Health Systems and Reform Journal
@hsrjournal.bsky.social
First journal dedicated to research, theory, and analysis in #healthsystems and #healthreform🌍 ┃Publisher: @tandfresearch.bsky.social
https://www.tandfonline.com/toc/khsr20/current
https://www.tandfonline.com/toc/khsr20/current
Can better coordination of non-state health providers help fragile states move toward universal health coverage?
This commentary by Augustus Osborne, Abdirasak Sharif Ali, and Umaru Sesay makes the case for rethinking who steers health care in fragile and conflict-affected settings. 🧵
This commentary by Augustus Osborne, Abdirasak Sharif Ali, and Umaru Sesay makes the case for rethinking who steers health care in fragile and conflict-affected settings. 🧵
September 8, 2026 at 9:51 AM
Can better coordination of non-state health providers help fragile states move toward universal health coverage?
This commentary by Augustus Osborne, Abdirasak Sharif Ali, and Umaru Sesay makes the case for rethinking who steers health care in fragile and conflict-affected settings. 🧵
This commentary by Augustus Osborne, Abdirasak Sharif Ali, and Umaru Sesay makes the case for rethinking who steers health care in fragile and conflict-affected settings. 🧵
Can reforming how public money flows help a country move toward universal health coverage?
In this article, Mita Choudhury and Nitya Chutani examine India's Single Nodal Agency (SNA) reform, introduced in 2021 to strengthen budget execution under Centrally Sponsored Schemes🧵
In this article, Mita Choudhury and Nitya Chutani examine India's Single Nodal Agency (SNA) reform, introduced in 2021 to strengthen budget execution under Centrally Sponsored Schemes🧵
August 10, 2026 at 12:33 PM
Can reforming how public money flows help a country move toward universal health coverage?
In this article, Mita Choudhury and Nitya Chutani examine India's Single Nodal Agency (SNA) reform, introduced in 2021 to strengthen budget execution under Centrally Sponsored Schemes🧵
In this article, Mita Choudhury and Nitya Chutani examine India's Single Nodal Agency (SNA) reform, introduced in 2021 to strengthen budget execution under Centrally Sponsored Schemes🧵
In this editorial, Michael R. Reich examines El Servicio Universal de Salud (SUS), the reform announced by President Claudia Sheinbaum in April 2026 🧵
July 27, 2026 at 9:22 AM
In this editorial, Michael R. Reich examines El Servicio Universal de Salud (SUS), the reform announced by President Claudia Sheinbaum in April 2026 🧵
📢 Health Systems & Reform has launched an open discussion and Article Collection on the theme of "Health Systems Research for a New Era: Foundations, Frontiers, Futures.”🧵
July 18, 2026 at 3:39 PM
📢 Health Systems & Reform has launched an open discussion and Article Collection on the theme of "Health Systems Research for a New Era: Foundations, Frontiers, Futures.”🧵
Why does Sri Lanka, a country with strong health service coverage, still see only 1 in 5 adults with diabetes achieving glycemic control?
This study by Ravindra P. Rannan-Eliya and colleagues explores this question using national survey data🧵
This study by Ravindra P. Rannan-Eliya and colleagues explores this question using national survey data🧵
June 25, 2026 at 3:23 PM
Why does Sri Lanka, a country with strong health service coverage, still see only 1 in 5 adults with diabetes achieving glycemic control?
This study by Ravindra P. Rannan-Eliya and colleagues explores this question using national survey data🧵
This study by Ravindra P. Rannan-Eliya and colleagues explores this question using national survey data🧵
How can countries make fair decisions about which health services to fund, especially when resources are limited?
A study led by Omar Mwalim, Sanaa Said, Subira Suleiman, and colleagues explores this question through Zanzibar’s health system.👇
A study led by Omar Mwalim, Sanaa Said, Subira Suleiman, and colleagues explores this question through Zanzibar’s health system.👇
June 16, 2026 at 5:29 AM
How can countries make fair decisions about which health services to fund, especially when resources are limited?
A study led by Omar Mwalim, Sanaa Said, Subira Suleiman, and colleagues explores this question through Zanzibar’s health system.👇
A study led by Omar Mwalim, Sanaa Said, Subira Suleiman, and colleagues explores this question through Zanzibar’s health system.👇
Does legal status improve health access for migrants?
In 2021, Colombia implemented the ETPMV policy, granting 10-year legal status to Venezuelan migrants. Diana M. Bowser, Priya Agarwal-Harding, Brielle Ruscitti, Donald S. Shepard, and Arturo Harker Roa examine its impact on health access🧵
In 2021, Colombia implemented the ETPMV policy, granting 10-year legal status to Venezuelan migrants. Diana M. Bowser, Priya Agarwal-Harding, Brielle Ruscitti, Donald S. Shepard, and Arturo Harker Roa examine its impact on health access🧵
May 25, 2026 at 1:16 PM
Does legal status improve health access for migrants?
In 2021, Colombia implemented the ETPMV policy, granting 10-year legal status to Venezuelan migrants. Diana M. Bowser, Priya Agarwal-Harding, Brielle Ruscitti, Donald S. Shepard, and Arturo Harker Roa examine its impact on health access🧵
In 2021, Colombia implemented the ETPMV policy, granting 10-year legal status to Venezuelan migrants. Diana M. Bowser, Priya Agarwal-Harding, Brielle Ruscitti, Donald S. Shepard, and Arturo Harker Roa examine its impact on health access🧵
Do pro-competition health reforms always improve patient outcomes?
Research from China's Sichuan province by Zixuan Peng, Audrey Laporte, Xiaolin Wei, Jay Pan & Peter C. Coyte challenges this assumption🧵
Research from China's Sichuan province by Zixuan Peng, Audrey Laporte, Xiaolin Wei, Jay Pan & Peter C. Coyte challenges this assumption🧵
May 18, 2026 at 11:10 AM
Do pro-competition health reforms always improve patient outcomes?
Research from China's Sichuan province by Zixuan Peng, Audrey Laporte, Xiaolin Wei, Jay Pan & Peter C. Coyte challenges this assumption🧵
Research from China's Sichuan province by Zixuan Peng, Audrey Laporte, Xiaolin Wei, Jay Pan & Peter C. Coyte challenges this assumption🧵
Diabetes is a growing public health challenge in Nigeria, yet many face barriers to proper care. What needs to change? 🧵👇
May 4, 2026 at 4:59 PM
Diabetes is a growing public health challenge in Nigeria, yet many face barriers to proper care. What needs to change? 🧵👇
Can a 19th-century medical debate reshape how we tackle Type 2 diabetes today?
This commentary by Abdo S. Yazbeck revisits the Pasteur vs. Béchamp debate to argue for a shift in how we approach non-communicable diseases🧵
This commentary by Abdo S. Yazbeck revisits the Pasteur vs. Béchamp debate to argue for a shift in how we approach non-communicable diseases🧵
April 28, 2026 at 8:35 AM
Can a 19th-century medical debate reshape how we tackle Type 2 diabetes today?
This commentary by Abdo S. Yazbeck revisits the Pasteur vs. Béchamp debate to argue for a shift in how we approach non-communicable diseases🧵
This commentary by Abdo S. Yazbeck revisits the Pasteur vs. Béchamp debate to argue for a shift in how we approach non-communicable diseases🧵
What happens when hospitals repeatedly overtreat patients and regulators run out of tools to stop them?
In this article, Jiayi Jiang and Mushiyi Yang analyse China's landmark civil public interest litigation case against overtreatment in Hubei Province🧵
In this article, Jiayi Jiang and Mushiyi Yang analyse China's landmark civil public interest litigation case against overtreatment in Hubei Province🧵
April 18, 2026 at 3:00 PM
What happens when hospitals repeatedly overtreat patients and regulators run out of tools to stop them?
In this article, Jiayi Jiang and Mushiyi Yang analyse China's landmark civil public interest litigation case against overtreatment in Hubei Province🧵
In this article, Jiayi Jiang and Mushiyi Yang analyse China's landmark civil public interest litigation case against overtreatment in Hubei Province🧵
What will it take for nations to move from rivalry to collaboration?
Harvey V. Fineberg identifies seven global mega-challenges that no single nation can solve alone, and argues that science, education, and health offer the most powerful pathways forward🧵
Harvey V. Fineberg identifies seven global mega-challenges that no single nation can solve alone, and argues that science, education, and health offer the most powerful pathways forward🧵
March 31, 2026 at 4:19 PM
What will it take for nations to move from rivalry to collaboration?
Harvey V. Fineberg identifies seven global mega-challenges that no single nation can solve alone, and argues that science, education, and health offer the most powerful pathways forward🧵
Harvey V. Fineberg identifies seven global mega-challenges that no single nation can solve alone, and argues that science, education, and health offer the most powerful pathways forward🧵
What ethical principles should guide our relationship with the planet?
A new commentary by Michael R. Reich explores this question 🧵
A new commentary by Michael R. Reich explores this question 🧵
March 22, 2026 at 1:43 PM
What ethical principles should guide our relationship with the planet?
A new commentary by Michael R. Reich explores this question 🧵
A new commentary by Michael R. Reich explores this question 🧵
In this commentary, Ashley Fox, Victoria Y. Fan, Heeun Kim, and Minah Kang introduce the concept of Trust Continuum to explain how different levels of trust affect compliance with public health measures.
These are some key challenges and policy recommendations highlighted by the authors🧵
These are some key challenges and policy recommendations highlighted by the authors🧵
March 14, 2026 at 12:10 PM
In this commentary, Ashley Fox, Victoria Y. Fan, Heeun Kim, and Minah Kang introduce the concept of Trust Continuum to explain how different levels of trust affect compliance with public health measures.
These are some key challenges and policy recommendations highlighted by the authors🧵
These are some key challenges and policy recommendations highlighted by the authors🧵
Why Aren’t Fixed-Dose Combinations (FDCs) Widely Used for Hypertension in Kenya?
This study by Adrianna Murphy and colleagues explores why FDCs, proven to improve hypertension management, are underutilized in Kenya’s public health system👇
This study by Adrianna Murphy and colleagues explores why FDCs, proven to improve hypertension management, are underutilized in Kenya’s public health system👇
March 6, 2026 at 5:32 PM
Why Aren’t Fixed-Dose Combinations (FDCs) Widely Used for Hypertension in Kenya?
This study by Adrianna Murphy and colleagues explores why FDCs, proven to improve hypertension management, are underutilized in Kenya’s public health system👇
This study by Adrianna Murphy and colleagues explores why FDCs, proven to improve hypertension management, are underutilized in Kenya’s public health system👇
How can global collaboration reshape diabetes care?
Alon Rasooly, Orly Manor, Ruitai Shao, Moriah E. Ellen, and Nadav Davidovitch analyze how countries exchange knowledge to improve diabetes care quality. Their findings offer practical solutions for tackling global disparities🧵
Alon Rasooly, Orly Manor, Ruitai Shao, Moriah E. Ellen, and Nadav Davidovitch analyze how countries exchange knowledge to improve diabetes care quality. Their findings offer practical solutions for tackling global disparities🧵
February 21, 2026 at 5:11 PM
How can global collaboration reshape diabetes care?
Alon Rasooly, Orly Manor, Ruitai Shao, Moriah E. Ellen, and Nadav Davidovitch analyze how countries exchange knowledge to improve diabetes care quality. Their findings offer practical solutions for tackling global disparities🧵
Alon Rasooly, Orly Manor, Ruitai Shao, Moriah E. Ellen, and Nadav Davidovitch analyze how countries exchange knowledge to improve diabetes care quality. Their findings offer practical solutions for tackling global disparities🧵
How can health systems worldwide better address the escalating burden of Type 2 diabetes?
In this editorial, Pablo Villalobos Dintrans, Abdo S. Yazbeck, Barbara McPake, and Michael R. Reich introduce the Collection “Diabetes in Health Systems: Towards More Effective and Equitable Responses.”🧵
In this editorial, Pablo Villalobos Dintrans, Abdo S. Yazbeck, Barbara McPake, and Michael R. Reich introduce the Collection “Diabetes in Health Systems: Towards More Effective and Equitable Responses.”🧵
February 13, 2026 at 3:51 PM
How can health systems worldwide better address the escalating burden of Type 2 diabetes?
In this editorial, Pablo Villalobos Dintrans, Abdo S. Yazbeck, Barbara McPake, and Michael R. Reich introduce the Collection “Diabetes in Health Systems: Towards More Effective and Equitable Responses.”🧵
In this editorial, Pablo Villalobos Dintrans, Abdo S. Yazbeck, Barbara McPake, and Michael R. Reich introduce the Collection “Diabetes in Health Systems: Towards More Effective and Equitable Responses.”🧵
How much do supervision, autonomy, and management practices actually matter for primary healthcare performance?
A new study by Brittany Hagedorn, Benjamin Loevinsohn, and Oluwole Odutolu provides quantitative evidence from nearly 1,000 facilities in Nigeria🧵
A new study by Brittany Hagedorn, Benjamin Loevinsohn, and Oluwole Odutolu provides quantitative evidence from nearly 1,000 facilities in Nigeria🧵
February 6, 2026 at 12:20 PM
How much do supervision, autonomy, and management practices actually matter for primary healthcare performance?
A new study by Brittany Hagedorn, Benjamin Loevinsohn, and Oluwole Odutolu provides quantitative evidence from nearly 1,000 facilities in Nigeria🧵
A new study by Brittany Hagedorn, Benjamin Loevinsohn, and Oluwole Odutolu provides quantitative evidence from nearly 1,000 facilities in Nigeria🧵
Why are health systems failing people with Type 2 diabetes?
In their recent article Abdo Yazbeck, Son Nam Nguyen, and Maria Luisa Escobar examine how health systems worldwide have struggled to prevent, diagnose, and manage Type 2 diabetes over the past 50 years🧵
In their recent article Abdo Yazbeck, Son Nam Nguyen, and Maria Luisa Escobar examine how health systems worldwide have struggled to prevent, diagnose, and manage Type 2 diabetes over the past 50 years🧵
January 30, 2026 at 5:05 PM
Why are health systems failing people with Type 2 diabetes?
In their recent article Abdo Yazbeck, Son Nam Nguyen, and Maria Luisa Escobar examine how health systems worldwide have struggled to prevent, diagnose, and manage Type 2 diabetes over the past 50 years🧵
In their recent article Abdo Yazbeck, Son Nam Nguyen, and Maria Luisa Escobar examine how health systems worldwide have struggled to prevent, diagnose, and manage Type 2 diabetes over the past 50 years🧵
Expanding social health insurance to the informal sector is critical for progress toward universal health coverage, but it remains one of the hardest policy challenges in LMICs.
In Zambia, over 70% of the workforce is informal, making coverage expansion essential but complex🧵
In Zambia, over 70% of the workforce is informal, making coverage expansion essential but complex🧵
January 19, 2026 at 9:49 AM
Expanding social health insurance to the informal sector is critical for progress toward universal health coverage, but it remains one of the hardest policy challenges in LMICs.
In Zambia, over 70% of the workforce is informal, making coverage expansion essential but complex🧵
In Zambia, over 70% of the workforce is informal, making coverage expansion essential but complex🧵
Why do financing and resource constraints continue to limit progress toward universal health coverage in the Philippines? Recent qualitative research points to weaknesses across health financing functions as key barriers🧵
January 12, 2026 at 8:41 AM
Why do financing and resource constraints continue to limit progress toward universal health coverage in the Philippines? Recent qualitative research points to weaknesses across health financing functions as key barriers🧵
How did Indigenous leadership shape a major medicines funding decision in Aotearoa New Zealand?
A 2021 policy change introduced ethnicity-based eligibility for new diabetes medicines, marking a significant shift in how equity is addressed within a universal health system🧵
A 2021 policy change introduced ethnicity-based eligibility for new diabetes medicines, marking a significant shift in how equity is addressed within a universal health system🧵
December 18, 2025 at 2:34 PM
How did Indigenous leadership shape a major medicines funding decision in Aotearoa New Zealand?
A 2021 policy change introduced ethnicity-based eligibility for new diabetes medicines, marking a significant shift in how equity is addressed within a universal health system🧵
A 2021 policy change introduced ethnicity-based eligibility for new diabetes medicines, marking a significant shift in how equity is addressed within a universal health system🧵
How has health technology assessment (HTA) evolved in China, and what has shaped its role in health policy?
This article by Wudong Guo and colleagues offers a useful overview🧵
This article by Wudong Guo and colleagues offers a useful overview🧵
December 10, 2025 at 10:48 AM
How has health technology assessment (HTA) evolved in China, and what has shaped its role in health policy?
This article by Wudong Guo and colleagues offers a useful overview🧵
This article by Wudong Guo and colleagues offers a useful overview🧵
How can countries build the institutional foundations needed for fair, transparent, and evidence-informed decisions as they expand their universal health coverage systems?
In this article, Juhwan Oh and colleagues trace South Korea's two-decade journey to institutionalize HTA 🧵
In this article, Juhwan Oh and colleagues trace South Korea's two-decade journey to institutionalize HTA 🧵
December 1, 2025 at 10:37 AM
How can countries build the institutional foundations needed for fair, transparent, and evidence-informed decisions as they expand their universal health coverage systems?
In this article, Juhwan Oh and colleagues trace South Korea's two-decade journey to institutionalize HTA 🧵
In this article, Juhwan Oh and colleagues trace South Korea's two-decade journey to institutionalize HTA 🧵
In this commentary, Budi Hidayat analyzed the current state of health technology supply landscape in Indonesia as well as the impact of HTA studies on priority-setting decisions.
These are some key insights about the present challenges and future directions🧵
These are some key insights about the present challenges and future directions🧵
November 24, 2025 at 5:04 PM
In this commentary, Budi Hidayat analyzed the current state of health technology supply landscape in Indonesia as well as the impact of HTA studies on priority-setting decisions.
These are some key insights about the present challenges and future directions🧵
These are some key insights about the present challenges and future directions🧵