Skip to content


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.

Page 1 of 5

  1. 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

    Published on:

  2. 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

    Published on:

  3. 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

    Published on:

  4. 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

    Published on:

  5. 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

    Published on:

  6. 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

    Published on:

  7. 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

    Published on:

  8. 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

    Published on:

  9. 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

    Published on:

  10. 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

    Published on:

  11. 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

    Published on:

  12. 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

    Published on:

  13. 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

    Published on:

  14. 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

    Published on:

  15. 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

    Published on:

  16. 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

    Published on:

  17. 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

    Published on:

  18. 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

    Published on:

  19. 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

    Published on:

  20. 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

    Published on:

  21. 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

    Published on:

  22. 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

    Published on:

  23. 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

    Published on:

  24. Content type: Research article

    In Canada, government insurance covers eye care services provided by ophthalmologists and other physicians. However, government coverage for services provided by optometrists, non-medical school trained primar...

    Authors: A. M. Khan, G. E. Trope, R. Wedge, Y. M. Buys, S. El-Defrawy, Q. Chen and Y. P. Jin

    Citation: BMC Health Services Research 2018 18:273

    Published on:

  25. 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

    Published on:

  26. Content type: Research article

    For the last decades, the international community has emphasised the importance of a multisectoral approach to tackle female genital mutilation (FGM/C). While considerable improvement concerning legislations a...

    Authors: R. Elise B. Johansen, Mai Mahgoub Ziyada, Bettina Shell-Duncan, Adriana Marcusàn Kaplan and Els Leye

    Citation: BMC Health Services Research 2018 18:240

    Published on:

  27. Content type: Research article

    Gatekeeper policy, requiring a patient to visit a primary care provider first, and the patient needs to get his or her primary care provider’s referral before seeing a specialist or going to a hospital, has be...

    Authors: Wenzhen Li, Dongming Wang, Yong Gan, Yanfeng Zhou, Yawen Chen, Jing Li, Naomiem Kkandawire, Sai Hu, Yan Qiao and Zuxun Lu

    Citation: BMC Health Services Research 2018 18:241

    Published on:

  28. Content type: Research article

    While many new medications may offer advantages over existing drugs, some newer drugs are reformulations of existing products that provide little innovation or incremental benefit while driving up drug costs. ...

    Authors: Manvi Sharma, Aisha Vadhariya, Michael L. Johnson, Zachary A. Marcum and Holly M. Holmes

    Citation: BMC Health Services Research 2018 18:236

    Published on:

  29. Content type: Research article

    In recent years, an increasing number of states have enacted laws that impose specific requirements for facilities in which abortions are performed. In this study, we sought to understand the processes used to...

    Authors: Nancy F. Berglas and Sarah C. M. Roberts

    Citation: BMC Health Services Research 2018 18:212

    Published on:

  30. Content type: Research article

    The perception of male involvement (MI) in maternal child health services is multifaceted and differs among varying programs and populations. In the Prevention of Mother to Child Transmission (PMTCT) context, ...

    Authors: Alinane L. Nyondo-Mipando, Angela F. Chimwaza and Adamson S. Muula

    Citation: BMC Health Services Research 2018 18:187

    Published on:

  31. Content type: Research article

    Genetic counseling by a Genetic Counselor (GC) is a requirement prior to genetic testing for cancer susceptibility genes (GC-mandate policy) for some insurers. This study evaluated the impact of this policy fr...

    Authors: David D. Stenehjem, Trang Au, Amy M. Sainski, Hillevi Bauer, Krystal Brown, Johnathan Lancaster, Vanessa Stevens and Diana I. Brixner

    Citation: BMC Health Services Research 2018 18:165

    Published on:

  32. Content type: Research article

    Integration of family planning services into HIV care was implemented in South Africa as a core strategy aimed at reducing unintended pregnancies among childbearing women living with HIV. However, it is unclea...

    Authors: Oladele Vincent Adeniyi, Anthony Idowu Ajayi, Mayowa Gabriel Moyaki, Daniel Ter Goon, Gordana Avramovic and John Lambert

    Citation: BMC Health Services Research 2018 18:140

    Published on:

  33. Content type: Research article

    Despite recent reforms, distorting funding mechanisms and over-prescribing still maintain severe financial barriers to medicines access in China. Complicated and interrelated problems in the pharmaceutical sec...

    Authors: Jing Sun, Cecile Jia Hu, Mark Stuntz, Hans Hogerzeil and Yuanli Liu

    Citation: BMC Health Services Research 2018 18:125

    Published on:

  34. Content type: Research article

    Rare diseases are, by definition, very serious and chronic diseases with a high negative impact on quality of life. Approximately 350 million people worldwide live with rare diseases. The resulting high diseas...

    Authors: Ana Babac, Martin Frank, Frédéric Pauer, Svenja Litzkendorf, Daniel Rosenfeldt, Verena Lührs, Lisa Biehl, Tobias Hartz, Holger Storf, Franziska Schauer, Thomas O. F. Wagner and J-Matthias Graf von der Schulenburg

    Citation: BMC Health Services Research 2018 18:99

    Published on:

  35. Content type: Debate

    To date, few studies have assessed how Brazil’s universal healthcare system’s (SUS, Sistema Único de Saúde) systemic, infrastructural, and geographical challenges affect individuals’ abilities to access organ ...

    Authors: Eduardo J. Gómez, Sven Jungmann and Agnaldo Soares Lima

    Citation: BMC Health Services Research 2018 18:90

    Published on:

  36. Content type: Research article

    In 2013 the Swiss Diagnosis Related Groups ((Swiss)-DRG) was implemented in Intensive Care Units (ICU). Its impact on hospitalizations has not yet been examined. We compared the number of ICU admissions, accor...

    Authors: Lionel Chok, Esther B. Bachli, Peter Steiger, Dominique Bettex, Silvia R. Cottini, Emanuela Keller, Marco Maggiorini and Reto A. Schuepbach

    Citation: BMC Health Services Research 2018 18:84

    Published on:

  37. Content type: Research article

    Citizen participation in health service co-production is increasingly enacted. A reason for engaging community members is to co-design services that are locally-appropriate and harness local assets. To date, m...

    Authors: Jane Farmer, Karen Carlisle, Virginia Dickson-Swift, Simon Teasdale, Amanda Kenny, Judy Taylor, Felicity Croker, Karen Marini and Mark Gussy

    Citation: BMC Health Services Research 2018 18:68

    Published on:

  38. Content type: Research article

    Prolonged hospital discharge boarding can impact patient flow resulting in upstream Emergency Department crowding. We aim to determine the risks predicting prolonged hospital discharge boarding and their direc...

    Authors: Sajid A. Shaikh, Richard D. Robinson, Radhika Cheeti, Shyamanand Rath, Chad D. Cowden, Frank Rosinia, Nestor R. Zenarosa and Hao Wang

    Citation: BMC Health Services Research 2018 18:59

    Published on:

  39. Content type: Research article

    For more than 30 years policy action across sectors has been celebrated as a necessary and viable way to affect the social factors impacting on health. In particular intersectoral action on the social determin...

    Authors: Ditte Heering Holt, Morten Hulvej Rod, Susanne Boch Waldorff and Tine Tjørnhøj-Thomsen

    Citation: BMC Health Services Research 2018 18:54

    Published on:

  40. Content type: Research article

    The accuracy of clinical coding is crucial in the assignment of Diagnosis Related Groups (DRGs) codes, especially if the hospital is using Casemix System as a tool for resource allocations and efficiency monit...

    Authors: S. A. Zafirah, Amrizal Muhammad Nur, Sharifa Ezat Wan Puteh and Syed Mohamed Aljunid

    Citation: BMC Health Services Research 2018 18:38

    Published on:

  41. Content type: Research article

    The Patient Protection and Affordable Care Act established the Hospital Readmission Reduction Program (HRRP) to penalize hospitals with excessive 30-day hospital readmissions of Medicare enrollees for specific...

    Authors: Lauren E. Birmingham and Willie H. Oglesby

    Citation: BMC Health Services Research 2018 18:31

    Published on:

  42. Content type: Research article

    Prescription opioids have been linked to over half of the 28,000 opioid overdose deaths in 2014. High rates of prescription opioid non-medical use have continued despite nearly all states implementing large-sc...

    Authors: Morhaf Al Achkar, Shaun Grannis, Debra Revere, Palmer MacKie, Meredith Howard and Sumedha Gupta

    Citation: BMC Health Services Research 2018 18:29

    Published on:

  43. Content type: Research article

    Universal health coverage (UHC) is important in terms of improving access to quality health care while protecting households from the risk of catastrophic health spending and impoverishment. However, progress ...

    Authors: Vincent Okungu, Jane Chuma, Stephen Mulupi and Diane McIntyre

    Citation: BMC Health Services Research 2018 18:13

    Published on:

  44. Content type: Research article

    Xiamen is a pilot city in China for hierarchical diagnosis and treatment reform of non-communicable diseases, especially diabetes. Since 2012, Xiamen has implemented a program called the “three-in-one”, a team...

    Authors: Xuejun Li, Zhibin Li, Changqin Liu, Junfeng Zhang, Zhonghai Sun, Yuji Feng, Jing Mei, Chengming Gu, Xiaoying Li and Shuyu Yang

    Citation: BMC Health Services Research 2017 17:779

    Published on:

  45. Content type: Research article

    As effective antibiotics are becoming a scarce resource, governmental regulation is needed to promote responsible use. Implementation of antibiotic stewardship and practice guidelines in health care facilities...

    Authors: Eli Feiring and Anne Berit Walter

    Citation: BMC Health Services Research 2017 17:747

    Published on: