background access to appropriate and affordable healthcare is needed to achieve better health outcomes in africa. however, access to healthcare remains low, especially among the poor. in zambia, poor access exists despite the policy by the government to remove user fees in all primary healthcare facilities in the public sector. the paper has two main objectives: (i) to examine the factors assoc...

the perception of physician shortage in canada is widespread. absolute shortages and relative discrepancies, both specialty-wise and in urban-rural distribution, have been a daunting policy challenge. international medical graduates (imgs) have been at the core of mitigating this problem, especially as long as shortage of physicians in rural areas is concerned. considering such recruitment as h...

Healthcare system in Russia lets patients choose where they want to get medical services: at public or private healthcare facilities. This choice may depend on several factors. According Andersen’s utilization model, these factors can be divided into three groups: predisposing, enabling and need The purpose of this study is identify determining patient between providers Russia. Statistical regr...

This commentary explores some of the issues raised by Gilbert et al.short communication, Morality and Markets in the NHS. The increasing role of market mechanisms and the changing types of healthcare providers together with the use of choice and competition to drive improvements in quality in the National Health Service (NHS), all have important ethical implications. In order for the NHS to con...

BACKGROUND Globally more registered nurses need to be recruited to meet the needs of aging populations and increased co-morbidity. Nursing recruitment remains challenging when compared to other healthcare programs. Despite healthcare students having similar motivation in joining the healthcare industry, many did not consider nursing as a career choice. This study aims to identify the deterrents...

BACKGROUND Today, in several north-western European countries, patients are encouraged to choose, actively, a healthcare provider. However, patients often visit the provider that is recommended by their general practitioner (GP). The introduction of patient choice requires GPs to support patients to be involved, actively, in the choice of a healthcare provider. We aim to investigate whether pol...

As organizational changes in the healthcare system are in progress, to enhance care quality and reduce costs, it is important to investigate how these changes affect elderly patients' experiences and their rights to participate in the choice of healthcare. The aim of this study is to describe elderly patients' lived experience of participating in the choice of healthcare when being offered an a...