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Organization, structure and delivery of healthcare

Section edited by  Stefano Bonacina, Marie Pierre Gagnon and Holly Lanham

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. Content type: Research article

    Since the 1960s, the federal government has been providing or funding a selection of community-based primary healthcare (PHC) programs on First Nations reserves. A key question is whether local access to PHC c...

    Authors: Josée G. Lavoie, Sabrina T. Wong, Naser Ibrahim, John D. O’Neil, Michael Green and Amanda Ward

    Citation: BMC Health Services Research 2019 19:50

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  2. Content type: Research article

    Birth weight is continuously decreasing in Japan since food satiation has become a problem in recent years. The present study aimed to develop and examine the reliability and validity of a scale for the assess...

    Authors: Kazuko Sonoda, Yuko Matsunari and Syuji Takei

    Citation: BMC Health Services Research 2019 19:48

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  3. Content type: Study protocol

    Over-occupancy at the two tertiary pediatric care hospitals in Alberta, Canada is steadily increasing with simultaneous decline in occupancy of pediatric beds at regional hospitals. Over-occupancy negatively i...

    Authors: Sumedh Bele, Christine Cassidy, Janet Curran, David W. Johnson, Chad Saunders and J.A. Michelle Bailey

    Citation: BMC Health Services Research 2019 19:29

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  4. Content type: Research article

    Most seniors wish to live independently for as long as possible. Gerontechnologies such as personal alarms or remote control systems, have the potential to help them age in place. For seniors, assessing what i...

    Authors: Marc Haufe, Sebastiaan Theodorus Michaël Peek and Katrien Ger Luijkx

    Citation: BMC Health Services Research 2019 19:26

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  5. Content type: Study protocol

    ED overcrowding represents a significant public health problem in developed countries. Frequent users of the emergency departments (FUEDs; reporting 5 or more ED visits in the past year) are often affected by ...

    Authors: Véronique S. Grazioli, Joanna C. Moullin, Miriam Kasztura, Marina Canepa-Allen, Olivier Hugli, Judy Griffin, Francis Vu, Catherine Hudon, Yves Jackson, Hans Wolff, Bernard Burnand, Jean-Bernard Daeppen and Patrick Bodenmann

    Citation: BMC Health Services Research 2019 19:28

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  6. Content type: Research article

    Primary care practices are changing the way that they provide care by increasing their medical home functionality. Medical home functionality can improve access to care and increase patient-centeredness, which...

    Authors: Shawn Linman, Ivy Benjenk and Jie Chen

    Citation: BMC Health Services Research 2019 19:21

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  7. Content type: Research article

    The literature has described several challenges related to the quality of diabetes management clinics in public primary health care centres in Oman. These clinics continue to face challenges due to the continu...

    Authors: Kamila Al-Alawi, Ahmed Al Mandhari and Helene Johansson

    Citation: BMC Health Services Research 2019 19:18

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  8. Content type: Research article

    Patients with multi-morbidity have complex care needs that often make healthcare delivery difficult and costly to manage. Current healthcare delivery is not tailored to the needs of patients with multi-morbidi...

    Authors: Sanne Jannick Kuipers, Jane Murray Cramm and Anna Petra Nieboer

    Citation: BMC Health Services Research 2019 19:13

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  9. Content type: Research article

    At a population level, the majority of alcohol-related harm is attributable to drinkers whose consumption exceeds recommended drinking levels, rather than those with severe alcohol dependency. Identification a...

    Authors: Nicola Hall, John D Mooney, Zeibeda Sattar and Jonathan Ling

    Citation: BMC Health Services Research 2019 19:11

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  10. Content type: Research article

    Community pharmacists’ (CPs’) interventions have a positive impact on managing respiratory patients. However, methods used by CPs to assess patients’ inhaler technique and adherence are subjective. New technol...

    Authors: Iman Hesso, Reem Kayyali and Shereen Nabhani-Gebara

    Citation: BMC Health Services Research 2019 19:5

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  11. Content type: Research article

    Mental health among adolescents is an important public health challenge. School health services perform central public health functions in Norwegian municipalities, where school nurses are uniquely positioned ...

    Authors: Hanne Nissen Bjørnsen, Regine Ringdal, Geir Arild Espnes, Mary-Elizabeth Bradley Eilertsen and Unni Karin Moksnes

    Citation: BMC Health Services Research 2018 18:1001

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  12. Content type: Research article

    The scope of implementation research is often restricted to the analysis of organizations that participate voluntarily in implementation interventions. The recruitment of participants for a quality improvement...

    Authors: Jeanny J. A. de Groot, Maite Timmermans, José M. C. Maessen, Bjorn Winkens, Carmen D. Dirksen, Brigitte F. M. Slangen and Trudy van der Weijden

    Citation: BMC Health Services Research 2018 18:1011

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  13. Content type: Research article

    Improving the health of rural populations requires developing a medical workforce with the right skills and a willingness to work in rural areas. A novel strategy for achieving this aim is to align medical tra...

    Authors: Matthew R. McGrail, Deborah J. Russell, Belinda G. O’Sullivan, Carole Reeve, Lee Gasser and David Campbell

    Citation: BMC Health Services Research 2018 18:993

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  14. Content type: Research article

    Organizational Participatory Research (OPR) seeks organizational learning and/or practice improvement. Previous systematic literature reviews described some OPR processes and outcomes, but the link between the...

    Authors: Paula Louise Bush, Pierre Pluye, Christine Loignon, Vera Granikov, Michael T. Wright, Carol Repchinsky, Jeannie Haggerty, Gillian Bartlett, Sharon Parry, Jean-François Pelletier and Ann C. Macaulay

    Citation: BMC Health Services Research 2018 18:992

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  15. Content type: Research article

    The number of tuberculosis (TB) cases in Norway is increasing due to immigration from countries with high TB prevalence and few studies have been conducted on general practitioners’ (GPs) knowledge of TB in lo...

    Authors: Oddvar Aadnanes, Selina Wallis and Ingunn Harstad

    Citation: BMC Health Services Research 2018 18:987

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  16. Content type: Research article

    Presenteeism is a behavior in which an employee is physically present at work with reduced performance due to illness or other reasons. Hospital doctors and nurses are more inclined to exhibit presenteeism tha...

    Authors: Juliana Nga Man Lui, Ellie Bostwick Andres and Janice Mary Johnston

    Citation: BMC Health Services Research 2018 18:985

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  17. Content type: Research article

    Home care providers struggle to manage their day-to-day work, which is increasing in volume and complexity. In general, they are expected to achieve more with the same planning methods, resources, and capacity...

    Authors: Berit Irene Helgheim, Birgithe E. Sandbaek and Line Slyngstad

    Citation: BMC Health Services Research 2018 18:977

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  18. Content type: Research article

    General practice (GP) has historically been central to the prevention and treatment of childhood illnesses. In Ireland, this role has recently expanded with the introduction of free GP care for children aged u...

    Authors: Andrew O’Regan, Walter Cullen, Clodagh O’Gorman, Louise Hickey, Eimear O’Neill, Jane O’Doherty and Ailish Hannigan

    Citation: BMC Health Services Research 2018 18:979

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  19. Content type: Research article

    In July 2018, the Centers for Medicare and Medicaid Services (CMS) updated its Medicaid Managed Care (MMC) regulations that govern network and access standards for enrollees. There have been few published stud...

    Authors: Nathaniel Bell, Ana Lòpez-DeFede, Rebecca C. Wilkerson and Kathy Mayfield-Smith

    Citation: BMC Health Services Research 2018 18:974

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  20. Content type: Research article

    Chronic back disorders (CBD) are prevalent, costly, and among the most common reasons for seeking primary care; however, little is known regarding the comparative use of family physician, chiropractic, and phy...

    Authors: Brenna Bath, Josh Lawson, Dennis Ma and Catherine Trask

    Citation: BMC Health Services Research 2018 18:970

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  21. Content type: Research article

    A previous census of electronic prescribing (EP) systems in England showed that more than half of hospitals with EP reported more than one EP system within the same hospital. Our objectives were to describe th...

    Authors: Zamzam Ahmed, Yogini Jani and Bryony Dean Franklin

    Citation: BMC Health Services Research 2018 18:969

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  22. Content type: Research article

    In publicly funded health care systems, governance models are developed to push public service providers to use tax payers’ money more efficiently and maintain a high quality of service. Although this implies ...

    Authors: Sara Korlén, Anne Richter, Isis Amer-Wåhlin, Peter Lindgren and Ulrica von Thiele Schwarz

    Citation: BMC Health Services Research 2018 18:963

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  23. Content type: Research article

    Acute hospital services account for the largest proportion of health care system budgets, and older adults are the most frequent users. As a result, older people who have been recently discharged from hospital...

    Authors: Kathleen Finlayson, Anne M. Chang, Mary D. Courtney, Helen E. Edwards, Anthony W. Parker, Kyra Hamilton, Thu Dinh Xuan Pham and Jane O’Brien

    Citation: BMC Health Services Research 2018 18:956

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  24. Content type: Research article

    Health service providers play a key role in addressing women’s need for pregnancy prevention, especially during the postpartum period. Yet, in Nepal, little is known about their views on providing postpartum f...

    Authors: Mahesh C. Puri, Manju Maharjan, Erin Pearson, Elina Pradhan, Yasaswi Dhungel, Aayush Khadka and Iqbal H. Shah

    Citation: BMC Health Services Research 2018 18:948

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  25. Content type: Research article

    The UK Equality Act 2010 requires providers of health services to make changes or ‘reasonable adjustments’ to their practices in order to protect disabled people from discrimination or disadvantage when access...

    Authors: Stuart Read, Pauline Heslop, Sue Turner, Victoria Mason-Angelow, Nadine Tilbury, Caroline Miles and Chris Hatton

    Citation: BMC Health Services Research 2018 18:931

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  26. Content type: Research article

    The number of people affected by cataract in the United Kingdom (UK) is growing rapidly due to ageing population. As the only way to treat cataract is through surgery, there is a high demand for this type of s...

    Authors: Eren Demir, David Southern, Syed Rashid and Reda Lebcir

    Citation: BMC Health Services Research 2018 18:933

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  27. Content type: Research article

    Hospitals are increasingly parts of larger care collaborations, rather than individual entities. Organizing and operating these collaborations is challenging; a significant number do not succeed, as it is diff...

    Authors: Melissa De Regge, Kaat De Pourcq, Paul Gemmel, Carine Van de Voorde, Koen Van den Heede and Kristof Eeckloo

    Citation: BMC Health Services Research 2018 18:942

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  28. Content type: Research article

    The sale of antibiotics without a prescription poses a global public health concern. Antibiotics dispensed without a prescription are largely recognised as a cause of antibiotic misuse and overuse which may re...

    Authors: Faten Alhomoud, Reem Almahasnah and Farah Kais Alhomoud

    Citation: BMC Health Services Research 2018 18:915

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  29. Content type: Research article

    Youth with concurrent substance use and mental health concerns have diverse psychosocial needs and may present to a multitude of clinical and social service sectors. By integrating service sectors at a system ...

    Authors: Rachel McGihon, Lisa D. Hawke, Gloria Chaim and Joanna Henderson

    Citation: BMC Health Services Research 2018 18:901

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  30. Content type: Study protocol

    Mental health care lags behind other forms of medical care in its reliance on subjective clinician assessment. Although routine use of standardized patient-reported outcome measures, measurement-based care (MB...

    Authors: Laura O. Wray, Mona J. Ritchie, David W. Oslin and Gregory P. Beehler

    Citation: BMC Health Services Research 2018 18:753

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  31. Content type: Research article

    Mechanisms by which liaison mental health services (LMHS) may bring about improved patient and organisational outcomes are poorly understood. A small number of logic models have been developed, but they fail t...

    Authors: Allan House, Elspeth Guthrie, Andrew Walker, Jenny Hewsion, Peter Trigwell, Cathy Brennan, Mike Crawford, Carolyn Czoski Murray, Matt Fossey, Claire Hulme, Adam Martin, Alan Quirk and Sandy Tubeuf

    Citation: BMC Health Services Research 2018 18:742

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  32. Content type: Research article

    General Practitioners (GPs) in the Netherlands routinely register all patient contacts electronically. These records include longitudinally gathered clinical information of the patient contacts in coded data a...

    Authors: Hugo M. Smeets, Marlous F. Kortekaas, Frans H. Rutten, Michiel L. Bots, Willem van der Kraan, Gerard Daggelders, Hanneke Smits-Pelser, Charles W. Helsper, Arno W. Hoes and Niek J. de Wit

    Citation: BMC Health Services Research 2018 18:735

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  33. Content type: Research article

    A major healthcare reform agenda in Ireland is underway which underpins the establishment of a series of National Clinical Programmes (NCPs), which aim to take an evidence based approach to improve quality, ac...

    Authors: Catherine D. Darker, Gail H. Nicolson, Aine Carroll and Joe M. Barry

    Citation: BMC Health Services Research 2018 18:733

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  34. Content type: Research article

    Imaging is overused in the management of low back pain (LBP). Interventions designed to decrease non-indicated imaging have predominantly targeted practitioner education alone; however, these are typically ine...

    Authors: Hazel J. Jenkins, Niamh A. Moloney, Simon D. French, Chris G. Maher, Blake F. Dear, John S. Magnussen and Mark J. Hancock

    Citation: BMC Health Services Research 2018 18:734

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  35. Content type: Research article

    Cell-free fetal DNA sequencing based non-invasive prenatal testing (NIPT) for Down syndrome (DS) has become widely available. In Hong Kong, obstetric providers in the public sector refer women identified at hi...

    Authors: Olivia Miu Yung Ngan, Huso Yi and Shenaz Ahmed

    Citation: BMC Health Services Research 2018 18:731

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  36. Content type: Research article

    Declining job satisfaction and concurrent reductions in Medicaid participation among primary care providers have been documented, but there is limited qualitative work detailing their first-hand experiences tr...

    Authors: Sarah H. Gordon, Emily A. Gadbois, Renee R. Shield, Patrick M. Vivier, Chima D. Ndumele and Amal N. Trivedi

    Citation: BMC Health Services Research 2018 18:728

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  37. Content type: Research article

    Bronchiectasis is a worsening public health problem in New Zealand. This study aimed to explore the health care experiences of mothers of children with bronchiectasis in the Counties Manukau District Health Bo...

    Authors: Nicola Jepsen, Nadia A. Charania and Sarah Mooney

    Citation: BMC Health Services Research 2018 18:722

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  38. Content type: Research article

    Rehabilitation services depend on competent professionals who collaborate effectively. Well-functioning interprofessional teams are expected to positively impact continuity of care. Key factors in continuity o...

    Authors: Merethe Hustoft, Eva Biringer, Sturla Gjesdal, Jörg Aβmus and Øystein Hetlevik

    Citation: BMC Health Services Research 2018 18:719

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  39. Content type: Research article

    Acute low back pain is one of the most common reasons for individuals to seek medical care in the United States. The US Military Health System provides medical care to approximately 9.4 million beneficiaries a...

    Authors: Erich J. Dietrich, Todd Leroux, Carla F. Santiago, Melvin D. Helgeson, Patrick Richard and Tracey P. Koehlmoos

    Citation: BMC Health Services Research 2018 18:720

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  40. Content type: Research article

    Forced migration significantly endangers health. Women face numerous health risks, including sexual violence, lack of contraception, sexually transmitted disease, and adverse perinatal outcomes. Therefore, sex...

    Authors: Eva Cignacco, Friederike zu Sayn-Wittgenstein, Coline Sénac, Anja Hurni, Doris Wyssmüller, Jean Anthony Grand-Guillaume-Perrenoud and Anke Berger

    Citation: BMC Health Services Research 2018 18:712

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  41. Content type: Research article

    South Africa’s tuberculosis burden is the third highest globally and is closely associated with the country’s devastating HIV epidemic. The separation of HIV and TB services in primary healthcare services in S...

    Authors: Irit Sinai, Farley Cleghorn and Hans Friedemann Kinkel

    Citation: BMC Health Services Research 2018 18:711

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  42. Content type: Research article

    Accurate patient expectations are important to optimise treatment success, especially for complex conditions such as chronic pain. Communication may be the key to managing patient expectations. This study aime...

    Authors: Bianca Wiering, Dolf de Boer, Maarten Krol, Hilda Wieberneit-Tolman and Diana Delnoij

    Citation: BMC Health Services Research 2018 18:706

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  43. Content type: Research article

    Hip fracture in elderly patients is a rising global public health concern because of population ageing, and increasing frailty. Long-term morbidity related to poor management of hip fracture is associated with...

    Authors: Dario Tedesco, Dino Gibertoni, Paola Rucci, Tina Hernandez-Boussard, Simona Rosa, Luca Bianciardi, Maurizia Rolli and Maria Pia Fantini

    Citation: BMC Health Services Research 2018 18:701

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  44. Content type: Research article

    Assistant practitioners have knowledge and skills beyond the level of traditional support workers, and work in many clinical settings. However, some assistant practitioners lack a clearly defined role and may ...

    Authors: Catherine Henshall, Andrea Doherty, Helen Green, Liz Westcott and Helen Aveyard

    Citation: BMC Health Services Research 2018 18:695

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  45. Content type: Research article

    The community pharmacy center of the Department of Ambulatory Care and Community Medicine of the Policlinique Médicale Universitaire (PMU), Lausanne, Switzerland developed and implemented an interprofessional ...

    Authors: Mélanie Lelubre, Olivier Clerc, Marielle Grosjean, Karim Amighi, Carine De Vriese, Olivier Bugnon and Marie-Paule Schneider

    Citation: BMC Health Services Research 2018 18:698

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  46. Content type: Research article

    Successful implementation of pay-for-quality (P4Q) programs mostly depends upon a valid, timely, and reliable data about quality measures generated by providers, and interpreted by payers. The aim of this stud...

    Authors: Shabnam Iezadi, Jafar Sadegh Tabrizi, Akbar Ghiasi, Mostafa Farahbakhsh and Kamal Gholipour

    Citation: BMC Health Services Research 2018 18:692

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  47. Content type: Research article

    The World Health Organization describes health literacy as a critical determinant of health and driver of citizen empowerment and health equity. Several studies have shown that health literacy is associated wi...

    Authors: Anita Trezona, Sarity Dodson and Richard H. Osborne

    Citation: BMC Health Services Research 2018 18:694

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