The complexity of the healthcare ecosystem and the trans-disciplinary convergence which is essential for its function, makes it difficult to address healthcare as one domain. Divided in various stages for ease of management, healthcare is quintessentially a continuum which commences at birth and may cease at death. In this paper, we have attempted to take a broad view but it still isn’t broad e...

background and objectives: the increasing pressure on health systems to improve quality of health care,require them to develop novel conceptual framework and indices aimed at evaluating decision variables in the contemporary complex community. customer quality is a newly introduced concept addressing capability of patients in contribution to healthcare process and cooperation with healthcare pr...

This commentary reviews a recent piece by Burton and Rycroft-Malone on the use of Resource Based View (RBV) in healthcare organizations. It first outlines the core content of their piece. It then discusses their attempts to extend RBV to the analysis of large scale quality improvement efforts in healthcare. Some critique is elaborated. The broader question of why RBV seems to be migrating into ...

background: the iranian healthcare system is primarily an insurance based system. this structure has an important influence on the efficiency and equity of the provision of healthcare in iran. this paper reviews the history of the iranian healthcare system and the impact of the iranian health insurance system on healthcare performance based on the results of interviews with key opinion leaders ...

For more than three decades healthcare decentralization has been promoted in developing countries as a way of improving the financing and delivery of public healthcare. Decision autonomy under healthcare decentralization would determine the role and scope of responsibility of local authorities. Jalal Mohammed, Nicola North, and Toni Ashton analyze decision autonomy within decentralized services...

Background: A dramatic increase in healthcare expenditures is a major health policy concern worldwide. Understanding factors that underlie the growth in healthcare expenditures is essential to assist decision-makers in finding best policies to manage healthcare costs. We aimed to examine the determinants of healthcare spending in Iran over the periods of 1978-2011. Methods: A time series ana...

background: the users’ satisfaction is a method for evaluating the efficacy of healthcare system. we aimed to evaluate the association between the users’ socioeconomic status (ses) and satisfaction with the healthcare system in shiraz, iran. methods: this cross-sectional study was conducted from december, 2013 to march, 2014, in shiraz, iran. 3400 households were recruited by multi-stage cluste...