{"id":"https://openalex.org/W2990739890","doi":"https://doi.org/10.1016/j.healthpol.2019.11.007","title":"Mental health system reform in Moldova: Description of the program and reflections on its implementation between 2014 and 2019","display_name":"Mental health system reform in Moldova: Description of the program and reflections on its implementation between 2014 and 2019","publication_year":2019,"publication_date":"2019-11-23","ids":{"openalex":"https://openalex.org/W2990739890","doi":"https://doi.org/10.1016/j.healthpol.2019.11.007","mag":"2990739890","pmid":"https://pubmed.ncbi.nlm.nih.gov/31810580"},"language":"en","primary_location":{"id":"doi:10.1016/j.healthpol.2019.11.007","doi":"https://doi.org/10.1016/j.healthpol.2019.11.007","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.healthpol.2019.11.007","pdf_url":"https://www.sciencedirect.com/science/article/pii/S0168851019302751/pdf","source":{"id":"https://openalex.org/S4210209709","display_name":"Health Policy","issn_l":"0168-8510","issn":["0168-8510","1872-6054"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","dongbi-c","doyens","fnege-2","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Policy","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://www.sciencedirect.com/science/article/pii/S0168851019302751/pdf","any_repository_has_fulltext":null},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5091860040","display_name":"I Petrea","orcid":"https://orcid.org/0000-0003-2494-7488","observed_orcids":["https://orcid.org/0000-0003-2494-7488"]},"institutions":[{"id":"https://openalex.org/I4210118716","display_name":"Trimbos Institute","ror":"https://ror.org/02amggm23","country_code":"NL","type":"facility","lineage":["https://openalex.org/I4210118716"]}],"countries":["NL"],"is_corresponding":true,"raw_author_name":"Ionela Petrea","raw_affiliation_strings":["Trimbos Institute, Da Costakade 45, 3521 VS Utrecht, the Netherlands. Electronic address: ionela.petrea@insightinstitute.nl","Trimbos Institute, Da Costakade 45, 3521 VS Utrecht, the Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Trimbos Institute, Da Costakade 45, 3521 VS Utrecht, the Netherlands. Electronic address: ionela.petrea@insightinstitute.nl","institution_ids":["https://openalex.org/I4210118716"]},{"raw_affiliation_string":"Trimbos Institute, Da Costakade 45, 3521 VS Utrecht, the Netherlands","institution_ids":["https://openalex.org/I4210118716"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063228795","display_name":"Laura Shields\u2010Zeeman","orcid":"https://orcid.org/0000-0003-0923-8771","observed_orcids":["https://orcid.org/0000-0003-0923-8771"]},"institutions":[{"id":"https://openalex.org/I4210118716","display_name":"Trimbos Institute","ror":"https://ror.org/02amggm23","country_code":"NL","type":"facility","lineage":["https://openalex.org/I4210118716"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Laura Shields-Zeeman","raw_affiliation_strings":["Trimbos Institute, Da Costakade 45, 3521 VS Utrecht, the Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Trimbos Institute, Da Costakade 45, 3521 VS Utrecht, the Netherlands","institution_ids":["https://openalex.org/I4210118716"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014679416","display_name":"Ren\u00e9 Keet","orcid":"https://orcid.org/0000-0001-9959-6032","observed_orcids":["https://orcid.org/0000-0001-9959-6032"]},"institutions":[{"id":"https://openalex.org/I4210090433","display_name":"GGZ Noord-Holland-Noord","ror":"https://ror.org/00b3xjw51","country_code":"NL","type":"healthcare","lineage":["https://openalex.org/I4210090433"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Rene Keet","raw_affiliation_strings":["GGZ Noord Holland Noord, Alkmaar, the Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"GGZ Noord Holland Noord, Alkmaar, the Netherlands","institution_ids":["https://openalex.org/I4210090433"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043775857","display_name":"Raluca Ileana Nica","orcid":"https://orcid.org/0000-0002-2614-3363","observed_orcids":["https://orcid.org/0000-0002-2614-3363"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Raluca Nica","raw_affiliation_strings":["Romanian League for Mental Health, Bucharest, Romania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Romanian League for Mental Health, Bucharest, Romania","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078519863","display_name":"Karel Kraan","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Karel Kraan","raw_affiliation_strings":["Luzerne Psychiatrie, Luzern, Switzerland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Luzerne Psychiatrie, Luzern, Switzerland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018486745","display_name":"Jana Chihai","orcid":"https://orcid.org/0000-0002-7720-5544","observed_orcids":["https://orcid.org/0000-0002-7720-5544"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jana Chihai","raw_affiliation_strings":["Trimbos Moldova, Chisinau, Moldova"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Trimbos Moldova, Chisinau, Moldova","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018442163","display_name":"V. Condrat","orcid":"https://orcid.org/0000-0001-7327-975X","observed_orcids":["https://orcid.org/0000-0001-7327-975X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Victoria Condrat","raw_affiliation_strings":["Trimbos Moldova, Chisinau, Moldova"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Trimbos Moldova, Chisinau, Moldova","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5060916558","display_name":"Ghenadie Curocichin","orcid":"https://orcid.org/0000-0003-0613-4360","observed_orcids":["https://orcid.org/0000-0003-0613-4360"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ghenadie Curocichin","raw_affiliation_strings":["Trimbos Moldova, Chisinau, Moldova"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Trimbos Moldova, Chisinau, Moldova","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5091860040"],"corresponding_institution_ids":["https://openalex.org/I4210118716"],"apc_list":{"value":3350,"currency":"USD","value_usd":3350},"apc_paid":{"value":3350,"currency":"USD","value_usd":3350},"fwci":0.8057,"has_fulltext":true,"cited_by_count":8,"citation_normalized_percentile":{"value":0.73479611,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"124","issue":"1","first_page":"83","last_page":"88"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.5976999998092651,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.5976999998092651,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.30399999022483826,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.023399999365210533,"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/mental-health-reform","display_name":"mental health reform","score":0.996999979019165},{"id":"https://openalex.org/keywords/national-mental-health-programme","display_name":"National Mental Health Programme","score":0.8769999742507935},{"id":"https://openalex.org/keywords/mental-health-service-delivery","display_name":"mental health service delivery","score":0.7519999742507935},{"id":"https://openalex.org/keywords/mental-health-policy","display_name":"mental health policy","score":0.6510000228881836},{"id":"https://openalex.org/keywords/intersectoral-collaboration","display_name":"intersectoral collaboration","score":0.6859999895095825},{"id":"https://openalex.org/keywords/scale-up","display_name":"scale-up","score":0.6549999713897705},{"id":"https://openalex.org/keywords/implementation-barriers","display_name":"implementation barriers","score":0.6209999918937683},{"id":"https://openalex.org/keywords/lessons-learned","display_name":"lessons learned","score":0.7429999709129333},{"id":"https://openalex.org/keywords/moldova","display_name":"Republic of Moldova","score":0.7480000257492065}],"concepts":[{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.7960630655288696},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.5794640779495239},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.5250520706176758},{"id":"https://openalex.org/C44280652","wikidata":"https://www.wikidata.org/wiki/Q104837","display_name":"Phase (matter)","level":2,"score":0.43643295764923096},{"id":"https://openalex.org/C68595000","wikidata":"https://www.wikidata.org/wiki/Q2274177","display_name":"Service delivery framework","level":3,"score":0.4268963932991028},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.382193922996521},{"id":"https://openalex.org/C3116431","wikidata":"https://www.wikidata.org/wiki/Q31728","display_name":"Public administration","level":1,"score":0.3785935044288635},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.3734481930732727},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3551074266433716},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.32619619369506836},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.3209663927555084},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3164682984352112},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.27508845925331116},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.1404465138912201},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.1377791166305542},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.09367102384567261},{"id":"https://openalex.org/C178790620","wikidata":"https://www.wikidata.org/wiki/Q11351","display_name":"Organic chemistry","level":1,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D006078","descriptor_name":"Government Programs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006284","descriptor_name":"Health Plan Implementation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008605","descriptor_name":"Mental Health Services","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D008966","descriptor_name":"Moldova","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009313","descriptor_name":"National Health Programs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D018166","descriptor_name":"Health Care Reform","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1016/j.healthpol.2019.11.007","doi":"https://doi.org/10.1016/j.healthpol.2019.11.007","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.healthpol.2019.11.007","pdf_url":"https://www.sciencedirect.com/science/article/pii/S0168851019302751/pdf","source":{"id":"https://openalex.org/S4210209709","display_name":"Health Policy","issn_l":"0168-8510","issn":["0168-8510","1872-6054"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","dongbi-c","doyens","fnege-2","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Policy","raw_type":"journal-article"},{"id":"pmid:31810580","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31810580","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":"Health policy (Amsterdam, Netherlands)","raw_type":"Journal Article"},{"id":"pmh:oai:RePEc:eee:hepoli:v:124:y:2020:i:1:p:83-88","doi":null,"is_oa":false,"landing_page_url":"http://www.sciencedirect.com/science/article/pii/S0168851019302751","pdf_url":null,"source":{"id":"https://openalex.org/S4306401271","display_name":"RePEc: Research Papers in Economics","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I77793887","host_organization_name":"Federal Reserve Bank of St. Louis","host_organization_lineage":["https://openalex.org/I77793887"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article"},{"id":"pmh:oai:ibn.idsi.md:91482","doi":null,"is_oa":true,"landing_page_url":"https://ibn.idsi.md/vizualizare_articol/91482","pdf_url":null,"source":null,"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Health Policy 83-88","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.1016/j.healthpol.2019.11.007","doi":"https://doi.org/10.1016/j.healthpol.2019.11.007","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.healthpol.2019.11.007","pdf_url":"https://www.sciencedirect.com/science/article/pii/S0168851019302751/pdf","source":{"id":"https://openalex.org/S4210209709","display_name":"Health Policy","issn_l":"0168-8510","issn":["0168-8510","1872-6054"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","dongbi-c","doyens","fnege-2","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Policy","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9391000270843506,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.5473999977111816,"display_name":"Peace, justice, and strong institutions","id":"https://metadata.un.org/sdg/16"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320332770","display_name":"Direktion f\u00fcr Entwicklung und Zusammenarbeit","ror":"https://ror.org/03fxa4766"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2990739890.pdf","grobid_xml":"https://content.openalex.org/works/W2990739890.grobid-xml"},"referenced_works_count":26,"referenced_works":["https://openalex.org/W972204597","https://openalex.org/W1484862639","https://openalex.org/W1818972661","https://openalex.org/W1973166162","https://openalex.org/W2062336062","https://openalex.org/W2065123376","https://openalex.org/W2084420206","https://openalex.org/W2091968653","https://openalex.org/W2093789343","https://openalex.org/W2114770054","https://openalex.org/W2115299139","https://openalex.org/W2118777335","https://openalex.org/W2123070736","https://openalex.org/W2149063819","https://openalex.org/W2213008814","https://openalex.org/W2261574156","https://openalex.org/W2275777068","https://openalex.org/W2492123249","https://openalex.org/W2520426184","https://openalex.org/W2551205474","https://openalex.org/W2580653833","https://openalex.org/W2606586703","https://openalex.org/W2611721506","https://openalex.org/W2795095268","https://openalex.org/W2949937809","https://openalex.org/W6678346967"],"related_works":["https://openalex.org/W2949937809","https://openalex.org/W2733769748","https://openalex.org/W2782748487","https://openalex.org/W2117360971","https://openalex.org/W4413852486","https://openalex.org/W3008000485","https://openalex.org/W2509616768","https://openalex.org/W7125609705","https://openalex.org/W2417802289","https://openalex.org/W2162609485"],"abstract_inverted_index":{"In":[0],"2014,":[1],"the":[2,22,46,51,56,60,94,112,118,156,168,188,193],"Republic":[3],"of":[4,10,45,50,55,62,65,88,106,111,192],"Moldova":[5],"started":[6],"a":[7,30,63],"systematic":[8],"process":[9,170,189],"reforming":[11],"its":[12,123],"mental":[13,66,74,84,107,194,214],"health":[14,39,67,75,108,195,215],"system,":[15],"implementing":[16],"priority":[17],"actions":[18],"set":[19],"out":[20],"in":[21,69,80,122,130,164,174,182,217],"National":[23],"Mental":[24],"Health":[25],"Programme.":[26],"The":[27,127],"reform":[28,57,119,169,216],"entailed":[29],"service":[31],"delivery":[32],"re-design,":[33],"instituting":[34],"mechanisms":[35],"for":[36,209],"collaboration":[37],"across":[38],"and":[40,43,78,82,96,99,104,117,148,152,162,179,190,200,211],"social":[41],"sectors,":[42],"revision":[44],"policy":[47,91],"framework.":[48],"Outcomes":[49],"first":[52,113],"4":[53,70,136],"years":[54],"included:":[58],"1)":[59],"establishment":[61],"network":[64],"services":[68],"pilot":[71,137],"districts":[72,161],"embedding":[73],"diagnosis,":[76],"treatment":[77],"referral":[79],"primary":[81],"specialized":[83],"healthcare;":[85],"2)":[86],"creation":[87],"an":[89],"enabling":[90],"environment":[92],"at":[93],"national":[95,178],"district":[97],"level;":[98],"3)":[100],"strengthened":[101],"community":[102],"support":[103],"acceptance":[105],"issues.":[109],"Objectives":[110],"Phase":[114,125,131,140,146,175,183],"were":[115],"achieved":[116],"is":[120],"now":[121],"second":[124],"(2018-2022).":[126],"implementation":[128,201],"strategy":[129],"1":[132,147,176],"focused":[133],"efforts":[134],"on":[135,187],"districts,":[138],"whereas":[139],"2":[141],"harnesses":[142],"lessons":[143,198],"learned":[144,199],"from":[145,172],"facilitates":[149],"local":[150,180],"leaders":[151],"actors":[153],"to":[154,158,177],"scale-up":[155],"model":[157],"all":[159],"32":[160],"municipalities":[163],"Moldova.":[165],"Ownership":[166],"over":[167],"shifted":[171],"project-led":[173],"government-led":[181],"2.":[184],"We":[185,204],"reflect":[186],"contents":[191],"reform,":[196],"discuss":[197],"challenges":[202],"encountered.":[203],"conclude":[205],"with":[206],"learning":[207],"points":[208],"policymakers":[210],"researchers":[212],"considering":[213],"other":[218],"countries.":[219]},"counts_by_year":[{"year":2025,"cited_by_count":3},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2019-12-05T00:00:00"}