Health care delivery systems are inherently complex, consisting of multiple tiers of interdependent subsystems and processes that are adaptive to changes in the environment and behave in a nonlinear fashion. Traditional health technology assessment and modeling methods often neglect the wider health system impacts that can be critical for achieving desired health system goals and are often of l...

Background & aim: The practice of institutional delivery services utilization is reported to be very low in Ethiopian pastoral community. In this regard, health programmers should gain an insight into factors influencing the utilization of institutional delivery to improve health facility delivery among these women. Methods:<...

CONTEXT Because of rising health care costs, wide variations in quality, and increased patient complexity, the US health care system is undergoing rapid changes that include payment reform and movement toward integrated delivery systems. Well-established integrated delivery systems, such as Kaiser Permanente (KP), should work to identify the specific system-level factors that result in superior...

Conventional evaluation of health care interventions often neglects the wider health system impacts that 1 can be critical for achieving desired health system goals. As such, traditional health technology 2 assessment (HTA) and modeling methods are often of limited usefulness when applied to complex 3 health systems. Health care delivery systems are inherently complex consisting of multiple tie...

THE US HEALTH CARE SYSTEM CAN DO A BETTER JOB OF providing patient care while moderating the rate of increase in cost, but it can do little about improving overall population health. This is because health care delivery accounts for only 10% of preventable deaths, with the remainder attributable to personal behaviors, social and environmental determinants, and genetic predisposition. As current...

world action in medical education, notably the global programs of the world federation for medical education, the edinburgh declaration of 1988 and the 1993 world summit, has led to major curricular change in medical schools. for educational reform to result in improved health services of nations, an essential requirement is integration between the medical education system and the health care d...