In postdisaster settings, health care providers encounter secondary surges of unmet primary care and mental health needs that evolve throughout disaster recovery phases. Whatever a community's predisaster adequacy of health care, postdisaster gaps are similar to those of any underserved region. We hypothesize that existing practice and evidence supporting medical homes and care coordination in ...

BACKGROUND The health care delivery system in the United States is facing cost and quality pressures that will require fundamental changes to remain viable. The optimal structures of the relationships between the hospital, medical school, and physicians have not been determined but are likely to have a large impact on the future of healthcare delivery. Because it is generally agreed that academ...

Medical education reform can make an important contribution to the future health care of populations. Social accountability in medical education was defined by the World Health Organization in 1995, and an international movement for change is gathering momentum. While change can be enabled with policy levers, such as funding tied to achieving equity outcomes and systems of accreditation, medica...

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 ...

Introduction During the past decade, demands for eVective quality assessment in primary health care have increased considerably. “The third revolution of medical care” has seen a move towards more rigorous assessment of clinical interventions and increasing calls for more accountability. Although most agree that quality improvement is important there are many views about the best approach to qu...

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 to financial imba...

background : despite an increased need, residents of rural communities have decreased access to healthcare and often present unique healthcare challenges associated with their rurality. ensuring medical students receive adequate exposure to these issues is complicated by the urban location of most medical schools. health fairs (fairs) conducted in rural communities can provide students exposure...

To The Editor: There is an increasing need to incorporate the use of electronic medical records EMR in our healthcare delivery. The advancement in information technology and its impact in all sectors including healthcare has accelerated this need amidst the ever growing challenges facing healthcare today. These challenges include; reducing preventable errors, improving communication among healt...

Ensuring access to high quality health care in remote and rural settings is particularly challenging. Remote and rural communities require health service models that are designed in and for these settings, and care provided by health practitioners with the requisite knowledge and skills responsive to people's health needs. Studies in many countries have shown that the three factors most strongl...