background: around one out of two mothers give births by cesarean section (cs) surgery in iran and about half of this number is due to previous cs. recently health sector evolution (hsep) program (started in april 2014) targets the high rate of cs in iran. to assess the impact of the interventions, we emphasized that the first birth cesarean (fbc) proportion is one of the main indicators to ass...

We are on the eve of a revolution in health policy that will forever change our way of thinking about health and healthcare. A few years from now, our vision of the organization and the administration of healthcare services will be transformed.   This is not a revolution born out of crisis, albeit the financial pressure on public and private funders of healthcare is clearly at play. It has not ...

health systems across the world are concerned with the quality and safety of patient care. this includes investing in research and development to progress advances in the treatment and management of individuals and healthcare organisations. the concept of evidence- based healthcare has gained increasing currency over the last two decades; yet questions persist about the time it takes for new re...

politics is not the ghost in the machine of global health policy. conceptually, it makes little sense to argue otherwise, while history is replete with examples of individuals and movements engaging politically in global health policy. were one looking for ghosts, a more likely candidate would be democracy, which is currently under attack by a new global health technocracy. civil society moveme...

health impact assessment (hia) is a relatively young field of endeavour, and hence, future progress will depend on the planning, implementation and rigorous evaluation of additional hias of projects, programmes and policies the world over. in the june 2014 issue of the international journal of health policy and management, fakhri and colleagues investigated underlying principles of hia through ...

In response to the questioning of Health Policy and Management (HPAM) by colleagues on the role of rank and file family physicians in the same journal, the author, a family physician in Belgium, is trying to highlight the complexity and depth of the work of his colleagues and their contribution to the understanding of the organization and economy of healthcare. It addresses, in particular, the ...

Self-management of chronic pediatric conditions is a formidable challenge for patients, families, and clinicians, with research demonstrating a high prevalence of poor self-management and nonadherence across pediatric conditions. Nevertheless, effective self-management is necessary to maximize treatment efficacy and clinical outcomes and to reduce unnecessary health care utilization and costs. ...