This paper explores the goals and implementation of reforms introducing choice of and competition among insurers providing statutory health coverage in Belgium, Germany, the Netherlands and Switzerland. In theory, health insurance competition can enhance efficiency in health care administration and delivery only if people have free choice of insurer (consumer mobility), if insurers do not have ...

introduction: health care is one of the most important sectors in the development of each country and disparities in their distribution will reduce the level of development. the aim of this study was to examine the access to healthcare and degree of development in health care resources in the west of iran in 2011. method: this was a cross-sectional and retrospective study. the study setting was...

The National Health Service (NHS) has to provide a dynamic and responsive health care system with a workforce that can cope with frequent organizational change. To achieve this, the NHS must have clinicians who can demonstrate leadership skills and act as role models at all levels of health care provision. The outdated health care service that works on strong paternalistic and controlling princ...

There has been increased global concern about the human rights violations experienced by people with mental disorders. The aim of this study was to analyse Uganda's mental health care system through a human rights lens. A survey of the existing mental health system in Uganda was conducted using the WHO Assessment Instrument for Mental Health Systems. In addition, 62 interviews and six focus gro...

Health care services and systems throughout the world are in trouble and the proportion of expenditures devoted to health care is increasing rapidly. In addition to that, an increasing number of citizens is dissatisfied with the health services they receive and worry about the ability of the system to provide universally accessible care. One possibility to help to solve these problems is the ad...

OBJECTIVE This article describes the experience of the aval ciudadano "Citizens' Representative" (CR) in improving the Mexican health care system. METHODS This is a qualitative study which took place in eight Mexican states in 2008. It evaluates different aspects of a nationwide program to increase the quality of health care services (National Crusade for Quality in Health Services). The Mexi...

Access to quality care is essential for improved health outcomes. Decentralization improves access to healthcare services at lower levels of care, but it does not dismantle structural, funding and programming restrictions to access, resulting in inequity and inequality in population health. Unlike decentralization, Commonization Model of care reduces health inequalities and inequity, dismantles...