background: except in emergency cases, all patients should be seen first by a primary healthcare physician who decides whether a referral to secondary care is necessary. the present study examined the reasons for patient self-referral to specialists. methods: a random sample of 1036 individuals was selected from people attending public outpatient clinics and specialists’ offices in the private ...

The economic approach of comparative and historical institutional analysis (Aoki 2001, Greif 2006) has virtually never been used in theoretical studies of healthcare incentives. This paper seeks to help fill this gap by exploring the explanatory power of such an approach for understanding incentives in China’s healthcare delivery system. It focuses on positive analysis of why China’s health sys...

background equity of access to health and provider payment mechanism in healthcare is a worldwide debated. healthcare reforms are primarily designed to improve productivity, economic efficiency and quality of care; however, an appropriate reimbursement of healthcare providers for services offered to patients and marinating a robust payment mechanism are not elucidated yet. conclusions no single...

Healthcare organizations focus more on data and information for the wellbeing of patients. They also look forward to improving business process, trends, operational performance using Business Intelligence tools. tools are used in collecting data, storing examining formatting records an easy way. can give new insights analysis-based predictions. These help managers supervisors decision-making. N...

conclusions with regard to the current challenges in iran’s health system, using risk-adjusted capitation as a primary healthcare payment system can lead to useful changes in the health system’s features. however, future research should focus on the development of the risk-adjusted capitation model. background when a country’s health system is faced with fundamental flaws that require the redes...

background: world health organization (who) defines three goals to assess the performance of a health system: the state of health, fairness in financial contribution and responsiveness. we assessed the responsiveness of health system for patients with diabetes in a defined population cohort in tehran, iran. methods: total responsiveness and eight domains (prompt attention, dignity, communicatio...

the discussion between general practitioners (gps) and healthcare delivery organizations necessitates a common language. the presentation of the 4 types of gp’s activities, opens dialogue but can lead to possible misunderstandings between the micro- and macro-level of the healthcare system. this commentary takes 4 examples: costs reduction by p4, priority of beneficence or nonmaleficence, role ...

The discussion between general practitioners (GPs) and healthcare delivery organizations necessitates a common language. The presentation of the 4 types of GP’s activities, opens dialogue but can lead to possible misunderstandings between the micro- and macro-level of the healthcare system. This commentary takes 4 examples: costs reduction by P4, priority of beneficence or nonmaleficence, role ...