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Health systems

Section Editor: Mihajlo Jakovljevic, University of Kragujevac, Serbia
Deputy Section Editors: 
Fiona Cianci, Health Service Executive, Dublin, Ireland, 
Meri Koivusalo, Tampere University, Finland
Daniel Maceira, Center for the Study of State and Society, Argentina,
Elena Potapchick​​​​​​​, Higher School of Economics, Russia ​​​​​​​
Claus Wendt, University of Siegen, Germany

Health systems are typically thought of as the leadership, information systems, financing, human resources, products and services needed to ensure healthcare provision within a country. At a global level, international donors, grants and conditional loans have influenced the shape of these systems, affecting equity in access to care. There is a renewed global push for universal health coverage but lack of agreement on how it should be funded or administered. Private financing for health systems in many countries is rising; there is a critical shortage of human resources for health; out-of-pocket payments continue to push people into ‘medical poverty’; and the high costs of new medical technologies or therapeutics too often available only to the few challenge appropriate funding levels for comprehensive primary health services essential to the many.  Papers submitted under this topic explore how globalization-related processes are affecting the development of national and regional health systems, with a focus on how such systems improve health equity in terms of access, coverage, and financing.

  1. Content type: Review

    Healthcare systems are increasingly recognised as complex, in which a range of non-linear and emergent behaviours occur. China’s healthcare system is no exception. The hugeness of China, and the variation in c...

    Authors: Yue Xiao, Lewis Husain and Gerald Bloom

    Citation: Globalization and Health 2018 14:112

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  2. Content type: Research

    The 9th Global conference on health promotion (Shanghai 2016) reaffirmed the role of primary health care (PHC) in achieving the 2030 Sustainable Development Agenda. Gaining much international recognition, the ...

    Authors: Abraham Assan, Amirhossein Takian, Moses Aikins and Ali Akbarisari

    Citation: Globalization and Health 2018 14:107

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  3. Content type: Research

    United Nations Children’s Fund (UNICEF) designed EQUitable Impact Sensitive Tool (EQUIST) to enable global health community address the issue of equity in maternal, newborn and child health (MNCH) and minimize he...

    Authors: Chigozie Jesse Uneke, Issiaka Sombie, Henry Chukwuemeka Uro-Chukwu and Ermel Johnson

    Citation: Globalization and Health 2018 14:104

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  4. Content type: Review

    Healthcare challenges in low and middle income countries (LMICs) have been the focus of many digital initiatives that have aimed to improve both access to healthcare and the quality of healthcare delivery. Mov...

    Authors: Alain B. Labrique, Christina Wadhwani, Koku Awoonor Williams, Peter Lamptey, Cees Hesp, Rowena Luk and Ann Aerts

    Citation: Globalization and Health 2018 14:103

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  5. Content type: Research

    Expanding coverage of primary healthcare services such as antenatal care and vaccinations is a global health priority; however, many Haitians do not utilize these services. One reason may be that the populatio...

    Authors: Anna D. Gage, Hannah H. Leslie, Asaf Bitton, J. Gregory Jerome, Jean Paul Joseph, Roody Thermidor and Margaret E. Kruk

    Citation: Globalization and Health 2018 14:59

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  6. Content type: Review

    The current migration flow into Europe is leading to a growing ethnically diverse population in many European countries. Now more than ever, those populations have different healthcare needs, languages, tradit...

    Authors: Céline Ledoux, Eva Pilot, Esperanza Diaz and Thomas Krafft

    Citation: Globalization and Health 2018 14:57

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  7. Content type: Review

    Migrant children have specific health needs, and may face difficulties in accessing health care, but not enough is known about their health service use. This study aims to describe patterns of use of health se...

    Authors: Niina Markkula, Baltica Cabieses, Venla Lehti, Eleonora Uphoff, Sofia Astorga and Francisca Stutzin

    Citation: Globalization and Health 2018 14:52

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  8. Content type: Research

    Human trafficking in the fishing industry or “sea slavery” in the Greater Mekong Subregion is reported to involve some of the most extreme forms of exploitation and abuse. A largely unregulated sector, commerc...

    Authors: Nicola S. Pocock, Reena Tadee, Kanokwan Tharawan, Wansiri Rongrongmuang, Brett Dickson, Soksreymom Suos, Ligia Kiss and Cathy Zimmerman

    Citation: Globalization and Health 2018 14:45

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  9. Content type: Commentary

    The Academic Model Providing Access to Healthcare (AMPATH) has been a model academic partnership in global health for nearly three decades, leveraging the power of a public-sector academic medical center and t...

    Authors: Tim Mercer, Adrian Gardner, Benjamin Andama, Cleophas Chesoli, Astrid Christoffersen-Deb, Jonathan Dick, Robert Einterz, Nick Gray, Sylvester Kimaiyo, Jemima Kamano, Beryl Maritim, Kirk Morehead, Sonak Pastakia, Laura Ruhl, Julia Songok and Jeremiah Laktabai

    Citation: Globalization and Health 2018 14:44

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