This paper compares health care systems. It looks beyond normal academic, political, or journalistic rhetoric, by exactly sticking to facts, i.e. empirical data (in particular data provided by the WHO) and comprehensive case study analyses. The paper finds that a number of myths and common...

This paper assesses the performance of the United States health system in an international context and discusses potential directions for reform. The US health system is unique among OECD countries in its heavy reliance on the private sector for both financing and delivery of health care. The...

An ambitious reform to increase efficiency of the Portuguese health care system was launched in 2002. In contrast to previous attempts of gradual reforms, which were never fully implemented, the strategy has been to create a big bang in the health sector, making changes essentially irreversible....

This paper investigated the delivery of health services based on data recorded at two medium-sized hospitals: Erenkoy Mental Health Research and Training Hospital located in Istanbul/Turkey and LVR-Klinik Viersen in Germany. A comparison of quality management systems in terms of certification...

Objective: To study cross-national inequalities in mortality of adults and of children aged 5 years using a novel approach, with clustering techniques to stratify countries into mortality groups (better-off, worse-off, mid-level) and to examine risk factors associated with inequality. Design,...

Background: A world divided by health inequalities poses ethical challenges for global health. International and national responses to health disparities must be rooted in ethical values about health and its distribution; this is because ethical claims have the power to motivate, delineate...

Spanish Abstract: Los Hospitales Universitarios son escenarios que sirven de prácticas docentes para estudiantes de medicina y a pesar de que gozan de buena reputación por sus actividades académicas y de investigación, existe debate en cuanto a la calidad de atención. Esta Investigación...

The extent of premature death and ill health in the developing world is staggering. Death and ill health on such a scale are matters of concern in their own right. They also foster a brake on economic development. It was these twin concerns that led the international community to put health...

This paper sets out the OECD’s assessment of the provision of community-based mental health care in Lithuania. It provides an overview of the burden of mental ill health in Lithuania, highlights strengths and challenges of the mental health care system and care delivery, reports on the quality...

In order to develop standardized measures to access patients's relative priority for services for which there are waiting lists, it is essential that key terms be clearly defined. We propose that severity be defined as the degree or extent of suffering, limits to activities or risk of death,...