Title VI of the 1964 Civil Rights Act prohibits discriminatory conduct by recipients of federal financial assistance. The law has been used in the past to challenge discrimination in health care. The evolution of the health care system from fee-for-service to managed care holds much promise for minority persons, who historically have faced serious, extensively documented barriers to health care...

Poor health status, rapidly escalating health care costs, and seemingly little association between investments in health care and health outcomes have prompted a call for a "pay-for-performance" system to improve population health. We suggest that both health plans and clinical service providers measure and report the rates of 5 behaviors: 1) smoking, 2) physical activity, 3) excessive drinking...

Background: Tariff setting in healthcare is an important control knob affecting the quality, access and cost of services. As part of Iran Health Transformation Plan (HTP) in 2014, the relative value of health care and services was increased to motivate healthcare providers to deliver high quality services. This study aimed to examine the impact of HTP on health services tariffs. Methods: This ...

This paper presents a review and analysis of Pharmacist Care as an integrated part of the Primary Health Care System, in which quality use of medicines is directly related to quality health service and to elements for its evaluation. In our country the Basic Health Units represent the main entrance to the public health care system. The pharmaceutical services however are still linked to the car...

Background & Aim: One of the programs of the health system in Iran is providing services related to pregnancy, which is provided in three areas of pre-pregnancy, pregnancy, and postpartum care. Quality and quantity assessment shows how health care programs are implemented and identifies the inadequacies of the programs to solve the main problems. Therefore, the present study was conducted to in...

BACKGROUND The effective coordination of mental health service provision is a requirement for successfully reforming mental health care from a hospital-focused system towards a more decentralized, community-oriented one. Implementing such coordination is particularly challenging in a decentralized, multi-layered health and social care system such as exists in Germany. AIM OF THE STUDY (i) To ...

In 1970 the National Health Service Corps (NHSC or Corps) was created as part of the Emergency Health Personnel Act. The goal of this agency is to provide health personnel, most often physicians, to communities that are deemed “medically underserved.” The Corps has provided an important subsidy to medical students by providing access to full scholarships covering tuition and fees in exchange fo...

There exist various service systems that have hierarchical structure. In hierarchical service networks, facilities at different levels provide different types of services. For example, in health care systems, general centers provide low-level services such as primary health care services, while the specialized hospitals provide high-level services. Because of demand congestion in service networ...

There is growing renewed trust in primary health care as the best approach for ensuring equity in the delivery of essential health services. However, Pakistan with one of the most widely spread district health system networks in the region, has not delivered at the expected capacity. A series of health system reform agendas are now stipulated which include the promulgation of an essential healt...