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Organization, structure and delivery of healthcare

This section aims to publish studies looking at how health care is planned, organized and structured, including in terms of relationships among personnel or departments, as well as research on the provision of healthcare to an individual, group, population or community.


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  1. Self-management is of paramount importance in the non-surgical treatment of knee/hip osteoarthritis (OA). Modern technologies offer the possibility of 24/7 self-management support. We developed an e-self-manag...

    Authors: Tim Pelle, Job van der Palen, Frank de Graaf, Frank H. J. van den Hoogen, Karen Bevers and Cornelia H. M. van den Ende

    Citation: BMC Health Services Research 2021 21:444

    Content type: Research article

    Published on:

  2. : Interventional cardiac electrophysiology (EP) is a rapidly evolving field in Canada; a nationwide registry was established in 2011 to conduct a periodic review of resource allocation.

    Authors: Anna Kaoutskaia, Mohammed Shurrab, Guy Amit, Ratika Parkash, Derek Exner, Satish Toal, Laurence Sterns, Jean-Francois Sarrazin, Vijay Chauhan, Omar Sultan, Girish Nair, Marc Deyell, Laurent Macle, Steve Klassen, Benedict Glover and Eugene Crystal

    Citation: BMC Health Services Research 2021 21:435

    Content type: Research article

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  3. Caring for a growing aging population using existing long-term care resources while simultaneously supporting and educating family caregivers, is a public health challenge.

    Authors: N. A. Boucher, L. L. Zullig, M. Shepherd-Banigan, K. P. Decosimo, J. Dadolf, A. Choate, E. P. Mahanna, N. R. Sperber, V. Wang, K. A. Allen, S. N. Hastings and C. H. Van Houtven

    Citation: BMC Health Services Research 2021 21:430

    Content type: Research article

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  4. Reproductive coercion and abuse is defined as any behaviour that seeks to control a woman’s reproductive autonomy. In Australia, women often access reproductive health care through a primary care clinician, ho...

    Authors: Molly Wellington, Kelsey Hegarty and Laura Tarzia

    Citation: BMC Health Services Research 2021 21:424

    Content type: Research article

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  5. Worse health outcomes are consistently reported for First Nations people in Canada. Social, political and economic inequities as well as inequities in health care are major contributing factors to these health...

    Authors: Patrick McLane, Cheryl Barnabe, Brian R. Holroyd, Amy Colquhoun, Lea Bill, Kayla M. Fitzpatrick, Katherine Rittenbach, Chyloe Healy, Bonnie Healy and Rhonda J. Rosychuk

    Citation: BMC Health Services Research 2021 21:423

    Content type: Research article

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  6. Increasing use of volunteers in healthcare requires structured collaboration between healthcare services and volunteers. The aim of this research was to explore critical issues and strategies in the implementa...

    Authors: Erica Fredriksen, Elin Thygesen, Carl E. Moe and Santiago Martinez

    Citation: BMC Health Services Research 2021 21:410

    Content type: Research article

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  7. Demand for stroke rehabilitation is expected to grow dramatically; with the estimated prevalence of stroke survivors rising to 70 million worldwide by 2030. The World Health Organization’s (WHO) report - Rehabili...

    Authors: Kimberley Elizabeth Watkins, William Mark Magnus Levack, Farooq Azam Rathore and Elizabeth Jean Carleton Hay-Smith

    Citation: BMC Health Services Research 2021 21:399

    Content type: Research article

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  8. Work stress and compassion fatigue are prevalent among healthcare staff and their negative effects on staff well-being and patient care are well-known. This paper reports on the implementation and evaluation o...

    Authors: Jeremy Dawson, Imelda McCarthy, Cath Taylor, Kristin Hildenbrand, Mary Leamy, Ellie Reynolds and Jill Maben

    Citation: BMC Health Services Research 2021 21:392

    Content type: Research article

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  9. Provision of informal care may adversely affect health, daily and social activities of the informal caregivers, but few studies have examined these effects in relation to caregiving intensity. This study exami...

    Authors: Suhana Jawahir, Ee Hong Tan, Yeung R’ong Tan, Sarah Nurain Mohd Noh and Iqbal Ab Rahim

    Citation: BMC Health Services Research 2021 21:391

    Content type: Research article

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  10. Lean management practices are increasingly used in hospitals. However, their impacts on staff have not been systematically synthesised. This scoping review aims to synthesise the evidence on the effects of Lea...

    Authors: Zeyad Mahmoud, Nathalie Angelé-Halgand, Kate Churruca, Louise A. Ellis and Jeffrey Braithwaite

    Citation: BMC Health Services Research 2021 21:383

    Content type: Research article

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  11. Readmission rates are frequently used as a quality indicator for health care, yet their validity for evaluating quality is unclear. Published research on variables affecting readmission to psychiatric hospital...

    Authors: Eva Lassemo, Lars Henrik Myklebust, Damiano Salazzari and Jorid Kalseth

    Citation: BMC Health Services Research 2021 21:378

    Content type: Research article

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  12. The need for and usage of electronic patient records within hospitals has steadily increased over the last decade for economic reasons as well as the proceeding digitalization. While there are numerous benefit...

    Authors: Marina Beckmann, Kerstin Dittmer, Julia Jaschke, Ute Karbach, Juliane Köberlein-Neu, Maya Nocon, Carsten Rusniok, Florian Wurster and Holger Pfaff

    Citation: BMC Health Services Research 2021 21:377

    Content type: Study protocol

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  13. The COVID-19 pandemic has led to global shortages in the resources required to care for critically ill patients and to protect frontline healthcare providers. This study investigated physicians’ perceptions an...

    Authors: Jeanna Parsons Leigh, Laryssa G. Kemp, Chloe de Grood, Rebecca Brundin-Mather, Henry T. Stelfox, Josh S. Ng-Kamstra and Kirsten M. Fiest

    Citation: BMC Health Services Research 2021 21:374

    Content type: Research article

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  14. The sustainability of Australian rural maternity services is under threat due to current workforce shortages. In July 2019, a new midwifery caseload model of care was implemented in rural South Australia to pr...

    Authors: Pamela Adelson, Rachael Yates, Julie-Anne Fleet and Lois McKellar

    Citation: BMC Health Services Research 2021 21:368

    Content type: Research article

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  15. Primary healthcare (PHC) is an essential component of an effective healthcare system. The Kingdom of Saudi Arabia’s (KSA) health reforms prioritize tackling the increasing noncommunicable disease burden by pri...

    Authors: Quds Al Saffer, Taghred Al-Ghaith, Ahlam Alshehri, Rimah Al-Mohammed, Shahad Al Homidi, Mariam M. Hamza, Christopher H. Herbst and Nahar Alazemi

    Citation: BMC Health Services Research 2021 21:365

    Content type: Research article

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  16. Internationally, it is expected that health services will involve the public in health service design. Evaluation of public involvement has typically focused on the process and experiences for participants. Le...

    Authors: Nicola Lloyd, Amanda Kenny and Nerida Hyett

    Citation: BMC Health Services Research 2021 21:364

    Content type: Research article

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  17. Physical activity rates in cancer survivors continue to be low despite the known benefits and availability of evidence-based programs. LIVESTRONG at the Y is a national community-based physical activity progra...

    Authors: Jamie M. Faro, Kristin M. Mattocks, Dalton Mourao, Catherine S. Nagawa, Stephenie C. Lemon, Bo Wang, Sarah L. Cutrona and Rajani S. Sadasivam

    Citation: BMC Health Services Research 2021 21:358

    Content type: Research article

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  18. Vaccination is a common painful procedure for children. Parents’ concern regarding vaccination pain is a significant driver of vaccine hesitancy. Despite the wealth of evidence-based practices available for ma...

    Authors: Nicole E. MacKenzie, Perri R. Tutelman, Christine T. Chambers, Jennifer A. Parker, Noni E. MacDonald, C. Meghan McMurtry, Pierre Pluye, Vera Granikov, Anna Taddio, Melanie Barwick, Kathryn A. Birnie and Katelynn E. Boerner

    Citation: BMC Health Services Research 2021 21:355

    Content type: Research article

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  19. In Australia, activity-based funding models have emphasized the need for hospitals to be accountable for their clinical performance. Clinician managers, with medical backgrounds are essential to ensuring high ...

    Authors: Didir Imran, Karen Rog, John Gallichio and Laura Alston

    Citation: BMC Health Services Research 2021 21:351

    Content type: Research article

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  20. Sharing information about hospital care with primary care in the form of a discharge summary is essential to patient safety. In the United Kingdom, although discharge summary targets on timeliness have been ac...

    Authors: Katharine Weetman, Rachel Spencer, Jeremy Dale, Emma Scott and Stephanie Schnurr

    Citation: BMC Health Services Research 2021 21:349

    Content type: Research article

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  21. HIV-positive mothers who face the dual burden of HIV-positive status and motherhood, may benefit from holistic services that include early childhood development (ECD). We evaluated the acceptability and impact...

    Authors: Kathryn Dovel, Pericles Kalande, Evelyn Udedi, Tijana Temelkovska, Julie Hubbard, Chipariro Mbalanga, Laurie Bruns, Siyenunu Mulungu, Sundeep Gupta, Linda Richter and Thomas J. Coates

    Citation: BMC Health Services Research 2021 21:348

    Content type: Research article

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  22. Fibromyalgia (FM) is a contested, chronic widespread pain syndrome on which recommended therapies have short-lasting, moderate effects. Nevertheless, some patients become symptom-free, and their recovery exper...

    Authors: Anne Marit Mengshoel, Åse Skarbø, Elisabeth Hasselknippe, Tamara Petterson, Nina Linnea Brandsar, Ellen Askmann, Ragnhild Ildstad, Lena Løseth and Merja Helena Sallinen

    Citation: BMC Health Services Research 2021 21:339

    Content type: Research article

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  23. Exercise Referral Schemes have been delivered worldwide in developed countries to augment physical activity levels in sedentary patients with a range of health issues, despite their utility being questioned. U...

    Authors: John Downey, Katie Shearn, Nicola Brown, Ross Wadey and Jeff Breckon

    Citation: BMC Health Services Research 2021 21:335

    Content type: Research article

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  24. Inuit experience the highest cancer mortality rates from lung cancer in the world with increasing rates of other cancers in addition to other significant health burdens. Inuit who live in remote areas must oft...

    Authors: Janet Jull, Amanda J. Sheppard, Alex Hizaka, Gwen Barton, Paula Doering, Danielle Dorschner, Nancy Edgecombe, Megan Ellis, Ian D. Graham, Mara Habash, Gabrielle Jodouin, Lynn Kilabuk, Theresa Koonoo and Carolyn Roberts

    Citation: BMC Health Services Research 2021 21:328

    Content type: Research article

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  25. Women’s health and the reduction in the global maternal mortality rate is a research priority worldwide. The aim of this study was to investigate the structural conditions that influence the maternity care pro...

    Authors: Elin Mordal, Ingrid Hanssen, Andargachew Kassa Biratu and Solfrid Vatne

    Citation: BMC Health Services Research 2021 21:323

    Content type: Research article

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  26. The International Classification of Diseases (ICD) is the reference standard for reporting diseases and health conditions globally. Variations in ICD use and data collection across countries can hinder meaning...

    Authors: Lucia Otero Varela, Chelsea Doktorchik, Natalie Wiebe, Hude Quan and Catherine Eastwood

    Citation: BMC Health Services Research 2021 21:308

    Content type: Research article

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  27. Effective person-centred interventions are needed to support people living with mental-physical multimorbidity to achieve better health and wellbeing outcomes. Depression is identified as the most common menta...

    Authors: Kylie J. McKenzie, Susan L. Fletcher, David Pierce and Jane M. Gunn

    Citation: BMC Health Services Research 2021 21:301

    Content type: Research article

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  28. Children with medical complexity (CMC) require the expertise of many care providers spanning different disciplines, institutions, and settings of care. This leads to duplicate health records, breakdowns in com...

    Authors: Sherri Adams, Madison Beatty, Clara Moore, Arti Desai, Leah Bartlett, Erin Culbert, Eyal Cohen, Jennifer Stinson and Julia Orkin

    Citation: BMC Health Services Research 2021 21:300

    Content type: Research article

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  29. The rapid shift in hospital governance in the past few years suggests greater orthopedist involvement in management roles, would have wide-reaching benefits for the efficiency and effectiveness of healthcare d...

    Authors: André Côté, Kassim Said Abasse, Maude Laberge, Marie-Hélène Gilbert, Mylaine Breton and Célia Lemaire

    Citation: BMC Health Services Research 2021 21:299

    Content type: Research article

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  30. Timely treatment is essential for achieving optimal outcomes after traumatic spinal cord injury (TSCI), and expeditious transfer to a specialist spinal cord injury unit (SCIU) is recommended within 24 h from i...

    Authors: Lisa N. Sharwood, David Whyatt, Bharat P. Vaikuntam, Christiana L. Cheng, Vanessa K. Noonan, Anthony P. Joseph, Jonathon Ball, Ralph E. Stanford, Mei-Ruu Kok, Samuel R. Withers and James W. Middleton

    Citation: BMC Health Services Research 2021 21:292

    Content type: Research article

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  31. This study aims to explore the experiences, beliefs, feelings, and challenges faced by Pakistani migrant doctors working in the United Kingdom in times of the COVID-19 pandemic. The qualitative study aims to e...

    Authors: Javeria Saleem, Muhammad Ishaq, Rubeena Zakar, Imran Hussain Khan Suddahazai and Florian Fischer

    Citation: BMC Health Services Research 2021 21:291

    Content type: Research article

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  32. Strengthening the capacity of hospitals to take into account the level of health literacy of their public is a necessity to improve the quality of care. One way to develop adequate health literacy responsive p...

    Authors: Gilles Henrard, Marc Vanmeerbeek, Nadia Dardenne and Jany Rademakers

    Citation: BMC Health Services Research 2021 21:287

    Content type: Research article

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  33. In Belgium, General Practitioner Cooperatives (GPC) aim to improve working conditions for unplanned care and to reduce the number of low acuity emergency visits. Although this system is well organized, the num...

    Authors: Birgitte Schoenmakers, Jasper Van Criekinge, Timon Boeve, Jonas Wilms, Chris Van Der Mullen and Marc Sabbe

    Citation: BMC Health Services Research 2021 21:282

    Content type: Research article

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  34. Understanding the use of tele-intensive care unit (ICU) services is an essential component in evaluating current practice and informing future use as the adoption and application of teleICU services expands. W...

    Authors: Anna Krupp, Michael Di Martino, Wesley Chung, Krisda Chaiyachati, Anish K. Agarwal, Ann Marie Huffenberger and Krzysztof Laudanski

    Citation: BMC Health Services Research 2021 21:277

    Content type: Research article

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  35. Since operating rooms are a major bottleneck resource and an important revenue driver in hospitals, it is important to use these resources efficiently. Studies estimate that between 60 and 70% of hospital admi...

    Authors: Jan Schoenfelder, Sebastian Kohl, Manuel Glaser, Sebastian McRae, Jens O. Brunner and Thomas Koperna

    Citation: BMC Health Services Research 2021 21:271

    Content type: Research article

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  36. Globally, interprofessional teamwork is described as a key method to promote health and prevent illness in children, namely, to achieve the goals of Child Healthcare Services (CHS). However, how teamwork shoul...

    Authors: Ulrika Svea Nygren, Ylva Tindberg, Leif Eriksson, Ulf Larsson, Håkan Sandberg and Lena Nordgren

    Citation: BMC Health Services Research 2021 21:265

    Content type: Research article

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  37. Patients, providers and health care organisations benefit from an increased understanding and implementation of patient-centred care (PCC) by general practitioners (GPs). This study aimed to evaluate and advan...

    Authors: Bryce Brickley, Lauren T. Williams, Mark Morgan, Alyson Ross, Kellie Trigger and Lauren Ball

    Citation: BMC Health Services Research 2021 21:261

    Content type: Research article

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  38. The implementation of strategic health system change is often complicated by informal ‘politics’ in healthcare organisations. Leadership development programmes increasingly call for the development and use of ...

    Authors: Jenelle M. Clarke, Justin Waring, Simon Bishop, Jean Hartley, Mark Exworthy, Naomi J. Fulop, Angus Ramsay and Bridget Roe

    Citation: BMC Health Services Research 2021 21:260

    Content type: Research article

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  39. The support of people with profound intellectual and multiple disabilities (PIMD) rarely focused on motor activity, which might have negative consequences for the quality of life of these people. Evidence-base...

    Authors: Helena J. M. van Alphen, Aly Waninge, Alexander E. M. G. Minnaert and Annette A. J. van der Putten

    Citation: BMC Health Services Research 2021 21:259

    Content type: Research article

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  40. Long-acting injectable antiretroviral therapy (LA ART) has been shown to be non-inferior to daily oral ART, with high patient satisfaction and preference to oral standard of care in research to date, and has r...

    Authors: Andrea Mantsios, Miranda Murray, Tahilin S. Karver, Wendy Davis, Noya Galai, Princy Kumar, Susan Swindells, U. Fritz Bredeek, Rafael Rubio García, Antonio Antela, Santiago Cenoz Gomis, Miguel Pascual Bernáldez, Maggie Czarnogorski, Krischan Hudson, Nicki Walters and Deanna Kerrigan

    Citation: BMC Health Services Research 2021 21:255

    Content type: Research article

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  41. Overweight and obesity are problems that are increasing globally in both children as well as adults, and may be prevented by adopting a healthier lifestyle. Lifestyle coaches counsel overweight and obese child...

    Authors: Celeste E. van Rinsum, Sanne M. P. L. Gerards, Geert M. Rutten, Ien A. M. van de Goor, Stef P. J. Kremers and Liesbeth Mercken

    Citation: BMC Health Services Research 2021 21:247

    Content type: Research article

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  42. Elder abuse is a public health problem that is gaining attention due to its serious impacts on people’s health and well-being, and it is predicted to increase along with the world’s rapidly ageing population. ...

    Authors: Anja Botngård, Arne Henning Eide, Laura Mosqueda, Lene Blekken and Wenche Malmedal

    Citation: BMC Health Services Research 2021 21:244

    Content type: Research article

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  43. Many studies suggest that patient satisfaction is significantly negatively correlated with the waiting time. A well-designed healthcare system should not keep patients waiting too long for an appointment and c...

    Authors: Xiaoqing Li, Dan Tian, Weihua Li, Bin Dong, Hansong Wang, Jiajun Yuan, Biru Li, Lei Shi, Xulin Lin, Liebin Zhao and Shijian Liu

    Citation: BMC Health Services Research 2021 21:237

    Content type: Research article

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  44. Healthcare rationing can be defined as withholding beneficial care for cost reasons. One form in particular, hidden bedside rationing, is problematic because it may result in conflicting loyalties for physicia...

    Authors: Ursula W. de Ruijter, Hester F. Lingsma, Willem A. Bax and Johan Legemaate

    Citation: BMC Health Services Research 2021 21:233

    Content type: Research article

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  45. Family Presence during Cardiopulmonary Resuscitation has been studied both to identify the opinions of health professionals, patients, and family members, and to identify benefits and barriers, as well as to d...

    Authors: Eva de Mingo-Fernández, Ángel Belzunegui-Eraso and María Jiménez-Herrera

    Citation: BMC Health Services Research 2021 21:221

    Content type: Research article

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  46. Scaling-up and sustaining healthcare interventions can be challenging. Our objective was to describe how the 3 Wishes Project (3WP), a personalized end-of-life intervention, was scaled-up and sustained in an i...

    Authors: Alyson Takaoka, Benjamin Tam, Meredith Vanstone, France J. Clarke, Neala Hoad, Marilyn Swinton, Feli Toledo, Anne Boyle, Anne Woods, Erick H. Duan, Diane Heels-Ansdell, Lily Waugh, Mark Soth, Jill Rudkowski, Waleed Alhazzani, Dan Perri…

    Citation: BMC Health Services Research 2021 21:218

    Content type: Research article

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  47. Within the Dutch health care system the focus is shifting from a disease oriented approach to a more population based approach. Since every inhabitant in the Netherlands is registered with one general practice...

    Authors: Shelley-Ann M. Girwar, Marta Fiocco, Stephen P. Sutch, Mattijs E. Numans and Marc A. Bruijnzeels

    Citation: BMC Health Services Research 2021 21:217

    Content type: Research article

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  48. Medications for opioid use disorder (MOUD) are recommended with adjuvant behavioral therapies, counseling, and other services for comprehensive treatment of maternal opioid use disorder. Inadequate access to t...

    Authors: Doris Titus-Glover, Fadia T. Shaya, Christopher Welsh, Danya M. Qato, Savyasachi Shah, Laura E. Gresssler and Rebecca Vivrette

    Citation: BMC Health Services Research 2021 21:215

    Content type: Research article

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  49. National standards are commonly used as an improvement strategy in healthcare, but organisations may respond in diverse and sometimes negative ways to external quality demands. This paper describes how a sampl...

    Authors: Elizabeth Sutton, Julian Bion, Russell Mannion, Janet Willars, Elizabeth Shaw and Carolyn Tarrant

    Citation: BMC Health Services Research 2021 21:205

    Content type: Research article

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  50. Frequent healthcare users place a significant burden on health systems. Factors such as multimorbidity and low socioeconomic status have been associated with high use of ambulatory care services (emergency roo...

    Authors: Cynthia MBUYA-BIENGE, Marc SIMARD, Myles GAULIN, Bernard CANDAS and Caroline SIROIS

    Citation: BMC Health Services Research 2021 21:202

    Content type: Research article

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