Quality is generally recognized to have three components: structure, process, and outcomes. The American Burn Association (ABA) has a long history of trying to improve quality of care for patients with burn injuries. Since its establishment by Dr. Irving Feller in the 1970s,1 the National Burn Information Exchange, a nascent database relying on punch cards submitted by participating burn center...

background & purpose: since 2005, a reform known as rural insurance and family medicine scheme has introduced to primary health care network in iran in rural areas and small towns. the content of the reform implies a substantial change in those aspects of health centers that mainly could be categorized as structural quality. although, this is the requirement of all health care providers, they a...

The Italian Health care System provides universal coverage for comprehensive health services and is mainly financed through general taxation. Since the early 1990s, a strong decentralization policy has been adopted in Italy and the state has gradually ceded its jurisdiction to regional governments, of which there are twenty. These regions now have political, administrative, fiscal and organizat...

Spending per capita for health care in the United States varies dramatically by State and region. In 1982, personal health care costs per capita ranged from a low of $857 in South Carolina to a high of $1,508 in Massachusetts. The focus of this article is State and regional variation in spending levels and the mix of health care services purchased. Possible causes for these differences are pres...

Current risk assessments of the likely regional health impacts of global climate change (GCC) are hindered by two factors. First, dose-response relationships between weather parameters and many of the likely health effects have not been developed, and second, reliable estimates of future regional climates across the United States are still beyond the scope of current modeling efforts. Consequen...

Successfully spreading innovation across large health care systems is a complex process requiring participation of stakeholders from a broad spectrum of professional backgrounds, skill sets, and organizational levels. We describe a process for engaging and activating stakeholders across individual, team, organization, and system levels to implement primary care-mental health integrated care pro...

BACKGROUND Rural residents have poorer oral health and more limited access to dental services than their city counterparts. In rural communities, health care professionals often work in an extended capacity due to the needs of the community and health workforce shortages in these areas. Improved links and greater collaboration between resident rural primary care and dental practitioners could h...

introduction: management is a specialized science and most of the health managers are not familiar with scientific management methods and direct their organization on the basis of their own experiences and assumptions, it is necessary to devise comprehensive educational programs according to the results of needs assessment in order to promote the quality of health care services. materials and m...

BACKGROUND As the Global War on Terror progresses, the total health cost for treating wounded soldiers continues to rise. Although some reports have estimated the total cost of soldiers' health care, no study has attempted to rigorously quantify this amount. We sought to quantify the cost of providing health care to soldiers injured while on duty in a conflict area. METHODS Retrospective stud...

The current coronavirus pandemic forces us to realize the significance of the careful utilization of financial and health-care resources. At the same time, it is important to ensure the ability of urologists to function through this crisis to provide essential and emergency services. With regards to urological procedures, a triage of non-emergent operations is hence recommended considering vari...