since hospitals are an important and integral part of the overall health delivery system, this study was carried out to measure the effectiveness of this institution within the system. the records of 633 hospitalized patients in the pediatrics ward of ghaem hospital in mashhad during 1357 (21 march 1978-20 march 1979) has been consulted. more than half of the patients were hospitalized with the...

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...

background in 2004, the health system in iran initiated an organizational reform aiming to increase the autonomy of teaching hospitals and make them more decentralized. the policy led to the formation of a board of trustees in each hospital and significant modifications in hospitals’ financing. since the reform aimed to improve its predecessor policy (implementation of hospital autonomy began i...

conclusions with regard to the current challenges in iran’s health system, using risk-adjusted capitation as a primary healthcare payment system can lead to useful changes in the health system’s features. however, future research should focus on the development of the risk-adjusted capitation model. background when a country’s health system is faced with fundamental flaws that require the redes...

introduction: hospitals, like most executive agencies have scarified the importance of policy, planning and supervision with their executive actions. with their errors, they waste the resources and remain away from development and competitive arena.so during recent years the ministry of health and medical education as well as other areas, in order to make rational government size, strengthening...

background : quality management is one of the most effective strategies for improving health system performance in developed and developing countries. this research was a comparative study on quality management models in health system of several countries. the main goal of this study was to identify the most significant dimensions of quality management and propose appropriate model for health s...

the ministry of health and medical education of iran, along with the country movement towards achievements of iran's vision 2025 put compilation of the health system reform plan on its agenda. in this article, we are trying to show the method we used for developing this plan and how this method considered the general condition of the country along with maintaining the standards of scientific an...

in india, over the last decade, a series of stewardship failures in the health system, particularly in the medical profession, have led to a massive erosion of trust in these institutions. in many low- and middle-income countries (lmics), the situation is similar and has reached crisis proportions; this crisis requires urgent attention. this paper draws on the insights from the recent developme...