The present paper attempts to modify definition of catastrophic out-of-pocket health expenditure by characterising it based on consumption of necessities. In literature, catastrophic expenditure is defined as that level of OOP health expenditure which exceeds some fixed proportion of household income or household’s capacity to pay. In the present paper, catastrophic health expenditure is define...

BACKGROUND The role of self-management in adolescents with type 1 diabetes mellitus is not well understood. PURPOSE The purpose of the research was to examine the relationship of key individual and family self-management theory, context, and process variables on proximal (self-management behaviors) and distal (hemoglobin A1c and diabetes-specific health-related quality of life) outcomes in ad...

We argue that the field of Health Policy and Management (HPAM) ought to confront the gap between theory, policy, and practice. Although there are perennial efforts to reform healthcare systems, the conceptual barriers are considerable and reflect the theory-policy-practice gap. We highlight four dimensions of the gap: 1) the dominance of microeconomic thinking in health policy analysis and desi...

background: the performance of the community health nurse depends on a combination of scientific and practical competencies acquired by educational experiences during the nursing course. curriculum planners of nursing education need to understand nursing education to train professional and community-oriented nurses. the aim of this article is to explore the experiences of nursing students durin...

the science and technology health plan has defined the outline of health research to the national vision of iran by 2025. the aim of this study was to focus on the process of needs assessment of health research projects also health research priority setting in iran.the project management life cycle has four phases: initiation, planning, execution and closure. based on abovementioned points we c...

background in early 1990s, tanzania like other african countries, adopted health sector reform (hsr). the most strongly held centralisation system that informed the nature of services provision including health was, thus, disintegrated giving rise to decentralisation system. it was within the realm of hsr process, user fees were introduced in the health sector. along with user fees, various typ...

this comment on professor fotaki’s editorial agrees with her arguments that training health professionals in more compassionate, caring and ethically sound care will have little value unless the system in which they work changes. it argues that for system change to occur, senior management, government members and civil servants themselves need training so that they learn to understand the effec...

introduction: in spite of the vast improvement in the area of mental health care delivery in this country, very little attention has been given to the mental health registry. considering the absence of an appropriate national mental health registry system in iran, the purpose of the present study was to formulate a preliminary model for mental health registry in iran. methods: in this comparati...