Skip to main content

Health policy, reform, governance and law

This section aims to publish studies looking at actions taken by governments and policy changes made to advance the public's health and health care delivery. The section also accepts studies on law, rules and regulations affecting the health care industry and their application to health care patients and providers.

Page 1 of 7

  1. People bypass primary healthcare (PHC) institutions to seek expensive healthcare at high-level hospitals, leading to escalating medical costs and inefficient use of resources. In 2009, China launched nationwid...

    Authors: Yinzi Jin, Jin Xu, Weiming Zhu, Yaoguang Zhang, Ling Xu and Qingyue Meng

    Citation: BMC Health Services Research 2020 20:865

    Content type: Research article

    Published on:

  2. In India, Out-of-pocket expenses accounts for about 62.6% of total health expenditure - one of the highest in the world. Lack of health insurance coverage and inadequate coverage are important reasons for high...

    Authors: Shyamkumar Sriram and M. Mahmud Khan

    Citation: BMC Health Services Research 2020 20:839

    Content type: Research article

    Published on:

  3. Health Services Research findings (HSR) reported in scientific publications may become part of the decision-making process on healthcare. This study aimed to explore associations between researcher’s individua...

    Authors: Reinie G. Gerrits, Joko Mulyanto, Joost D. Wammes, Michael J. van den Berg, Niek S. Klazinga and Dionne S. Kringos

    Citation: BMC Health Services Research 2020 20:828

    Content type: Research article

    Published on:

  4. In 2010, national guidelines were published in Ireland recommending more sensitive criteria for the diagnosis of Gestational Diabetes Mellitus (GDM). The criteria were based on the 2008 Hyperglycemia and Adver...

    Authors: Léan E. McMahon, Eimer G. O’Malley, Ciara M. E. Reynolds and Michael J. Turner

    Citation: BMC Health Services Research 2020 20:795

    Content type: Research article

    Published on:

  5. Public-private partnership in the health sector was introduced to improve the delivery of health services in Tanzania. Contrary, the expected outcomes have not been fully realised. This study aimed at investig...

    Authors: Said Nuhu, Chakupewa Joseph Mpambije and Kinamhala Ngussa

    Citation: BMC Health Services Research 2020 20:765

    Content type: Research article

    Published on:

  6. The relationship between quality and safety regulation and resilience in healthcare has received little systematic scrutiny. Accordingly, this study examines the introduction of a new regulatory framework (the...

    Authors: Sina Furnes Øyri, Geir Sverre Braut, Carl Macrae and Siri Wiig

    Citation: BMC Health Services Research 2020 20:762

    Content type: Research article

    Published on:

  7. Certification in healthcare often involves independent private sector bodies performing legally required or voluntary external assurance activities. These certification practices are embedded in international ...

    Authors: Dag Tomas Sagen Johannesen, Preben Hempel Lindøe and Siri Wiig

    Citation: BMC Health Services Research 2020 20:730

    Content type: Research article

    Published on:

  8. Insufficient transparency in prioritization of health services, multiple health insurance organizations with various and not-aligned policies, plus limited resources to provide comprehensive health coverage ar...

    Authors: Efat Mohamadi, Amirhossein Takian, Alireza Olyaeemanesh, Arash Rashidian, Ali Hassanzadeh, Moaven Razavi and Sadegh Ghazanfari

    Citation: BMC Health Services Research 2020 20:722

    Content type: Research article

    Published on:

  9. For a patient, drug switches are not desirable (either between a brand-name drug and a generic drug, or between two generic drugs of the same active substance). Research into the causes of drug switches, and r...

    Authors: Pieter J. Glerum, Marc Maliepaard, Vincent de Valk, David M. Burger and Kees Neef

    Citation: BMC Health Services Research 2020 20:650

    Content type: Research article

    Published on:

  10. There is a gap in the literature regarding what takes place between the announcement of a regulatory intervention, such as an external inspection of a health care organisation, and the inspecting body’s site v...

    Authors: Einar Hovlid, Inger Lise Teig, Kjersti Halvorsen and Jan C. Frich

    Citation: BMC Health Services Research 2020 20:627

    Content type: Research article

    Published on:

  11. Although several diabetes management and control programmes are introduced in Iran, many patients do not achieve diabetes-related clinical goals as recommended. The aim of this study was to identify the qualit...

    Authors: Mohammad Mohseni, Tahereh Shams Ghoreishi, Sousan Houshmandi, Ahmad Moosavi, Saber Azami-Aghdash and Zoleykha Asgarlou

    Citation: BMC Health Services Research 2020 20:534

    Content type: Research article

    Published on:

  12. Since 1950, the hospitals had been permitted to take a 15% mark-up of drug purchase price to remedy the loss of public hospitals and doctors’ salaries in China due to tight government budget. This policy resul...

    Authors: Junman Wang, Peiyi Li and Jin Wen

    Citation: BMC Health Services Research 2020 20:519

    Content type: Research article

    Published on:

  13. Concerns have been raised regarding the reasonableness of using personal health responsibility as a principle or criterion for setting priorities in healthcare. While this debate continues, little is known abo...

    Authors: Gloria Traina and Eli Feiring

    Citation: BMC Health Services Research 2020 20:497

    Content type: Research article

    Published on:

  14. Hospital admission and emergency department(ED) visits are a massive burden in medical expenditures. In 2003, the Taiwanese government developed Family Physician Integrated Care Program (FPIC) to increase the ...

    Authors: Po-Tsung Huang, Pei-Tseng Kung, Wen-Yin Kuo and Wen-Chen Tsai

    Citation: BMC Health Services Research 2020 20:470

    Content type: Research article

    Published on:

  15. A goal of health workforce planning is to have the most appropriate workforce available to meet prevailing needs. However, this is a difficult task when considering integrated care, as future workforces may re...

    Authors: Gareth H. Rees, Peter Crampton, Robin Gauld and Stephen MacDonell

    Citation: BMC Health Services Research 2020 20:429

    Content type: Research article

    Published on:

  16. To discriminatively evaluate the cost-saving effects of a disease management program for diabetic nephropathy patients through care process rectification and, subsequently, improved health outcomes.

    Authors: Hiroyuki Kawaguchi, Michiko Moriyama and Hideki Hashimoto

    Citation: BMC Health Services Research 2020 20:403

    Content type: Research article

    Published on:

  17. Family physician program (FPP) and health transformation plan (HTP) are two major reforms that have been implemented in Iran’s health system in recent. The present study was aimed at evaluating the impact of t...

    Authors: Mohsen Bayati, Khosro Keshavarz, Farhad Lotfi, Abbas KebriaeeZadeh, Omid Barati, Shahram Zareian, Akbar Amiri and Sajad Delavari

    Citation: BMC Health Services Research 2020 20:382

    Content type: Research article

    Published on:

  18. Consumer mobility is an important aspect of a health insurance system based on managed competition. Both the general population and insured with a chronic illness should enjoy an equal opportunity to switch th...

    Authors: Wouter van der Schors, Anne E. M. Brabers and Judith D. De Jong

    Citation: BMC Health Services Research 2020 20:376

    Content type: Research article

    Published on:

  19. In response to the development of highly effective but expensive new medications, policymakers, payors, and health systems are considering novel and pragmatic ways to provide these medications to patients. One...

    Authors: Akbar K. Waljee, Kerry A. Ryan, Chris D. Krenz, George N. Ioannou, Lauren A. Beste, Monica A. Tincopa, Sameer D. Saini, Grace L. Su, Maria E. Arasim, Patti T. Roman, Brahmajee K. Nallamothu and Raymond De Vries

    Citation: BMC Health Services Research 2020 20:369

    Content type: Research article

    Published on:

  20. Public health care payer organizations face increasing pressures to make transparent and sustainable coverage decisions about ever more expensive prescription drugs, suggesting a need for public engagement in ...

    Authors: Christine Leopold, Christine Y. Lu and Anita K. Wagner

    Citation: BMC Health Services Research 2020 20:351

    Content type: Research article

    Published on:

  21. Due to the civil war in Syria, many Syrian citizens have had to flee their country during recent years, among them many physicians. Germany is among the preferred immigration countries. Immigrant Syrian physic...

    Authors: Julika Loss, Yamen Aldoughle, Alexandra Sauter and Julia von Sommoggy

    Citation: BMC Health Services Research 2020 20:342

    Content type: Research article

    Published on:

  22. To evaluate the association between social capital and 30-day readmission to the hospital among Medicare beneficiaries overall, beneficiaries with dementia and related memory disorders, and beneficiaries with ...

    Authors: Hanna Zlotnick, Geoffrey J. Hoffman, Ushapoorna Nuliyalu, Tedi A. Engler, Kenneth M. Langa and Andrew M. Ryan

    Citation: BMC Health Services Research 2020 20:248

    Content type: Research article

    Published on:

  23. Medical litigation represents a growing cost to healthcare systems. Mediation, arbitration, and other alternative dispute resolution (ADR) methods are increasingly used to help solve the disputes and improve h...

    Authors: Mengxiao Wang, Gordon G. Liu, Hanqing Zhao, Thomas Butt, Maorui Yang and Yujie Cui

    Citation: BMC Health Services Research 2020 20:225

    Content type: Research article

    Published on:

  24. Stable health insurance is often associated with better chronic disease care and outcomes. Racial/ethnic health disparities in outcomes are prevalent and may be associated with insurance instability, particula...

    Authors: Nancy R. Kressin, Norma Terrin, Amresh D. Hanchate, Lori Lyn Price, Alejandro Moreno-Koehler, Amy LeClair, Jillian Suzukida, Sucharita Kher and Karen M. Freund

    Citation: BMC Health Services Research 2020 20:216

    Content type: Research article

    Published on:

  25. Despite the significant variability in the role and integration of midwifery across provincial and territorial health systems, there has been limited scholarly inquiry into whether, how and under what conditio...

    Authors: Cristina A. Mattison, John N. Lavis, Eileen K. Hutton, Michelle L. Dion and Michael G. Wilson

    Citation: BMC Health Services Research 2020 20:197

    Content type: Research article

    Published on:

  26. Large health inequalities exist in the Netherlands among individuals with a high compared to a low socioeconomic position. Worksite health promotion interventions are considered promising to reduce these inequ...

    Authors: Hanneke van Heijster, Jantien van Berkel, Tineke Abma, Cécile R. L. Boot and Emely de Vet

    Citation: BMC Health Services Research 2020 20:196

    Content type: Study protocol

    Published on:

  27. In the Netherlands, health care is regulated by the Health and Youth Care Inspectorate. Forty-six indicators are used to prioritize supervision of psychiatric hospitals. The objective of this study is to defin...

    Authors: Pieter van Dijk, Ron Schellings, Brigitte A. B. Essers, Alfons G. Kessels, Ian Leistikow and Maurice P. Zeegers

    Citation: BMC Health Services Research 2020 20:192

    Content type: Research article

    Published on:

  28. Competing priorities in health systems necessitate difficult choices on which health actions and investments to fund: decisions that are complex, value-based, and highly political. In light of the centrality o...

    Authors: Tessa Oraro-Lawrence and Kaspar Wyss

    Citation: BMC Health Services Research 2020 20:182

    Content type: Research article

    Published on:

  29. Nursing resources can have a protective effect on patient outcomes, but nurses and nursing scope of practice have not been studied in relation to injury outcomes. The purpose of this study was to examine wheth...

    Authors: Kristen R. Choi, Sae Takada, Altaf Saadi, Molly C. Easterlin, Liza S. Buchbinder, Shaw Natsui and Frederick J. Zimmerman

    Citation: BMC Health Services Research 2020 20:176

    Content type: Research article

    Published on:

  30. Representing a major threat to both equity and efficiency of health systems, the corrupt practice of informal payments is widely found in developing and transition countries. As informal payments are more like...

    Authors: Ning Liu, Guoxian Bao and Alex Jingwei He

    Citation: BMC Health Services Research 2020 20:95

    Content type: Research article

    Published on:

  31. There are increasing calls for developing robust processes of community-based accountability as key components of health system strengthening. However, implementation of these processes have shown mixed result...

    Authors: Rakhal Gaitonde, Miguel San Sebastian and Anna-Karin Hurtig

    Citation: BMC Health Services Research 2020 20:89

    Content type: Research article

    Published on:

  32. Generic substitution (GS) was introduced in Finland in 2003 and supplemented with a reference price system (RPS) in 2009. Patients play a vital role in the acceptance of GS and the use of less expensive generi...

    Authors: Henriikka Nokelainen, Elina Lämsä, Riitta Ahonen and Johanna Timonen

    Citation: BMC Health Services Research 2020 20:82

    Content type: Research article

    Published on:

  33. Iran’s Parliament passed a Law in 2010 to merge the existing health insurance schemes to boost risk pooling. Merging can be challenging as there are differences among health insurance schemes in various aspect...

    Authors: Mohammad Bazyar, Arash Rashidian, Minoo Alipouri Sakha, Mohammad Reza Vaez Mahdavi and Leila Doshmangir

    Citation: BMC Health Services Research 2020 20:26

    Content type: Research article

    Published on:

  34. To explore the key factors affecting prescription practices of essential medicines in Chinese county hospital. National essential medicine policy (NEMP) plays important roles in health care system, especially ...

    Authors: Xin Zhou, Xueting Zhang, Linsheng Yang, Xu Hu, Aizong Shen, Xiaohui Huang and Xuefeng Xie

    Citation: BMC Health Services Research 2019 19:980

    Content type: Research article

    Published on:

  35. Responsive regulation assumes that the parties being regulated are trustworthy and motivated by social responsibility. This assumes that regulation based upon trust will improve the regulated organization more...

    Authors: Sandra Spronk, Annemiek Stoopendaal and Paul B. M. Robben

    Citation: BMC Health Services Research 2019 19:951

    Content type: Research article

    Published on:

  36. Antimicrobial resistance (AMR) is a prominent threat to public health. Although many guidelines have been developed over the years to tackle this issue, their impact on health care practice varies. Guidelines ...

    Authors: Stephanie Steels and Tjeerd Pieter van Staa

    Citation: BMC Health Services Research 2019 19:942

    Content type: Research article

    Published on:

    The Correction to this article has been published in BMC Health Services Research 2020 20:471

  37. In September 2012, Beijing, the capital of China, selected five tertiary hospitals as pilots to remove the previously allowed 15% markup for drug sales. However, while most research demonstrated the significan...

    Authors: Jianying Zeng, Xiwen Chen, Hongqiao Fu, Ming Lu and Weiyan Jian

    Citation: BMC Health Services Research 2019 19:916

    Content type: Research article

    Published on:

  38. Home-bound patients in New York State requiring long-term care services have seen significant changes to their benefits due to turmoil in the Managed Long Term Care (MLTC) market. While there has been research...

    Authors: Jillian L. Shotwell, Eve Wool, Andrzej Kozikowski, Renee Pekmezaris, Jill Slaboda, Gregory Norman, Karin Rhodes and Kristofer Smith

    Citation: BMC Health Services Research 2019 19:907

    Content type: Research article

    Published on:

  39. Vouchers are increasingly used as a demand-side subsidy to reduce financial hardship and improve quality of services. Elderly Healthcare Voucher Scheme has been introduced by the Hong Kong Government since 200...

    Authors: Carrie H. K. Yam, Eliza L. Y. Wong, Valerie L. H. Fung, Sian M. Griffiths and Eng-Kiong Yeoh

    Citation: BMC Health Services Research 2019 19:875

    Content type: Research article

    Published on:

  40. It is unknown to what extent Choosing Wisely recommendations about income-generating treatments apply to members of the society generating the recommendations.

    Authors: Joshua R. Zadro, John Farey, Ian A. Harris and Christopher G. Maher

    Citation: BMC Health Services Research 2019 19:707

    Content type: Research article

    Published on:

  41. In 2002, a voluntary diagnosis-related groups (DRGs) payment system was introduced in South Korea for seven disease groups, and participation in the DRGs was mandated for all hospitals beginning in 2013. The p...

    Authors: Jae Woo Choi, Seung-Ju Kim, Hye-Ki Park, Sung-In Jang, Tae Hyun Kim and Eun-Cheol Park

    Citation: BMC Health Services Research 2019 19:776

    Content type: Research article

    Published on:

  42. In Finland, the reimbursement rate for antidiabetic medicines other than insulins was lowered from 100 to 65% at the beginning of 2017. The objective of this study was to examine the effects of this reform exp...

    Authors: Taika Suviranta, Johanna Timonen, Janne Martikainen and Emma Aarnio

    Citation: BMC Health Services Research 2019 19:769

    Content type: Research article

    Published on:

  43. Comprehensive policies are becoming common for addressing wicked problems in health and social care. Success of these policies often varies between target organizations. This variation can often be attributed ...

    Authors: Helena Strehlenert, Johan Hansson, Monica Elisabeth Nyström and Henna Hasson

    Citation: BMC Health Services Research 2019 19:730

    Content type: Research article

    Published on: