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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. Policy-makers expect that integration of health and social care will improve user and carer experience and reduce avoidable hospital use. [We] evaluate the impact on emergency hospital admissions of two large ...

    Authors: Marcello Morciano, Katherine Checkland, Mary Alison Durand, Matt Sutton and Nicholas Mays

    Citation: BMC Health Services Research 2021 21:687

    Content type: Research article

    Published on:

  2. Health systems around the globe are struggling to recruit qualified health professionals. Work-related stress plays an important role in why health professionals leave their profession prematurely. However, li...

    Authors: Karin Anne Peter, Barbara Meier-Kaeppeli, Jessica Pehlke-Milde and Susanne Grylka-Baeschlin

    Citation: BMC Health Services Research 2021 21:671

    Content type: Research article

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  3. Low and middle income countries has recently implemented various reforms toward Universal Health Coverage (UHC). This study aims to assess the impact of Family Physician Plan (FPP) and Health Transformation Pl...

    Authors: Samad Rouhani, Reza Esmaeili, Jamshid Yazdani Charati and Masoud Khandehroo

    Citation: BMC Health Services Research 2021 21:658

    Content type: Research article

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  4. New Public Management (NPM) has been widely used to introduce competition into public healthcare. Results have been mixed, and there has been much controversy about the appropriateness of a private sector-mimi...

    Authors: Jonas Wohlin, Clara Fischer, Karin Solberg Carlsson, Sara Korlén, Pamela Mazzocato, Carl Savage, Holger Stalberg and Mats Brommels

    Citation: BMC Health Services Research 2021 21:406

    Content type: Research article

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  5. China proposed the Zero Markup Drug Policy (ZMDP), which popularized in tertiary hospitals across the country in 2017, to control drug expenditures’ rapid growth further and reduce the public’s medical burden....

    Authors: Jielin Du, Jiajia Xie, Yan Qian, Mingyue Wu, Wenjing Huang, Jin Yin, Xin Peng and Dan Deng

    Citation: BMC Health Services Research 2021 21:404

    Content type: Research article

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  6. Recent attempts of active disinvestment (i.e. withdrawal of reimbursement by means of a policy decision) of reimbursed healthcare interventions in the Netherlands have differed in their outcome: some attempts ...

    Authors: Adriënne H. Rotteveel, Mattijs S. Lambooij, Joline J. A. van de Rijt, Job van Exel, Karel G. M. Moons and G. Ardine de Wit

    Citation: BMC Health Services Research 2021 21:298

    Content type: Research article

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  7. Medicare’s Hospital Readmissions Reduction Program (HRRP), implemented beginning in 2013, seeks to incentivize Inpatient Prospective Payment System (IPPS) hospitals to reduce 30-day readmissions for selected i...

    Authors: Souvik Banerjee, Michael K. Paasche-Orlow, Danny McCormick, Meng-Yun Lin and Amresh D. Hanchate

    Citation: BMC Health Services Research 2021 21:248

    Content type: Research article

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  8. Cancer patient pathways (CPPs) were introduced in Norway in 2015. CPPs are time-bound standardised care pathways that describe the organisation of and responsibilities for diagnostics and treatment, as well as...

    Authors: Line Melby and Erna Håland

    Citation: BMC Health Services Research 2021 21:210

    Content type: Research article

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  9. Quantitative evidence suggests that Brexit has had a severe and negative impact on European doctors, with many medical staff leaving the UK. This study provides a detailed examination of European doctors’ feel...

    Authors: Adrienne Milner, Rebecca Nielsen and Emma Norris

    Citation: BMC Health Services Research 2021 21:188

    Content type: Research article

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  10. The Patient Protection and Affordable Care Act increased funding for integrated care to improve access to quality health care among underserved populations. There is evidence that integrated care decreases ine...

    Authors: Robert Rosales and Rocío Calvo

    Citation: BMC Health Services Research 2021 21:186

    Content type: Research article

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  11. Traditional medicine has been widely used to address relatively common illnesses. In this regard, Chinese government has been continually topping up its investments on public Traditional Chinese Medicine hospi...

    Authors: Weicun Ren, Xiaoli Fu, Clifford Silver Tarimo, Maisa Kasanga, Yanqing Wang and Jian Wu

    Citation: BMC Health Services Research 2021 21:182

    Content type: Research article

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  12. Qualitative synthesis approaches are increasingly used in healthcare research. One of the most commonly utilised approaches is meta-ethnography. This is a systematic approach which synthesises data from multip...

    Authors: Raabia Sattar, Rebecca Lawton, Maria Panagioti and Judith Johnson

    Citation: BMC Health Services Research 2021 21:50

    Content type: Research article

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  13. Emergency department (ED) overcrowding is a health services issue worldwide. Modern health policy emphasizes appropriate health services utilization. However, the relationship between accessibility, capability...

    Authors: Chih-Yuan Lin and Yue-Chune Lee

    Citation: BMC Health Services Research 2021 21:21

    Content type: Research article

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  14. The choices that policymakers make are shaped by how their problems are framed. At last, non-communicable diseases (NCDs) have risen high on the global policy agenda, but there are many disputed issues. First,...

    Authors: Melisa Mei Jin Tan, Emeline Han, Pami Shrestha, Shishi Wu, Farah Shiraz, Gerald Choon-Huat Koh, Martin McKee and Helena Legido-Quigley

    Citation: BMC Health Services Research 2021 21:20

    Content type: Research article

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  15. Although school oral health programmes have been ongoing for years, there is little evidence to show how their policy elements are governed or translated into tangible implementation activities and population ...

    Authors: Mpho Molete, Aimee Stewart, Aneesa Moolla and Jude Ofuzinim Igumbor

    Citation: BMC Health Services Research 2021 21:18

    Content type: Research article

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  16. The Astana Declaration on Primary Health Care reiterated that PHC is a cornerstone of a sustainable health system for universal health coverage (UHC) and health-related Sustainable Development Goals. It called...

    Authors: Nasrin Joudyian, Leila Doshmangir, Mahdi Mahdavi, Jafar Sadegh Tabrizi and Vladimir Sergeevich Gordeev

    Citation: BMC Health Services Research 2021 21:4

    Content type: Research article

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  17. Norwegian law and regulations regarding patient autonomy and the use of coercion are in conflict with the Convention on the Rights of Persons with Disabilities (CRPD) and the Oviedo Convention on several point...

    Authors: David Wikstøl, Reidar Pedersen and Morten Magelssen

    Citation: BMC Health Services Research 2021 21:3

    Content type: Research article

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  18. In 2004, the Federal Joint Committee, supreme decision-making body in German healthcare, introduced minimum volume requirements (MVRQs) as a quality instrument. Since then, MVRQs were implemented for seven hos...

    Authors: Werner de Cruppé, Annette Ortwein, Rike Antje Kraska and Max Geraedts

    Citation: BMC Health Services Research 2020 20:1109

    Content type: Research article

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  19. A new special reimbursement scheme (SRS) for non-insulin medications used for treatment of hyperglycaemia in type 2 diabetes (T2D) was implemented in Finland on January 1, 2017. The new SRS affected all commun...

    Authors: Piia Lavikainen, Emma Aarnio, Kari Jalkanen, Hilkka Tirkkonen, Päivi Rautiainen, Tiina Laatikainen and Janne Martikainen

    Citation: BMC Health Services Research 2020 20:1095

    Content type: Research article

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  20. The Affordable Care Act (ACA) has increased insurance coverage for people with HIV (PWH) in the United States. To inform health policy, it is useful to investigate how enrollment through ACA Exchanges, deducti...

    Authors: Derek D. Satre, Sujaya Parthasarathy, Michael J. Silverberg, Michael Horberg, Kelly C. Young-Wolff, Emily C. Williams, Paul Volberding and Cynthia I. Campbell

    Citation: BMC Health Services Research 2020 20:1030

    Content type: Research article

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  21. This study focuses on the application of Provan and Kenis’ modes of network governance to the specific field of public healthcare networks, extending the framework to an analysis of systems in which networks a...

    Authors: Anna Romiti, Mario Del Vecchio and Gino Sartor

    Citation: BMC Health Services Research 2020 20:1018

    Content type: Research article

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  22. This study compares and analyzes the differences of residents’ medical economic burden in different economic levels, explores the factors for improving the equity of health services in Guangdong, China.

    Authors: Jialong Chen, Liuna Yang, Zhenzhu Qian, Mingwei Sun, Honglin Yu, Xiaolei Ma, Chonghua Wan and Yunbin Yang

    Citation: BMC Health Services Research 2020 20:988

    Content type: Research article

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  23. Canada legalized cannabis use for medical purposes in 1999. Legalization of cannabis for recreational purposes in October 2018 offered the opportunity to assess the impact of recreational legalization on cance...

    Authors: Philippa Hawley, Monica Gobbo and Narsis Afghari

    Citation: BMC Health Services Research 2020 20:977

    Content type: Research article

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  24. The asymmetry of information brings difficulty for government to manage public hospitals. Therefore, Jiading District of Shanghai has been establishing DRGs-based inpatient service management system (ISMS) to ...

    Authors: Lvfan Feng, Yuan Tian, Mei He, Jie Tang, Ying Peng, Chenjie Dong, Wenzhong Xu, Tao Wang and Jiangjiang He

    Citation: BMC Health Services Research 2020 20:942

    Content type: Research article

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  25. To evaluate the impact of a restricted access policy on workplace violence in a healthcare setting.

    Authors: Haonan Jia, Ruohui Chen, Lifeng Wei, Gangyu Zhang, Mingli Jiao, Chao Liu, Zhuowa Sha, Shuang Zhou, Yameng Wang, Jingqun Li, Xiaowen Jia, Omar Yacouba Ismael, Jingfu Mao and Qunhong Wu

    Citation: BMC Health Services Research 2020 20:936

    Content type: Research article

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  26. Improving openness—including candour when things go wrong, and willingness to learn from mistakes—is increasingly seen as a priority in many healthcare systems. This study explores perceptions of openness in E...

    Authors: Imelda McCarthy, Jeremy Dawson and Graham Martin

    Citation: BMC Health Services Research 2020 20:900

    Content type: Research article

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    The Correction to this article has been published in BMC Health Services Research 2020 20:993

  27. Existing studies analyzing the impact of state concussion laws have found an increase in concussion-related medical encounters post-law, in some instances, such increases were observed during the pre-law perio...

    Authors: Lihong Huang, Lindsay Sullivan and Jingzhen Yang

    Citation: BMC Health Services Research 2020 20:898

    Content type: Research article

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  28. A twinning partnership is a formal and substantive collaboration between two districts to improve their performance in providing primary healthcare services. The ‘win-win’ twinning partnership pairs are catego...

    Authors: Mesele Damte Argaw, Binyam Fekadu Desta, Mengistu Asnake Kibret, Melkamu Getu Abebe, Wubishet Kebede Heyi, Elias Mamo, Tesfaye Gebru, Chala Gelan, Bekele Belayhun Tefera and Temesgen Ayehu Bele

    Citation: BMC Health Services Research 2020 20:892

    Content type: Research article

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  29. People bypass primary healthcare (PHC) institutions to seek expensive healthcare at high-level hospitals, leading to escalating medical costs and inefficient use of resources. In 2009, China launched nationwid...

    Authors: Yinzi Jin, Jin Xu, Weiming Zhu, Yaoguang Zhang, Ling Xu and Qingyue Meng

    Citation: BMC Health Services Research 2020 20:865

    Content type: Research article

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  30. In India, Out-of-pocket expenses accounts for about 62.6% of total health expenditure - one of the highest in the world. Lack of health insurance coverage and inadequate coverage are important reasons for high...

    Authors: Shyamkumar Sriram and M. Mahmud Khan

    Citation: BMC Health Services Research 2020 20:839

    Content type: Research article

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  31. Health Services Research findings (HSR) reported in scientific publications may become part of the decision-making process on healthcare. This study aimed to explore associations between researcher’s individua...

    Authors: Reinie G. Gerrits, Joko Mulyanto, Joost D. Wammes, Michael J. van den Berg, Niek S. Klazinga and Dionne S. Kringos

    Citation: BMC Health Services Research 2020 20:828

    Content type: Research article

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  32. In 2010, national guidelines were published in Ireland recommending more sensitive criteria for the diagnosis of Gestational Diabetes Mellitus (GDM). The criteria were based on the 2008 Hyperglycemia and Adver...

    Authors: Léan E. McMahon, Eimer G. O’Malley, Ciara M. E. Reynolds and Michael J. Turner

    Citation: BMC Health Services Research 2020 20:795

    Content type: Research article

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  33. Public-private partnership in the health sector was introduced to improve the delivery of health services in Tanzania. Contrary, the expected outcomes have not been fully realised. This study aimed at investig...

    Authors: Said Nuhu, Chakupewa Joseph Mpambije and Kinamhala Ngussa

    Citation: BMC Health Services Research 2020 20:765

    Content type: Research article

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  34. The relationship between quality and safety regulation and resilience in healthcare has received little systematic scrutiny. Accordingly, this study examines the introduction of a new regulatory framework (the...

    Authors: Sina Furnes Øyri, Geir Sverre Braut, Carl Macrae and Siri Wiig

    Citation: BMC Health Services Research 2020 20:762

    Content type: Research article

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  35. Certification in healthcare often involves independent private sector bodies performing legally required or voluntary external assurance activities. These certification practices are embedded in international ...

    Authors: Dag Tomas Sagen Johannesen, Preben Hempel Lindøe and Siri Wiig

    Citation: BMC Health Services Research 2020 20:730

    Content type: Research article

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  36. Insufficient transparency in prioritization of health services, multiple health insurance organizations with various and not-aligned policies, plus limited resources to provide comprehensive health coverage ar...

    Authors: Efat Mohamadi, Amirhossein Takian, Alireza Olyaeemanesh, Arash Rashidian, Ali Hassanzadeh, Moaven Razavi and Sadegh Ghazanfari

    Citation: BMC Health Services Research 2020 20:722

    Content type: Research article

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  37. For a patient, drug switches are not desirable (either between a brand-name drug and a generic drug, or between two generic drugs of the same active substance). Research into the causes of drug switches, and r...

    Authors: Pieter J. Glerum, Marc Maliepaard, Vincent de Valk, David M. Burger and Kees Neef

    Citation: BMC Health Services Research 2020 20:650

    Content type: Research article

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  38. There is a gap in the literature regarding what takes place between the announcement of a regulatory intervention, such as an external inspection of a health care organisation, and the inspecting body’s site v...

    Authors: Einar Hovlid, Inger Lise Teig, Kjersti Halvorsen and Jan C. Frich

    Citation: BMC Health Services Research 2020 20:627

    Content type: Research article

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  39. Although several diabetes management and control programmes are introduced in Iran, many patients do not achieve diabetes-related clinical goals as recommended. The aim of this study was to identify the qualit...

    Authors: Mohammad Mohseni, Tahereh Shams Ghoreishi, Sousan Houshmandi, Ahmad Moosavi, Saber Azami-Aghdash and Zoleykha Asgarlou

    Citation: BMC Health Services Research 2020 20:534

    Content type: Research article

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  40. Since 1950, the hospitals had been permitted to take a 15% mark-up of drug purchase price to remedy the loss of public hospitals and doctors’ salaries in China due to tight government budget. This policy resul...

    Authors: Junman Wang, Peiyi Li and Jin Wen

    Citation: BMC Health Services Research 2020 20:519

    Content type: Research article

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  41. Concerns have been raised regarding the reasonableness of using personal health responsibility as a principle or criterion for setting priorities in healthcare. While this debate continues, little is known abo...

    Authors: Gloria Traina and Eli Feiring

    Citation: BMC Health Services Research 2020 20:497

    Content type: Research article

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  42. Hospital admission and emergency department(ED) visits are a massive burden in medical expenditures. In 2003, the Taiwanese government developed Family Physician Integrated Care Program (FPIC) to increase the ...

    Authors: Po-Tsung Huang, Pei-Tseng Kung, Wen-Yin Kuo and Wen-Chen Tsai

    Citation: BMC Health Services Research 2020 20:470

    Content type: Research article

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