{"id":"https://openalex.org/W2789190890","doi":"https://doi.org/10.7189/jogh.08.010403","title":"Implementing health care reform: implications for performance of public hospitals in central Ethiopia","display_name":"Implementing health care reform: implications for performance of public hospitals in central Ethiopia","publication_year":2018,"publication_date":"2018-02-10","ids":{"openalex":"https://openalex.org/W2789190890","doi":"https://doi.org/10.7189/jogh.08.010403","mag":"2789190890","pmid":"https://pubmed.ncbi.nlm.nih.gov/29497501","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/5819853"},"language":"en","primary_location":{"id":"doi:10.7189/jogh.08.010403","doi":"https://doi.org/10.7189/jogh.08.010403","is_oa":true,"landing_page_url":"https://doi.org/10.7189/jogh.08.010403","pdf_url":"https://doi.org/10.7189/jogh.08.010403","source":{"id":"https://openalex.org/S2736978234","display_name":"Journal of Global Health","issn_l":"2047-2978","issn":["2047-2978","2047-2986"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311848","host_organization_name":"Edinburgh University Global Health Society","host_organization_lineage":["https://openalex.org/P4310311848"],"host_organization_lineage_names":["Edinburgh University Global Health Society"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Global Health","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.7189/jogh.08.010403","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5074404138","display_name":"Tsegahun Manyazewal","orcid":"https://orcid.org/0000-0002-8360-7574","observed_orcids":["https://orcid.org/0000-0002-8360-7574"]},"institutions":[{"id":"https://openalex.org/I165390105","display_name":"University of South Africa","ror":"https://ror.org/048cwvf49","country_code":"ZA","type":"education","lineage":["https://openalex.org/I165390105"]},{"id":"https://openalex.org/I36258959","display_name":"University of California San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US","ZA"],"is_corresponding":true,"raw_author_name":"Tsegahun Manyazewal","raw_affiliation_strings":["Department of Health Studies, College of Human Sciences, University of South Africa, Pretoria, South Africa","University of California San Diego, Anti-Viral Research Center, ADDIS VP Project, Addis Ababa, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Studies, College of Human Sciences, University of South Africa, Pretoria, South Africa","institution_ids":["https://openalex.org/I165390105"]},{"raw_affiliation_string":"University of California San Diego, Anti-Viral Research Center, ADDIS VP Project, Addis Ababa, Ethiopia","institution_ids":["https://openalex.org/I36258959"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5005719703","display_name":"Mokgadi Christina Matlakala","orcid":"https://orcid.org/0000-0002-0980-7447","observed_orcids":["https://orcid.org/0000-0002-0980-7447"]},"institutions":[{"id":"https://openalex.org/I165390105","display_name":"University of South Africa","ror":"https://ror.org/048cwvf49","country_code":"ZA","type":"education","lineage":["https://openalex.org/I165390105"]}],"countries":["ZA"],"is_corresponding":false,"raw_author_name":"Mokgadi C Matlakala","raw_affiliation_strings":["Department of Health Studies, College of Human Sciences, University of South Africa, Pretoria, South Africa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Studies, College of Human Sciences, University of South Africa, Pretoria, South Africa","institution_ids":["https://openalex.org/I165390105"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5074404138"],"corresponding_institution_ids":["https://openalex.org/I165390105","https://openalex.org/I36258959"],"apc_list":{"value":1200,"currency":"USD","value_usd":1200},"apc_paid":{"value":1200,"currency":"USD","value_usd":1200},"fwci":3.3023,"has_fulltext":true,"cited_by_count":22,"citation_normalized_percentile":{"value":0.9207468,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":98},"biblio":{"volume":"8","issue":"1","first_page":"010403","last_page":"010403"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14186","display_name":"Healthcare Systems and Practices","score":0.0034000000450760126,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care-reform","display_name":"health care reform","score":0.9829999804496765},{"id":"https://openalex.org/keywords/public-hospitals","display_name":"public hospitals","score":0.9229999780654907},{"id":"https://openalex.org/keywords/hospital-performance","display_name":"hospital performance","score":0.9139999747276306},{"id":"https://openalex.org/keywords/fragmentation-of-care","display_name":"care fragmentation","score":0.8309999704360962},{"id":"https://openalex.org/keywords/quality-of-care","display_name":"quality of care","score":0.7960000038146973},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.8550000190734863},{"id":"https://openalex.org/keywords/health-care-efficiency","display_name":"health care efficiency","score":0.8489999771118164},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.7789999842643738},{"id":"https://openalex.org/keywords/patient-provider-interaction","display_name":"patient-provider interaction","score":0.6980000138282776},{"id":"https://openalex.org/keywords/healthcare-management","display_name":"health management","score":0.5830000042915344},{"id":"https://openalex.org/keywords/healthcare-infrastructure","display_name":"health infrastructure","score":0.6259999871253967},{"id":"https://openalex.org/keywords/health-information-technology","display_name":"health information technology","score":0.5989999771118164},{"id":"https://openalex.org/keywords/health-care-financing","display_name":"health care financing","score":0.6150000095367432},{"id":"https://openalex.org/keywords/central-ethiopia","display_name":"Central Ethiopia","score":0.5080000162124634}],"concepts":[{"id":"https://openalex.org/C106906290","wikidata":"https://www.wikidata.org/wiki/Q1140909","display_name":"Cronbach's alpha","level":3,"score":0.6579188108444214},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5852155089378357},{"id":"https://openalex.org/C2778584109","wikidata":"https://www.wikidata.org/wiki/Q60603744","display_name":"Health care reform","level":4,"score":0.5842255353927612},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.5816375017166138},{"id":"https://openalex.org/C199728807","wikidata":"https://www.wikidata.org/wiki/Q2578557","display_name":"Equity (law)","level":2,"score":0.5702747702598572},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.5247859358787537},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.48686474561691284},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.46223288774490356},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3699134886264801},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.31818944215774536},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.19224298000335693},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.15339651703834534},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D005002","descriptor_name":"Ethiopia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006779","descriptor_name":"Hospitals, Public","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018166","descriptor_name":"Health Care Reform","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.7189/jogh.08.010403","doi":"https://doi.org/10.7189/jogh.08.010403","is_oa":true,"landing_page_url":"https://doi.org/10.7189/jogh.08.010403","pdf_url":"https://doi.org/10.7189/jogh.08.010403","source":{"id":"https://openalex.org/S2736978234","display_name":"Journal of Global Health","issn_l":"2047-2978","issn":["2047-2978","2047-2986"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311848","host_organization_name":"Edinburgh University Global Health Society","host_organization_lineage":["https://openalex.org/P4310311848"],"host_organization_lineage_names":["Edinburgh University Global Health Society"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Global Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:5819853","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5819853","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Glob Health","raw_type":"Text"},{"id":"pmid:29497501","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/29497501","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of global health","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.7189/jogh.08.010403","doi":"https://doi.org/10.7189/jogh.08.010403","is_oa":true,"landing_page_url":"https://doi.org/10.7189/jogh.08.010403","pdf_url":"https://doi.org/10.7189/jogh.08.010403","source":{"id":"https://openalex.org/S2736978234","display_name":"Journal of Global Health","issn_l":"2047-2978","issn":["2047-2978","2047-2986"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311848","host_organization_name":"Edinburgh University Global Health Society","host_organization_lineage":["https://openalex.org/P4310311848"],"host_organization_lineage_names":["Edinburgh University Global Health Society"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Global Health","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.8560000061988831,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320324956","display_name":"University of South Africa","ror":"https://ror.org/048cwvf49"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2789190890.pdf","grobid_xml":"https://content.openalex.org/works/W2789190890.grobid-xml"},"referenced_works_count":51,"referenced_works":["https://openalex.org/W170097842","https://openalex.org/W1493156297","https://openalex.org/W1512854982","https://openalex.org/W1547447133","https://openalex.org/W1556600677","https://openalex.org/W1773252430","https://openalex.org/W1861238121","https://openalex.org/W1965261313","https://openalex.org/W1970656542","https://openalex.org/W1976867259","https://openalex.org/W1977601443","https://openalex.org/W1990557108","https://openalex.org/W1995284862","https://openalex.org/W1995645817","https://openalex.org/W1999173108","https://openalex.org/W2014669822","https://openalex.org/W2019206074","https://openalex.org/W2028290930","https://openalex.org/W2037503865","https://openalex.org/W2067224368","https://openalex.org/W2068233925","https://openalex.org/W2071916926","https://openalex.org/W2085145364","https://openalex.org/W2102006682","https://openalex.org/W2110417523","https://openalex.org/W2112064014","https://openalex.org/W2121627922","https://openalex.org/W2122506822","https://openalex.org/W2125966862","https://openalex.org/W2126877753","https://openalex.org/W2132426308","https://openalex.org/W2134344922","https://openalex.org/W2135298472","https://openalex.org/W2139153837","https://openalex.org/W2142954239","https://openalex.org/W2146132330","https://openalex.org/W2149738820","https://openalex.org/W2158384250","https://openalex.org/W2171327980","https://openalex.org/W2182635836","https://openalex.org/W2226008236","https://openalex.org/W2288853653","https://openalex.org/W2340723284","https://openalex.org/W2416716998","https://openalex.org/W2522914814","https://openalex.org/W2583209278","https://openalex.org/W2609347991","https://openalex.org/W2978516585","https://openalex.org/W3014478260","https://openalex.org/W6685571236","https://openalex.org/W6768716389"],"related_works":["https://openalex.org/W2101309338","https://openalex.org/W3112115850","https://openalex.org/W3122746903","https://openalex.org/W2736634391","https://openalex.org/W4300997053","https://openalex.org/W4412963755","https://openalex.org/W2517071986","https://openalex.org/W2114175234","https://openalex.org/W2548333591","https://openalex.org/W3084844468"],"abstract_inverted_index":{"BACKGROUND:":[0],"Understanding":[1],"the":[2,22,33,44,51,77,79,148,151,201,212,241],"way":[3],"health":[4,34,47,80,138,196,204,213],"care":[5,35,48,81,139,197,214],"reforms":[6],"have":[7],"succeeded":[8],"or":[9],"failed":[10],"thus":[11],"far":[12],"would":[13],"help":[14],"policy":[15],"makers":[16],"cater":[17],"continued":[18],"reform":[19,49,149,198,221,242],"efforts":[20,222],"in":[21,32,56,83,99,120,132,223],"future":[23],"and":[24,42,61,64,110,123,134,181,211,235],"provides":[25],"insight":[26],"into":[27],"possible":[28],"levels":[29],"of":[30,46,53,76,93,101,113,137,147,232,240],"improvement":[31],"system.":[36],"This":[37],"work":[38],"aims":[39],"to":[40],"assess":[41],"describe":[43],"implications":[45],"on":[50],"performance":[52],"public":[54,84],"hospitals":[55,85],"central":[57],"Ethiopia.":[58],"METHODS:":[59],",":[60],"Mann-Whitney":[62],"U":[63],"Kruskal-Wallis":[65],"tests":[66],"were":[67,97,118,150],"used":[68],"for":[69,203],"data":[70],"analysis.":[71],"RESULT:":[72],"s":[73,193],"Despite":[74],"implementation":[75],"reform,":[78],"system":[82,184,205,216],"was":[86,129,141,209,217],"still":[87,218],"fragmented":[88],"as":[89],"confirmed":[90],"by":[91],"50%":[92],"respondents.":[94],"Limited":[95],"effects":[96,117],"reported":[98,119],"favour":[100],"quality":[102],"(48%),":[103],"access":[104],"(50%),":[105],"efficiency":[106],"(51%),":[107],"sustainability":[108],"(53%),":[109],"equity":[111],"(61%)":[112],"care,":[114],"while":[115],"poor":[116],"patient-provider":[121],"(41%)":[122],"provider-management":[124],"(32%)":[125],"interactions.":[126],"Though":[127],"there":[128],"substantial":[130],"gain":[131],"infrastructure":[133],"workspace,":[135],"stewardship":[136],"resources":[140,166],"less":[142],"benefited.":[143],"The":[144,194],"predominant":[145],"hindrances":[146],"working":[152],"environment":[153],"(adjusted":[154],"Odds":[155],"Ratio":[156],"(aOR)":[157],"=":[158,168,171,175,179,186,190],"2.27,":[159,176],"95%":[160,177,188],"confidence":[161],"interval":[162],"(CI):":[163],"1.15-4.47),":[164,180],"financial":[165],"(aOR":[167,174,185],"3.54,":[169],"95%CI":[170],"1.97-6.33),":[172],"management":[173],"CI":[178,189],"information":[182],"technology":[183],"3.15,":[187],"1.57-6.32).":[191],"CONCLUSION:":[192],"Ethiopian":[195],"has":[199],"laid":[200],"groundwork":[202],"improvement,":[206],"but":[207,228],"progress":[208],"slow":[210],"delivery":[215],"fragile.":[219],"Healthcare":[220],"such":[224],"settings":[225],"are":[226],"feasible,":[227],"with":[229],"regular":[230],"mapping":[231],"programmatic":[233],"outcomes":[234],"bringing":[236],"a":[237],"common":[238],"understanding":[239],"among":[243],"stakeholders.":[244]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":5},{"year":2019,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2018-03-06T00:00:00"}