OBJECTIVE We examine the impact of two dimensions of access-geographic accessibility and availability-on VA health system and mental health treatment retention among patients with serious mental illness (SMI). METHODS Among 156,631 patients in the Veterans Affairs (VA) health care system with schizophrenia or bipolar disorder in fiscal year 1998 (FY98), we used Cox proportional hazards regres...

The US Maternal and Child Health Bureau's Division of Services to Children With Special Health Care Needs has developed a national agenda for the development of systems of care of children with special health care needs. The purpose of this presentation was to discuss family activism in the care of children with special health care needs, and to explore the obstacles and successes encountered b...

The availability of and equitable access to, health services have challenged healthcare providers with a greater degree of urgency since the end of World War II. Prior to that time, concepts such as equity and social justice were just that, concepts but no real attempts were ever made to operationalize them. Goods and services were still produced and distributed based on market forces, that is,...

introduction: one of the basic problems of hospital management is lack of an effective fiscal system, which causes in loose cost control. meanwhile, accounting techniques and economic analyses may help the managers to decide better in planning programs and investing fields. then, it’s time to have a better estimate of health care services costs in our competitive situation for the hospitals, in...

background: avoidable mortality (am) is one of the most important health indicators (hi) and represents the quality of care in a hospital.objective: this study measured the efficacy of a training program for a hospital healthcare staff to reduce am.methods: this epidemiological study on community intervention analyzed time-series data on hi by semesters from 2008 to 2015. the pre-intervention p...

background: health care organizations are of high importance due to their significant responsibility in prevention and care. job dissatisfaction among health care staff would result in emotional disconnection, indifference, and decreased quality of health services. the present study thus aimed to evaluate job satisfaction among health workers. methods: this study was a cross-sectional analysis ...

background there is limited evidence on the course of health service costs before and after psychiatric inpatient treatment, which might also be affected by source of cost data. thus, this study examines: i) differences in health care costs before and after psychiatric inpatient treatment, ii) whether these differences vary by source of cost-data (self-report vs. administrative), and iii) predi...

BACKGROUND More than one third of college students who are overweight or obese are in need of weight loss programs tailored to college students. However, the availability and accessibility of these programs is unknown. OBJECTIVE The aim of this study is to examine the availability and ease of access to weight loss programs for students at 10 universities with the largest undergraduate enrollm...