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Health policy, reform, governance and law

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. Since the 2016 presidential election, reports have suggested that President Trump’s rhetoric and his administration’s proposed policies could be exacerbating barriers to accessing health care for undocumented ...

    Authors: Timothy Callaghan, David J. Washburn, Katharine Nimmons, Delia Duchicela, Anoop Gurram and James Burdine

    Citation: BMC Health Services Research 2019 19:342

    Content type: Research article

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  2. In 2010, Israel intensified its adoption of Procedure-Related Group (PRG) based hospital payments, a local version of DRG (Diagnosis-related group). PRGs were created for certain procedures by clinical fields ...

    Authors: Ruth Waitzberg, Wilm Quentin, Elad Daniels, Vadim Perman, Shuli Brammli-Greenberg, Reinhard Busse and Dan Greenberg

    Citation: BMC Health Services Research 2019 19:292

    Content type: Research article

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  3. The Affordable Care Act expanded Medicaid and increased federal funding for Community Health Centers (CHCs). To examine the role of Medicaid coverage on care patterns for those with available safety net care, ...

    Authors: Veri Seo, Travis P. Baggett, Anne N. Thorndike, Peter Hull, John Hsu, Joseph P. Newhouse and Vicki Fung

    Citation: BMC Health Services Research 2019 19:291

    Content type: Research article

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  4. General practitioner (GP) system is proved to be effective in over 50 countries worldwide. Guangdong province, as a reform pilot in China, initiated its patient-GP contract service reform in 2014. This study i...

    Authors: Aiyun Chen, Shanshan Feng, Wenxi Tang and Liang Zhang

    Citation: BMC Health Services Research 2019 19:251

    Content type: Research article

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  5. This case study examines the impetus for policy change that resulted in the establishment of a radiation therapy service in rural North West Tasmania, Australia. Provision of local radiation therapy services i...

    Authors: Sancia West, Elizabeth Shannon, Elaine Crisp and Tony Barnett

    Citation: BMC Health Services Research 2019 19:250

    Content type: Research article

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  6. Recently, several initiatives have focused on how to create true person-centred health services. This calls for a new understanding of health-related empowerment in relation to people living with one or more c...

    Authors: Lars Kayser, Astrid Karnoe, Emily Duminski, David Somekh and Cecilia Vera-Muñoz

    Citation: BMC Health Services Research 2019 19:242

    Content type: Research article

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  7. With some Medicaid state programs still restricting patient access to hepatitis C (HCV) treatment, it is important to demonstrate how states could expand treatment access to a broader Medicaid population and b...

    Authors: Jacquelyn W. Chou, Alison R. Silverstein and Dana P. Goldman

    Citation: BMC Health Services Research 2019 19:140

    Content type: Research article

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  8. In advanced health services, a main objective is to promote the culture of safety and clinical risk management. In this regard, the reporting of sentinel events fits within a perspective of error analysis, att...

    Authors: Matteo Bolcato, Giacomo Fassina, Daniele Rodriguez, Marianna Russo and Anna Aprile

    Citation: BMC Health Services Research 2019 19:85

    Content type: Research article

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  9. Policymakers in many countries are involved in system reforms that aim to strengthen the primary care sector. Sweden is no exception. Evidence suggests that targeted financial micro-incentives can stimulate ch...

    Authors: Gunilla Avby, Sofia Kjellström and Monica Andersson Bäck

    Citation: BMC Health Services Research 2019 19:42

    Content type: Research article

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  10. Child undernutrition remains the major public health problem in low and middle-income countries including Ethiopia. The effects of good governance, urbanization and public health expenditure on childhood under...

    Authors: Sibhatu Biadgilign, Habtamu Yesigat Ayenew, Arega Shumetie, Stanley Chitekwe, Assaye Tolla, Demewoz Haile, Seifu Hagos Gebreyesus, Amare Deribew and Betemariam Gebre

    Citation: BMC Health Services Research 2019 19:40

    Content type: Research article

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  11. Health inequalities in the UK have proved to be stubborn, and health gaps between best and worst-off are widening. While there is growing understanding of how the main causes of poor health are perceived among...

    Authors: Neil McHugh, Rachel Baker, Olga Biosca, Fatma Ibrahim and Cam Donaldson

    Citation: BMC Health Services Research 2019 19:35

    Content type: Research article

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  12. The Chronic Disease Care System (CDCS) has been implemented in Korea to encourage treatment continuity in chronic disease patients. This study investigated the effect of the introduction of the CDCS on health ...

    Authors: Woorim Kim, Yoon Soo Choy, Sang Ah Lee and Eun-Cheol Park

    Citation: BMC Health Services Research 2018 18:991

    Content type: Research article

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  13. For Indigenous Australians, health transcends the absence of disease, and includes the health and wellbeing of their community and Country: their whole physical, cultural and spiritual environment. Stronger re...

    Authors: Rosalie Schultz, Tammy Abbott, Jessica Yamaguchi and Sheree Cairney

    Citation: BMC Health Services Research 2018 18:960

    Content type: Research article

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  14. Changes in Dutch policy towards long-term care led to the Dutch Health and Youth Care Inspectorate testing a regulatory framework focusing on care networks around older adults living independently. This regula...

    Authors: Didi Verver, Annemiek Stoopendaal, Hanneke Merten, Paul Robben and Cordula Wagner

    Citation: BMC Health Services Research 2018 18:946

    Content type: Research article

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  15. We investigate whether the extent of educational inequalities in the use of Pap smears (cervical cancer screening) and mammograms (breast cancer screening) in Belgium has changed over time in accordance with t...

    Authors: Barbara Willems and Piet Bracke

    Citation: BMC Health Services Research 2018 18:943

    Content type: Research article

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  16. Equity is an important goal for countries in formulating relevant health policies, and research on the equity of health services is more important for China, where the gap between the rich and poor is widening...

    Authors: Jue Yan, Yangling Ren, Zhongliang Zhou, Tiange Xu, Xiao Wang, Leilei Du and Yafei Si

    Citation: BMC Health Services Research 2018 18:726

    Content type: Research article

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  17. Non-government, not-for-profit community health centres (CHCs) play a crucial role within healthcare systems in fostering equity, acting both as direct providers of services and as sentinels of health and soci...

    Authors: Josée G. Lavoie, Colleen Varcoe, C. Nadine Wathen, Marilyn Ford-Gilboe and Annette J. Browne

    Citation: BMC Health Services Research 2018 18:705

    Content type: Research article

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  18. Norwegian general practitioners (GPs) are important stakeholders because they manage 80% of people on long-term sick-leave. Independent medical evaluation (IME) for long-term sick-listed patients is being eval...

    Authors: Aase Aamland, Elisabeth Husabo and Silje Maeland

    Citation: BMC Health Services Research 2018 18:666

    Content type: Research article

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  19. The board certification system serves as a quality assurance system for physicians, and its design and operation are important health policy issues. In Japan, board certification was established and operated i...

    Authors: Soichi Koike, Masatoshi Matsumoto, Hideaki Kawaguchi, Hiroo Ide, Hidenao Atarashi, Kazuhiko Kotani and Hideo Yasunaga

    Citation: BMC Health Services Research 2018 18:615

    Content type: Research article

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  20. Norway is one of the first countries to require all health professionals to play a part in prevention for children of parents with all kinds of illnesses (mental illness, drug addiction, or severe physical ill...

    Authors: Bjørg Eva Skogøy, Knut Sørgaard, Darryl Maybery, Torleif Ruud, Kristin Stavnes, Elin Kufås, Gro Christensen Peck, Eivind Thorsen, Jonas Christoffer Lindstrøm and Terje Ogden

    Citation: BMC Health Services Research 2018 18:609

    Content type: Research article

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  21. In a number of countries, frameworks have been developed to improve self-management support (SMS) in order to reduce the impact of chronic disease. The frameworks potentially provide direction for system-wide ...

    Authors: Selena O’Connell, Vera J. C. Mc Carthy and Eileen Savage

    Citation: BMC Health Services Research 2018 18:583

    Content type: Research article

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  22. EU Decision 1082/2013/EU on serious cross-border health threats provides a legal basis for collaboration between EU Member States, and between international and European level institutions on preparedness, pre...

    Authors: John Kinsman, John Angrén, Fredrik Elgh, Maria Furberg, Paola A. Mosquera, Laura Otero-García, René Snacken, Tarik Derrough, Paloma Carrillo Santisteve, Massimo Ciotti and Svetla Tsolova

    Citation: BMC Health Services Research 2018 18:528

    Content type: Research article

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  23. 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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  24. 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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  25. 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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  26. 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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  27. 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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  28. 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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  29. 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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  30. 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

  31. 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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  32. 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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  33. 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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  34. 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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  35. 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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  36. 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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  37. 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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  38. 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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  39. 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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  40. 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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  41. 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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  42. 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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  43. 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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  44. 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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  45. 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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  46. 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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  47. 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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