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...

OBJECTIVE To explore evidence on the links between patient experience and clinical safety and effectiveness outcomes. DESIGN Systematic review. SETTING A wide range of settings within primary and secondary care including hospitals and primary care centres. PARTICIPANTS A wide range of demographic groups and age groups. PRIMARY AND SECONDARY OUTCOME MEASURES A broad range of patient safe...

OBJECTIVES Because of the increasing prevalence of dementia worldwide, combined with limited healthcare expenditures, a better understanding of the main cost drivers of dementia in different care settings is needed. METHODS A systematic review of cost-of-illness (COI) studies in dementia was conducted from 2003 to 2012, searching the following databases: PubMed (Medline), Cochrane Library, Sc...

BACKGROUND Cancer follow-up has traditionally been undertaken in secondary care, but there are increasing calls to deliver it in primary care. AIM To compare the effectiveness and cost-effectiveness of primary versus secondary care follow-up of cancer patients, determine the effectiveness of the integration of primary care in routine hospital follow-up, and evaluate the impact of patient-init...

objective: this study proposed a model for provision of an effective universal coverage for mental health services based on global and national experiences, available resources and the nature of primary health care system of iran to reduce the burden of mental health conditions. method: a framework with prioritized mental and social health services was devised through a review of literature and...

reducing wastes in the healthcare processes is crucial for developing a high performance health system. adopted from the toyota production system (tps), the lean concept has emerged in recent years as a way of introducing innovative ideas to improve industrial processes. in the context of health care, lean is considered as a continuous improvement model, which provides healthcare organization t...

conclusions although the majority of women had pcc records and received advice from healthcare professionals to carry out pchbs, most of them did not adhere to the pchb guideline recommendations. it is therefore suggested that strategies should be adopted to establish pcc services in the healthcare system and encourage clients to adhere to the pchb guideline recommended by the ministry of healt...