The Robert Graham Center, Policy Studies in Family Medicine and Primary Care, Washington, DC, USA. Larry A Green, MD, Director. Larry A Green lives and works in both Denver, Colorado, and Washington, DC. In Denver, he leads the national program office of Prescription for Health, a practice-based research initiative funded by The Robert Wood Johnson Foundation and the US Agency for Healthcare Re...

in recent years, the main focus of health sector reforms in iran is the family physician and referral system plan. fundamental changes in the goals and strategies, has increased the necessity of the need to reform the organizational structure. this study tries to review and summarize all cases about the organizational structure of iran and its challenges in primary health care system.this study...

background: responsiveness is one of the three main goals of the health system introduced by world health organization. this study aimed at examining health system responsiveness after health sector evolution plan in kermanshah, western iran. methods: a sample of 335 hospitalized patients was selected using proportionate allocation to population size method in the city of kermanshah (iran) in 2...

introduction: one of the basic problems of hospital management is lack of an effective fiscal system, which causes in loose cost control. meanwhile, accounting techniques and economic analyses may help the managers to decide better in planning programs and investing fields. then, it’s time to have a better estimate of health care services costs in our competitive situation for the hospitals, in...

background: avoidable mortality (am) is one of the most important health indicators (hi) and represents the quality of care in a hospital.objective: this study measured the efficacy of a training program for a hospital healthcare staff to reduce am.methods: this epidemiological study on community intervention analyzed time-series data on hi by semesters from 2008 to 2015. the pre-intervention p...

background: health care organizations are of high importance due to their significant responsibility in prevention and care. job dissatisfaction among health care staff would result in emotional disconnection, indifference, and decreased quality of health services. the present study thus aimed to evaluate job satisfaction among health workers. methods: this study was a cross-sectional analysis ...

results according to the results there is a significant statistical difference between average numbers of models before and after educational intervention (p < 0.001). also hba1c and fbs after educational intervention were lower (p < 0001). conclusions applying the hbm model proved is very effective in developing an educational program for diabetics, to control their blood sugar. besides such p...

background according to the reports of world health organization (who) and centers for disease control and prevention, the prevalence of chronic hepatitis b infection in iran has decreased from 2-7% in 2001 to 1.3-0.8% in children aged 2-14 years. in 2010 the institute of medicine recommended more comprehensive screening by primary care physicians (pcps) for evaluation, vaccination, and managem...

BACKGROUND AND OBJECTIVES Internet-based technologies such as personal health records and patient portals are increasingly viewed as essential for enhancing patient-provider communication and patient-centered care. We examined how primary care patients use the Internet, particularly patient characteristics associated with Internet use. METHODS We surveyed patients in five primary care clinic ...