background: responsiveness is one of the three main goals of the health system introduced by world health organization. this study aimed at examining health system responsiveness after health sector evolution plan in kermanshah, western iran. methods: a sample of 335 hospitalized patients was selected using proportionate allocation to population size method in the city of kermanshah (iran) in 2...

introduction: one of the basic problems of hospital management is lack of an effective fiscal system, which causes in loose cost control. meanwhile, accounting techniques and economic analyses may help the managers to decide better in planning programs and investing fields. then, it’s time to have a better estimate of health care services costs in our competitive situation for the hospitals, in...

background: avoidable mortality (am) is one of the most important health indicators (hi) and represents the quality of care in a hospital.objective: this study measured the efficacy of a training program for a hospital healthcare staff to reduce am.methods: this epidemiological study on community intervention analyzed time-series data on hi by semesters from 2008 to 2015. the pre-intervention p...

background: health care organizations are of high importance due to their significant responsibility in prevention and care. job dissatisfaction among health care staff would result in emotional disconnection, indifference, and decreased quality of health services. the present study thus aimed to evaluate job satisfaction among health workers. methods: this study was a cross-sectional analysis ...

results according to the results there is a significant statistical difference between average numbers of models before and after educational intervention (p < 0.001). also hba1c and fbs after educational intervention were lower (p < 0001). conclusions applying the hbm model proved is very effective in developing an educational program for diabetics, to control their blood sugar. besides such p...

background recently, global nursing experts have been aggressively encouraging nurses to pursue creativity and innovation in nursing to improve nursing outcomes. nurses’ creativity plays a significant role in health and well-being. in most health systems across the world, nurses provide up to 80% of the primary health care; therefore, they are critically positioned to provide creative solutions...

background: preconceptional care is very effective to ensure mothers and babies health during and after pregnancy. the clinics and health center personnel are able to offer preconceptional care especially to the risky cases. learning about the experiences of health center personnel in such cases is useful for others to find solutions for the same problems which may come up. this study tends to ...

background according to the reports of world health organization (who) and centers for disease control and prevention, the prevalence of chronic hepatitis b infection in iran has decreased from 2-7% in 2001 to 1.3-0.8% in children aged 2-14 years. in 2010 the institute of medicine recommended more comprehensive screening by primary care physicians (pcps) for evaluation, vaccination, and managem...

The Wisconsin Collaborative for Healthcare Quality demonstrated that seven hospitals, six multi-specialty physician groups, four health plans and nine employers from across the state can agree upon goals and work collaboratively to achieve them. Together they created: A public/private partnership to define common measures of health care quality that make sense to purchasers/consumers. A report ...

At present, a first round of hospital benchmarking as required by German law on health care reform takes place. After extensive discussions between hospitals and insurance companies, which are jointly responsible to deliver benchmarking results, a method with some peculiar characteristics was chosen. In this paper it is argued that the deficiencies of said method could be overcome by using Data...