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Health policy, reform, governance and law

Section edited by Antoni Plasencia and Fabrizio Tediosi

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.

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  1. Content type: Research article

    Health systems reform is inevitable due to the never-ending changing nature of societal health needs and policy dynamism. Today, the Health Transformation Plan (HTP) remains the major tool to facilitate the ac...

    Authors: Leila Doshmangir, Esmaeil Moshiri, Hakimeh Mostafavi, Minoo Alipouri Sakha and Abraham Assan

    Citation: BMC Health Services Research 2019 19:670

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  2. Content type: Research article

    Uganda, a low resource country, implemented the skilled attendance at birth strategy, to meet a key target of the 5th Millenium Development Goal (MDG), 75% reduction in maternal mortality ratio. Maternal morta...

    Authors: Susan Munabi-Babigumira, Harriet Nabudere, Delius Asiimwe, Atle Fretheim and Kristin Sandberg

    Citation: BMC Health Services Research 2019 19:655

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  3. Content type: Research article

    Integration of medical insurance schemes has been prioritized as one of the key strategies to address inequity in China’s health system. The first pilot attempt to integrate started in 2003 and later expanded ...

    Authors: Miaomiao Zhao, Baohua Liu, Linghan Shan, Cui Li, Qunhong Wu, Yanhua Hao, Zhuo Chen, Lan Lan, Zheng Kang, Libo Liang, Ning Ning and Mingli Jiao

    Citation: BMC Health Services Research 2019 19:654

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  4. Content type: Research article

    Maternal and perinatal mortality is a major public health concern across the globe and more so in low and middle-income countries. In Kenya, more than 6000 maternal deaths, and 35,000 stillbirths occur each ye...

    Authors: Evaline Lang’at, Lillian Mwanri and Marleen Temmerman

    Citation: BMC Health Services Research 2019 19:645

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  5. Content type: Research article

    The involvement of doctors in managerial roles seems to be the solution to reducing the friction between traditional professionalism and modern organizational paradigms. However, these “hybrid” professionals r...

    Authors: Marco Sartirana

    Citation: BMC Health Services Research 2019 19:634

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  6. Content type: Research article

    Faced with growing budget pressure, policymakers worldwide recognize the necessity of strategic disinvestment from ineffective, inefficient or harmful medical practices. However, disinvestment programs face su...

    Authors: Floortje Moes, Eddy Houwaart, Diana Delnoij and Klasien Horstman

    Citation: BMC Health Services Research 2019 19:633

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  7. Content type: Research article

    Providing universal basic public health services (BPHS) for residents is the main goal of the new health reform in China. Lay health workers (LHWs) in primary health care (PHC) sectors play key roles in BPHS d...

    Authors: Shengxiang Liang, Haoyue Deng, Shili Liu, Geng Wang, Li Li, Mei Wang, Jie Pu, Wei Xing, Xingneng Luo, John Ehiri, Yueying Xiang and Ying Li

    Citation: BMC Health Services Research 2019 19:596

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  8. Content type: Research article

    Many international health policies recognise the World Health Organization’s (2008) vision that communities should be involved in shaping primary healthcare services. However, researchers continue to debate de...

    Authors: Rachel McEvoy, Edel Tierney and Anne MacFarlane

    Citation: BMC Health Services Research 2019 19:515

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  9. Content type: Research article

    Early Health Technology Assessment (EHTA) is an evolving field in health policy which aims to provide decision support and mitigate risk during early medical device innovation. The clinician is a key stakehold...

    Authors: Vinayak Smith, Ritesh Warty, Amrish Nair, Sathya Krishnan, Joel Arun Sursas, Fabricio da Silva Costa, Beverley Vollenhoven and Euan Morrison Wallace

    Citation: BMC Health Services Research 2019 19:514

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  10. Content type: Research article

    Non-prescription medicines are increasingly used in Germany, aided by prescription-to-non-prescription reclassification (or switch). This study aimed to examine the barriers and enablers to reclassification of...

    Authors: Natalie J. Gauld

    Citation: BMC Health Services Research 2019 19:404

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  11. Content type: Research article

    To improve the efficiency of the use of medical resources, China has implemented medical alliances (MAs) to implement a hierarchical diagnosis and treatment system. The willingness to undertake a first visit t...

    Authors: Haiyan Song, Xu Zuo, Chengsen Cui and Kai Meng

    Citation: BMC Health Services Research 2019 19:361

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  12. Content type: Research article

    Since the 2016 presidential election, reports have suggested that President Trump’s rhetoric and his administration’s proposed policies could be exacerbating barriers to accessing health care for undocumented ...

    Authors: Timothy Callaghan, David J. Washburn, Katharine Nimmons, Delia Duchicela, Anoop Gurram and James Burdine

    Citation: BMC Health Services Research 2019 19:342

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  13. Content type: Research article

    In 2010, Israel intensified its adoption of Procedure-Related Group (PRG) based hospital payments, a local version of DRG (Diagnosis-related group). PRGs were created for certain procedures by clinical fields ...

    Authors: Ruth Waitzberg, Wilm Quentin, Elad Daniels, Vadim Perman, Shuli Brammli-Greenberg, Reinhard Busse and Dan Greenberg

    Citation: BMC Health Services Research 2019 19:292

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  14. Content type: Research article

    The Affordable Care Act expanded Medicaid and increased federal funding for Community Health Centers (CHCs). To examine the role of Medicaid coverage on care patterns for those with available safety net care, ...

    Authors: Veri Seo, Travis P. Baggett, Anne N. Thorndike, Peter Hull, John Hsu, Joseph P. Newhouse and Vicki Fung

    Citation: BMC Health Services Research 2019 19:291

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  15. Content type: Research article

    General practitioner (GP) system is proved to be effective in over 50 countries worldwide. Guangdong province, as a reform pilot in China, initiated its patient-GP contract service reform in 2014. This study i...

    Authors: Aiyun Chen, Shanshan Feng, Wenxi Tang and Liang Zhang

    Citation: BMC Health Services Research 2019 19:251

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  16. Content type: Research article

    This case study examines the impetus for policy change that resulted in the establishment of a radiation therapy service in rural North West Tasmania, Australia. Provision of local radiation therapy services i...

    Authors: Sancia West, Elizabeth Shannon, Elaine Crisp and Tony Barnett

    Citation: BMC Health Services Research 2019 19:250

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  17. Content type: Research article

    Recently, several initiatives have focused on how to create true person-centred health services. This calls for a new understanding of health-related empowerment in relation to people living with one or more c...

    Authors: Lars Kayser, Astrid Karnoe, Emily Duminski, David Somekh and Cecilia Vera-Muñoz

    Citation: BMC Health Services Research 2019 19:242

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  18. Content type: Research article

    With some Medicaid state programs still restricting patient access to hepatitis C (HCV) treatment, it is important to demonstrate how states could expand treatment access to a broader Medicaid population and b...

    Authors: Jacquelyn W. Chou, Alison R. Silverstein and Dana P. Goldman

    Citation: BMC Health Services Research 2019 19:140

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  19. Content type: Research article

    In advanced health services, a main objective is to promote the culture of safety and clinical risk management. In this regard, the reporting of sentinel events fits within a perspective of error analysis, att...

    Authors: Matteo Bolcato, Giacomo Fassina, Daniele Rodriguez, Marianna Russo and Anna Aprile

    Citation: BMC Health Services Research 2019 19:85

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  20. Content type: Research article

    Policymakers in many countries are involved in system reforms that aim to strengthen the primary care sector. Sweden is no exception. Evidence suggests that targeted financial micro-incentives can stimulate ch...

    Authors: Gunilla Avby, Sofia Kjellström and Monica Andersson Bäck

    Citation: BMC Health Services Research 2019 19:42

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  21. Content type: Research article

    Child undernutrition remains the major public health problem in low and middle-income countries including Ethiopia. The effects of good governance, urbanization and public health expenditure on childhood under...

    Authors: Sibhatu Biadgilign, Habtamu Yesigat Ayenew, Arega Shumetie, Stanley Chitekwe, Assaye Tolla, Demewoz Haile, Seifu Hagos Gebreyesus, Amare Deribew and Betemariam Gebre

    Citation: BMC Health Services Research 2019 19:40

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  22. Content type: Research article

    Health inequalities in the UK have proved to be stubborn, and health gaps between best and worst-off are widening. While there is growing understanding of how the main causes of poor health are perceived among...

    Authors: Neil McHugh, Rachel Baker, Olga Biosca, Fatma Ibrahim and Cam Donaldson

    Citation: BMC Health Services Research 2019 19:35

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  23. Content type: Research article

    The Chronic Disease Care System (CDCS) has been implemented in Korea to encourage treatment continuity in chronic disease patients. This study investigated the effect of the introduction of the CDCS on health ...

    Authors: Woorim Kim, Yoon Soo Choy, Sang Ah Lee and Eun-Cheol Park

    Citation: BMC Health Services Research 2018 18:991

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  24. Content type: Research article

    For Indigenous Australians, health transcends the absence of disease, and includes the health and wellbeing of their community and Country: their whole physical, cultural and spiritual environment. Stronger re...

    Authors: Rosalie Schultz, Tammy Abbott, Jessica Yamaguchi and Sheree Cairney

    Citation: BMC Health Services Research 2018 18:960

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  25. Content type: Research article

    Changes in Dutch policy towards long-term care led to the Dutch Health and Youth Care Inspectorate testing a regulatory framework focusing on care networks around older adults living independently. This regula...

    Authors: Didi Verver, Annemiek Stoopendaal, Hanneke Merten, Paul Robben and Cordula Wagner

    Citation: BMC Health Services Research 2018 18:946

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  26. Content type: Research article

    We investigate whether the extent of educational inequalities in the use of Pap smears (cervical cancer screening) and mammograms (breast cancer screening) in Belgium has changed over time in accordance with t...

    Authors: Barbara Willems and Piet Bracke

    Citation: BMC Health Services Research 2018 18:943

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  27. Content type: Research article

    Equity is an important goal for countries in formulating relevant health policies, and research on the equity of health services is more important for China, where the gap between the rich and poor is widening...

    Authors: Jue Yan, Yangling Ren, Zhongliang Zhou, Tiange Xu, Xiao Wang, Leilei Du and Yafei Si

    Citation: BMC Health Services Research 2018 18:726

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  28. Content type: Research article

    Non-government, not-for-profit community health centres (CHCs) play a crucial role within healthcare systems in fostering equity, acting both as direct providers of services and as sentinels of health and soci...

    Authors: Josée G. Lavoie, Colleen Varcoe, C. Nadine Wathen, Marilyn Ford-Gilboe and Annette J. Browne

    Citation: BMC Health Services Research 2018 18:705

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  29. Content type: Research article

    Norwegian general practitioners (GPs) are important stakeholders because they manage 80% of people on long-term sick-leave. Independent medical evaluation (IME) for long-term sick-listed patients is being eval...

    Authors: Aase Aamland, Elisabeth Husabo and Silje Maeland

    Citation: BMC Health Services Research 2018 18:666

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  30. Content type: Research article

    The board certification system serves as a quality assurance system for physicians, and its design and operation are important health policy issues. In Japan, board certification was established and operated i...

    Authors: Soichi Koike, Masatoshi Matsumoto, Hideaki Kawaguchi, Hiroo Ide, Hidenao Atarashi, Kazuhiko Kotani and Hideo Yasunaga

    Citation: BMC Health Services Research 2018 18:615

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  31. Content type: Research article

    Norway is one of the first countries to require all health professionals to play a part in prevention for children of parents with all kinds of illnesses (mental illness, drug addiction, or severe physical ill...

    Authors: Bjørg Eva Skogøy, Knut Sørgaard, Darryl Maybery, Torleif Ruud, Kristin Stavnes, Elin Kufås, Gro Christensen Peck, Eivind Thorsen, Jonas Christoffer Lindstrøm and Terje Ogden

    Citation: BMC Health Services Research 2018 18:609

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  32. Content type: Research article

    In a number of countries, frameworks have been developed to improve self-management support (SMS) in order to reduce the impact of chronic disease. The frameworks potentially provide direction for system-wide ...

    Authors: Selena O’Connell, Vera J. C. Mc Carthy and Eileen Savage

    Citation: BMC Health Services Research 2018 18:583

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  33. Content type: Research article

    EU Decision 1082/2013/EU on serious cross-border health threats provides a legal basis for collaboration between EU Member States, and between international and European level institutions on preparedness, pre...

    Authors: John Kinsman, John Angrén, Fredrik Elgh, Maria Furberg, Paola A. Mosquera, Laura Otero-García, René Snacken, Tarik Derrough, Paloma Carrillo Santisteve, Massimo Ciotti and Svetla Tsolova

    Citation: BMC Health Services Research 2018 18:528

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  34. Content type: Research article

    In 2013, the US Preventive Services Task Force (USPSTF) issued recommendations for low-dose computed tomography for lung cancer screening (LDCT-LCS), but there continues to be a dearth of information on the ad...

    Authors: Jiang Li, Sukyung Chung, Esther K. Wei and Harold S. Luft

    Citation: BMC Health Services Research 2018 18:525

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  35. Content type: Research article

    The European Health Literacy Survey Questionnaire (HLS-EU-Q47) is widely used in assessing health literacy (HL). There has been some controversy whether the comprehensive HLS-EU-Q47 data, reflecting a conceptu...

    Authors: Hanne Søberg Finbråten, Bodil Wilde-Larsson, Gun Nordström, Kjell Sverre Pettersen, Anne Trollvik and Øystein Guttersrud

    Citation: BMC Health Services Research 2018 18:506

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  36. Content type: Research article

    Understanding how policies lead to changes in health systems and in practice helps policymakers and researchers to intervene more successfully. Yet identifying all the possible changes that occur as a result o...

    Authors: Kathryn Oliver and Zachary Parolin

    Citation: BMC Health Services Research 2018 18:499

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  37. Content type: Research article

    Rational and transparent Health Technology Assessment and reimbursement decision-making are crucial for healthcare system sustainability. A part of the reimbursement process are decision-making criteria which ...

    Authors: Andreja Detiček, Andrej Janzic, Igor Locatelli and Mitja Kos

    Citation: BMC Health Services Research 2018 18:496

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  38. Content type: Study protocol

    Public insurance reforms of the past two decades have failed to substantively address the healthcare needs of American Indians in general, let alone the particular needs of American Indian elders, ages 55 year...

    Authors: Cathleen E. Willging, David H. Sommerfeld, Elise Trott Jaramillo, Erik Lujan, Roxane Spruce Bly, Erin K. Debenport, Steven P. Verney and Ron Lujan

    Citation: BMC Health Services Research 2018 18:464

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  39. Content type: Research article

    A central objective of recent U.S. healthcare policy reform, most notably the Affordable Care Act’s (ACA) Health Insurance Marketplace, has been to increase access to stable, affordable health insurance. Howev...

    Authors: Caitlin N. McKillop, Teresa M. Waters, Cameron M. Kaplan, Erin K. Kaplan, Michael P. Thompson and Ilana Graetz

    Citation: BMC Health Services Research 2018 18:450

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  40. Content type: Research article

    As more hospitals adopt Electronic Health Records (EHR), focus has shifted to how these records can be used to improve patient care. One barrier to this improvement is limited information exchange between prov...

    Authors: Anabel F. Castillo, Marvin Sirbu and Alexander L. Davis

    Citation: BMC Health Services Research 2018 18:405

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  41. Content type: Research article

    One of the functions of the reformed Cancer Drugs Fund in England is as a managed access fund, providing conditional funding for cancer drugs where there is uncertainty in the economic case, and where that unc...

    Authors: Liz Morrell, Sarah Wordsworth, Anna Schuh, Mark R. Middleton, Sian Rees and Richard W. Barker

    Citation: BMC Health Services Research 2018 18:393

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    The Correction to this article has been published in BMC Health Services Research 2019 19:198

  42. Content type: Research article

    Bundled payment programs play an increasingly important role in transforming reimbursement for oncologic care. We assessed determinants of oncologists’ willingness to participate in bundled payment programs fo...

    Authors: Yonina R. Murciano-Goroff, Anne Marie McCarthy, Mirar N. Bristol, Susan M. Domchek, Peter W. Groeneveld, U. Nkiru Motanya and Katrina Armstrong

    Citation: BMC Health Services Research 2018 18:391

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  43. Content type: Research article

    Scientific and financial investments in chronic cerebrospinal venous insufficiency (CCSVI) research have been made to address both the hope for and scepticism over this interventional strategy for MS. Despite ...

    Authors: Shelly Benjaminy, Andrew Schepmyer, Judy Illes and Anthony Traboulsee

    Citation: BMC Health Services Research 2018 18:366

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  44. Content type: Study protocol

    Problem alcohol use is an ongoing, worldwide phenomenon of considerable concern. Throughout the past 20 years, national policies have noted the importance of students when tackling alcohol consumption. Conside...

    Authors: Martin P. Davoren, Susan Calnan, Judith Mulcahy, Emily Lynch, Ivan J. Perry and Michael Byrne

    Citation: BMC Health Services Research 2018 18:364

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  45. Content type: Research article

    In Kenya, cardiovascular diseases (CVDs) accounted for more than 10% of total deaths and 4% of total Disability-Adjusted Life Years (DALYs) in 2015 with a steady increase over the past decade. The main objecti...

    Authors: Gershim Asiki, Shuai Shao, Carol Wainana, Christopher Khayeka–Wandabwa, Tilahun N. Haregu, Pamela A. Juma, Shukri Mohammed, David Wambui, Enying Gong, Lijing L. Yan and Catherine Kyobutungi

    Citation: BMC Health Services Research 2018 18:344

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  46. Content type: Research article

    Direct-to-consumer information (DTCI) campaign is a new medium to inform and empower patients in their decision-making without directly promoting specific drugs. However, little is known about the impact of DT...

    Authors: Masayoshi Zaitsu, Byung-Kwang Yoo, Jun Tomio, Fumiaki Nakamura, Satoshi Toyokawa and Yasuki Kobayashi

    Citation: BMC Health Services Research 2018 18:325

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  47. Content type: Debate

    A vast and heated debate is arising in Switzerland as a result of some recent citizens’ initiatives aimed at introducing compulsory dental health care insurance. The Grand Conseils of the Vaud, Geneva, and Neu...

    Authors: Enrico di Bella, Ivo Krejci, Stefano Ardu, Lucia Leporatti and Marcello Montefiori

    Citation: BMC Health Services Research 2018 18:272

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