this survey was carried out on children less than five years of age from rural areas of three provinces in iran (west azarbaijan, bushehre, and central province), with different health care delivery systems and various types of immunization scheme, to determine the immune status of measles and the vaccine coverage. our results indicate that the rates of measles immunity and vaccine coverage for...

With the skyrocketing costs of modern health care, many health policy planners turn to cost effective analysis (CEA) or cost benefit analysis (CBA) to get quantitative answers for appropriateness of health procedures. This article analyzes how well approaches like CEA or CBA handle the hidden ethical judgements for such problems as: alternative treatments for an identical goal, the most effec...

objective: to assess the availability of trauma care services in a district referral hospital of southern india. methods: this was a cross-sectional study being performed during 2013 in a tertiary healthcare centre in southern indian. a detailed assessment of trauma care services was done in a 400 bed speciality hospital which is an apex referral hospital in the public health system using a che...

conclusions nursing process indicators can be used to audit nursing care. such audits can be used as quality assurance tools. results the compliance rate of nursing process indicators was 79.71 ± 0.87. mean compliance scores did not significantly differ by education level and gender. however, overall compliance scores were correlated with nurses’ age (r = 0.26, p = 0.001) and work experience (r...

Cost-effectiveness analysis (CEA) is becoming increasingly popular as society moves toward rationalizing health costs. This review describes the applications and limitations of the technique. Conceptually simple though frequently complicated in application, CEA compares the cost of a procedure with its effectiveness, thus helping an administrator to judge whether the procedure is worth its cost...

In my mind's eye I have an image of a health care system whose sole function is to ensure that the community it serves derives the maximum net benefit from its existence. The community it serves (its clients) comprises sick people and those who suffer pain, grief, anxiety, etc. because ofthat sickness, both now and contingently in the future. It does not include as such those whose livelihood d...

BACKGROUND The annual cost of providing care for patients in their last year of life is estimated to account for approximately 9% of the Ontario health care budget. Access to integrated, comprehensive support and pain/symptom management appears to be inadequate and inequitable. OBJECTIVE To evaluate the cost-effectiveness of end-of-life (EoL) care interventions included in the EoL care mega-a...

Background An m-health application has been developed and implemented with community health workers to improve their counseling in a rural area of India. The ultimate aim was to generate demand and improve utilization of key maternal, neonatal, and child health services. The present study aims to assess the impact and cost-effectiveness of this project. Methods/design A pre-post quasi-experimen...

background and aims: one of the principles of the quality management systems in organizations is attention to customer centered approach and one of the scales for evaluation of the efficacy of provided services is customer satisfaction. this research aimed to compare satisfaction levels of customers attending primary health care centers in bardsir (with iso certificate) and zarand (without iso ...