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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

    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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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

  8. Content type: Research article

    Health coverage in the United States will be increased to nearly universal levels under the Affordable Care Act (ACA). In order to better understand the impact of the type of health insurance and health outcom...

    Authors: Young Rock Hong, Derek Holcomb, Michelyn Bhandari and Laurie Larkin

    Citation: BMC Health Services Research 2016 16:114

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  9. Content type: Research article

    The Air Quality Health Index (AQHI) provides air quality and health information such that the public can implement health protective behaviours (reducing and/or rescheduling outdoor activity) and decrease expo...

    Authors: Sally Radisic and K. Bruce Newbold

    Citation: BMC Health Services Research 2016 16:107

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  10. Content type: Research article

    After the fall of communism, the countries of Central and Eastern Europe started the process of political, economic, and social transformation. In health system the reform directions were often similar, despit...

    Authors: Piotr Romaniuk and Adam R. Szromek

    Citation: BMC Health Services Research 2016 16:95

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  11. Content type: Research article

    In 2010, a national integrated health care standard for (childhood) obesity was published and disseminated in the Netherlands. The aim of this study is to gain insight into the needs of health care providers a...

    Authors: Annemarie A. H. Schalkwijk, Giel Nijpels, Sandra D. M. Bot and Petra J. M. Elders

    Citation: BMC Health Services Research 2016 16:83

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  12. Content type: Research article

    To ensure equity and accessibility of public health care in rural areas, the Chinese central government has launched a series of policies to motivate village doctors to provide basic public health services. Us...

    Authors: Tongtong Li, Trudy Lei, Zheng Xie and Tuohong Zhang

    Citation: BMC Health Services Research 2016 16:42

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  13. Content type: Research article

    Community paramedicine programs have emerged throughout North America and beyond in response to demographic changes and health system reform. Our aim was to identify and analyse how community paramedics create...

    Authors: Peter O’Meara, Christine Stirling, Michel Ruest and Angela Martin

    Citation: BMC Health Services Research 2016 16:39

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  14. Content type: Research article

    The National Essential Medicine System (NEMS) is a new policy launched by the Chinese government in 2009. The effects of its introduction have been widely investigated. However, little research has focused on ...

    Authors: Yan Song, Ying Bian and Lingui Li

    Citation: BMC Health Services Research 2016 16:30

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  15. Content type: Research article

    Medicaid programs face growing pressure to control spending. Despite evidence of clinical harms, states continue to impose policies limiting the number of reimbursable prescriptions (caps). We examined the recent...

    Authors: Daniel A. Lieberman, Jennifer M. Polinski, Niteesh K. Choudhry, Jerry Avorn and Michael A. Fischer

    Citation: BMC Health Services Research 2016 16:15

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  16. Content type: Research article

    The prevalence and impact of musculoskeletal conditions are predicted to rapidly escalate in the coming decades. Effective strategies are required to minimise ‘evidence-practice’, ‘burden-policy’ and ‘burden-s...

    Authors: Andrew M. Briggs, Joanne E. Jordan, Robyn Speerin, Matthew Jennings, Peter Bragge, Jason Chua and Helen Slater

    Citation: BMC Health Services Research 2015 15:509

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  17. Content type: Research article

    The influence of environmental factors in shaping behaviour is becoming increasingly prominent in public health policy, but whether health promotion strategies use this knowledge is unknown. Health promotion i...

    Authors: Chris Keyworth, Pauline A Nelson, Christopher EM Griffiths, Lis Cordingley and Chris Bundy

    Citation: BMC Health Services Research 2015 15:215

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  18. Content type: Correspondence

    Health systems experts from around the world discuss why they were meeting at the Third Global Symposium on Health Systems Research while people were dying of Ebola in West Africa.

    Authors: Jeffrey V Lazarus, Dina Balabanova, Kelly Safreed-Harmon, Karen Daniels, Kopano Matlwa Mabaso, Martin McKee, Tolib Mirzoev, Adnan A Hyder and Sofia Gruskin

    Citation: BMC Health Services Research 2015 15:192

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  19. Content type: Research article

    Many developed countries are reforming healthcare payment systems in order to limit costs and improve clinical outcomes. Knowledge on how different groups of professional stakeholders trade off the merits and ...

    Authors: Roselinde Kessels, Pieter Van Herck, Eline Dancet, Lieven Annemans and Walter Sermeus

    Citation: BMC Health Services Research 2015 15:191

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  20. Content type: Research article

    In January 2006, the Korean government implemented a copayment waiver policy for hospitalized children under the age of 6 years to reduce the economic burden on patients. This policy was implemented from 2006 ...

    Authors: Sook Young Kwak, Seok-Jun Yoon, In-Hwan Oh and Young-eun Kim

    Citation: BMC Health Services Research 2015 15:170

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  21. Content type: Research article

    Health care decision making requires making resource allocation decisions among programs, services, and technologies that all compete for a finite resource pool. Methods of priority setting that use explicitly...

    Authors: Ian Cromwell, Stuart J Peacock and Craig Mitton

    Citation: BMC Health Services Research 2015 15:164

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  22. Content type: Research article

    The mechanisms through which the relationships among public institutions, private providers and families affect care and service provision systems are puzzling. How can we understand the mechanisms in these co...

    Authors: Francesco Longo, Elisabetta Notarnicola and Stefano Tasselli

    Citation: BMC Health Services Research 2015 15:152

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  23. Content type: Research article

    The aim of this study was to investigate the behaviour of physicians in cases of medical error as well as the nature of the information that should be given to the patient and to ascertain whether it is possib...

    Authors: Stefano D’Errico, Sara Pennelli, Antonio Prospero Colasurdo, Paola Frati, Lorella Sicuro and Vittorio Fineschi

    Citation: BMC Health Services Research 2015 15:130

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  24. Content type: Research article

    A number of jurisdictions have used regulation to promote the adoption of safety-engineered needles as a primary solution to reduce the risk of needlestick injuries among healthcare workers. Regulatory change ...

    Authors: Andrea Chambers, Cameron A Mustard and Jacob Etches

    Citation: BMC Health Services Research 2015 15:127

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  25. Content type: Research article

    General practitioners (GPs) in most high-income countries have a history of being independent private providers with much autonomy. While GPs remain private providers, their autonomous position appears to be c...

    Authors: Jon Helgheim Holte, Birgit Abelsen, Peder Andreas Halvorsen and Jan Abel Olsen

    Citation: BMC Health Services Research 2015 15:119

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  26. Content type: Research article

    In the future, an increasing number of elderly people will be asked to accept care delivered through the Internet. For example, health-care professionals can provide treatment or support via telecare. But do e...

    Authors: Anke J E de Veer, José M Peeters, Anne EM Brabers, Francois G Schellevis, Jany JD JM Rademakers and Anneke L Francke

    Citation: BMC Health Services Research 2015 15:103

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  27. Content type: Research article

    An essential medicine (EM) system has been implemented in China to reduce patients’ financial burden and to make the use of drugs more rational. This study aims to evaluate the current state of the EM system i...

    Authors: Wen-yuan Zhang, Ying-ran Li, Yun-jing Li, Xue-qin Li, Wei-guo Zhao and Rong-zhi Lu

    Citation: BMC Health Services Research 2015 15:98

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  28. Content type: Research article

    Policy initiatives and technological advances enable the use of integrated shared care models of healthcare delivery whereby the focus of care is moved from the hospital to the community, and also of models wh...

    Authors: Jacqueline A Nicholls, Henry WW Potts, Bridget Coleman and David L Patterson

    Citation: BMC Health Services Research 2015 15:93

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  29. Content type: Research article

    Nationwide implementation of guaranteed access to evidence-based rehabilitation was established in Sweden in 2009, through an Act of the Swedish Government. The rehabilitation guarantee’s primary goal was to i...

    Authors: Elisabeth Björk Brämberg, Charlotte Klinga, Irene Jensen, Hillevi Busch, Gunnar Bergström, Mats Brommels and Johan Hansson

    Citation: BMC Health Services Research 2015 15:79

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  30. Content type: Research article

    To effectively provide public health care for rural residents, the Ministry of Health formally unveiled the contract service policy in rural China in April 2013. As the counterpart to family medicine in some d...

    Authors: Huixuan Zhou, Weijun Zhang, Shengfa Zhang, Fugang Wang, You Zhong, Linni Gu, Zhiyong Qu, Xiaoyun Liang, Zhihong Sa, Xiaohua Wang and Donghua Tian

    Citation: BMC Health Services Research 2015 15:75

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  31. Content type: Research article

    Despite the widely recognised importance of sustainable health care systems, health services research remains generally underfunded in Australia. The Australian Centre for Health Services Innovation (AusHSI) i...

    Authors: Adrian G Barnett, Danielle L Herbert, Megan Campbell, Naomi Daly, Jason A Roberts, Alison Mudge and Nicholas Graves

    Citation: BMC Health Services Research 2015 15:55

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  32. Content type: Research article

    Many of the world’s life threatening diseases (e.g. cancer, heart disease, stroke) could be prevented by eliminating life-style habits such as tobacco use, unhealthy diet, physical inactivity and excessive alc...

    Authors: Linda Richter-Sundberg, Therese Kardakis, Lars Weinehall, Rickard Garvare and Monica E Nyström

    Citation: BMC Health Services Research 2015 15:19

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  33. Content type: Research article

    Reimbursement policies for anti-cancer drugs vary among countries even though they rely on the same clinical evidence. We compared the pattern of publicly funded drug programs and analyzed major factors influe...

    Authors: Carol Sunghye Lim, Yun-Gyoo Lee, Youngil Koh and Dae Seog Heo

    Citation: BMC Health Services Research 2014 14:595

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  34. Content type: Research article

    Whole-system interventions are those that entail system wide changes in goals, service delivery arrangements and relationships between actors, requiring approaches to implementation that go beyond projects or ...

    Authors: Helen Schneider, Rene English, Hanani Tabana, Thesandree Padayachee and Marsha Orgill

    Citation: BMC Health Services Research 2014 14:609

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  35. Content type: Research article

    The study objective was to identify and describe the process, resources and expertise required for the revision of accreditation standards, and report outcomes arising from such activities.

    Authors: David Greenfield, Mike Civil, Andrew Donnison, Anne Hogden, Reece Hinchcliff, Johanna Westbrook and Jeffrey Braithwaite

    Citation: BMC Health Services Research 2014 14:571

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  36. Content type: Research article

    When the nature and direction of research results affect their chances of publication, a distortion of the evidence base – termed publication bias – results. Despite considerable recent efforts to implement me...

    Authors: Christina Kien, Barbara Nußbaumer, Kylie J Thaler, Ursula Griebler, Megan G Van Noord, Petra Wagner and Gerald Gartlehner

    Citation: BMC Health Services Research 2014 14:551

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  37. Content type: Research article

    There is dearth of evidence on provider cost of contracted out services particularly for Maternal and Newborn Health (MNH). The evidence base is weak for policy makers to estimate resources required for scalin...

    Authors: Peter Hatcher, Shiraz Shaikh, Hassan Fazli, Shehla Zaidi and Atif Riaz

    Citation: BMC Health Services Research 2014 14:459

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  38. Content type: Research article

    The patient perspective is increasingly considered in healthcare policy decisions. The use of research on patient preferences seems however limited. Using the available research on patient preferences would ma...

    Authors: Cecile MA Utens, Trudy van der Weijden, Manuela A Joore and Carmen D Dirksen

    Citation: BMC Health Services Research 2014 14:540

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  39. Content type: Research article

    Increasingly, health policy-makers and managers all over the world look for alternative forms of organisation and governance in order to add more value and quality to their health systems. In recent years, the...

    Authors: Pavel V Ovseiko, Catherine O’Sullivan, Susan C Powell, Stephen M Davies and Alastair M Buchan

    Citation: BMC Health Services Research 2014 14:552

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  40. Content type: Research article

    The Swedish government has increasingly begun to rely on so called informative governance when regulating healthcare. The question this article sets out to answer is: considered to be ‘the backbone’ of the Swe...

    Authors: Mio Fredriksson, Paula Blomqvist and Ulrika Winblad

    Citation: BMC Health Services Research 2014 14:509

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  41. Content type: Research article

    Clinical governance has become a core component of health policy and services management in many countries in recent years. Yet tools for measuring its development are limited. We therefore created the Clinica...

    Authors: Robin Gauld and Simon Horsburgh

    Citation: BMC Health Services Research 2014 14:547

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  42. Content type: Research article

    This case study from DR Congo demonstrates how rational operational planning based on a health systems strengthening strategy (HSSS) can contribute to policy dialogue over several years. It explores the operat...

    Authors: Dheepa Rajan, Hyppolite Kalambay, Mathias Mossoko, Dieudonné Kwete, Joseph Bulakali, Jean-Pierre Lokonga, Denis Porignon and Gerard Schmets

    Citation: BMC Health Services Research 2014 14:522

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  43. Content type: Research article

    For decades Indigenous peoples have argued for health research reform claiming methods used and results obtained often reflect the exploitative history of colonisation. In 2006 the Kimberley Aboriginal Health ...

    Authors: Frieda Mc Loughlin, Nyssa T Hadgraft, David Atkinson and Julia V Marley

    Citation: BMC Health Services Research 2014 14:517

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