background: in recent years use of family physicians has been determined as a start point of health system reform to achieve more productive health services. in this study we aimed to assess the cost-efficiency of the implementation of this plan in fars province, southern iran. methods: this cross-sectional descriptive study was done in 2007 in 18 provincial health centers as well as 224 rural ...

Background: Societies are characterized by evolving health needs, which become more challenging throughout time, to which health system should respond. As such, a constant monitoring and a periodic review and reformation of healthcare systems are of fundamental importance to increase the efficiency and effectiveness of healthcare services delivery, equity, and sustainable funding. The establish...

in the past, health planning in iran has been carried out in the context of short-range economic plans. although this mechanism has helped a great deal in the achievement of certain health plans however, the said scheme has been short in meeting the health objectives on a comprehensive basis. most often, the heath programs have lost their values to the priority and cost effectiveness of economi...

Background and Objectives: The Increase of unnecessary caesarean sections has become one of the serious concerns in some health systems. One of the seven packages of the health Reform Plan that was sent to all Iranian medical universities in 2014 was the "Promoting Natural Delivery (vaginal births)," It emphasized the need to reduce cesarean delivery and promot...

background: presentation of course plan were advised but presentations of  lesson plans were useful too. these items can introduce the course and lessons of each session to students.  the objective of this study was the determination of the effects of educational planning on learning of occupational diseases. methods: this study was a semi experimental study which was conducted by using the cur...

We fully support Bisognano and Schummers’s well presented and timely article.1 The 2002 Wanless report made us realise that without a change in approach the NHS would become financially challenged and that we needed a way to engage patients. We decided to use an evidence based, patient centred approach to enable patients with long term conditions to take control of their health through shared d...

background and aims: quality of visit services is a decisive aspect of patient-physician communication that its inadequacy can negatively influence the diagnosis efficiency. the aim of this study was to survey visit quality at provincial level during plan of health sector evolution in tabriz. methods: a sample of 540 patients who referred to the outpatient clinics (sheikh al raeis of tabriz pro...

Background and aims: Quality of visit services is a decisive aspect of patient-physician communication that its inadequacy can negatively influence the diagnosis efficiency. The aim of this study was to survey visit quality at provincial level during plan of health sector evolution in Tabriz. Methods: A sample of 540 patients who referred to the outpatien...