Unmasking the complexities of healthcare access in low-resource settings: a health systems approach to obstetric and under-5 healthcare in rural settings of Eastern Uganda by Rornald Muhumuza Kananura

“…Enhancing universal access to appropriate healthcare services requires comprehensive health systems interventions that concurrently address the healthcare access barriers.…”
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Health system costs of a breast cancer early diagnosis programme in a rural district of Rwanda: a retrospective, cross-sectional economic analysis by Lydia E Pace, Lawrence N Shulman, Jean Claude Mugunga, Parsa Erfani, Kayleigh Pavitra Bhangdia, Rashidah Nambaziira, Lysa Carolle Niteka, Jean Marie Vianney Dusengimana, John Ruhumuriza, Marie Louise Uwineza, Vestine Rugema, Cyprien Shyirambere, Melany Rabideau

“…Objectives This study aimed to quantify the health system cost of the first 2 years of a Breast Cancer Early Detection (BCED) programme in a rural district in Rwanda. …”
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The importance of organisational culture for health system resilience: A qualitative analysis of factors that supported health care workers in Germany during the COVID-19 pandemic. by Heide Weishaar, Megan Evans, Souaad Chemali, Eloisa Montt Maray, Rike Böttcher, René Umlauf, Susan Abunijela, Nadine Muller, Barbara Buchberger, Brogan Geurts, Hanna-Tina Fischer, Charbel El Bcheraoui

“…Health system resilience is defined as the ability of a system to prepare, manage, and learn from shocks. …”
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Cost-effectiveness of leveraging existing HIV primary health systems and community health workers for hypertension screening and treatment in Africa: An individual-based modeling study. by Matthew D Hickey, James Ayieko, Jane Kabami, Asiphas Owaraganise, Elijah Kakande, Sabina Ogachi, Colette I Aoko, Erick M Wafula, Norton Sang, Helen Sunday, Paul Revill, Loveleen Bansi-Matharu, Starley B Shade, Gabriel Chamie, Laura B Balzer, Maya L Petersen, Diane V Havlir, Moses R Kamya, Andrew N Phillips

“…Approaches that leverage existing primary health systems could improve hypertension treatment and reduce CVD, but cost-effectiveness is unknown. …”
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Fractures and Chronic Recurrence are Commonly Associated with Ankle Sprains: a 5-year Population-level Cohort of Patients Seen in the U.S. Military Health System by Daniel I Rhon, Tina A Greenlee, Chad E Cook, Richard B Westrick, Jon A Umlauf, John J Fraser

“…The purpose of this study was to characterize and contextualize the burden of ankle sprain injuries in the U.S. Military Health System. # Methods This was a retrospective cohort study of beneficiaries seeking care for ankle sprains, utilizing data from the Military Health System Data Repository from 2009 to 2013. …”
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An observational, multigenerational platform for health systems and population health interventions to minimise intergenerational transmission of non-communicable diseases in India: the YUVAAN cohort study protocol by Vaman Khadilkar, Tarun Reddy Katapally, Jasmin Bhawra, Neha Kajale, Rubina Mandlik, Vivek Patwardhan, Demi Miriam, Dipali Ladkat, Chidvilas More, Ketan Gondhalekar, Anuradha Vaman Khadilkar

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Engaging health system, service and consumer representatives in the co-design of a multi-criteria decision-making framework for commissioning overweight and obesity programs and services by Laura Thomas, Suzanne Robinson, Sharyn Burns, Helen Mitchell, Andrea Begley

“…Abstract Background Obesity is a multi-faceted problem that requires complex health system responses. While no single program or service is sufficient to meet every individual’s needs, some criteria that increase the likelihood of program/service quality delivery to produce effective outcomes exist. …”
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Does Health System Responsiveness Differ between Insured and Uninsured Outpatients in Primary Health Care Facilities in Asagirt District, Ethiopia?... by Wubshet Debebe Negash, Asmamaw Atnafu, Desale Bihonegn Asmamaw, Chalie Tadie Tsehay

“…The purpose of the study was, therefore to evaluate the health system responsiveness among insured and uninsured outpatients in primary healthcare facilities and determine the association between health insurance and health system responsiveness among outpatients. …”
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Contested and nervous spaces: exploring the environment of healthcare provision for international migrants in the Gauteng province of South Africa by Janine A. White, Laetitia C. Rispel

Subjects: “…health system responsiveness…”
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Prioritizing implementation solutions for the urban family physician policy in Iran: a multi-criteria decision-making study by Lida Shams, Mohammadreza Mobinizadeh, Taha Nasiri, Fatemeh Mohammadi

Subjects: “…Health System…”
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Commentary on “Reflections on the Inclusion of Direct-Care Physicians as Educators in Community Hospitals” by ROSANA ALVES

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Reflections on the Inclusion of Direct-Care Physicians as Educators in Community Hospitals by RENÉ SCALET DOS SANTOS NETO, DANIELLE BRUGINSKI, ANA FÁTIMA VOLKMANN, JOSÉ ANDRADE MOURA NETO

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Global elective breast- and colorectal cancer surgery performance backlogs, attributable mortality and implemented health system responses during the COVID-19 pandemic: A scoping review. by Sonia Haribhai, Komal Bhatia, Maryam Shahmanesh

“…We organised health system-related findings thematically per the Structures-Processes-Outcomes conceptual model by Donabedian (1966). …”
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Will the increase of medical equipment affect medical expenditure? Empirical evidence from a quasi-experiment in China by Qiwei Deng, Zhongliang Zhou, Chi Shen, Dan Cao, Dantong Zhao, Yaxin Zhao, Jianmin Gao

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How interventions to maintain services during the COVID-19 pandemic strengthened systems for delivery of maternal and child health services: a case-study of Wakiso District, Uganda by Steven Ndugwa Kabwama, Rhoda K. Wanyenze, Neda Razaz, John M. Ssenkusu, Tobias Alfvén, Helena Lindgren

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Has stakeholder participation in health facility governing committees promoted social accountability? A qualitative study in Tanzania by Hussein Athuman Kapuya, Stephen Oswald Maluka, Anna-Karin Hurtig, Miguel San Sebastian

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Health systems analysis and evaluation of the barriers to availability, utilisation and readiness of sexual and reproductive health services in COVID-19-affected areas: a WHO mixed-methods study protocol by José Guilherme Cecatti, Kun Tang, Igor Toskin, Moazzam Ali, Caron Kim, Stefano Uccella, Simone Garzon, Ge Yang, Vanessa Brizuela, Pisake Lumbiganon, Seni Kouanda, Alexandra Sawyer, Nigel Sherriff, Alessia Savoldi, Anna Thorson, Marleen Temmerman, Jörg Huber, Soe Soe Thwin, Maddalena Cordioli, Massimo Mirandola, Jaime Vera, Armando Seuc, Laila Ladak, Debbie Williams, Luis Bahamondes, Deda Ogum Alangea, Abdu Mohiddin, Eunice Nahyuha Chomi, Sothornwit Jen, Modey Emefa, Hamsadvani Kuganantham, Armando Humberto Seuc, Eunice Chomi, Hanxiyue Zhang, Yifan Zhu, Yueping Guo, Chunxiao Peng, Kwasi Tropsey, Emefa Judith Modey, Rozina Karmaliani, Jen Sothornwit, Ferdinand Okwaro, Ranieri Poli, Joy Jerop Chebet, Hugo Gamerro Abrego

“…Introduction COVID-19 has led to an unprecedented increase in demand on health systems to care for people infected, necessitating the allocation of significant resources, especially medical resources, towards the response. …”
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Transition from pediatric to adult health services: A survey of challenges, needs, and preferences of youths and parents by Eric Racine, François Ouimet, Rocio Gissel Gutierrez Rojas, Marie-José Clermont, Anne Fournier

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Addressing Healthcare Access Inequalities in South Africa: Evaluating Legislative and Human Rights Obligations and Proposing Strategies for Improvement by Mlondolozi Mvikweni

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Towards a net-zero healthcare system in Kenya: Stakeholder perspectives on opportunities, challenges and priorities by Iris Martine Blom, Melvine Anyango Otieno, Susannah Mayhew, Neil Spicer, Andy Haines, Sarah Whitmee

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