Fee-for-service, the predominant method of paying for health care in the United States, is an unsustainable payment approach that rewards volume, resulting in an increase in the number of health care services that are provided, regardless of the outcome of the service. Many believe this form of payment has contributed greatly to the ever-increasing costs of health care. Payment reform, which en...

Understanding a care coordination framework, its functions, and its effects on children and families is critical for patients and families themselves, as well as for pediatricians, pediatric medical subspecialists/surgical specialists, and anyone providing services to children and families. Care coordination is an essential element of a transformed American health care delivery system that emph...

in spite of all the progress and achievements in the establish meat and development of health services in the world to date there is still a great and urgent need for new system of delivery of health and medical care particularly in developing counties. until now universities and medical institutions have been training high level professional personnel for delivery of hospital based medicaid ca...

With the rapid growth of online social networking for health, health care systems are experiencing an inescapable increase in complexity. This is not necessarily a drawback; self-organising, adaptive networks could become central to future health care delivery. This paper considers whether social networks composed of patients and their social circles can compete with, or complement, professiona...

background: maternal health care utilization continues to focus on the agenda of health care planners around the world, with high attention being paid to the developing countries. the devastating effect of maternal death at birth on the affected families is untold. this study examines the utilization of obstetric care in the democratic republic of congo. we have used the nationally representati...

The health care delivery system aims to improve the functioning of Americans, but little information exists to judge progress toward meeting this goal. Administrative data generated through running and overseeing health care delivery offer considerable information about diagnoses and procedures in coded formats comparable across settings of care. This article explores the issues raised when con...

The Patient Protection and Affordable Care Act seeks to improve health equity in the United States by expanding Medicaid coverage for adults who are uninsured and/or socioeconomically disadvantaged; however, when millions more become eligible for Medicaid in 2014, the health care workforce and care delivery systems will be inadequate to meet the care needs of the U.S. population. To provide hig...

The Harvard/Kennedy School Health Care Delivery Policy Program (HCDP) seeks to understand what changes would be needed to move the US health care delivery system toward a system that is effective, accessible, efficient and integrated. Measurement of the benefits and costs of medical care services is central to this effort, and a productivity research group is among the core research projects as...

Background and Objectives: Social Security Organization (SSO) is the second largest organization to the Ministry of Health and Medical Education (MOHME) in providing health care services in Iran. In recent years the gap between the SSO’s resources and expenditures has shown an unprecedented growing trend due to the rapidly increasing demand. Continuation of this trend may lead ...