{"id":"https://openalex.org/W4410120105","doi":"https://doi.org/10.1186/s12939-025-02463-w","title":"Equity, power and resources in primary health care reform: insights from Aotearoa New Zealand","display_name":"Equity, power and resources in primary health care reform: insights from Aotearoa New Zealand","publication_year":2025,"publication_date":"2025-05-06","ids":{"openalex":"https://openalex.org/W4410120105","doi":"https://doi.org/10.1186/s12939-025-02463-w","pmid":"https://pubmed.ncbi.nlm.nih.gov/40329268","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12057058"},"language":"en","primary_location":{"id":"doi:10.1186/s12939-025-02463-w","doi":"https://doi.org/10.1186/s12939-025-02463-w","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12939-025-02463-w","pdf_url":"https://equityhealthj.biomedcentral.com/counter/pdf/10.1186/s12939-025-02463-w","source":{"id":"https://openalex.org/S167257428","display_name":"International Journal for Equity in Health","issn_l":"1475-9276","issn":["1475-9276"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"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":"International Journal for Equity in Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://equityhealthj.biomedcentral.com/counter/pdf/10.1186/s12939-025-02463-w","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5065798616","display_name":"Johanna Reidy","orcid":"https://orcid.org/0000-0002-7305-9316","observed_orcids":["https://orcid.org/0000-0002-7305-9316"]},"institutions":[{"id":"https://openalex.org/I80281795","display_name":"University of Otago","ror":"https://ror.org/01jmxt844","country_code":"NZ","type":"education","lineage":["https://openalex.org/I80281795"]}],"countries":["NZ"],"is_corresponding":true,"raw_author_name":"Johanna Reidy","raw_affiliation_strings":["Department of Public Health, University of Otago, 43 Hanson St, PO Box 7343, Newtown, Wellington South, 6242, New Zealand. johanna.reidy@otago.ac.nz"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Public Health, University of Otago, 43 Hanson St, PO Box 7343, Newtown, Wellington South, 6242, New Zealand. johanna.reidy@otago.ac.nz","institution_ids":["https://openalex.org/I80281795"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092595275","display_name":"Nina Bevin","orcid":"https://orcid.org/0000-0002-0746-4663","observed_orcids":["https://orcid.org/0000-0002-0746-4663"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Nina Bevin","raw_affiliation_strings":[", 36 Cockburn St, Grey Lynn, 1021 NZ, New Zealand"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":", 36 Cockburn St, Grey Lynn, 1021 NZ, New Zealand","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055994247","display_name":"Don Matheson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I51158804","display_name":"Massey University","ror":"https://ror.org/052czxv31","country_code":"NZ","type":"education","lineage":["https://openalex.org/I51158804"]}],"countries":["NZ"],"is_corresponding":true,"raw_author_name":"Don Matheson","raw_affiliation_strings":["Centre for Public Health Research, Massey University Centre for Public Health Research, Massey University - Wellington Campus, PO Box 756, Wellington, 6140, New Zealand"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Public Health Research, Massey University Centre for Public Health Research, Massey University - Wellington Campus, PO Box 756, Wellington, 6140, New Zealand","institution_ids":["https://openalex.org/I51158804"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120751790","display_name":"Ngaire Rae","orcid":"https://orcid.org/0000-0002-7165-7072","observed_orcids":["https://orcid.org/0000-0002-7165-7072"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Ngaire Rae","raw_affiliation_strings":[", 3 Whareora Rd, Whang\u0101rei, 0112, New Zealand"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":", 3 Whareora Rd, Whang\u0101rei, 0112, New Zealand","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068721962","display_name":"R\u0101wiri Keenan","orcid":"https://orcid.org/0000-0001-8312-8525","observed_orcids":["https://orcid.org/0000-0001-8312-8525"]},"institutions":[{"id":"https://openalex.org/I52179390","display_name":"University of Waikato","ror":"https://ror.org/013fsnh78","country_code":"NZ","type":"education","lineage":["https://openalex.org/I52179390"]}],"countries":["NZ"],"is_corresponding":true,"raw_author_name":"Rawiri Keenan","raw_affiliation_strings":["Division of Health, University of Waikato, Te Huataki Waiora, Private Bag 3105, 3240, Hamilton, Waikato, New Zealand"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Health, University of Waikato, Te Huataki Waiora, Private Bag 3105, 3240, Hamilton, Waikato, New Zealand","institution_ids":["https://openalex.org/I52179390"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045575699","display_name":"Peter Crampton","orcid":"https://orcid.org/0000-0002-5196-6505","observed_orcids":["https://orcid.org/0000-0002-5196-6505"]},"institutions":[{"id":"https://openalex.org/I80281795","display_name":"University of Otago","ror":"https://ror.org/01jmxt844","country_code":"NZ","type":"education","lineage":["https://openalex.org/I80281795"]}],"countries":["NZ"],"is_corresponding":true,"raw_author_name":"Peter Crampton","raw_affiliation_strings":["K\u014dhatu Centre for Hauora M\u0101ori, University of Otago, PO Box 56, Dunedin, New Zealand"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"K\u014dhatu Centre for Hauora M\u0101ori, University of Otago, PO Box 56, Dunedin, New Zealand","institution_ids":["https://openalex.org/I80281795"]}]},{"author_position":"last","author":{"id":null,"display_name":"Max Harris","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Max Harris","raw_affiliation_strings":["Thorndon Chambers, PO Box 1530, 6140, Wellington, New Zealand"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Thorndon Chambers, PO Box 1530, 6140, Wellington, New Zealand","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5045575699","https://openalex.org/A5055994247","https://openalex.org/A5065798616","https://openalex.org/A5068721962","https://openalex.org/A5092595275","https://openalex.org/A5120751790"],"corresponding_institution_ids":["https://openalex.org/I51158804","https://openalex.org/I52179390","https://openalex.org/I80281795"],"apc_list":{"value":3690,"currency":"USD","value_usd":3690},"apc_paid":{"value":3690,"currency":"USD","value_usd":3690},"fwci":6.9665,"has_fulltext":true,"cited_by_count":10,"citation_normalized_percentile":{"value":0.9725976,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":99},"biblio":{"volume":"24","issue":"1","first_page":"124","last_page":"124"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.6621000170707703,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.6621000170707703,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational 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/T13896","display_name":"Health Services Management and Policy","score":0.11869999766349792,"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/T14186","display_name":"Healthcare Systems and Practices","score":0.11079999804496765,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/primary-care-reform","display_name":"primary care reform","score":0.9240000247955322},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.8920000195503235},{"id":"https://openalex.org/keywords/power-relations","display_name":"power relations","score":0.7440000176429749},{"id":"https://openalex.org/keywords/health-care-resource-allocation","display_name":"healthcare resource allocation","score":0.628000020980835},{"id":"https://openalex.org/keywords/population-health","display_name":"population health","score":0.7459999918937683},{"id":"https://openalex.org/keywords/health-care-reform","display_name":"health care reform","score":0.781000018119812},{"id":"https://openalex.org/keywords/health-policy-implementation","display_name":"health policy implementation","score":0.6129999756813049},{"id":"https://openalex.org/keywords/new-zealand-health-system","display_name":"New Zealand health system","score":0.7480000257492065}],"concepts":[{"id":"https://openalex.org/C2781227721","wikidata":"https://www.wikidata.org/wiki/Q153785","display_name":"Aotearoa","level":2,"score":0.8407894372940063},{"id":"https://openalex.org/C199728807","wikidata":"https://www.wikidata.org/wiki/Q2578557","display_name":"Equity (law)","level":2,"score":0.6937137246131897},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.6292399168014526},{"id":"https://openalex.org/C19159745","wikidata":"https://www.wikidata.org/wiki/Q828395","display_name":"Social policy","level":2,"score":0.6243749856948853},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.5967544317245483},{"id":"https://openalex.org/C2778584109","wikidata":"https://www.wikidata.org/wiki/Q60603744","display_name":"Health care reform","level":4,"score":0.5559932589530945},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.5552114844322205},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.5367141366004944},{"id":"https://openalex.org/C178283979","wikidata":"https://www.wikidata.org/wiki/Q274490","display_name":"Public finance","level":2,"score":0.47405192255973816},{"id":"https://openalex.org/C3020775670","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Healthcare policy","level":5,"score":0.4712391793727875},{"id":"https://openalex.org/C163258240","wikidata":"https://www.wikidata.org/wiki/Q25342","display_name":"Power (physics)","level":2,"score":0.47061780095100403},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.35713982582092285},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.3526342511177063},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.32922178506851196},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.3139301836490631},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.29400134086608887},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.21823805570602417},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.1649194061756134},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C62520636","wikidata":"https://www.wikidata.org/wiki/Q944","display_name":"Quantum mechanics","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000069576","descriptor_name":"Health Equity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006291","descriptor_name":"Health Policy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006295","descriptor_name":"Health Resources","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":"D009520","descriptor_name":"New Zealand","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011209","descriptor_name":"Power, Psychological","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D018166","descriptor_name":"Health Care Reform","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D054625","descriptor_name":"Healthcare Disparities","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1186/s12939-025-02463-w","doi":"https://doi.org/10.1186/s12939-025-02463-w","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12939-025-02463-w","pdf_url":"https://equityhealthj.biomedcentral.com/counter/pdf/10.1186/s12939-025-02463-w","source":{"id":"https://openalex.org/S167257428","display_name":"International Journal for Equity in Health","issn_l":"1475-9276","issn":["1475-9276"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"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":"International Journal for Equity in Health","raw_type":"journal-article"},{"id":"pmid:40329268","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40329268","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":"International journal for equity in health","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12057058","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12057058/","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-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Int J Equity Health","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:37dc48f63e204473b1afe6379c2623ec","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/37dc48f63e204473b1afe6379c2623ec","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"International Journal for Equity in Health, Vol 24, Iss 1, Pp 1-14 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/s12939-025-02463-w","doi":"https://doi.org/10.1186/s12939-025-02463-w","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12939-025-02463-w","pdf_url":"https://equityhealthj.biomedcentral.com/counter/pdf/10.1186/s12939-025-02463-w","source":{"id":"https://openalex.org/S167257428","display_name":"International Journal for Equity in Health","issn_l":"1475-9276","issn":["1475-9276"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"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":"International Journal for Equity in Health","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.8048999905586243,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Reduced inequalities","score":0.7578999996185303,"id":"https://metadata.un.org/sdg/10"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4410120105.pdf","grobid_xml":"https://content.openalex.org/works/W4410120105.grobid-xml"},"referenced_works_count":68,"referenced_works":["https://openalex.org/W52770495","https://openalex.org/W191267885","https://openalex.org/W1535669685","https://openalex.org/W1605755188","https://openalex.org/W1908416423","https://openalex.org/W1918253227","https://openalex.org/W1989659570","https://openalex.org/W1993589210","https://openalex.org/W2005984718","https://openalex.org/W2020112287","https://openalex.org/W2035964304","https://openalex.org/W2042386526","https://openalex.org/W2089511528","https://openalex.org/W2115924714","https://openalex.org/W2116409929","https://openalex.org/W2117673475","https://openalex.org/W2118812326","https://openalex.org/W2138390371","https://openalex.org/W2152146320","https://openalex.org/W2153722705","https://openalex.org/W2171861758","https://openalex.org/W2190391280","https://openalex.org/W2236943162","https://openalex.org/W2305278139","https://openalex.org/W2517925309","https://openalex.org/W2525828948","https://openalex.org/W2540051193","https://openalex.org/W2560167429","https://openalex.org/W2754206766","https://openalex.org/W2766271812","https://openalex.org/W2797271051","https://openalex.org/W2901944782","https://openalex.org/W2902078639","https://openalex.org/W2925515791","https://openalex.org/W2937379668","https://openalex.org/W2943401489","https://openalex.org/W2944075204","https://openalex.org/W2948315057","https://openalex.org/W2962027811","https://openalex.org/W2963515505","https://openalex.org/W2964844675","https://openalex.org/W2965319124","https://openalex.org/W2966471120","https://openalex.org/W2972624834","https://openalex.org/W3015075105","https://openalex.org/W3045656652","https://openalex.org/W3045716157","https://openalex.org/W3081885383","https://openalex.org/W3089735742","https://openalex.org/W3117109250","https://openalex.org/W3119474493","https://openalex.org/W3153245564","https://openalex.org/W3204811556","https://openalex.org/W3205543329","https://openalex.org/W4212789751","https://openalex.org/W4285229396","https://openalex.org/W4298114953","https://openalex.org/W4306893645","https://openalex.org/W4316042181","https://openalex.org/W4319843286","https://openalex.org/W4378348948","https://openalex.org/W4378832535","https://openalex.org/W4386593794","https://openalex.org/W4389776907","https://openalex.org/W4392190586","https://openalex.org/W4392971162","https://openalex.org/W4398670982","https://openalex.org/W4400830886"],"related_works":["https://openalex.org/W2034152602","https://openalex.org/W2078281156","https://openalex.org/W2407699979","https://openalex.org/W7096899866","https://openalex.org/W1989659570","https://openalex.org/W2586295978","https://openalex.org/W55642489","https://openalex.org/W2443878720","https://openalex.org/W7168275803","https://openalex.org/W7152654922"],"abstract_inverted_index":{"BACKGROUND:":[0],"New":[1],"Zealand's":[2],"District":[3,76],"Health":[4,77],"Board":[5,78],"reform":[6],"(2000-2022)":[7],"was":[8,34],"underpinned":[9],"by":[10,186],"the":[11,32,75,83,90,97,131,134],"goal":[12,33,68],"of":[13,85,182],"reducing":[14],"inequities":[15],"in":[16,48,57,89],"health":[17,24,40,50,71,91,128,145,183],"outcomes":[18,129,146],"between":[19,147],"population":[20,39,148],"groups":[21],"and":[22,46,59,80,87,156,177,191],"improving":[23],"overall.":[25],"A":[26],"key":[27,112],"policy":[28,67,121],"vehicle":[29],"for":[30,69,94],"achieving":[31],"a":[35,66,140,165],"system-wide":[36],"shift":[37],"to":[38,61,175,188,193],"with":[41],"increased":[42],"strategic":[43],"focus":[44],"on":[45,109,143,161],"investment":[47],"primary":[49,70],"care.":[51],"METHODS:":[52],"This":[53],"research":[54],"explored":[55],"shifts":[56,158],"power":[58,86,126,155,162,168,176],"resource":[60,157,178],"understand":[62,189],"how":[63,82,170,192],"equity":[64],"as":[65],"care":[72],"fared":[73],"over":[74,96],"era,":[79],"examined":[81],"distribution":[84],"resources":[88,171],"sector":[92],"changed":[93],"PHC":[95],"period":[98],"2000-2020.":[99],"The":[100,116],"study":[101,106,117],"used":[102],"an":[103],"exploratory":[104],"case":[105],"methodology":[107],"based":[108],"insights":[110],"from":[111],"informant":[113],"interviews.":[114],"RESULTS:":[115],"found":[118],"that":[119,136,153,196],"despite":[120],"intent,":[122],"actors":[123],"holding":[124],"political":[125],"shaped":[127],"under":[130],"reforms,":[132],"curtailing":[133],"mechanisms":[135],"could":[137],"have":[138],"made":[139],"significant":[141],"impact":[142],"equitable":[144],"groups.":[149],"CONCLUSION:":[150],"It":[151],"concludes":[152],"exploring":[154],"sheds":[159],"light":[160],"dynamics":[163],"within":[164],"reform.":[166],"Since":[167],"shapes":[169],"are":[172],"deployed,":[173],"attention":[174],"complements":[179],"technical":[180],"elements":[181],"system":[184],"reform,":[185],"helping":[187],"where":[190],"intervene":[194],"so":[195],"reforms":[197],"achieve":[198],"their":[199],"desired":[200],"goals.":[201]},"counts_by_year":[{"year":2026,"cited_by_count":7},{"year":2025,"cited_by_count":3}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2025-05-07T00:00:00"}