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despite progress towards greater public engagement, questions about the optimal approach to access public preferences remain unanswered. we review two increasingly popular methods for engaging the public in healthcare priority-setting and determining their preferences; the citizens’ jury (cj) and discrete choice experiment (dce). we discuss the theoretical framework from which each method is de...

BACKGROUND In Vietnam, the health-sector reforms since 1989 have lead to a rapid increase in out-of-pocket expenses. This paper examines the choice of medical provider and household healthcare expenditure for different providers in a rural district of Vietnam following healthcare reform. METHODS The study consisted of twelve monthly follow-up interviews of 621 randomly selected households. Th...

introduction: health care organizations, especially hospitals, must focus on patient safety as their main strategy. cultural change is the most important challenge that they are faced with in creating a safe system. the present article aims to improve the patient safety culture with an assessment of the safety in fatemeh zahra hospital, najafabad, iran. methods: this descriptive and cross-secti...

a recent editorial by naoki ikegami has proposed three key lessons from japan’s experience of achieving virtually universal coverage with primary healthcare services: the need to integrate the existing providers of primary healthcare services into the organised health system; the need to limit government commitments to finance hospital services and the need to empower providers of primary healt...

BACKGROUND Providing choice in health care is part of an ongoing policy initiative. AIM To explore how people understand choice in healthcare provision. DESIGN OF STUDY A qualitative study using semi-structured interviews. SETTING South East England. METHOD Twenty-two people were interviewed about the issue of choice in general, and choice in healthcare in particular. Data were analysed...

When performing health economic evaluations all costs and expected benefits (in terms of clinical effectiveness, utility, monetary benefits) should be taken into account. Costs are direct indirect: concerning the latter, two main methods have been developed. The Human Capital Approach (HCA) considers gross salary in days absence from work due to illness; method based on Friction (FC), instead, ...