background: women and children form two-thirds of the country's population and the health of mothers and children is effective in improving the health of the entire community. using the experience of successful countries in the world in this field, can improve maternal and child health indicators in iran. objective: the present study aimed to improve maternal and child health services mana...

like many other developing countries pharmacoeconomics and outcome research and its applications in national health system is a new but promising filed in iran. although decision makers of iran national health system decided to use pharmacoeconomics in the decision making approach several hurdles including lack of reliable national data, lack of expertise and local experience are the main chall...

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...

private healthcare services in vietnam are seen as a major part of the solution to the rapid increase in need and demand for healthcare services. formally recognized over 20 years ago, the private health services coexist with public services and are available all over the country. however, the scale and size of private sector is still small compared to the public sector and public acceptance an...

recognizing the advantages of primary care as a means of improving the entire health system, this text comments on reforms of publicly funded primary health centers, and the rapid development of private forprofit providers in sweden. many goals and expectations are connected to such reforms, which equally require critical analyses of scarce resources, professional trust/motivation and business ...

background: except in emergency cases, all patients should be seen first by a primary healthcare physician who decides whether a referral to secondary care is necessary. the present study examined the reasons for patient self-referral to specialists. methods: a random sample of 1036 individuals was selected from people attending public outpatient clinics and specialists’ offices in the private ...

background in early 1990s, tanzania like other african countries, adopted health sector reform (hsr). the most strongly held centralisation system that informed the nature of services provision including health was, thus, disintegrated giving rise to decentralisation system. it was within the realm of hsr process, user fees were introduced in the health sector. along with user fees, various typ...

background: accurate and timely information and communication are vital to adequately prepare individual health organizations for emergency events. the current article investigated health-related communication and information systems for emergency management in iran. methods: the present study was conducted in 2009 with a mixed qualitative and quantitative approach. simple random purposeful sam...

the commentator suggests that it is necessary to extend the classical connotation of  global city which focuses much on the functions of controlling global capital and production. global city should also include the dimensions of the leading role and capacity on health improvements and well-being promotion. the commentator agrees with authors’ assessments about shanghai’s substantial progress o...

The study of decentralization in Fiji shows that increasing capacities is not necessarily related to increasing decision space of local officials, which is in contrast with earlier studies in Pakistan. Future studies should address the relationship among decision space, capacities, and health system performance.