipal health departments. Data were collected in March and October 2014 through interviews available online. The data were tabulated using Excel software. Th...

Maternal mortality is an important public-health issue in India, specifically in Gujarat. Contributing factors are the Government's inability to operationalize the First Referral Units and to provide an adequate level of skilled birth attendants, especially to the poor. In response, the Gujarat state has developed a unique public-private partnership called the Chiranjeevi Scheme. This scheme fo...

An historical analysis of Brazil's policies in Primary Healthcare, with emphasis on the Family Health Strategy (FHS), and the Mais Médicos Program (PMM). Studies were made of documents and secondary official data, and the bibliography that has been produced on this theme. It was found that primary healthcare has been established and successfully consolidated as an option in healthcare for a gre...

During its 47-year existence, Medicaid has been the subject of countless analyses, articles, books, and studies, in view of its sheer size (federal expenditures standing at $190 billion in FY 2006),[1] its complexity (more than five dozen separate federal eligibility categories), and its importance in the American healthcare system. Medicaid funds nearly 40% of all births,[2] covers about one-t...

Background and Aim: The health financing system is "the process of collecting, pooling and managing financial resources and purchasing healthcare services”. Iran's health financing system is facing challenges. The aim of this study was to evaluate the Iranian health financing system.         Materials and Methods: This descriptive study retrospectively evaluated the health financing system of...

ever changing needs of society to which the health sector has to respond, makes the health sector reform inevitable for any country worldwide. increasing the efficiency and effectiveness of health services, equity, sustainable financing and management improvement are the main objectives of health sector reform. healthcare reform was set high on the new administration’s agenda with the start of ...

BACKGROUND The low quality of healthcare and the presence of user fees in Burkina Faso contribute to low utilization of healthcare and elevated levels of mortality. To improve access to high-quality healthcare and equity, national authorities are testing different intervention arms that combine performance-based financing with community-based health insurance and pro-poor targeting. There is a ...

In 2009, healthcare costs in the United States totaled $2.5 trillion dollars and constituted more than 17% of GDP. 1 , 2 Healthcare inflation has trended higher than general CPI for more than twenty years and this pattern is expected to escalate. The U.S. currently has the most expensive healthcare system in the world both in terms of absolute dollars and per capita spending. The underwriting f...