الفهرس 
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Abstract
health and development two facets of the same diamond a fact forces us to safeguard health in all means health services in the out-patient clinics in hospitals represent the comer stone of health care in egypt in riral areas
The aim of this work is to prsent a scientiffic approach to evaluate the health service performance in outpatient clinics in zagazig universty hospitals and discovering the factors and vayiables which affect such services performance.