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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

    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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. 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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  11. 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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  12. 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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  13. 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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  14. 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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  15. 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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  16. 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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  17. 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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  18. 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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  19. 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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  20. 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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  21. 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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  22. 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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  23. 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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  24. 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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  25. 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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  26. 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

  27. 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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  28. 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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  29. 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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  30. 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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  31. 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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  32. 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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  33. 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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  34. 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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  35. 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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  36. 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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  37. 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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  38. 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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  39. 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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  40. 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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  41. 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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  42. 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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  43. 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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  44. 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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