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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. 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

    Content type: Research article

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  2. 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

    Content type: Research article

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  3. 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

    Content type: Research article

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  4. 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

    Content type: Research article

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  5. 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

    Content type: Study protocol

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  6. 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

    Content type: Research article

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  7. 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

    Content type: Research article

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  8. 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

    Content type: Research article

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

  9. 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

    Content type: Research article

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  10. 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

    Content type: Research article

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  11. 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

    Content type: Study protocol

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  12. 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

    Content type: Research article

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  13. 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

    Content type: Research article

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  14. 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

    Content type: Research article

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  15. 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

    Content type: Debate

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  16. 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

    Content type: Research article

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  17. 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

    Content type: Research article

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  18. 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

    Content type: Research article

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  19. 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

    Content type: Research article

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  20. 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

    Content type: Research article

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  21. 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

    Content type: Research article

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  22. 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

    Content type: Research article

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  23. 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

    Content type: Research article

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  24. 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

    Content type: Research article

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  25. 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

    Content type: Debate

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  26. 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

    Content type: Research article

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  27. 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

    Content type: Research article

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  28. 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

    Content type: Research article

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  29. 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

    Content type: Research article

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  30. 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

    Content type: Research article

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  31. 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

    Content type: Research article

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  32. 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

    Content type: Research article

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  33. 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

    Content type: Research article

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  34. 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

    Content type: Research article

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  35. 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

    Content type: Research article

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  36. 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

    Content type: Research article

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  37. 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

    Content type: Research article

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  38. 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

    Content type: Research article

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  39. 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

    Content type: Research article

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  40. 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

    Content type: Research article

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

  41. 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

    Content type: Research article

    Published on:

  42. 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

    Content type: Research article

    Published on:

  43. 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

    Content type: Research article

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