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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. Patients with multiple chronic conditions represent a growing segment for healthcare. The Chronic Care Model (CCM) supports leveraging community programs to support patients and their caregivers overwhelmed by...

    Authors: Kasey R. Boehmer, Diane E. Holland and Catherine E. Vanderboom

    Citation: BMC Health Services Research 2019 19:843

    Content type: Research article

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  2. Organisational change in health systems is common. Success is often tied to the actors involved, including their awareness of the change, personal engagement and ownership of it. In many health systems, one of...

    Authors: Chiara Pomare, Kate Churruca, Janet C. Long, Louise A. Ellis and Jeffrey Braithwaite

    Citation: BMC Health Services Research 2019 19:840

    Content type: Research article

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  3. Survivors of sexual violence, who are predominantly women, commonly access mental health services. Psychiatric inpatient units in Australia are predominately mixed gender and may further retraumatise these wom...

    Authors: Carol O’Dwyer, Laura Tarzia, Sabin Fernbacher and Kelsey Hegarty

    Citation: BMC Health Services Research 2019 19:839

    Content type: Research article

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  4. Women and families experiencing socioeconomic and psychosocial adversity are the least likely to access health care but most likely to benefit. For health services to effectively meet the needs of individuals ...

    Authors: Anna Price, Hannah Bryson, Ashlee Smith, Fiona Mensah and Sharon Goldfeld

    Citation: BMC Health Services Research 2019 19:833

    Content type: Research article

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  5. Managing demand for services is a problem in many areas of healthcare, including specialist medical outpatient clinics. Some of these clinics have long waiting lists with variation in access for referred peopl...

    Authors: Annie K. Lewis, Nicholas F. Taylor, Patrick W. Carney and Katherine E. Harding

    Citation: BMC Health Services Research 2019 19:831

    Content type: Study protocol

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  6. In Saudi Arabia, healthcare industry is undergoing major expansions to meet the demand of rapidly growing healthcare needs. The aims of this study were; (1) to assess the pattern of smartphone use in healthcar...

    Authors: Mostafa A. Abolfotouh, Ala’a BaniMustafa, Mahmoud Salam, Mohammed Al-Assiri, Bader Aldebasi and Ibraheem Bushnak

    Citation: BMC Health Services Research 2019 19:826

    Content type: Research article

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  7. Discharge letters are crucial during care transitions from hospital to home. Research indicates a need for improvement to increase quality of care and decrease adverse outcomes. These letters are often sent fr...

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

    Citation: BMC Health Services Research 2019 19:825

    Content type: Study protocol

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  8. Genomic screening has unique challenges which makes it difficult to easily implement on a wide scale. If the costs, benefits and tradeoffs of investing in genomic screening are not evaluated properly, there is...

    Authors: Viktor Dombrádi, Erica Pitini, Carla G. van El, Anant Jani, Martina Cornel, Paolo Villari, Muir Gray and Klára Bíró

    Citation: BMC Health Services Research 2019 19:823

    Content type: Debate

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  9. We have previously modelled that the optimal number of comprehensive stroke centres (CSC) providing endovascular thrombectomy (EVT) in England would be 30 (net 6 new centres). We now estimate the relative effe...

    Authors: Peter McMeekin, Darren Flynn, Mike Allen, Diarmuid Coughlan, Gary A. Ford, Hannah Lumley, Joyce S. Balami, Martin A. James, Ken Stein, David Burgess and Phil White

    Citation: BMC Health Services Research 2019 19:821

    Content type: Research article

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  10. The Transmural Trauma Care Model (TTCM) is a refined post-clinical rehabilitation approach, in which a multidisciplinary hospital-based team guides a network of primary care physical therapists in the treatmen...

    Authors: Suzanne H. Wiertsema, Johanna M. van Dongen, Edwin Geleijn, Heleen Beckerman, Frank W. Bloemers, Raymond W. J. G. Ostelo and Vincent de Groot

    Citation: BMC Health Services Research 2019 19:819

    Content type: Research article

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  11. While Medicare is a federal health insurance program, managed Medicare limits access to healthcare services to networks within states or territories. However, if a natural disaster requires evacuation, displac...

    Authors: George Mellgard, David Abramson, Charles Okamura and Himali Weerahandi

    Citation: BMC Health Services Research 2019 19:818

    Content type: Case report

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  12. Around the world, many healthcare organizations engage patients as a quality improvement strategy. In Canada, the University of Montreal has developed a model which consists in partnering with patient advisors...

    Authors: Nathalie Clavel, Marie-Pascale Pomey and Djahanchah Philip (Sacha) Ghadiri

    Citation: BMC Health Services Research 2019 19:815

    Content type: Research article

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  13. Patients with type 2 diabetes mellitus (T2DM) receiving primary care regularly visit their practice nurses (PNs). By actively participating during medical consultations, patients can better manage their diseas...

    Authors: E. du Pon, A. T. Wildeboer, A. A. van Dooren, H. J. G. Bilo, N. Kleefstra and S. van Dulmen

    Citation: BMC Health Services Research 2019 19:814

    Content type: Research article

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  14. Out-of-hours (OOH) healthcare services in Western countries are often differentiated into out-of-hours primary healthcare services (OOH-PC) and emergency medical services (EMS). Call waiting time, triage model...

    Authors: Morten Breinholt Søvsø, Morten Bondo Christensen, Bodil Hammer Bech, Helle Collatz Christensen, Erika Frischknecht Christensen and Linda Huibers

    Citation: BMC Health Services Research 2019 19:813

    Content type: Research article

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  15. Human workload is a key factor for system performance, but data on emergency medical services (EMS) are scarce. We investigated paramedics’ workload and the influencing factors for non-emergency medical transf...

    Authors: Johann Georg Keunecke, Christine Gall, Torsten Birkholz, Andreas Moritz, Christian Eiche and Johannes Prottengeier

    Citation: BMC Health Services Research 2019 19:812

    Content type: Research article

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  16. The number of people living with chronic health conditions is increasing in Australia. The Chronic Disease Management program was introduced to Medicare Benefits Schedule (MBS) to provide a more structured app...

    Authors: Heidi Welberry, Margo Linn Barr, Elizabeth J. Comino, Ben F. Harris-Roxas, Elizabeth Harris, Shona Dutton, Tony Jackson, Debra Donnelly and Mark Fort Harris

    Citation: BMC Health Services Research 2019 19:811

    Content type: Research article

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  17. Consumers frequently access the internet looking for health information. With the growing burden of chronic disease internationally, strategies are focussing on self-management interventions in community and a...

    Authors: Laura Cooper, Kylie Johnston and Marie Williams

    Citation: BMC Health Services Research 2019 19:808

    Content type: Research article

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  18. The growing field of participation in healthcare has the potential to provide a number of benefits for children, patients, healthcare professionals and also the healthcare systems. According to the Convention ...

    Authors: Ingrid Larsson, Petra Svedberg, Susann Arvidsson, Jens M. Nygren and Ing-Marie Carlsson

    Citation: BMC Health Services Research 2019 19:800

    Content type: Research article

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  19. Improved immunization rates have reduced the incidence of vaccine-preventable diseases (VPDs) in advanced nations. Japan’s unique vaccination system classifies vaccines into routine vaccines ostensibly require...

    Authors: Hiroko Otsuka-Ono, Narumi Hori, Hiroshi Ohta, Yukari Uemura and Kiyoko Kamibeppu

    Citation: BMC Health Services Research 2019 19:798

    Content type: Research article

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  20. Half of the older persons in high-income counties are affected with multimorbidity and the prevalence increases with older age. To cope with both the complexity of multimorbidity and the ageing population heal...

    Authors: Lilian Keene Boye, Christian Backer Mogensen, Tine Mechlenborg, Frans Boch Waldorff and Pernille Tanggaard Andersen

    Citation: BMC Health Services Research 2019 19:795

    Content type: Research article

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  21. Health professionals in Norway are required by law to help safeguard information and follow-up with children of parents with mental or physical illness, or who have substance abuse problems, to reduce their hi...

    Authors: Bjørg Eva Skogøy, Terje Ogden, Bente Weimand, Torleif Ruud, Knut Sørgaard and Darryl Maybery

    Citation: BMC Health Services Research 2019 19:793

    Content type: Research article

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  22. Stroke is a major public health concern, affecting millions of people worldwide. Care of the condition however, remain inconsistent in developing countries. The purpose of this scoping review was to document e...

    Authors: George Lameck Chimatiro and Anthea J. Rhoda

    Citation: BMC Health Services Research 2019 19:789

    Content type: Research article

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  23. There is increasing interest in and demands for partnerships between academia and healthcare practices. Few empirical studies have described the influence of such partnerships from a practice perspective. The ...

    Authors: Håkan Uvhagen, Henna Hasson, Johan Hansson and Mia von Knorring

    Citation: BMC Health Services Research 2019 19:785

    Content type: Research article

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  24. The purpose of this study was to compare the h-index, and subsequently the research productivity, among different ophthalmic subspecialties in the United States.

    Authors: Assaf Gershoni, Igor Vainer, Olga Reitblat, Francis B. Mimouni, Eitan Livny, Eytan Z. Blumenthal, Rita Ehrlich and Michael Mimouni

    Citation: BMC Health Services Research 2019 19:778

    Content type: Research article

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  25. The Child Health Services in Sweden is a well-attended health promoting setting, and thereby has an important role in promoting healthy living habits in families with young children. Due to lack of national re...

    Authors: Linda Håkansson, Mariette Derwig and Ewy Olander

    Citation: BMC Health Services Research 2019 19:774

    Content type: Research article

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  26. Strong and effective workforce models are essential for improving comprehensive Indigenous primary healthcare service (PHC) provision to Indigenous peoples in Canada, Australia, New Zealand and the USA (CANZUS...

    Authors: Janya McCalman, Sandra Campbell, Crystal Jongen, Erika Langham, Kingsley Pearson, Ruth Fagan, Ann Martin-Sardesai and Roxanne Bainbridge

    Citation: BMC Health Services Research 2019 19:767

    Content type: Research article

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  27. To address deficits in the delivery of acute services in Ireland, the National Acute Medicine Programme (NAMP) was established in 2010 to optimise the management of acutely ill medical patients in the hospital...

    Authors: E. Hurley, S. McHugh, J. Browne, L. Vaughan and C. Normand

    Citation: BMC Health Services Research 2019 19:766

    Content type: Study protocol

    Published on:

  28. Direct Acting Antiviral (DAAs) drugs have a much lower burden of treatment and monitoring requirements than regimens containing interferon and ribavirin, and a much higher efficacy in treating hepatitis C (HCV...

    Authors: Andrew Radley, Emma Robinson, Esther J. Aspinall, Kathryn Angus, Lex Tan and John F. Dillon

    Citation: BMC Health Services Research 2019 19:765

    Content type: Research article

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  29. Globally, health inequities persist with effects on whole populations and the most profound effects on populations marginalized by poverty, discrimination and other forms of disadvantage. In the current neolib...

    Authors: Amélie Blanchet Garneau, Annette J. Browne and Colleen Varcoe

    Citation: BMC Health Services Research 2019 19:764

    Content type: Research article

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  30. In return-to-work (RTW) programs, coordinators are often provided in order to integrate services. However, models of coordinating services vary widely internationally, and across different programs, where one ...

    Authors: Lisebet Skeie Skarpaas, Lise Aasen Haveraaen, Milada Cvancarova Småstuen, William S. Shaw and Randi Wågø Aas

    Citation: BMC Health Services Research 2019 19:759

    Content type: Research article

    Published on:

  31. Despite a national focus on closing the gap between Aboriginal and non-Aboriginal child health outcomes in Australia, there remain significant challenges, including provision of health services in very remote ...

    Authors: Philippa J Dossetor, Kathryn Thorburn, June Oscar, Maureen Carter, James Fitzpatrick, Carol Bower, John Boulton, Emily Fitzpatrick, Jane Latimer, Elizabeth J Elliott and Alexandra LC Martiniuk

    Citation: BMC Health Services Research 2019 19:758

    Content type: Research article

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  32. Within Population Health Management (PHM) initiatives, stakeholders from various sectors apply PHM strategies, via which services are reorganised and integrated in order to improve population health and qualit...

    Authors: Betty M. Steenkamer, Hanneke W. Drewes, Natascha van Vooren, Caroline A. Baan, Hans van Oers and Kim Putters

    Citation: BMC Health Services Research 2019 19:757

    Content type: Research article

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  33. The aim of this nationwide study was to investigate barriers to adequate professional interpreter use and to describe existing initiatives and identify key factors for successful interpreter policies in primar...

    Authors: Fabienne N. Jaeger, Nicole Pellaud, Bénédicte Laville and Pierre Klauser

    Citation: BMC Health Services Research 2019 19:753

    Content type: Research article

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  34. People living with and beyond cancer (PLC) receive various forms of specialty care at different locations and many interventions concurrently or over time. They are affected by the operation of professional an...

    Authors: Dominique Tremblay, Nassera Touati, Thomas Poder, Helen-Maria Vasiliadis, Karine Bilodeau, Djamal Berbiche, Jean-Louis Denis, Marie-Pascale Pomey, Johanne Hébert, Geneviève Roch, Catherine Prady and Lise Lévesque

    Citation: BMC Health Services Research 2019 19:752

    Content type: Study protocol

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  35. Unplanned hospital admissions are costly and prevention of these has been a focus for research for decades. With this study we aimed to determine whether discharge planning including a single follow-up home vi...

    Authors: Maurice A. Lembeck, Lau C. Thygesen, Birgitte Dreyer Sørensen, Lisbeth Lumby Rasmussen and Ellen A. Holm

    Citation: BMC Health Services Research 2019 19:751

    Content type: Research article

    Published on:

  36. An estimated 8.2 million adults in the United States live with co-occurring mental health and substance use disorders. Although the benefits of integrated treatment services for persons with co-occurring disor...

    Authors: Mehret T. Assefa, James H. Ford II, Eric Osborne, Amy McIlvaine, Ahney King, Kevin Campbell, Booil Jo and Mark P. McGovern

    Citation: BMC Health Services Research 2019 19:749

    Content type: Research article

    Published on:

  37. The PACE Steps to Success programme is a complex educational and development intervention to improve palliative care in nursing homes. Little research has investigated processes in the cross-cultural adaptatio...

    Authors: Jo Hockley, Katherine Froggatt, Lieve Van den Block, Bregje Onwuteaka-Philipsen, Marika Kylänen, Katarzyna Szczerbińska, Giovanni Gambassi, Sophie Pautex and Sheila Alison Payne

    Citation: BMC Health Services Research 2019 19:745

    Content type: Research article

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  38. The aim of this systematic review was to synthesise peer-reviewed literature assessing the impact of electronic prescribing (eP) systems on the working practices of healthcare professionals (HCPs) in the inpat...

    Authors: Soomal Mohsin-Shaikh, Dominic Furniss, Ann Blandford, Monsey McLeod, Tiantian Ma, Maedeh Y. Beykloo and Bryony Dean Franklin

    Citation: BMC Health Services Research 2019 19:742

    Content type: Research article

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  39. Despite an increase in studies showing the efficacy of lifestyle interventions in improving the poor health outcomes for people with severe mental illness (SMI), routine implementation remains ad hoc. Recently...

    Authors: Jeroen Deenik, Diederik E. Tenback, Erwin C. P. M. Tak, Olivier A. Blanson Henkemans, Simon Rosenbaum, Ingrid J. M. Hendriksen and Peter N. van Harten

    Citation: BMC Health Services Research 2019 19:740

    Content type: Research article

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  40. Chronic obstructive pulmonary disease (COPD) causes significant morbidity and mortality worldwide. Estimation of incidence, prevalence and disease burden through routine insurance data is challenging because o...

    Authors: Holger Gothe, Sasa Rajsic, Djurdja Vukicevic, Tonio Schoenfelder, Beate Jahn, Sabine Geiger-Gritsch, Diana Brixner, Niki Popper, Gottfried Endel and Uwe Siebert

    Citation: BMC Health Services Research 2019 19:737

    Content type: Research article

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  41. User understanding of information technology systems (IT-Systems) is a prerequisite for their use. This study aimed to explore how primary care physician trainees learn, understand and use IT-Systems.

    Authors: Michel Wensing, Barbara Paech, Catharina Roth and Simon Schwill

    Citation: BMC Health Services Research 2019 19:728

    Content type: Research article

    Published on:

  42. Service modularity could be promising for organizing healthcare delivery to heterogeneous patient groups because it enables cost reductions while also being responsive towards individual patients’ needs. Howev...

    Authors: L. Fransen, V. J. T. Peters, B. R. Meijboom and E. de Vries

    Citation: BMC Health Services Research 2019 19:720

    Content type: Research article

    Published on:

  43. Medication errors at transition of care can adversely affect patient safety. The objective of this study is to determine the effect of a transitional pharmaceutical care program on unplanned rehospitalisations.

    Authors: Fatma Karapinar-Çarkıt, Sander D. Borgsteede, Marjo J. A. Janssen, Marlies Mak, Nimet Yildirim, Carl E. H. Siegert, Peter G. M. Mol, Toine C. G. Egberts and Patricia M. L. A. van den Bemt

    Citation: BMC Health Services Research 2019 19:717

    Content type: Research article

    Published on:

  44. With rural population aging there are growing numbers of people with dementia in rural and remote settings. The role of primary health care (PHC) is critical in rural locations, yet there is a lack of rural-sp...

    Authors: Debra Morgan, Julie Kosteniuk, Megan E. O’Connell, Andrew Kirk, Norma J. Stewart, Dallas Seitz, Melanie Bayly, Amanda Froehlich Chow, Valerie Elliot, Jean Daku, Tracy Hack, Faye Hoium, Deb Kennett-Russill and Kristen Sauter

    Citation: BMC Health Services Research 2019 19:709

    Content type: Research article

    Published on:

  45. Few studies have estimated planned home deaths compared to actual place of death in a general population or the longitudinal course of home nursing services and associations with place of death. We aimed to in...

    Authors: Camilla Kjellstadli, Ling Han, Heather Allore, Elisabeth Flo, Bettina S. Husebo and Steinar Hunskaar

    Citation: BMC Health Services Research 2019 19:698

    Content type: Research article

    Published on:

  46. Group-based Diabetes Prevention Programs (DPP), aligned with recommendations from the Centers for Disease Control and Prevention, promote clinically significant weight loss and reduce cardio-metabolic risks. S...

    Authors: Kristen M. J. Azar, Catherine Nasrallah, Nina K. Szwerinski, John J. Petersen, Meghan C. Halley, Deborah Greenwood and Robert J. Romanelli

    Citation: BMC Health Services Research 2019 19:694

    Content type: Research article

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  47. Given the considerable efforts and resources required to develop practice guidelines, developers need to prioritize what topics and questions to address. This study aims to identify and describe prioritization...

    Authors: Amena El-Harakeh, Rami Z. Morsi, Racha Fadlallah, Lama Bou-Karroum, Tamara Lotfi and Elie A. Akl

    Citation: BMC Health Services Research 2019 19:692

    Content type: Research article

    Published on:

  48. Antimicrobial resistance is an increasing problem in hospitals world-wide. Following other countries, English hospitals experienced outbreaks of carbapenemase-producing Enterobacteriaceae (CPE), a bacterial in...

    Authors: Annegret Schneider, Caroline Coope, Susan Michie, Richard Puleston, Susan Hopkins and Isabel Oliver

    Citation: BMC Health Services Research 2019 19:689

    Content type: Research article

    Published on:

  49. Social inequities are widening globally, contributing to growing health and health care inequities. Health inequities are unjust differences in health and well-being between and within groups of people caused ...

    Authors: Colleen Varcoe, Vicky Bungay, Annette J. Browne, Erin Wilson, C. Nadine Wathen, Kat Kolar, Nancy Perrin, Scott Comber, Amélie Blanchet Garneau, David Byres, Agnes Black and Elder Roberta Price

    Citation: BMC Health Services Research 2019 19:687

    Content type: Study protocol

    Published on:

  50. Low-intensity treatments imply reduced therapist contact due to an emphasis on self-help and the use of technologies to deliver treatment. The role of the remoteness, the reduced therapist contact, and the int...

    Authors: Elisa Haller, Nicole Besson and Birgit Watzke

    Citation: BMC Health Services Research 2019 19:686

    Content type: Research article

    Published on: