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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

    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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  2. 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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  3. 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

  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. 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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  11. 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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  12. 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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  13. 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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  14. 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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  15. 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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  16. 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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  17. 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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  18. 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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  19. 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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  20. Content type: Research article

    The use of economic evaluations in healthcare decision-making can potentially help decision-makers in allocating scarce resources as efficiently as possible. Over a decade ago, the use of such studies was foun...

    Authors: Kitty J. Roseboom, Johanna M. van Dongen, Emile Tompa, Maurits W. van Tulder and Judith E. Bosmans

    Citation: BMC Health Services Research 2017 17:89

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  21. Content type: Research article

    As the emphasis in health reform shifts to value-based payments, especially through multi-payer initiatives supported by the U.S. Center for Medicare & Medicaid Innovation, and with the increasing availability...

    Authors: Karl Finison, MaryKate Mohlman, Craig Jones, Melanie Pinette, David Jorgenson, Amy Kinner, Tim Tremblay and Daniel Gottlieb

    Citation: BMC Health Services Research 2017 17:58

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  22. Content type: Research article

    In mental health services what is commonplace across international frontiers is that to prevent aggressive patients from harming themselves, other patients or staff, coercive measures and foremost, violence ma...

    Authors: Seamus Cowman, Anna Björkdahl, Eric Clarke, Georgina Gethin and Jim Maguire

    Citation: BMC Health Services Research 2017 17:59

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  23. Content type: Research article

    A major concern by the health decision makers in Gulf Cooperative Council (GCC) countries is the burden of financing healthcare. While other GCC countries have been examining different options, Saudi Arabia ha...

    Authors: Abdulwahab Alkhamis, Peter Cosgrove, Gamal Mohamed and Amir Hassan

    Citation: BMC Health Services Research 2017 17:56

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  24. Content type: Research article

    In the quest to achieve early HIV treatment goals, national HIV treatment programmes dependent on international funding have been dramatically redesigned over the last 5 years. Bottlenecks in treatment provisi...

    Authors: Thandeka Dlamini-Simelane and Eileen Moyer

    Citation: BMC Health Services Research 2017 17:20

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  25. Content type: Research article

    Treatment services to patients with substance use disorders (SUDs), including those mandated to treatment, needs to be evaluated and evidence based. The Norwegian Municipal Health Care Act (NMHCA) calls for co...

    Authors: Adrian R. Pasareanu, John-Kåre Vederhus, Anne Opsal, Øistein Kristensen and Thomas Clausen

    Citation: BMC Health Services Research 2017 17:5

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  26. Content type: Research article

    The relative ease of movement of physicians across the Canada/US border has led to what is sometimes referred to as a ‘brain drain’ and previous analysis estimated that the equivalent of two graduating classes...

    Authors: Thomas R. Freeman, Stephen Petterson, Sean Finnegan and Andrew Bazemore

    Citation: BMC Health Services Research 2016 16:678

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  27. Content type: Research article

    Physician shortage has become an urgent and critical challenge to many countries. According to the workforce dynamic model, long work hours may be one major pressure point to the attrition of physicians. Finan...

    Authors: Yu-Hsuan Tsai, Nicole Huang, Li-Yin Chien, Jen-Huai Chiang and Shu-Ti Chiou

    Citation: BMC Health Services Research 2016 16:667

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  28. Content type: Research article

    Using a combination of videos and online short stories, we conducted four face-to-face deliberative workshops in Montreal (Quebec, Canada) with members of the public who later joined additional participants in...

    Authors: P. Lehoux, J. Jimenez-Pernett, F. A. Miller and B. Williams-Jones

    Citation: BMC Health Services Research 2016 16:616

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  29. Content type: Research article

    This study evaluates implementation of the Quebec Mental Health (MH) Reform (2005–2015) which aimed to improve accessibility, quality and continuity of care by developing primary care and optimizing integrated...

    Authors: Marie-Josée Fleury, Guy Grenier, Catherine Vallée, Denise Aubé, Lambert Farand, Jean-Marie Bamvita and Geneviève Cyr

    Citation: BMC Health Services Research 2016 16:586

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  30. Content type: Research article

    Addressing evidence-practice gaps in primary care remains a significant public health challenge and is likely to require action at different levels of the health system. Whilst Continuous Quality Improvement (...

    Authors: Gill Schierhout, Veronica Matthews, Christine Connors, Sandra Thompson, Ru Kwedza, Catherine Kennedy and Ross Bailie

    Citation: BMC Health Services Research 2016 16:560

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  31. Content type: Research article

    Universal Health Coverage (UHC) has emerged as a major goal for health care delivery in the post-2015 development agenda. It is viewed as a solution to health care needs in low and middle countries with growin...

    Authors: Adam Fusheini and John Eyles

    Citation: BMC Health Services Research 2016 16:558

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  32. Content type: Research article

    End-of-life policies are hotly debated in many countries, with international evidence frequently used to support or oppose legal reforms. Existing reviews are limited by their focus on specific practices or se...

    Authors: Yi-Sheng Chao, Antoine Boivin, Isabelle Marcoux, Geneviève Garnon, Nicholas Mays, Pascale Lehoux, Marie-Claude Prémont, Evert van Leeuwen, Raynald Pineault, Jeff Blackmer, Marie-Dominique Beaulieu, Bill Sullivan, Pierre Deschamps, Bernard Grenier, Ann Soden, Robert Delorme…

    Citation: BMC Health Services Research 2016 16:539

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  33. Content type: Research article

    The consequences of annual influenza outbreaks are often underestimated by the general public. Influenza poses a serious public health threat around the world, particularly for the most vulnerable populations....

    Authors: Angela Jackson-Lee, Neil G. Barr and Glen E. Randall

    Citation: BMC Health Services Research 2016 16:522

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  34. Content type: Research article

    Since the emergence of social media in 2004, a growing percentage of patients use this technology for health related reasons. To reflect on the alleged beneficial and potentially harmful effects of social medi...

    Authors: Edin Smailhodzic, Wyanda Hooijsma, Albert Boonstra and David J. Langley

    Citation: BMC Health Services Research 2016 16:442

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  35. Content type: Research article

    Limited research on Posting and Transfer (P&T) policies and systems in the public sector health services and the reluctance for an open debate on the issue makes P&T as a black box. Limited research on P&T in ...

    Authors: Bhaskar Purohit, Tim Martineau and Kabir Sheikh

    Citation: BMC Health Services Research 2016 16:419

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  36. Content type: Research article

    This study aimed to measure the poverty head count ratio and poverty gap of rural Yanbian in order to examine whether China’s New Rural Cooperative Medical Scheme has alleviated its medical impoverishment and ...

    Authors: Mei Sun, Jay J. Shen, Chengyue Li, Christopher Cochran, Ying Wang, Fei Chen, Pingping Li, Jun Lu, Fengshui Chang, Xiaohong Li and Mo Hao

    Citation: BMC Health Services Research 2016 16:422

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  37. Content type: Research article

    In response to increasing fiscal pressures, the Affordable Care Act (ACA) sought to reduce Medicare Advantage plan expenses by restructuring the bidding and payment processes. The purpose of this study is to a...

    Authors: Nabil Natafgi, Matthew Nattinger, Patience Ugwi, Fred Ullrich and Fredric D. Wolinsky

    Citation: BMC Health Services Research 2016 16:404

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  38. Content type: Research article

    Accurate identification of underlying health conditions is important to fully adjust for confounders in studies using insurer claims data. Our objective was to evaluate the ability of four modifications to a s...

    Authors: Katelin B. Nickel, Anna E. Wallace, David K. Warren, Kelly E. Ball, Daniel Mines, Victoria J. Fraser and Margaret A. Olsen

    Citation: BMC Health Services Research 2016 16:388

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  39. Content type: Research article

    Clinical practice guidelines are widely distributed by medical associations and relied upon by physicians for the best available clinical evidence. International findings report that financial conflicts of int...

    Authors: Adrienne Shnier, Joel Lexchin, Mirna Romero and Kevin Brown

    Citation: BMC Health Services Research 2016 16:383

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  40. Content type: Research article

    Reforms in the health-care sector, including the pharmacy sector, can have different rationales. The Swedish pharmacies were prior to 2009 organized in a state-owned monopoly. In 2009, a liberalization of the ...

    Authors: Kristin Wisell, Ulrika Winblad and Sofia Kälvemark Sporrong

    Citation: BMC Health Services Research 2016 16:379

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  41. Content type: Research article

    We aimed to synthesize the evidence of a causal effect and draw inferences about whether Canadian primary care reforms improved health system performance based on measures of health service utilization, proces...

    Authors: Renee Carter, Bruno Riverin, Jean-Frédéric Levesque, Geneviève Gariepy and Amélie Quesnel-Vallée

    Citation: BMC Health Services Research 2016 16:324

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  42. Content type: Research article

    Why issues get on the policy agenda, move into policy formulation and implementation while others drop off in the process is an important field of enquiry to inform public social policy development and impleme...

    Authors: Augustina Koduah, Han van Dijk and Irene Akua Agyepong

    Citation: BMC Health Services Research 2016 16:323

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  43. Content type: Research article

    There is currently limited evidence regarding the extent Real World Evidence (RWE) has directly impacted the health and social care systems. The aim of this review is to identify national guidelines or guidanc...

    Authors: Jessie O. Oyinlola, Jennifer Campbell and Antonis A. Kousoulis

    Citation: BMC Health Services Research 2016 16:299

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  44. Content type: Research article

    In 2009, Chinese government launched a new healthcare reform, one of the key points of which is to establish National Essential Medicine System (NEMS). Hospital pharmacists are directly related to the implemen...

    Authors: Qian Shen, Caijun Yang, Jie Chang, Lina Wu, Wenwen Zhu, Bing Lv, Dan Ye, Shimin Yang and Yu Fang

    Citation: BMC Health Services Research 2016 16:292

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  45. Content type: Research article

    There have been concerns in Korea that the availability of cheaper generics can appreciably increase prescribed volumes thereby negating their beneficial effects on overall pharmaceutical expenditure.

    Authors: Hye-Young Kwon and Brian Godman

    Citation: BMC Health Services Research 2016 16:130

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    The Erratum to this article has been published in BMC Health Services Research 2017 17:210