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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. 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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. 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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  11. 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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  12. 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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  13. 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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  14. 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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  15. 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

  16. 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

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  17. 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

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  18. 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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  19. 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

    Content type: Study protocol

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  20. 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

    Content type: Research article

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  21. 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

    Content type: Research article

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  22. 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

    Content type: Research article

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  23. 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

    Content type: Research article

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  24. 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

    Content type: Research article

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  25. 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

    Content type: Research article

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  26. 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

    Content type: Research article

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  27. 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

    Content type: Research article

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  28. 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

    Content type: Research article

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  29. 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

    Content type: Research Article

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  30. 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

    Content type: Research article

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  31. 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

    Content type: Research article

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  32. 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

    Content type: Research article

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  33. 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

    Content type: Research article

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  34. 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

    Content type: Research article

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  35. 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

    Content type: Research article

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  36. 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

    Content type: Research article

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  37. 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

    Content type: Research article

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  38. 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

    Content type: Research article

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  39. 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

    Content type: Research article

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  40. 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

    Content type: Research article

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  41. 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

    Content type: Research article

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  42. 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

    Content type: Research article

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