If health service delivery is poorly managed, then increases in inputs or ability may not translate into gains in quality. However, little is known about how to increase managerial capital to generate persistent improvements in quality. We present results from a randomized field experiment in 80...

Context: During the 1980s and 1990s, innovations in the organization, funding, and delivery of primary health care in Canada were at the periphery of the system rather than at its core. In the early 2000s, a new policy environment emerged. Methods: This policy analysis examines primary health...

Policy reforms to primary health care delivery in New Zealand required government-funded firms overseeing care delivery to be constituted as nonprofit entities with governance shared between consumer and producers. This paper examines the consumer and producer interests in the allocation of...

In Thailand, the primary care system is the first point of contact or gateway for people to access and utilize health services. It is an important mechanism for enabling people to access quality health care service on a continuous basis. It is also a measure to improve efficiency in health...

This paper focuses on factors affecting the use of Information and communication technologies within a primary health care environment. A case study was carried out to investigate opinions and views of Primary Health Care staff on the provision of electronic health in the UK. The study found...

Direct primary care is a promising, market-based alternative to the fee-for-service payment structure that shapes doctor–patient relationships in America. Instead of billing patients and insurers service by service, direct primary care doctors charge their patients a periodic, prenegotiated...

Learning Objectives: To introduce the participants with the principles, implementation tools and challenges of the Primary Health Care reform in Albania. Background: As of end 2006, the Primary Health Care (PHC) system in Albania was managed centrally, with little incentive or capacity for...

The World Health Assembly adapted resolution 29.74 requesting WHO to develop a programme of health technology relating to primary health care and rural development as part of the overall primary health care programme (WHA, 1976). This resolution urged member-states to give due attention to the...

Critics of the American healthcare system recite a long list of problems, including rising out-of-pocket costs, inconvenient access, overuse of emergency departments, uncoordinated medical records, and declining numbers of primary care doctors. To address these issues, some new venues have...