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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

    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

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  2. 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

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  3. 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

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  4. 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

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  5. 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

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  6. 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

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  7. 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

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  8. 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

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  9. 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

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  10. 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

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  11. 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

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  12. 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

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  13. 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

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  14. 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

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  15. 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

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  16. 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

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  17. 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

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  18. 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

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  19. 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

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  20. Content type: Research article

    Systems medicine has become a key word in biomedical research. Although it is often referred to as P4-(predictive, preventive, personalized and participatory)-medicine, it still lacks a clear definition and is...

    Authors: Sebastian Schleidgen, Sandra Fernau, Henrike Fleischer, Christoph Schickhardt, Ann-Kristin Oßa and Eva C. Winkler

    Citation: BMC Health Services Research 2017 17:761

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  21. Content type: Research article

    Medical revalidation is the process by which all licensed doctors are legally required to demonstrate that they are up to date and fit to practise in order to maintain their licence. Revalidation was introduce...

    Authors: Abigail Tazzyman, Jane Ferguson, Charlotte Hillier, Alan Boyd, John Tredinnick-Rowe, Julian Archer, Sam Regan de Bere and Kieran Walshe

    Citation: BMC Health Services Research 2017 17:749

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  22. 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

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  23. Content type: Research article

    Poor distribution of essential medicines to primary care institutions has attracted criticism since China adopted provincial centralized regional tendering and procurement systems. This study evaluated the imp...

    Authors: Lianping Yang, Cunrui Huang and Chaojie Liu

    Citation: BMC Health Services Research 2017 17:727

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  24. Content type: Research article

    In 2009, China implemented the National Essential Medicines Policies (NEMPs) as part of a new round of medical system reforms. This study aims to evaluate the impacts of the NEMPs on primary healthcare institu...

    Authors: Zhigang Guo, Xiaodong Guan and Luwen Shi

    Citation: BMC Health Services Research 2017 17:723

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  25. Content type: Research article

    Physicians who work in the private sector while also holding a salaried job in a public hospital, known as “dual practice,” is one of the main retention strategies adopted by the government of Ethiopia. Dual p...

    Authors: Goitom Gigar Abera, Yibeltal Kiflie Alemayehu and Jeph Herrin

    Citation: BMC Health Services Research 2017 17:713

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    The Correction to this article has been published in BMC Health Services Research 2017 17:807

  26. Content type: Research article

    Since the introduction of non-invasive prenatal testing (NIPT) in 2011, mainly by commercial companies, a growing demand for NIPT from the public and healthcare professionals has been putting pressure on the h...

    Authors: Rachèl V. van Schendel, Carla G. van El, Eva Pajkrt, Lidewij Henneman and Martina C. Cornel

    Citation: BMC Health Services Research 2017 17:670

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  27. Content type: Research article

    The reasons for low utilisation of maternal health services in settings where the user-fee removal policy has been implemented continue to generate scholarly debates. Evidence of whether user-fee removal benef...

    Authors: Anthony I. Ajayi and Wilson Akpan

    Citation: BMC Health Services Research 2017 17:620

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  28. Content type: Research article

    The Scottish Medicines Consortium evaluates new drugs for use in the National Health Service in Scotland. Reforms in 2014 to their evaluation process aimed to increase patient access to new drugs for end-of-li...

    Authors: Liz Morrell, Sarah Wordsworth, Howell Fu, Sian Rees and Richard Barker

    Citation: BMC Health Services Research 2017 17:613

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  29. Content type: Study protocol

    Internationally there has been a growth in the use of publicly funded service markets as a mechanism to deliver health and social services. This has accompanied the emergence of ‘self-directed care’ in a numbe...

    Authors: Gemma Carey and Helen Dickinson

    Citation: BMC Health Services Research 2017 17:570

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  30. Content type: Research article

    In Brazil, health is fundamental human right guaranteed by the Constitution of 1988, which created the Brazilian Universal Health System (Sistema Único de Saúde - SUS). The SUS provides medications for outpati...

    Authors: Ana Luiza Chieffi, Rita De Cassia Barata Barradas and Moisés Golbaum

    Citation: BMC Health Services Research 2017 17:499

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  31. Content type: Research article

    We analyzed and compared primary health care (PHC) policies in British Columbia, Alberta and Saskatchewan to understand how they inform the design and implementation of team-based primary health care service d...

    Authors: Esther Suter, Sara Mallinson, Renee Misfeldt, Omenaa Boakye, Louise Nasmith and Sabrina T. Wong

    Citation: BMC Health Services Research 2017 17:493

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  32. Content type: Research article

    This study analyzed several political determinants of increased private-sector management in Brazilian health care. In Brazil, the poor depend almost exclusively on the public Unified Health System (the SUS), ...

    Authors: Alecia J. McGregor, Carlos Eduardo Siqueira, Alan M. Zaslavsky and Robert J. Blendon

    Citation: BMC Health Services Research 2017 17:483

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  33. Content type: Research article

    Trust within organizations is important for ensuring members’ acceptance of the organization’s activities and to expand their scope of action. Remarkably, Patient Organizations (POs) that often both function a...

    Authors: Helene Gerhards, Karin Jongsma and Silke Schicktanz

    Citation: BMC Health Services Research 2017 17:474

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  34. Content type: Research article

    Prescription drug monitoring programs (PDMPs) have been implemented in 49 out of 50 states in an effort to reduce opioid-related misuse, abuse, and mortality, yet the literature evaluating the impact of PDMP i...

    Authors: Erin P. Finley, Ashley Garcia, Kristen Rosen, Don McGeary, Mary Jo Pugh and Jennifer Sharpe Potter

    Citation: BMC Health Services Research 2017 17:420

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  35. Content type: Research article

    Public reporting of government funded (public) hospital performance data was mandated in Australia in 2011. Studies suggest some benefit associated with such public reporting, but also considerable scope to im...

    Authors: Rachel Canaway, Marie Bismark, David Dunt and Margaret Kelaher

    Citation: BMC Health Services Research 2017 17:391

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  36. Content type: Research article

    Heightened fiscal constraints, increases in the chronic disease burden and in consumer expectations are among several factors contributing to the global interest in evidence-informed health policy. The present...

    Authors: Francesca C. Grace, Carla S. Meurk, Brian W. Head, Wayne D. Hall, Meredith G. Harris and Harvey A. Whiteford

    Citation: BMC Health Services Research 2017 17:374

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  37. Content type: Research article

    Funding of drugs for rare diseases (DRDs) requires decisions that balance fairness for all individuals within the healthcare system with compassion for affected individuals. Our study objective was to conduct ...

    Authors: Julie Polisena, Michael Burgess, Craig Mitton and Larry D. Lynd

    Citation: BMC Health Services Research 2017 17:372

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  38. Content type: Research article

    The judgment and decision making process during guideline development is central for producing high-quality clinical practice guidelines, but the topic is relatively underexplored in the guideline research lit...

    Authors: Linda Richter Sundberg, Rickard Garvare and Monica Elisabeth Nyström

    Citation: BMC Health Services Research 2017 17:344

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  39. Content type: Research Article

    In Italy, copayment has changed its nature and it can no longer be simply considered a system to curb inappropriate expenditure. It has become an important form of revenue for public health care provision, but...

    Authors: Paolo Berta, Rosella Levaggi, Gianmaria Martini and Stefano Verzillo

    Citation: BMC Health Services Research 2017 17:336

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  40. Content type: Research article

    Policy making, translation and implementation in politically and administratively decentralized systems can be challenging. Beyond the mere sub-national acceptance of national initiatives, adherence to policy ...

    Authors: Ejemai Amaize Eboreime, Seye Abimbola, Felix Abrahams Obi, Obinna Ebirim, Olalekan Olubajo, John Eyles, Nonhlanhla Lynette Nxumalo and Faith Nankasa Mambulu

    Citation: BMC Health Services Research 2017 17:227

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  41. Content type: Research article

    In Norway, a government reform has recently been introduced to enhance coordination between primary and secondary care. This paper examines the effects of two newly introduced measures to improve the coordinat...

    Authors: Antonella La Rocca and Thomas Hoholm

    Citation: BMC Health Services Research 2017 17:149

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