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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

    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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. 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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  11. 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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  12. 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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  13. 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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  14. 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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  15. 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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  16. 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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  17. 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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  18. 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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  19. Content type: Research article

    The National Essential Medicine System (NEMS) is a new policy in China launched in 2009 to improve the appropriate use of medications. This study aims to examine the outcomes of the NEMS objectives in terms of...

    Authors: Yan Song, Ying Bian, Max Petzold, Lingui Li and Aitian Yin

    Citation: BMC Health Services Research 2014 14:507

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  20. Content type: Research article

    The objective of this systematic review of diverse evidence was to examine the relationship between health system governance and workforce outcomes. Particular attention was paid to how governance mechanisms f...

    Authors: Stephanie E Hastings, Gail D Armitage, Sara Mallinson, Karen Jackson and Esther Suter

    Citation: BMC Health Services Research 2014 14:479

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  21. Content type: Research article

    Self-management of long term conditions can promote quality of life whilst delivering benefits to the financing of health care systems. However, rarely are the meso-level influences, likely to be of direct rel...

    Authors: Antonis A Kousoulis, Evridiki Patelarou, Sue Shea, Christina Foss, Ingrid A Ruud Knutsen, Elka Todorova, Poli Roukova, Mari Carmen Portillo, María J Pumar-Méndez, Agurtzane Mujika, Anne Rogers, Ivaylo Vassilev, Manuel Serrano-Gil and Christos Lionis

    Citation: BMC Health Services Research 2014 14:453

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  22. Content type: Research article

    The offer of prenatal Down’s syndrome screening is part of routine antenatal care in most of Europe; however screening uptake varies significantly across countries. Although a decision to accept or reject scre...

    Authors: Neeltje MTH Crombag, Ynke E Vellinga, Sandra A Kluijfhout, Louise D Bryant, Pat A Ward, Rita Iedema-Kuiper, Peter CJI Schielen, Jozien M Bensing, Gerard HA Visser, Ann Tabor and Janet Hirst

    Citation: BMC Health Services Research 2014 14:437

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  23. Content type: Research article

    Health information exchange (HIE) is an important tool for improving efficiency and quality and is required for providers to meet Meaningful Use certification from the United States Centers for Medicare and Me...

    Authors: J Mac McCullough, Frederick J Zimmerman, Douglas S Bell and Hector P Rodriguez

    Citation: BMC Health Services Research 2014 14:415

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  24. Content type: Research article

    The Norwegian specialist health service has undergone many processes of reorganization during the last three decades. Changes are mainly initiated to increase the efficiency and quality of health care serving ...

    Authors: Mari H Ingelsrud

    Citation: BMC Health Services Research 2014 14:411

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  25. Content type: Research article

    In many European countries, Occupational Health and Safety (OHS) providers report their activities and results annually. Ideally, this report should offer an overview of their activities and of the outcome reg...

    Authors: Lode Godderis, Kristien Johannik, Godewina Mylle, Simon Bulterys and Guido Moens

    Citation: BMC Health Services Research 2014 14:410

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  26. Content type: Research article

    Medical evaluations of work capacity provide key information for decisions on a claimant’s eligibility for disability benefits. In recent years, the evaluations have been increasingly criticized for low transp...

    Authors: Urban Schwegler, Jessica Anner, Andrea Glässel, Mirjam Brach, Wout De Boer, Alarcos Cieza and Bruno Trezzini

    Citation: BMC Health Services Research 2014 14:361

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  27. Content type: Research article

    In Ghana, between 1,400 and 3,900 women and girls die annually due to pregnancy related complications and an estimated two-thirds of these deaths occur in late pregnancy through to 48 hours after delivery. The...

    Authors: Evelyn Sakeah, Lois McCloskey, Judith Bernstein, Kojo Yeboah-Antwi, Samuel Mills and Henry V Doctor

    Citation: BMC Health Services Research 2014 14:340

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  28. Content type: Research article

    French general practitioners (GPs) were enrolled in a new payment system in January 2012. As part of a national agreement with the French National Ministry of Health, GPs were asked to decrease the proportion ...

    Authors: Cédric Rat, Gaëlle Penhouet, Aurélie Gaultier, Anicet Chaslerie, Jacques Pivette, Jean Michel Nguyen and Caroline Victorri-Vigneau

    Citation: BMC Health Services Research 2014 14:301

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  29. Content type: Research article

    Physician dual practice, a combination of public and private practice, has attracted attention due to fear of reduced work supply and a lack of key personnel in the public system, increase in low priority trea...

    Authors: Karl-Arne Johannessen and Terje P Hagen

    Citation: BMC Health Services Research 2014 14:299

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  30. Content type: Research article

    In a context of increasing ethnic diversity, culturally competent strategies have been recommended to improve care quality and access to health care for ethnic minorities and migrants; their implementation by ...

    Authors: Marie Dauvrin and Vincent Lorant

    Citation: BMC Health Services Research 2014 14:294

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  31. Content type: Research article

    In 2009, the Chinese Central Communist Party and the China State Council started to implement comprehensive healthcare reforms. The first round of reforms, involving Anhui province, was from 2009 to 2011, and ...

    Authors: Qing Liu, Xin Tian, Jiang Tian and Xinping Zhang

    Citation: BMC Health Services Research 2014 14:268

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  32. Content type: Correspondence

    People who inject drugs (PWID) are underserved by health providers but pharmacies may be their most accessible care settings.

    Authors: Theodore M Hammett, Son Phan, Julia Gaggin, Patricia Case, Nicholas Zaller, Alexandra Lutnick, Alex H Kral, Ekaterina V Fedorova, Robert Heimer, Will Small, Robin Pollini, Leo Beletsky, Carl Latkin and Don C Des Jarlais

    Citation: BMC Health Services Research 2014 14:261

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  33. Content type: Research article

    Combining a professional and managerial role can be challenging for doctors and nurses. We aimed to explore influence strategies used by doctors and nurses who are managers in hospitals with a model of unitary...

    Authors: Ivan Spehar, Jan C Frich and Lars Erik Kjekshus

    Citation: BMC Health Services Research 2014 14:251

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  34. Content type: Research article

    Public health genomics is an emerging multidisciplinary approach, which aims to integrate genome-based knowledge in a responsible and effective way into public health. Despite several surveys performed to eval...

    Authors: Carolina Marzuillo, Corrado De Vito, Maddalena D’Addario, Paola Santini, Elvira D’Andrea, Antonio Boccia and Paolo Villari

    Citation: BMC Health Services Research 2014 14:239

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  35. Content type: Research article

    Healthcare reforms initiated in the early 2000s in Québec involved the implementation of new modes of primary healthcare (PHC) delivery and the creation of Health and Social Services Centers (HSSCs) to support...

    Authors: Raynald Pineault, Roxane Borgès Da Silva, Alexandre Prud’homme, Michel Fournier, Audrey Couture, Sylvie Provost and Jean-Frédéric Levesque

    Citation: BMC Health Services Research 2014 14:229

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  36. Content type: Research article

    In view of ongoing pandemic threats such as the recent human cases of novel avian influenza A(H7N9) in China, it is important that all countries continue their preparedness efforts. Since 2006, Central America...

    Authors: Lucinda EA Johnson, Wilfrido Clará, Manoj Gambhir, Rafael Chacón- Fuentes, Carlos Marín-Correa, Jorge Jara, Percy Minaya, David Rodríguez, Natalia Blanco, Naomi Iihoshi, Maribel Orozco, Carmen Lange, Sergio Vinicio Pérez, Nydia Amador, Marc-Alain Widdowson, Ann C Moen…

    Citation: BMC Health Services Research 2014 14:209

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  37. Content type: Research article

    Measures to improve the quality and sustainability of healthcare practice and provision have become a policy concern. In addition, the involvement of stakeholders in health policy decision-making has been advo...

    Authors: Katherine Hodgetts, Janet E Hiller, Jackie M Street, Drew Carter, Annette J Braunack-Mayer, Amber M Watt, John R Moss and Adam G Elshaug

    Citation: BMC Health Services Research 2014 14:204

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  38. Content type: Research article

    Doctors have a low prevalence of sickness absence. Employment status is a determinant in the multifactorial background of sickness absence. The effect of doctors’ employment status on sickness absence is unexp...

    Authors: Judith Rosta, Gunnar Tellnes and Olaf G Aasland

    Citation: BMC Health Services Research 2014 14:199

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  39. Content type: Research article

    To describe the maternity care experiences of Aboriginal and/or Torres Strait Islander women in Queensland, Australia and to identify areas for policy and practice improvements.

    Authors: Susan Parker, Loretta McKinnon and Sue Kruske

    Citation: BMC Health Services Research 2014 14:196

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  40. Content type: Research article

    Swedish Healthcare Direct (SHD) receives 6 million calls yearly and aims at increased public sense of security and healthcare efficiency. Little is known about what SHD managers perceive as the primary goals o...

    Authors: Elenor Kaminsky, Marianne Carlsson, Inger K Holmström, Jan Larsson and Mio Fredriksson

    Citation: BMC Health Services Research 2014 14:188

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  41. Content type: Research article

    The main challenge in the context of health care reforms and priority setting is the establishment and/or maintenance of fairness and standard of care. For the political process and interdisciplinary discussio...

    Authors: Kathrin Damm, Anne Prenzler and Andy Zuchandke

    Citation: BMC Health Services Research 2014 14:166

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  42. Content type: Research article

    Communication and swallowing disorders are a common consequence of stroke. Clinical practice guidelines (CPGs) have been created to assist health professionals to put research evidence into clinical practice a...

    Authors: Kathleen A Hadely, Emma Power and Robyn O’Halloran

    Citation: BMC Health Services Research 2014 14:110

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  43. Content type: Research article

    Clinical practice guidelines are important for transmitting research findings into practice and facilitating the application of evidence-based practice (EBP). There is a paucity of knowledge about the impact o...

    Authors: Susanne Bernhardsson, Maria EH Larsson, Robert Eggertsen, Monika Fagevik Olsén, Kajsa Johansson, Per Nilsen, Lena Nordeman, Maurits van Tulder and Birgitta Öberg

    Citation: BMC Health Services Research 2014 14:105

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  44. Content type: Research article

    Organized screening programs are more effective and equitable than opportunistic screening, yet governments face challenges to implement evidence-based programs. The objective of this study was to identify rea...

    Authors: Cecilia S Fabrizio and Christopher M Shea

    Citation: BMC Health Services Research 2014 14:85

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  45. Content type: Research article

    There is a need to increase flu vaccination rates in England particularly among those under 65 years of age and at risk because of other conditions and treatments. Patients in at risk groups are eligible for f...

    Authors: Claire Anderson and Tracey Thornley

    Citation: BMC Health Services Research 2014 14:35

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