a central problem in designing effective models of provider governance in health systems has been to ensure an appropriate balance between the concerns of public sector and/or government decision-makers, on the one hand, and of non-governmental health services actors in civil society and private life, on the other. in tax-funded european health systems up to the 1980s, the state and other publi...

background and objectives: public-private partnership (ppp) is a well-established model to alleviate the risk of investment in health domain. while the model is widely applied in the developed countries, the adoption of the model in many developing countries is hampered partly by the lack of knowledge on dimensions and requirements of its local implementation. the present study, thus, aimed to ...

Background and Objectives: Hospitals usually generate large amounts of hazardous waste. If not managed properly, hospital waste can pose threats to public safety and damage the environment. Waste minimization is a waste management approach that focuses on reducing the amount and toxicity of hazardous wastes. This study pursues a two-fold purpose: 1) to gain insight into hospital waste minimizat...

introduction: management is one of the most important factors for life, development, growth or death of any organizations including hospitals. the power is of one of the main concepts that by focusing on the fundamental and theoretical efforts considered as an important factor at all levels of management and human resources. managers who know the sources of power and are using them, have more e...

Background The Government of Romania commissioned international technical assistance to help unpacking the causes of arrears in selected public hospitals. Emphases were placed on the governance-related determinants of the hospital performance in the context of the Romanian health system.   Methods The assessment was structured around a public hospital governance framewor...

results the five determinants of cost, inconvenience, fear, organization, and patient-dentist relationship were determined as barriers to access to dental services among which the cost and patient-dentist relationship were identified as the first and last priorities with the coordinates (1.4 and 1.4) and (1.25 and -0.65), respectively. conclusions high cost of dental care has led to not referri...

background and objectives: accreditation is a widely used mechanism to keep organization adherent to the established standards. the aim of the study was to identify barriers towards promotion of accreditation in the iranian hospitals, and exploring the potential overcoming strategies.   methods: a qualitative study design was adopted. data were collected using a questionnaire with open question...

background and objectives: the reliability of hospital assessment results depends on the appropriateness of the indicators used. in this study, we systematically review the literature to identify the major indicators of hospital performance evaluation, as employed in performance assessment literature.methods: literature databases including pubmed, scopus, science direct, google scholar, doja, a...

background and objectives: hospital bed utilization is influenced by various factors, which may be categorized into patient-related, physician-related, and administration-related issues. it could be argued that the causes of inappropriate hospital bed utilization would be perceived differently by the clinicians and the patients. given the unique role of clinical practitioners in quality of care...