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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. 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

    Content type: Research article

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  2. 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

    Content type: Research article

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  3. 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

    Content type: Research article

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  4. 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

    Content type: Research article

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  5. 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

    Content type: Research article

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  6. 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

    Content type: Research article

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  7. 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

    Content type: Research article

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  8. 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

    Content type: Research article

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  9. 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

    Content type: Research article

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  10. 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

    Content type: Research article

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  11. 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

    Content type: Research article

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  12. 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

    Content type: Research article

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  13. 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

    Content type: Research article

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  14. 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

    Content type: Research article

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  15. 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

    Content type: Research article

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    The Erratum to this article has been published in BMC Health Services Research 2017 17:210

  16. 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

    Content type: Research article

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  17. 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

    Content type: Research article

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  18. 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

    Content type: Research article

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  19. 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

    Content type: Research article

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  20. 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

    Content type: Research article

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  21. 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

    Content type: Research article

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  22. 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

    Content type: Research article

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  23. 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

    Content type: Research article

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  24. 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

    Content type: Research article

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  25. 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

    Content type: Research article

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  26. 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

    Content type: Correspondence

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  27. 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

    Content type: Research article

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  28. 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

    Content type: Research article

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  29. 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

    Content type: Research article

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  30. 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

    Content type: Research article

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  31. 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

    Content type: Research article

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  32. 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

    Content type: Research article

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  33. 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

    Content type: Research article

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  34. 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

    Content type: Research article

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  35. 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

    Content type: Research article

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  36. 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

    Content type: Research article

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  37. 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

    Content type: Research article

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  38. 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

    Content type: Research article

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  39. 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

    Content type: Research article

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  40. 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

    Content type: Research article

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  41. 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

    Content type: Research article

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  42. 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

    Content type: Research article

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  43. 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

    Content type: Research article

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