Articles

The bittersweet experiences of providers of Home-Based Palliative Care (HBPalC): a qualitative study on the provider perspectives of HBPalC in Kerala, India

Home-based care is a fundamental component of the Kerala model of palliative care, which has received global recognition. The study explores the experiences of palliative care providers caring for a vulnerable...

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The impact of the COVID-19 pandemic on urban-rural outpatient primary care utilisation in Malaysia: a retrospective time series and spatiotemporal analysis

The COVID-19 pandemic significantly affected healthcare utilisation worldwide, underscoring the importance of monitoring it to indicate whether essential health services were maintained during crises. This stu...

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Is universal health coverage really better? Unintended consequences of the 2019 Amendment of the National Health Insurance Act for humanitarian sojourners in South Korea

South Korea achieved universal health coverage (UHC) through the National Health Insurance (NHI). However, humanitarian sojourners under temporary stay permits were initially excluded. Alongside recommendation...

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Building evidences in Public Health Emergency Preparedness (“BePHEP” Project)—a systematic review

Humanitarian crises exacerbate the vulnerability of already fragile healthcare systems and significantly increase the risk of infectious disease outbreaks in low- and middle-income countries (LMICs). This syst...

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Healthcare access barriers and utilization among the Arab Bedouin population in Israel: a cross-sectional study

The Arab Bedouin Muslim minority in Israel, is one of the country’s most vulnerable groups. They are residents of the Israeli geographical and social periphery. Bedouin’s healthcare service utilization is shap...

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Barriers to health equity in the United States of America: can they be overcome?

Health equity—defined by the Centers for Disease Control and Prevention as " the state in which everyone has a fair and just opportunity to attain their highest level of health—” represents one of the most cri...

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Using the WHO building blocks to examine cross-border public health surveillance in MENA

The introduction of the Sustainable Development Goals by the United Nations has set a global target for achieving Universal Health Coverage, requiring resilient health systems capable of addressing public heal...

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Examining general, physical, and mental health disparities between transgender and cisgender adults in the U.S.

With the proliferation of anti-transgender policies in some U.S. jurisdictions, this study examines the general, mental, and physical health of transgender and cisgender populations.

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Impacts of National Reimbursement Drug Price Negotiation on drug accessibility, utilization, and cost in China: a systematic review

National Reimbursement Drug Price Negotiation (NRDPN) refers to a government-led process of negotiating with pharmaceutical companies to reach reasonable prices for exclusive drugs covered by national reimburs...

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Empowering access: unveiling an overall composite spatial accessibility index to healthcare services in Southeastern Iran

Access to healthcare is critical for population health; however, geographic barriers persist especially in rural and deprived regions. This study aims to develop an overall composite potential spatial accessib...

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Political economy analysis of health financing reforms in times of crisis: findings from three case studies in south-east Asia

Over the last decades, universal health coverage (UHC) has been promoted in south-east Asia (SEA), where many countries still need to ensure adequate financial protection to their populations. However, success...

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Assessing the determinants of out-of-pocket health expenditures among Cambodian households in informal employment using survey data

As the deadline for the Sustainable Development Goals approaches, financial protection in Cambodia remains inadequate, especially for nonpoor informal workers lacking formal social health protection coverage o...

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Health system financing fragmentation and maternal mortality transition in Mexico, 2000–2022

To analyze the temporal and territorial relationship between health system financing fragmentation and maternal mortality in the last two decades in Mexico.

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Health economics assessment of statin therapy initiation thresholds for atherosclerosis prevention in China: a cost-effectiveness analysis

Recent updates to the Chinese guidelines for dyslipidemia management have reduced the 10-year risk threshold for starting statins in the primary prevention of atherosclerotic heart disease. This study aims to ...

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Individual well-being and national determinants of screening mammography among women over fifty

Breast cancer is the most prevalent cancer among women worldwide, causing over 400,000 cases of premature death annually. Timely screening mammography (SM) could have prevented most death. Although SM utilizat...

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Impact of care guilt on the health status of female medical staff: a cross-sectional study

In this study, we explored changes to female medical staff’s health status under the influence of care guilt in the process of balancing work and family care responsibilities. The mediating role of time pressu...

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Socioeconomic Inequity in Access to Medical and Long-Term Care Among Older People

Ensuring equitable access to medical and long-term care (LTC) is critical to enable older people to maintain their health and well-being even after they undergo a decline in their intrinsic capacity.

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Wealth-based inequality in underweight among Scheduled Tribe women in India: a regional analysis

Despite widespread undernutrition among tribal women, there is limited understanding of wealth-based disparities in underweight within this group and how these inequities have changed over time across differen...

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Demographic disparities in access to COVID-19 clinical trial sites across the United States: a geospatial analysis

Throughout the COVID-19 pandemic, underserved populations, such as racial and ethnic minority communities, were disproportionately impacted by illness and death. Ensuring people from diverse backgrounds have t...

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Social determinants of occupational injuries among US-based commercial fishermen: a systematic review

Commercial fishing is a multibillion-dollar industry that supports job growth, small- to large- businesses, and port and city revenue. The commercial fishing industry continues to be one of the most dangerous ...

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We cannot repeat history again: a call to action to centre indigenous leadership as we prepare for the next pandemic

Indigenous communities worldwide continue to disproportionately bear the burden during pandemics due to ongoing health inequities and systemic exclusion from pandemic decision-making processes. As the global c...

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Interprofessional collaboration between pharmacists and community health workers: a scoping review

Community health workers (CHWs) help bridge the cultural gap between health services and the communities they serve. CHWs work with physicians, nurses and social workers, but little is known about their collab...

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Improving diagnostics and surveillance of malaria among displaced people in Africa

African communities that have been forced to leave their homes experience a considerably greater susceptibility to malaria as a result of densely populated living conditions, restricted availability of healthc...

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Addressing unmet mental health needs of older adults in Turbo, Colombia: a multi-component psychosocial intervention feasibility study

Older adults have lived through extreme and stressful live events in Colombia, including during the armed conflict. Without adequate mental health resources in place, the aim of this study was to feasibility t...

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Oral health disparities in early childhood and intergenerational gaps among noncitizen migrants, Arabs, and Jews in South Tel Aviv, Israel

Disparities in oral health are related to dental care knowledge, domestic oral hygiene practices and socioeconomic status. This cross-sectional study aimed to compare the oral hygiene and dental care practices...

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Mixed vulnerabilities: the biological risk of high parity is aggravated by emergency referral in Benin, Malawi, Tanzania and Uganda

Identification of interacting vulnerabilities is essential to reduce maternal and perinatal mortality in sub-Saharan Africa (SSA). High parity (≥ 5 previous births) is an underemphasized biological vulnerabili...

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Areas for action to promote positive forms of masculinities in preventing violence against women: a concept mapping study in Spain

Violence against women (VAW) perpetrated by men is a public health problem of significant magnitude that negatively affects the whole society. Unequal gender relations produce differentiated positions in the s...

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After neonatal care, what next? A qualitative study of mothers’ post-discharge experiences after premature birth in Kenya

Approximately 15 million babies are born prematurely every year worldwide. Sub-Saharan Africa (SSA) and Asia account for more than half of the global preterm deliveries. Prominent healthcare structural and soc...

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Racialized migrant women’s discrimination in maternal care: a scoping review

Despite equality and quality being the core of good healthcare, racial and ethnic inequalities continue to persist. Racialized groups, including racialized migrant women, experience various forms of discrimina...

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Navigating diabetes care inequities: an observational study linking chronic care model’s structural elements to process and outcomes of type 2 diabetes care in Belgium

Although the Chronic Care Model (CCM) provides the essential structural components of practice organisation to deliver high-quality type 2 diabetes (T2D) care, little is known about which of its elements are m...

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Cardiovascular risk profiling among South Asian adults in Hong Kong: a latent class analysis

South Asians living in urbanized settings are facing disproportionate cardiovascular burden largely attributable to modifiable risk factors. Given the rapid surge in South Asian population in Hong Kong, this s...

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Solidarity and its decoloniality in global health ethics

Solidarity is one of the emerging values in global health ethics, and a few pieces of bioethics literature link it to decoloniality. However, conceptions of solidarity in global health ethics are influenced pr...

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Analysing the scientific literature on transgender and gender diverse persons’ experiences with sexual and reproductive health care services from an intersectional perspective

Transgender and gender diverse (TGD) persons face considerable challenges accessing sexual and reproductive health care (SRHC), often resulting in poor health outcomes when compared to cisgender persons. Aetio...

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Impact of a new case-based payment scheme on volume distribution across public hospitals in Zhejiang, China: does ‘Same disease, same price’ matter

With the implementation of the hierarchical medical system (HMS) in China, Zhejiang Province introduced an innovative payment scheme called “payment method by disease types with point counting”. This scheme wa...

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Ethnic and racial discrimination in maternal health care in Mexico: a neglected challenge in the search for universal health coverage

Ethnic and racial discrimination in maternal health care has been overlooked in academic literature and yet it is critical for achieving universal health coverage (UHC). There is a lack of empirical evidence o...

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Decomposing disparities in the utilization of basic public health services between locals and internal migrants in China: the role of social determinants

Internal migrants in China have long been at a disadvantage in terms of access to publicly financed services, as well as the utilization of public health services. The aim of the study was to examine inequitie...

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Quantitative evaluation of two-way referral policies based on PMC index model

Perfect policy system support is the key to effective work, and policy evaluation can provide theoretical basis for policy revision. This study aims to quantitatively evaluate the two-way referral policy in Ch...

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Raising awareness and addressing inequities for people with Down syndrome in South Africa

Globally, individuals with Down syndrome (DS) face profound inequities in social and health care access. These challenges are further compounded by racial disparities as well as a lack of awareness, research, ...

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Editorial Expression of Concern: Addressing cancer care inequities in sub‑Saharan Africa: current challenges and proposed solutions

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Country economic status is strongly associated with burn survival - validation of the (modified) ABSI

Predicting burn-related mortality is vital for family counseling, triage, and resource allocation. Several of the burn-specific mortality prediction scores have been developed, including the Abbreviated Burn S...

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The impact of vaccine access difficulties on HPV vaccine intention and uptake among female university students in China

Ensuring vaccine access is a prerequisite for promoting human papilloma virus (HPV) vaccination. Although HPV vaccination efforts in China have primarily focused on young females, little research has examined ...

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Breaking barriers: a commentary on research gaps in cancer and depression among individuals with intellectual disabilities

The European Commission’s Strategy for the Rights of Persons with Disabilities 2021–2030 aims to ensure equal opportunities and rights for all individuals, including those with intellectual disabilities. Peopl...

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Co-design in healthcare with and for First Nations Peoples of the land now known as Australia: a narrative review

Increasing use of co-design concepts and buzzwords create risk of generating ‘co-design branded’ healthcare research and healthcare system design involving insincere, contrived, coercive engagement with First ...

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Impact of diagnosis-related group payment on medical expenditure and treatment efficiency on people with drug-resistant tuberculosis: a quasi-experimental study design

The severe health challenge and financial burden of drug-resistant tuberculosis (DR-TB) continues to be an impediment in China and worldwide. This study aimed to explore the impact of Diagnosis-related group (...

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Social and economic impacts of non-communicable diseases by gender and its correlates: a literature review

Tackling social impacts derived from gender disparities is a pathway to universal health coverage (UHC). Gender intersects with other factors behind social and health inequalities, exacerbates them and influen...

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Socioeconomic inequality in physical activity among adults in western Iran: a cross-sectional study

We aimed to determine the prevalence of physical activity and socio-economic inequality among the adults of Hamadan city.

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Social and programmatic vulnerability in the context of transgender people’s health: a scoping review of scientific evidence from Brazil

Most transgender people face different conditions of health vulnerability on a daily basis. In the Brazilian context, no research review has been found on such situations in the light of the theoretical concep...

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The experience of Tunisian public healthcare system toward decentralization to the reduction of health inequalities in low-, middle- income countries

From 2014 to 2021, Tunisian government had a firm will to implement a progressive decentralization of welfare state governance, as outlined in its democratic Constitution. The Tunisian public healthcare system...

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The relationship between neighbourhood income and youth mental health service use differs by immigration experience: analysis of population-based data in British Columbia, Canada

We investigated the relationship between neighbourhood income quintile and mental health service use by immigration experience among youth and explored changes during the COVID-19 pandemic.

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