introduction: medicine is an inseparable link of health chain; a flaw in health process for high expenditures of the medicine or inappropriate access shall certainly bring higher costs in the mentioned procedure. the present study aimed to evaluate the impact of the households’ income, geographical access, patients’ direct payment, physician's visit and insured' inpatient rate on the amount of ...

the ability to discover services in mobile ad hoc network (manet) is a major prerequisite. cluster basedcross layer intelligent service discovery for manet (cbisd) is cluster based architecture, caching ofsemantic details of services and intelligent forwarding using network layer mechanisms. the cluster basedarchitecture using semantic knowledge provides scalability and accuracy. also, the mini...

BACKGROUND Personal Emergency Response Systems (PERS) are traditionally used as fall alert systems for older adults, a population that contributes an overwhelming proportion of healthcare costs in the United States. Previous studies focused mainly on qualitative evaluations of PERS without a longitudinal quantitative evaluation of healthcare utilization in users. To address this gap and better ...

background equity of access to health and provider payment mechanism in healthcare is a worldwide debated. healthcare reforms are primarily designed to improve productivity, economic efficiency and quality of care; however, an appropriate reimbursement of healthcare providers for services offered to patients and marinating a robust payment mechanism are not elucidated yet. conclusions no single...

Under the table or informal payments in several middle and low income countries is a serious impediment to health care reform. These payments are effectively a form of systemic corruption. This report shows the efforts of a patient who seek health care for his ankle while being requested to pay under the table in hospital and private clinic. The data were collected by interview and surveying pa...

BACKGROUND Improving maternal health is one of the eight Millennium Development Goals (MDGs) aimed at improving maternal healthcare and reducing maternal mortality. The utilization of maternal health services is influenced by several factors that need to be better understood. The objective of this study was to estimate the role of socio-economic position as a determinant of the utilization of m...