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Journal articles on the topic 'Healthcare Refrom'

Author: Grafiati

Published: 4 June 2021

Last updated: 2 February 2022

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1

Tao, Wenjuan, Zhi Zeng, Haixia Dang, Bingqing Lu, Linh Chuong, Dahai Yue, Jin Wen, Rui Zhao, Weimin Li, and Gerald F. Kominski. "Towards universal health coverage: lessons from 10 years of healthcare reform in China." BMJ Global Health 5, no. 3 (March 2020): e002086. http://dx.doi.org/10.1136/bmjgh-2019-002086.

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Universal health coverage (UHC) is driving the global health agenda. Many countries have embarked on national policy reforms towards this goal, including China. In 2009, the Chinese government launched a new round of healthcare reform towards UHC, aiming to provide universal coverage of basic healthcare by the end of 2020. The year of 2019 marks the 10th anniversary of China’s most recent healthcare reform. Sharing China’s experience is especially timely for other countries pursuing reforms to achieve UHC. This study describes the social, economic and health context in China, and then reviews the overall progress of healthcare reform (1949 to present), with a focus on the most recent (2009) round of healthcare reform. The study comprehensively analyses key reform initiatives and major achievements according to four aspects: health insurance system, drug supply and security system, medical service system and public health service system. Lessons learnt from China may have important implications for other nations, including continued political support, increased health financing and a strong primary healthcare system as basis.

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Vakulenko, Veronika, Anatoli Bourmistrov, and Giuseppe Grossi. "Reverse decoupling: Ukrainian case of healthcare financing system reform." International Journal of Public Sector Management 33, no. 5 (April 10, 2020): 519–34. http://dx.doi.org/10.1108/ijpsm-10-2019-0262.

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PurposeThe purpose of this paper is to explore inter-organizational interactions that might result in prolonged decoupling between central governments' ideas and local governments' practices during the reform of an institutional field (i.e. healthcare).Design/methodology/approachThe paper is based on a qualitative study of the centrally directed reform of the healthcare financing system in Ukraine and focusses on practices and reform ideas from 1991 to 2016.FindingsThe findings show that, for more than 25 years, local governments, as providers of healthcare services, faced two major problems associated with drawbacks of the healthcare financial system: line-item budgeting and fragmentation of healthcare funds. Over 25 years, central government's attempts to reform the healthcare financing system did not comprehensively or systematically address the stated problems. The reformers' ideas seemed to focus on creating reform agendas and issuing new laws, instead of paying attention to challenges in local practices.Practical implicationsThis article has two main points that are relevant for practitioners. First, it calls for greater involvement from local actors during all stages of public sector reforms, in order to ensure the relevance of developed reform strategies. Second, it points to potential challenges that central governments may face when conducting healthcare financing system reforms in transitional economies.Originality/valueThe paper's contribution is twofold: it outlines reasons for problematic implementation of healthcare financing system reform in Ukraine and explains them through a “reverse decoupling” concept.

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Wise, Sarah, Christine Duffield, Margaret Fry, and Michael Roche. "Workforce flexibility – in defence of professional healthcare work." Journal of Health Organization and Management 31, no. 4 (June 19, 2017): 503–16. http://dx.doi.org/10.1108/jhom-01-2017-0009.

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Purpose The desirability of having a more flexible workforce is emphasised across many health systems yet this goal is as ambiguous as it is ubiquitous. In the absence of empirical studies in healthcare that have defined flexibility as an outcome, the purpose of this paper is to draw on classic management and sociological theory to reduce this ambiguity. Design/methodology/approach The paper uses the Weberian tool of “ideal types”. Key workforce reforms are held against Atkinson’s model of functional flexibility which aims to increase responsiveness and adaptability through multiskilling, autonomy and teams; and Taylorism which seeks stability and reduced costs through specialisation, fragmentation and management control. Findings Appeals to an amorphous goal of increasing workforce flexibility make an assumption that any reform will increase flexibility. However, this paper finds that the work of healthcare professionals already displays most of the essential features of functional flexibility but many widespread reforms are shifting healthcare work in a Taylorist direction. This contradiction is symptomatic of a failure to confront inevitable trade-offs in reform: between the benefits of specialisation and the costs of fragmentation; and between management control and professional autonomy. Originality/value The paper questions the conventional conception of “the problem” of workforce reform as primarily one of professional control over tasks. Holding reforms against the ideal types of Taylorism and functional flexibility is a simple, effective way the costs and benefits of workforce reform can be revealed.

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Kjellström, Sofia, Gunilla Avby, Kristina Areskoug-Josefsson, Boel Andersson Gäre, and Monica Andersson Bäck. "Work motivation among healthcare professionals." Journal of Health Organization and Management 31, no. 4 (June 19, 2017): 487–502. http://dx.doi.org/10.1108/jhom-04-2017-0074.

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Purpose The purpose of this paper is to explore work motivation among professionals at well-functioning primary healthcare centers subject to a national healthcare reform which include financial incentives. Design/methodology/approach Five primary healthcare centers in Sweden were purposively selected for being well-operated and representing public/private and small/large units. In total, 43 interviews were completed with different medical professions and qualitative deductive content analysis was conducted. Findings Work motivation exists for professionals when their individual goals are aligned with the organizational goals and the design of the reform. The centers’ positive management was due to a unique combination of factors, such as clear direction of goals, a culture of non-hierarchical collaboration, and systematic quality improvement work. The financial incentives need to be translated in terms of quality patient care to provide clear direction for the professionals. Social processes where professionals work together as cohesive groups, and provided space for quality improvement work is pivotal in addressing how alignment is created. Practical implications Leaders need to consistently translate and integrate reforms with the professionals’ drives and values. This is done by encouraging participation through teamwork, time for structured reflection, and quality improvement work. Social implications The design of the reforms and leadership are essential preconditions for work motivation. Originality/value The study offers a more complete picture of how reforms are managed at primary healthcare centers, as different medical professionals are included. The value also consists of showing how a range of aspects combine for primary healthcare professionals to successfully manage external reforms.

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Millar, Ross, and Helen Dickinson. "Planes, straws and oysters: the use of metaphors in healthcare reform." Journal of Health Organization and Management 30, no. 1 (March 21, 2016): 117–32. http://dx.doi.org/10.1108/jhom-11-2013-0242.

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Purpose – The purpose of the paper is to examine the metaphors used by senior managers and clinicians in the delivery of healthcare reform. Design/methodology/approach – A study of healthcare reform in England carried out a series of semi structured interviews with senior managers and clinicians leading primary and secondary care organisations. Qualitative data analysis examines instances where metaphorical language is used to communicate how particular policy reforms are experienced and the implications these reforms have for organisational contexts. Findings – The findings show how metaphorical language is used to explain the interactions between policy reform and organisational contexts. Metaphors are used to illustrate both the challenges and opportunities associated with the reform proposals for organisational change. Originality/value – The authors provide the first systematic study of patterns and meanings of metaphors within English healthcare contexts and beyond. The authors argue that these metaphors provide important examples of “generative” dialogue in their illustration of the opportunities associated with reform. Conversely, these metaphors also provide examples of “degenerative” dialogue in their illustration of a demarcation between the reform policy proposals and existing organisational contexts.

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Wilbanks, Sandy, and Sandra Wilbanks. "Healthcare Reform." Journal for Nurse Practitioners 7, no. 2 (February 2011): 160. http://dx.doi.org/10.1016/j.nurpra.2010.12.007.

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&NA;. "Healthcare Reform." Nursing Management (Springhouse) 25, no. 4 (April 1994): 30???42. http://dx.doi.org/10.1097/00006247-199404000-00006.

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Trautman, Deborah E. "Healthcare reform." Nursing Management (Springhouse) 42, no. 4 (April 2011): 26–31. http://dx.doi.org/10.1097/01.numa.0000394955.71466.ef.

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&NA;. "Healthcare reform." Nursing Management (Springhouse) 42, no. 4 (April 2011): 31–32. http://dx.doi.org/10.1097/01.numa.0000396633.55966.b5.

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Stalzer, Sincerely Carol. "HEALTHCARE REFORM." Gastroenterology Nursing 33, no. 2 (March 2010): 137. http://dx.doi.org/10.1097/sga.0b013e3181d92b1d.

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Brent, Nancy J. "Healthcare Reform." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 12, no. 1 (January 1994): 10–11. http://dx.doi.org/10.1097/00004045-199401000-00002.

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Carr, Pat. "Healthcare Reform." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 12, no. 3 (May 1994): 61. http://dx.doi.org/10.1097/00004045-199405000-00009.

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CERRA, FRANK B. "Healthcare reform." Critical Care Medicine 21, no. 3 (March 1993): 457–64. http://dx.doi.org/10.1097/00003246-199303000-00026.

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Pesut, Daniel J. "Healthcare Reform." Nurse Educator 19, no. 6 (November 1994): 13–14. http://dx.doi.org/10.1097/00006223-199411000-00011.

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Graham, Margaret Clark, and Thomas Scott Graham. "Healthcare Reform." Nurse Practitioner 36, no. 5 (May 2011): 41–47. http://dx.doi.org/10.1097/01.npr.0000396477.06862.02.

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Corey-Lisle, Patricia, Anita J. Tarzian, Marlene Z. Cohen, and Alison M. Trinkoff. "Healthcare Reform." JONA: The Journal of Nursing Administration 29, no. 3 (March 1999): 30–37. http://dx.doi.org/10.1097/00005110-199903000-00006.

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Capretta, James C. "Healthcare Reform." Linacre Quarterly 83, no. 4 (November 2016): 375–81. http://dx.doi.org/10.1080/00243639.2016.1247620.

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SCHAFFNER, MARILYN, and MYRA ALMON. "Healthcare Reform." Gastroenterology Nursing 17, no. 1 (August 1994): 2–5. http://dx.doi.org/10.1097/00001610-199408000-00002.

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Beglinger, Joan Ellis. "Healthcare Reform." JONA: The Journal of Nursing Administration 43, no. 12 (December 2013): 621–22. http://dx.doi.org/10.1097/nna.0000000000000001.

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Einav, Liran, Amy Finkelstein, Yunan Ji, and Neale Mahoney. "Randomized trial shows healthcare payment reform has equal-sized spillover effects on patients not targeted by reform." Proceedings of the National Academy of Sciences 117, no. 32 (July 27, 2020): 18939–47. http://dx.doi.org/10.1073/pnas.2004759117.

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Changes in the way health insurers pay healthcare providers may not only directly affect the insurer’s patients but may also affect patients covered by other insurers. We provide evidence of such spillovers in the context of a nationwide Medicare bundled payment reform that was implemented in some areas of the country but not in others, via random assignment. We estimate that the payment reform—which targeted traditional Medicare patients—had effects of similar magnitude on the healthcare experience of nontargeted, privately insured Medicare Advantage patients. We discuss the implications of these findings for estimates of the impact of healthcare payment reforms and more generally for the design of healthcare policy.

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Lin, Vivian. "Transformations in the healthcare system in China." Current Sociology 60, no. 4 (June 22, 2012): 427–40. http://dx.doi.org/10.1177/0011392112438329.

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In April 2009, the Chinese government announced comprehensive reforms to the health system following more than a decade of piecemeal reform efforts. Popular complaints about high healthcare costs and access difficulties eventually received political attention following the government administration change of 2002 and the SARS outbreak of 2003. However, policy differences between ministries resulted in several years of vigorous and open policy debates involving domestic and international stakeholders as well as citizens who are active in expressing opinions virtually (netizens). The 2009 reforms signalled not only policy recognition of the need for a comprehensive and systemic approach if healthcare was to be transformed, but also charted new approaches to policy-making. While the current reforms are being rapidly implemented, the question arises as to whether the shifts in the policy-making process will continue into the future. Further evaluation of the policy process will require cooperation if not collaboration from the policy actors themselves.

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Or, Zeynep, Chantal Cases, Melanie Lisac, Karsten Vrangbæk, Ulrika Winblad, and Gwyn Bevan. "Are health problems systemic? Politics of access and choice under Beveridge and Bismarck systems." Health Economics, Policy and Law 5, no. 3 (July 2010): 269–93. http://dx.doi.org/10.1017/s1744133110000034.

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AbstractIndustrialised countries face similar challenges for improving the performance of their health system. Nevertheless, the nature and intensity of the reforms required are largely determined by each country’s basic social security model. Most reforms in Beveridge-type systems have sought to increase choice and reduce waiting times while those in major Bismarck-type systems have focused on cost control by constraining the choice of providers. This paper looks at the main differences in performance of five countries and reviews their recent reform experience, focusing on three questions: Are there systematic differences in performance of Beveridge and Bismarck-type systems? What are the key parameters of healthcare system, which underlie these differences? Have recent reforms been effective?Our results do not suggest that one system-type performs consistently better than the other. In part, this may be explained by the heterogeneity in organisational design and governance both within and across these systems. Insufficient attention to those structural differences may explain the limited success of a number of recent reforms. Thus, while countries may share similar problems in terms of improving healthcare performance, adopting a ‘copy-and-paste’ approach to healthcare reform is likely to be ineffective.

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Van Der Weyden, Martin B. "Scoring healthcare reform." Medical Journal of Australia 178, no. 9 (May 2003): 417. http://dx.doi.org/10.5694/j.1326-5377.2003.tb05277.x.

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Panning, Rick. "Healthcare Reform 101." American Society for Clinical Laboratory Science 27, no. 2 (April 2014): 107–11. http://dx.doi.org/10.29074/ascls.27.2.107.

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Li, Ling, Qiulin Chen, and Dillon Powers. "Chinese Healthcare Reform." Modern China 38, no. 6 (September 17, 2012): 630–45. http://dx.doi.org/10.1177/0097700412457913.

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Oberlander, Jonathan, and Krista Perreira. "Navigating Healthcare Reform." American Journal of Preventive Medicine 43, no. 6 (December 2012): S506—S508. http://dx.doi.org/10.1016/j.amepre.2012.09.023.

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Brien, Jo-anne E. "Healthcare Reform 2009." Journal of Pharmacy Practice and Research 39, no. 3 (September 2009): 175. http://dx.doi.org/10.1002/j.2055-2335.2009.tb00447.x.

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Pinzur, Michael. "FootForum: Healthcare Reform." Foot & Ankle International 31, no. 9 (September 2010): 832–33. http://dx.doi.org/10.3113/fai.2010.0832.

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Gage, Heather. "Editorial: Healthcare reform." Economic Affairs 21, no. 4 (December 2001): 2–3. http://dx.doi.org/10.1111/1468-0270.00316.

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Hoyt, K. Sue, and Jean A. Proehl. "Resuscitating Healthcare Reform." Advanced Emergency Nursing Journal 32, no. 2 (April 2010): 97–101. http://dx.doi.org/10.1097/tme.0b013e3181dadf97.

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Moffit, Robert E. "Healthcare reform wars." Postgraduate Medicine 96, no. 7 (November 15, 1994): 47–56. http://dx.doi.org/10.1080/00325481.1994.11945929.

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Aleksandrova, O. A. "Crisis of Russian healthcare: ‘excess perpetration’ or pre-programmed outcome?" Economic Revival of Russia, no. 1 (67) (2021): 63–71. http://dx.doi.org/10.37930/1990-9780-2021-1-67-63-71.

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The COVID-19 pandemic further exacerbated the issue of the situation in the health care тsystem and the directions for its further reform. An analysis of the transformation of the health care system based on the study of regulatory and other documents, as well as data from sociological studies witnesses that such results of reform as a sharp reduction in the availability of quality medical care, a shortage of medical personnel, etc. are not a consequence of the “excess of the implementer”, but are programmed by the course of health care reform, which was a purposeful and consistent process, the customer of which was international financial organizations and transnational capital. The article examines the problems caused by the significant underfunding of health care, as well as the numerous institutional contradictions generated by the reform. It is concluded that the reforms that led to such results became possible due to, first, the reformers ignoring the opinion of the medical community and, secondly, the lack of the necessary level of solidarity in Russian society.

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Zhang, Xiaoyan, and Pengqian Fang. "Job satisfaction of village doctors during the new healthcare reforms in China." Australian Health Review 40, no. 2 (2016): 225. http://dx.doi.org/10.1071/ah15205.

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Objective China launched new healthcare reforms in 2009 and several policies targeted village clinics, which affected village doctors’ income, training and duties. The aim of the present study was to assess village doctors’ job satisfaction during the reforms and to explore factors affecting job satisfaction. Methods Using a stratified multistage cluster sampling process, 935 village doctors in Jiangxi Province were surveyed with a self-administered questionnaire that collected demographic information and contained a job satisfaction scale and questions regarding their work situation and individual perceptions of the new healthcare reforms. Descriptive analysis, Pearson’s Chi-squared test and binary logistic regression were used to identify village doctors’ job satisfaction and the factors associated with their job satisfaction. Results Only 12.72% of village doctors were either satisfied or very satisfied with their jobs and the top three items leading to dissatisfaction were pay and the amount of work that had to be done, opportunities for job promotion and work conditions. Marriage, income, intention to leave, satisfaction with learning and training, social status, relationship with patients and satisfaction with the new healthcare reforms were significantly associated with job satisfaction (P < 0.05). Conclusions China is facing critical challenges with regard to village doctors because of their low job satisfaction. For future healthcare reforms, policy makers should pay more attention to appropriate remuneration and approaches that incentivise village doctors to achieve the goals of the health reforms. What is known about the topic? Village doctors act as gatekeepers at the bottom tier of the rural health system. However, the policies of the new healthcare reform initiatives in China were centred on improving the quality of care delivered to the rural population and reducing fast-growing medical costs. There have been limited studies on village doctors’ reactions to these reforms. What does this paper add? The findings of the present study indicate that in the process of implementing the new healthcare reforms, village doctors’ overall job satisfaction is low and most respondents are dissatisfied with the reforms. The factors affecting job satisfaction include income, training, social status, relationship with patients and satisfaction with the reforms. What are the implications for practitioners? Health reform policy makers should ensure village doctors feel appropriately remunerated and are motivated while aiming to reduce the financial burden on patients. The views of stakeholders (i.e. patients and village doctors) should be considered when designing future health reforms.

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Donato, Ronald, and Leonie Segal. "Does Australia have the appropriate health reform agenda to close the gap in Indigenous health?" Australian Health Review 37, no. 2 (2013): 232. http://dx.doi.org/10.1071/ah12186.

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This paper provides an analysis of the national Indigenous reform strategy – known as Closing the Gap – in the context of broader health system reforms underway to assess whether current attempts at addressing Indigenous disadvantage are likely to be successful. Drawing upon economic theory and empirical evidence, the paper analyses key structural features necessary for securing system performance gains capable of reducing health disparities. Conceptual and empirical attention is given to the features of comprehensive primary healthcare, which encompasses the social determinants impacting on Indigenous health. An important structural prerequisite for securing genuine improvements in health outcomes is the unifying of all funding and policy responsibilities for comprehensive primary healthcare for Indigenous Australians within a single jurisdictional framework. This would provide the basis for implementing several key mutually reinforcing components necessary for enhancing primary healthcare system performance. The announcement to introduce a long-term health equality plan in partnership with Aboriginal people represents a promising development and may provide the window of opportunity needed for implementing structural reforms to primary healthcare. What is known about the topic? Notwithstanding the intention of previous policies, considerable health disparity exists between Indigenous and non-Indigenous Australians. Australia has now embarked on its most ambitious national Indigenous health reform strategy, but there has been little academic analysis of whether such reforms are capable of eliminating health disadvantage for Aboriginal people. What does the paper add? This paper provides a critical analysis of Indigenous health reforms to assess whether such policy initiatives are likely to be successful and outlines key structural changes to primary healthcare system arrangements that are necessary to secure genuine system performance gains and improve health outcomes for Indigenous Australians. What are the implications for practitioners? For policymakers, the need to establish genuine partnership and engagement between Aboriginal people and the Australian government in pursuing a national Indigenous reform agenda is of critical importance. The establishment of the National Congress of Australia’s First Peoples provides the opportunity for policymakers to give special status to Indigenous Australians in health policy development and create the institutional breakthrough necessary for effecting primary healthcare system change.

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Rao, Paul R. "Outcomes and Quality: Key Characteristics of a Successful SLP Value Journey." Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders 25, no. 3 (June 2015): 94–106. http://dx.doi.org/10.1044/nnsld25.3.94.

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We are living in a challenging era of healthcare reform marked by dramatic change and unprecedented political and legal turmoil surrounding this reform. Healthcare reform in the name of the Patient Protection and Affordable Care Act (PPACA, 2010) is becoming “hardwired” over the five years since its inception, yet as recently as March of 2015, the Supreme Court of the United States heard arguments to roll back subsidies for the Federal Health Exchanges which if approved could increase insurance rates by nearly 75% on over 8 million subscribers. The national healthcare landscape including reforms, changes, wins, and losses to date will be described. The “secret sauce” for meeting these challenges is to embrace value in healthcare which can be defined as outcomes over cost. In the context of our current levels of care, an inexorable movement away from volume to value will be described focusing on outcomes. The challenges we face especially in reporting outcomes and shifting from volume to value are described. Finally, arguments and illustrations are provided for how speech-language pathologists (SLPs) can continue to espouse value in becoming critical players in the value-based healthcare economy.

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Tsvetanova-Kraeva, Galya Nikolaeva. "HEALTHCARE REFORM IN BULGARIA - NEED OF STRATEGIC ASSESSMENT." KNOWLEDGE INTERNATIONAL JOURNAL 30, no. 1 (March 20, 2019): 185–89. http://dx.doi.org/10.35120/kij3001185n.

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Health reform is a specific research object that is characterized by internal dynamics, depending on a number of external factors and effects on the health of the population. It is a versatile process and develops in a complex environment. Here we start from the understanding that improving the healthcare system needs different changes. The healthcare system‘s reform must not ignore the national specificities of the country concerned but should be done through the necessary variety of measures: purposefulness, lasting and long-term structural changes that cover the national, regional and local levels of the change. It must be acceptable both to the needs of citizens and professionals. Each organization has a definite and regular cycle of development. There are certain defects in it. These defects are always the expression of a particular process, which in most cases lead to crises in the organization. It may be due to factors in the external environment, but necessarily develops within the organization‘s internal environment. This brief commentary shows that the reform is organically inherent in any organization. It aims to protect the organization and to guarantee the fulfillment of its mission and its own development for a certain period. It is precisely the inevitability and necessity of reforms that I consider to be a mandatory addition to the definition of healthcare reform. We can summarize that healthcare reform is a process in which changes in health policy and normative basis are made simultaneously or consistently. They affect the economic relations, the institutions and the organizational and structural structure of the health system, in which it goes into a qualitatively new state. This process is inherent in each healthcare system during its development, as the aim is to increase its efficiency for citizens and society as a whole. In the various publications, as the beginning of the healthcare reform different years in the last decade of the last century have been indicated. The new healthcare legislation started in 1998-1999, but there are also opinions that the beginning of the reform dates back to 1989. Implementation of the reform is inconceivable without the adequate use of modern management approaches and methods without a new management style at all levels of the healthcare system. Here, a serious analysis of the health status of the population and the risk factors are made as well as the activity of the healthcare system. Implementation of the reform is inconceivable without the adequate use of modern management.

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Eskelinen, Pia. "Lawton Robert Burns and Gordon G. Liu (eds.) (2017)." British Journal of Chinese Studies 8, no. 2 (March 15, 2019): 150–53. http://dx.doi.org/10.51661/bjocs.v8i2.12.

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Lawton Robert Burns and Gordon G. Liu’s edited book China’s Healthcare System and Reform aims to make sense of one of the biggest healthcare systems in the world. At first glance, the scope of the book’s theme appears alarmingly broad. However, the collection of expert essays constructs a comprehensive analysis of the development of the Chinese healthcare system and its reforms. All contributors are professionals in their own fields, and it is a breath of fresh air to collect their expertise into one comprehensive package.

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Belien, Paul. "Healthcare Reform in Europe." PharmacoEconomics 10, Supplement 2 (1996): 94–99. http://dx.doi.org/10.2165/00019053-199600102-00015.

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Duckett, Stephen J. "Doctors and healthcare reform." Medical Journal of Australia 167, no. 4 (August 1997): 184–85. http://dx.doi.org/10.5694/j.1326-5377.1997.tb138841.x.

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SHARP, NANCY. "Healthcare Reform in 1995." Nursing Management (Springhouse) 26, no. 3 (March 1995): 53???54. http://dx.doi.org/10.1097/00006247-199503010-00018.

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Clarke, Sean P. "Healthcare reform in 2013." Nursing Management (Springhouse) 44, no. 3 (March 2013): 45–47. http://dx.doi.org/10.1097/01.numa.0000427185.42306.14.

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Kerkhoff, Thomas R. "Ethics and Healthcare Reform." Journal of Head Trauma Rehabilitation 24, no. 6 (November 2009): 475–77. http://dx.doi.org/10.1097/htr.0b013e3181c4cd75.

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Hendricks, Karen M. "Healthcare Reform Boosts Breastfeeding." Breastfeeding Medicine 5, no. 5 (October 2010): 265–68. http://dx.doi.org/10.1089/bfm.2010.0063.

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Gershenson, David M. "Healthcare reform: It's time." Gynecologic Oncology 115, no. 2 (November 2009): 181. http://dx.doi.org/10.1016/j.ygyno.2009.07.017.

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Stanton, E., and C. Lemer. "Networking for healthcare reform." Journal of the Royal Society of Medicine 103, no. 9 (August 31, 2010): 345–46. http://dx.doi.org/10.1258/jrsm.2010.100160.

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Manthey, Marie. "Impact of Healthcare Reform." Journal of Nursing Administration 26, no. 6 (June 1996): 10–12. http://dx.doi.org/10.1097/00005110-199606000-00005.

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Lyon, Sarah M. "Healthcare Reform: An Update." Annals of the American Thoracic Society 15, no. 4 (April 2018): 417–19. http://dx.doi.org/10.1513/annalsats.201708-684hp.

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Webb, Jo Ann K., and David R. Marshall. "Healthcare Reform and Nursing." JONA: The Journal of Nursing Administration 40, no. 9 (September 2010): 345–47. http://dx.doi.org/10.1097/nna.0b013e3181ee42d4.

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Andersen, Pernille Tanggaard, and Jens-Jørgen Jensen. "Healthcare reform in Denmark." Scandinavian Journal of Public Health 38, no. 3 (October 22, 2009): 246–52. http://dx.doi.org/10.1177/1403494809350521.

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Floyd, Elizabeth J. "Healthcare Reform Through Rationing." Journal of Healthcare Management 48, no. 4 (July 2003): 233–41. http://dx.doi.org/10.1097/00115514-200307000-00007.

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