Skip to main content


Health policies, systems and management in high-income countries

Section edited by Summer Hawkins

This section aims to publish studies looking at the impact of health policies, practices and interventions on communities in high-income countries.

Page 1 of 12

  1. Content type: Research article

    Australia experiences a high incidence of natural emergencies and Australian governments have committed significant investment into emergency preparedness and response. Amongst the population groups most vulne...

    Authors: Karleen Gribble, Mary Peterson and Decalie Brown

    Citation: BMC Public Health 2019 19:1278

    Published on:

  2. Content type: Research article

    SIPsmartER is a 6-month evidenced-based, multi-component behavioral intervention that targets sugar-sweetened beverages among adults. It consists of three in-person group classes, one teach-back call, and 11 auto...

    Authors: Kathleen J. Porter, Donna Jean Brock, Paul A. Estabrooks, Katelynn M. Perzynski, Erin R. Hecht, Pamela Ray, Natalie Kruzliakova, Eleanor S. Cantrell and Jamie M. Zoellner

    Citation: BMC Public Health 2019 19:1273

    Published on:

  3. Content type: Research article

    Documentation and diagnosis of childhood obesity in primary care is poor and providers are often unfamiliar with guidelines. This lack of knowledge may be attributed to insufficient training in medical school ...

    Authors: Emily Hill Guseman, Elizabeth A. Beverly, Jonathon Whipps and Sophia Mort

    Citation: BMC Public Health 2019 19:1251

    Published on:

  4. Content type: Research article

    The cost-effectiveness of community health worker (CHW)-based cardiovascular disease (CVD) risk-reduction interventions is not well established. Colorado Heart Healthy Solutions is a CHW-based intervention des...

    Authors: Lauren Smith, Adam Atherly, Jon Campbell, Nick Flattery, Stephanie Coronel and Mori Krantz

    Citation: BMC Public Health 2019 19:1234

    Published on:

  5. Content type: Research article

    The National Early Warning Score (NEWS/NEWS 2) has been adopted across the National Health Service (NHS) in the U.K. as a method of escalating care for deteriorating patients. Intensive Care Unit (ICU) resourc...

    Authors: Hassan Zaidi, Mohamed Bader-El-Den and James McNicholas

    Citation: BMC Public Health 2019 19:1231

    Published on:

  6. Content type: Research article

    Poor diet is a significant contributor to the burden of global disease. There are numerous policies available to address poor diets; however, these policies often require public support to encourage policy act...

    Authors: Janelle Kwon, Adrian J. Cameron, David Hammond, Christine M. White, Lana Vanderlee, Jasmin Bhawra and Gary Sacks

    Citation: BMC Public Health 2019 19:1205

    Published on:

  7. Content type: Research article

    In Italy, the number of individuals who have forgone medical examinations or treatments for economic reasons is one of the highest in Europe. During the global economic crisis of 2008, the restrictive policies...

    Authors: Alessio Petrelli, Aldo Rosano, Alessandra Rossi, Concetta Mirisola and Cesare Cislaghi

    Citation: BMC Public Health 2019 19:1202

    Published on:

  8. Content type: Research article

    By 2030, 30% of the European population will be aged 60 or over and those aged 80 and above will be the fastest growing cohort. An increasing number of people will die at an advanced age with multiple chronic ...

    Authors: Elisabeth Honinx, Nanja van Dop, Tinne Smets, Luc Deliens, Nele Van Den Noortgate, Katherine Froggatt, Giovanni Gambassi, Marika Kylänen, Bregje Onwuteaka-Philipsen, Katarzyna Szczerbińska and Lieve Van den Block

    Citation: BMC Public Health 2019 19:1199

    Published on:

  9. Content type: Research article

    Currently in Australia there is a lack of clarity regarding routine assessment of primary school aged children’s weight status despite it being the first step in the identification of overweight and obesity. T...

    Authors: Kamila Davidson, Helen Vidgen, Elizabeth Denney-Wilson and Lynne Daniels

    Citation: BMC Public Health 2019 19:1196

    Published on:

  10. Content type: Research article

    The paper presents two-year findings from a study investigating the effectiveness of Housing First (HF) with assertive community treatment (ACT) in helping individuals with serious mental illness, who are home...

    Authors: Tim Aubry, Jimmy Bourque, Paula Goering, Susan Crouse, Scott Veldhuizen, Stefanie LeBlanc, Rebecca Cherner, Paul-Émile Bourque, Sarah Pakzad and Claudette Bradshaw

    Citation: BMC Public Health 2019 19:1154

    Published on:

  11. Content type: Research article

    In 1976, the U.S. Sugar Association (SA), a globally networked trade organization representing the cane and beet sugar industry, won the Public Relations Society of America’s (PRSA) Silver Anvil Award for a cr...

    Authors: Cristin E. Kearns, Stanton A. Glantz and Dorie E. Apollonio

    Citation: BMC Public Health 2019 19:1150

    Published on:

  12. Content type: Research article

    Targeted chronic disease programs are vital to improving health outcomes for Indigenous people globally. In Australia it is not known where evaluated chronic disease programs for Aboriginal and Torres Strait I...

    Authors: Hannah Beks, Marley J. Binder, Constance Kourbelis, Geraldine Ewing, James Charles, Yin Paradies, Robyn A. Clark and Vincent L. Versace

    Citation: BMC Public Health 2019 19:1115

    Published on:

  13. Content type: Research article

    As the incidence and prevalence rates of end stage renal disease (ESRD) rise globally, a disproportionate increase has been observed in the elderly population. Singapore has the fifth highest incidence of trea...

    Authors: Emeline Han, Farah Shiraz, Victoria Haldane, Joel Jun Kai Koh, Rina Yu Chin Quek, Semra Ozdemir, Eric Andrew Finkelstein, Tazeen Hasan Jafar, Hui-Lin Choong, Sheryl Gan, Lydia W. W. Lim and Helena Legido-Quigley

    Citation: BMC Public Health 2019 19:1107

    Published on:

  14. Content type: Research article

    Electronic health record (EHR) data, collected primarily for individual patient care and billing purposes, compiled in health information exchanges (HIEs) may have a secondary use for population health surveil...

    Authors: Roberta Z. Horth, Shelly Wagstaff, Theron Jeppson, Vishal Patel, Jefferson McClellan, Nicole Bissonette, Michael Friedrichs and Angela C. Dunn

    Citation: BMC Public Health 2019 19:1106

    Published on:

  15. Content type: Research article

    Culturally competent health care service delivery can improve health outcomes, increasing the efficiency of clinical staff, and greater patient satisfaction. We aimed to explore the experience of patients with...

    Authors: Jennifer White, Trish Plompen, Leanne Tao, Emily Micallef and Terrence Haines

    Citation: BMC Public Health 2019 19:1096

    Published on:

  16. Content type: Research article

    Household smoke-free home rules cannot fully protect nonsmokers from secondhand smoke (SHS) if they live in multi-unit housing (MUH). Instead, property-level smoke-free policies are needed to prevent SHS incur...

    Authors: Michelle C. Kegler, Erin Lebow-Skelley, Jaimie Lea, Regine Haardörfer, Adrienne Lefevre, Pam Diggs and Sally Herndon

    Citation: BMC Public Health 2019 19:1071

    Published on:

  17. Content type: Research article

    The scoping review was conducted as part of the project “Improving Health Monitoring in Old Age” (IMOA) which aims at developing a conceptual framework with key indicators for a public health monitoring of the...

    Authors: Maike Miriam Grube, Ralph Möhler, Judith Fuchs, Beate Gaertner and Christa Scheidt-Nave

    Citation: BMC Public Health 2019 19:1068

    Published on:

  18. Content type: Research article

    Public health policies sometimes have unexpected effects. Understanding how policies and interventions lead to outcomes is essential if policymakers and researchers are to intervene effectively and reduce harm...

    Authors: Kathryn Oliver, Theo Lorenc, Jane Tinkler and Chris Bonell

    Citation: BMC Public Health 2019 19:1057

    Published on:

  19. Content type: Research article

    Prisons offer the state the opportunity to gain access to a population that is at particularly high risk of ill-health. Despite the supportive legal and policy structures surrounding prison rehabilitation, the...

    Authors: Nasrul Ismail

    Citation: BMC Public Health 2019 19:1043

    Published on:

  20. Content type: Research article

    Chlamydia trachomatis (C. trachomatis) is the most common bacterial sexually transmitted infection in the UK. Recent studies suggest that in addition to the genital tract, C. trachomatis is found in the throat an...

    Authors: Sally Brown, Charlotte Paterson, Nadine Dougall, Sharon Cameron and Nick Wheelhouse

    Citation: BMC Public Health 2019 19:992

    Published on:

  21. Content type: Research article

    Decisions relating to the funding of new drugs are becoming increasingly challenging due to a combination of aging populations, rapidly increasing list prices, and greater numbers of drug-indication pairs bein...

    Authors: Sarah Costa, Colene Bentley, Dean A. Regier, Helen McTaggart-Cowan, Craig Mitton, Michael M. Burgess and Stuart J. Peacock

    Citation: BMC Public Health 2019 19:977

    Published on:

  22. Content type: Study protocol

    Childhood overweight and obesity is a serious public health issue with an increase being observed in preschool-aged children. Treating childhood obesity is difficult and few countries use standardized treatmen...

    Authors: Anna Ek, Christine Delisle Nyström, Adela Chirita-Emandi, Josep A. Tur, Karin Nordin, Cristina Bouzas, Emma Argelich, J. Alfredo Martínez, Gary Frost, Isabel Garcia-Perez, Marc Saez, Corina Paul, Marie Löf and Paulina Nowicka

    Citation: BMC Public Health 2019 19:945

    Published on:

  23. Content type: Research article

    Taxes on sugary beverages are an emerging strategy to improve health by reducing consumption and raising revenues to support community wellbeing. However, taxes may have unintended consequences, and perception...

    Authors: Vanessa M. Oddo, James Krieger, Melissa Knox, Brian E. Saelens, Nadine Chan, Lina Pinero Walkinshaw, Mary Podrabsky and Jessica C. Jones-Smith

    Citation: BMC Public Health 2019 19:910

    Published on:

  24. Content type: Research article

    The nutrition and physical activity self-assessment for childcare (NAP SACC) intervention has demonstrated effectiveness in the USA. A feasibility randomised controlled trial was conducted in England to adapt ...

    Authors: Rebecca Langford, Russell Jago, James White, Laurence Moore, Angeliki Papadaki, William Hollingworth, Chris Metcalfe, Dianne Ward, Rona Campbell, Sian Wells and Ruth Kipping

    Citation: BMC Public Health 2019 19:865

    Published on:

  25. Content type: Research article

    As part of efforts to expand Health in All Policies (HiAP) in Washington State in the U.S., the Washington State Board of Health (BOH) received statutory authority in 2006 to conduct Health Impact Reviews (HIR...

    Authors: Keshia M. Pollack Porter, Ruth Lindberg and Arielle McInnis-Simoncelli

    Citation: BMC Public Health 2019 19:862

    Published on:

  26. Content type: Research article

    Children from refugee backgrounds are less likely to access appropriate health and social care than non-refugee children. Our aim was to identify refugee children’s health/wellbeing strengths and needs, and th...

    Authors: Jess R. Baker, Shanti Raman, Jane Kohlhoff, Ajesh George, Catherine Kaplun, Ann Dadich, Catherine T. Best, Amit Arora, Karen Zwi, Virginia Schmied and Valsamma Eapen

    Citation: BMC Public Health 2019 19:812

    Published on:

  27. Content type: Research article

    Policymakers can adopt and implement various supply-side policies to limit youth access and exposure to tobacco, such as increasing the minimum age of sale, limiting the number or type of tobacco outlets, or b...

    Authors: Thomas G. Kuijpers, Anton E. Kunst and Marc C. Willemsen

    Citation: BMC Public Health 2019 19:825

    Published on:

  28. Content type: Research article

    The RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework is a useful tool for evaluating the impact of programs in community settings. RE-AIM has been applied to evaluate individu...

    Authors: Robert B. Shaw, Shane N. Sweet, Christopher B. McBride, William K. Adair and Kathleen A. Martin Ginis

    Citation: BMC Public Health 2019 19:803

    Published on:

  29. Content type: Research article

    One of the factors influencing variation in tobacco control policies across European countries is the relative policy dominance of pro and anti-tobacco control interest groups. Scholars investigating this powe...

    Authors: Thomas G. Kuijpers, Anton E. Kunst and Marc C. Willemsen

    Citation: BMC Public Health 2019 19:800

    Published on:

  30. Content type: Research article

    A wide range of outcome measures can be calculated for hospital-treated injury patients. These include mortality, use of critical care services, complications, length of stay, treatment costs, readmission and ...

    Authors: Dasamal Tharanga Fernando, Janneke Berecki-Gisolf, Stuart Newstead and Zahid Ansari

    Citation: BMC Public Health 2019 19:798

    Published on:

  31. Content type: Research article

    This study assesses how tuberculosis (TB) screening is perceived by immigrants in Norway. Screening is mandatory for people arriving from high incidence countries. To attend screening, immigrants have to conta...

    Authors: Ingunn Nordstoga, Mona Drage, Tore Wælgaard Steen and Brita Askeland Winje

    Citation: BMC Public Health 2019 19:796

    Published on:

  32. Content type: Research article

    Mini-grants have been used to stimulate multisector collaboration in support of public health initiatives by funding non-traditional partners, such as economic development organizations. Such mini-grants have ...

    Authors: Christiaan G. Abildso, Angela Dyer, Shay M. Daily and Thomas K. Bias

    Citation: BMC Public Health 2019 19:779

    Published on:

  33. Content type: Research article

    Researchers and activists have long called for changes to blood donation policies to end what is frequently framed as unjustified bans or deferral periods for men who have sex with men (MSM). Since 2016, in Ca...

    Authors: Daniel Grace, Mark Gaspar, David Lessard, Benjamin Klassen, David J. Brennan, Barry D. Adam, Jody Jollimore, Nathan J. Lachowsky and Trevor A. Hart

    Citation: BMC Public Health 2019 19:772

    Published on:

  34. Content type: Research article

    Migrants and refugees have important health needs and face inequalities in their health status. Health care delivery to this patient group has become a challenging public health focus in high income countries....

    Authors: Julia Brandenberger, Thorkild Tylleskär, Katrin Sontag, Bernadette Peterhans and Nicole Ritz

    Citation: BMC Public Health 2019 19:755

    Published on:

  35. Content type: Research article

    Universal childhood vaccination programmes form a core component of child health policies in most countries, including the UK. Achieving high coverage rates of vaccines is critical for establishing ‘herd immun...

    Authors: Eric Emerson, Janet Robertson, Susannah Baines and Chris Hatton

    Citation: BMC Public Health 2019 19:748

    Published on:

  36. Content type: Study protocol

    Active transportation, such as walking and biking, is a healthy way for children to explore their environment and develop independence. However, children can be injured while walking and biking. Many cities ma...

    Authors: Brent E. Hagel, Alison Macpherson, Andrew Howard, Pamela Fuselli, Marie-Soleil Cloutier, Meghan Winters, Sarah A. Richmond, Linda Rothman, Kathy Belton, Ron Buliung, Carolyn A. Emery, Guy Faulkner, Jacqueline Kennedy, Tracey Ma, Colin Macarthur, Gavin R. McCormack…

    Citation: BMC Public Health 2019 19:728

    Published on:

  37. Content type: Research article

    In Singapore, a densely urbanised Asian society, more than 80% of the population stays in public housing estates and the majority (90%) own their own homes. For the needy who cannot afford home ownership, publ...

    Authors: Liang En Wee, Lian Leng Low, Julian Thumboo, Angelique Chan and Kheng Hock Lee

    Citation: BMC Public Health 2019 19:713

    Published on:

  38. Content type: Research article

    A population-based approach to healthcare goes beyond the traditional biomedical model and addresses the importance of cross-sectoral collaboration in promoting health of communities. By establishing partnersh...

    Authors: Mohammad Shahzad, Ross Upshur, Peter Donnelly, Aamir Bharmal, Xiaolin Wei, Patrick Feng and Adalsteinn D. Brown

    Citation: BMC Public Health 2019 19:708

    Published on:

  39. Content type: Research article

    Whilst people with intellectual disability grow older, evidence has emerged internationally about the largely unmet health needs of this specific ageing population. Health checks have been implemented in some ...

    Authors: Annette Bauer, Laurence Taggart, Jill Rasmussen, Chris Hatton, Lesley Owen and Martin Knapp

    Citation: BMC Public Health 2019 19:706

    Published on:

  40. Content type: Research article

    Eating out is now common and food served out of the home is often of low nutritional quality. Kilocalorie (kcal) labelling of food and drink products sold in restaurant chains in the US is now mandatory, altho...

    Authors: Eric Robinson, Sam Burton, Tom Gough, Andrew Jones and Ashleigh Haynes

    Citation: BMC Public Health 2019 19:649

    Published on:

  41. Content type: Research article

    In multiple sclerosis (MS), half of affected people are unemployed within 10 years of diagnosis. The aim of this study was to assess the economic impact of MS in adult subjects with relapsing-remitting MS (RRM...

    Authors: José M. García-Domínguez, Jorge Maurino, María L. Martínez-Ginés, Olga Carmona, Ana B. Caminero, Nicolás Medrano and Elena Ruíz-Beato

    Citation: BMC Public Health 2019 19:609

    Published on:

    The Correction to this article has been published in BMC Public Health 2019 19:909

  42. Content type: Research article

    Using aggregated data available on the interactive website from the Agency for Healthcare Research and Quality’s Healthcare Cost and Utilization Project Network (HCUPnet), we examined the annual volume of inva...

    Authors: Marya D. Zilberberg, Rachel Harrington, James R. Spalding and Andrew F. Shorr

    Citation: BMC Public Health 2019 19:591

    Published on:

  43. Content type: Research article

    The number of people of working age suffering from chronic disease is increasing. Chronic diseases such as diabetes can cause negative work-related consequences in the form of early retirement or absenteeism. ...

    Authors: Kristoffer Panduro Madsen, Bryan Cleal, Kasper Olesen, Lise Hagelund and Ingrid Willaing

    Citation: BMC Public Health 2019 19:584

    Published on:

  44. Content type: Debate

    In 2017 Public Health England were asked to assist with investigating why 1-year cancer survival rates appeared lower than expected in a local area. We identified 50 premature deaths that surveillance data sug...

    Authors: Julia Knight, Matthew Day, John Mair-Jenkins, Chris Bentley, Ben Anderson and Fu-Meng Khaw

    Citation: BMC Public Health 2019 19:580

    Published on: