reducing wastes in the healthcare processes is crucial for developing a high performance health system. adopted from the toyota production system (tps), the lean concept has emerged in recent years as a way of introducing innovative ideas to improve industrial processes. in the context of health care, lean is considered as a continuous improvement model, which provides healthcare organization t...

conclusions although the majority of women had pcc records and received advice from healthcare professionals to carry out pchbs, most of them did not adhere to the pchb guideline recommendations. it is therefore suggested that strategies should be adopted to establish pcc services in the healthcare system and encourage clients to adhere to the pchb guideline recommended by the ministry of healt...

background: the need to provide high quality prenatal care services, which take account of women's views and specifi­cally address their need for information, support and communication, has been advocated and group prenatal care, had been sug­gested as one of the ways to achieve this objective. the purpose of this study was to examine the impact of group versus in­dividual prenatal care on sati...

Integrated care is now a recognized paradigm for health care reforms around the globe. The need to address the problem of fragmented systems of care that undermine the performance of health care systems and result in poor quality care and outcomes to people has become a key policy ambition in many countries and regions. For example, in the Americas, resolutions have been passed in support of in...

From the Undersecretary of Health, Mexico City, Mexico. Corresponding author: Enrique Ruelas, MD, Undersecretary for Innovation and Quality, Secretary of Health of Mexico, Lieja 7, 1er. piso, Col. Juarez 06696, Mexico D.F. vey respondents rated quality as the major health care problem, followed by insufficient resources (30%), limited access (11%), and high costs (9%) (1). Interestingly, when t...

background and objectives: informal payment in the health settings is a significant challenge facing the health system, with consequences such as inequity in access to healthcare services, distrust to health care system, and dissatisfied customers. detailed identification of the nature of the problem is perquisite to developing relevant overcoming strategies. given that, this study aimed at pro...

BUMC PROCEEDINGS 2001;14:34–35 According to a recent article, Texas is in the lowest quartile of states in its delivery of health care to patients >65 years of age (1). Physicians may wonder how these statistics came about and how Baylor Health Care System (BHCS) is trying to improve health care quality. This article begins by defining quality. It then discusses the performance measures and the...

All rights reserved. The reproduction or use of this work in any form or in any information storage and retrieval system is forbidden without the express, written permission of the publisher. Printed in the USA. iii The Quality Measurement and Management Project (QMMP) is a hospital industry sponsored initiative to develop quality monitoring and management toots of choice for hospitals. iv QMMP...