Quality of care in Singapore has seen a paradigm shift from a traditional focus on structural approaches to a broader multidimensional concept which includes the monitoring of clinical indicators and medical errors. Strong political commitment and institutional capacities have been important factors for making the transition. What is still lacking, however, is a culture of rigorous programme ev...

background: job satisfaction remains as an important concern for both employer and employee. the leaving of work­place and migration to city centers is one of the main results of job dissatisfaction among the primary health care (phc) provid­ers in rural setting of iran, behvarzes. determining the predictor's factors of the phc providers' job dissatisfac­tion and provid­ing appropriate strategi...

BACKGROUND Hospital-specific and surgeon-specific public reporting of performance measures is expanding largely due to calls for transparency from the public and oversight agencies. Surgeons continue to voice concerns regarding public reporting. Surgeons' perceptions of hospital-level and individual-level public reporting have not been assessed. This study (1) evaluated surgeons' perceptions of...

National policies to improve health care quality have largely focused on clinical provider outcomes and, more recently, payment reform. Yet the association between hospital leadership and quality, although crucial to driving quality improvement, has not been explored in depth. We collected data from surveys of nationally representative groups of hospitals in the United States and England to exa...

BACKGROUND Israel has boasted a highly effective national quality monitoring program for community-based health services since 2004. The program involves ongoing monitoring of the quality of selected services provided by Israeli health plans and includes approximately 70 indicators. OBJECTIVE To analyze Israeli primary care physicians' (PCPs) perceptions of nurses' roles in the national quali...

The idea that positive consequences induce behaviours is based in theory, and supports the use of pay-for-performance for healthcare quality improvement. In practice, however, there is insufficient evidence to sustain financial incentives to improve the quality of primary health care. The use of pay-for-performance has increased but it has been controversial and has achieved little, raising que...