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...

background and objectives: social security organization (sso) is the second largest organization to the ministry of health and medical education (mohme) in providing health care services in iran. in recent years the gap between the sso’s resources and expenditures has shown an unprecedented growing trend due to the rapidly increasing demand. continuation of this trend may lead to financial imba...

Background and Aim: Primary health care is a holistic approach that aims to maximize people's health and well-being as quickly as possible in their immediate living environment. The primary health care system is the first point of contact of the people with the health system. Therefore, increasing its resilience will play a significant role in controlling and managing pandemics. This research a...

background: following the outbreak of eltor cholera in iraq’s kurdistan, iran was threatened through the western border. therefore, the aim of the present study was to evaluate the health system response of marivan city in kurdistan province (iran) as a risky gateway for the outbreak of eltor cholera epidemic in iran. materials and methods: this cross-sectional study was implemented in marivan ...

background: the quality of care from the perspective of people with type 2 diabetes using a new model (cqmh) including three dimensions of quality in health care (technical, service and customer quality) was assessed. methods: a cross-sectional survey with a sample of 577 people with type 2 diabetes was conducted. measures were self-reported adherence to national guidelines for technical qualit...

introduction: timeliness has been considered as a key domain in quality of emergency department (ed) care and delay in care providing is influential determinants of patient’s outcomes. the present study, aimed to evaluate the determinants of prolonged ed length of stay (los). methods: in this cross-sectional study, using adopted version of the latest form for external evaluation and accreditati...

background: family physician plan is known as one of the most appropriate strategies to implement rural health insurance program in the form of referral system in iran. this study aims to determine the satisfaction of family physicians and service consumers and its causes of dissatisfaction in the south of iran. materials and methods: this cross-sectional study was performed in kerman health ne...

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...

conclusions with regard to the current challenges in iran’s health system, using risk-adjusted capitation as a primary healthcare payment system can lead to useful changes in the health system’s features. however, future research should focus on the development of the risk-adjusted capitation model. background when a country’s health system is faced with fundamental flaws that require the redes...