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Health Systems and Policy Research

At a global level, international institutions, donors, grants, and conditional loans are increasingly influencing the financing and organization of health systems in much of the world, with implications for 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 pose a challenge to appropriate funding levels for comprehensive primary health services essential to the many. 

Papers submitted under this section will 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. We are not accepting articles on health systems that do not attend to how they are being affected by globalization.

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  1. 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
  2. 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
  3. 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
  4. 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
  5. The spread of substandard and falsified (SF) medical products constitutes a growing global public health concern. Some countries use portable, handheld screening technologies (STs) in the field to accelerate d...

    Authors: Lukas Roth, Ameena Nalim, Beth Turesson and Laura Krech
    Citation: Globalization and Health 2018 14:43