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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. Millions of older adults in the United States experience hearing, vision, and dual sensory impairment (concurring hearing and vision impairment) yet little research exists on their needs in interactions with t...

    Authors: Nicholas S. Reed, Lama Assi, Emily Pedersen, Yasmeen Alshabasy, Ashley Deemer, Jennifer A. Deal, Amber Willink and Bonnielin K. Swenor

    Citation: BMC Health Services Research 2020 20:990

    Content type: Research article

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  2. Falls and fall-related injuries are a major public health problem and an international priority for health services. Despite research showing that evidence-based fall prevention is effective, its translation i...

    Authors: Hilde Worum, Daniela Lillekroken, Birgitte Ahlsen, Kirsti Skavberg Roaldsen and Astrid Bergland

    Citation: BMC Health Services Research 2020 20:985

    Content type: Research article

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  3. While there is a growing body of literature supporting clinical decision-making for rehabilitation professionals, suboptimal use of evidence-based practices in that field persists. A strategic initiative that ...

    Authors: Katherine Montpetit-Tourangeau, Dahlia Kairy, Sara Ahmed, Dana Anaby, André Bussières, Marie-Ève Lamontagne, Annie Rochette, Keiko Shikako-Thomas and Aliki Thomas

    Citation: BMC Health Services Research 2020 20:973

    Content type: Research article

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  4. Despite many studies evaluating the effectiveness of integrated care, evidence remains inconsistent. There is increasing commentary pointing out the mismatch between the ability to capture the somewhat ‘illusi...

    Authors: Jenny Billings, Simone R. de Bruin, Caroline Baan and Giel Nijpels

    Citation: BMC Health Services Research 2020 20:971

    Content type: Research article

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  5. Early diagnosis is crucial for the treatment of childhood cancer as it in some cases can prevent progression of disease and improve prognoses. However, childhood cancer can be difficult to diagnose and barrier...

    Authors: Line Hjøllund Pedersen, Ayo Wahlberg, Marie Cordt, Kjeld Schmiegelow, Susanne Oksbjerg Dalton and Hanne Bækgaard Larsen

    Citation: BMC Health Services Research 2020 20:969

    Content type: Research article

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  6. Timely access is a challenge for providers of outpatient and community-based health services, as seen by the often lengthy waiting lists to manage demand. The Specific Timely Appointments for Triage (STAT) mod...

    Authors: Katherine E. Harding, David A. Snowdon, Luke Prendergast, Annie K. Lewis, Bridie Kent, Sandy F. Leggat and Nicholas F. Taylor

    Citation: BMC Health Services Research 2020 20:968

    Content type: Research article

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  7. As an alternative to acute hospitalisations, all communities in Norway are required to provide inpatient care in municipal acute bed units (MAUs) for patients who can be treated at the primary care level. Pati...

    Authors: Synnøve Karin Hernes, Valborg Baste, Kurt Arild Krokmyrdal, Silje Longva Todnem, Sabine Ruths and Ingrid Hjulstad Johansen

    Citation: BMC Health Services Research 2020 20:963

    Content type: Research article

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  8. Healthcare systems implement change at different rates because of differences in incentives, organizational processes, key influencers, and management styles. A comparable set of forces may play out at the nat...

    Authors: Kamran Badizadegan, David M. Vanlandingham, Wesley Hampton and Kimberly M. Thompson

    Citation: BMC Health Services Research 2020 20:962

    Content type: Research article

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  9. Implementation of person-centred care (PCC) is a challenging undertaking. Thus, a call has been issued for a robust and generic instrument to measure and enable evaluation of PCC across settings and patient gr...

    Authors: Helena Fridberg, Lars Wallin, Catarina Wallengren, Anders Kottorp, Henrietta Forsman and Malin Tistad

    Citation: BMC Health Services Research 2020 20:960

    Content type: Research article

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  10. Embedding patient accommodation need in the electronic health record (EHR) has been proposed as one means to improve health care delivery to patients with disabilities. Accommodation need is not a standard fie...

    Authors: Nancy R. Mudrick, Mary Lou Breslin, Kyrian A. Nielsen and LeeAnn C. Swager

    Citation: BMC Health Services Research 2020 20:958

    Content type: Research article

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  11. Healthcare organisations differ in performance even if they are located in the same country or region. Suitable managerial practices and organisational processes can lead to better health outcomes. As a result...

    Authors: Simone Fanelli, Roberto Bellù, Antonello Zangrandi, Luigi Gagliardi and Rinaldo Zanini

    Citation: BMC Health Services Research 2020 20:957

    Content type: Research article

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  12. Among all women who experienced an abortion in Sweden 2017, 45% had previously underwent at least one abortion. This phenomenon of increasing rates of repeat abortions stimulated efforts to improve contracepti...

    Authors: Helena Kilander, Jan Brynhildsen, Siw Alehagen and Johan Thor

    Citation: BMC Health Services Research 2020 20:948

    Content type: Research article

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  13. Health care services internationally are refocussing care delivery towards patient centred, integrated care that utilises effective, efficient and innovative models of care to optimise patient outcomes and sys...

    Authors: Maha Pervaz Iqbal, Elizabeth Manias, Laurel Mimmo, Stephen Mears, Briony Jack, Liz Hay and Reema Harrison

    Citation: BMC Health Services Research 2020 20:952

    Content type: Research article

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  14. HIV-positive children have lagged adults on retention in HIV care and viral suppression. To address this gap, Eswatini’s Ministry of Health started a pilot family-centered HIV care model (FCCM) targeting HIV-p...

    Authors: Philisiwe N. Khumalo, Leila Katirayi, Kim Ashburn, Caspian Chouraya, Lydia Mpango, Nobuhle Mthethwa and Lynne M. Mofenson

    Citation: BMC Health Services Research 2020 20:951

    Content type: Research article

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  15. Repeated studies of working hours among Norwegian regular general practitioners (RGPs) have shown that the average total number of weekly working hours has remained unchanged since 1994 and up until 2014. For ...

    Authors: Ingrid Keilegavlen Rebnord, Tone Morken, Kjell Maartmann-Moe and Steinar Hunskaar

    Citation: BMC Health Services Research 2020 20:944

    Content type: Research article

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  16. Competing demands for operative resources may affect time to hip fracture surgery. We sought to determine the time to hip fracture surgery by variation in demand in Canadian hospitals.

    Authors: Katie J. Sheehan, Boris Sobolev, Pierre Guy, Jason D. Kim, Lisa Kuramoto, Lauren Beaupre, Adrian R. Levy, Suzanne N. Morin, Jason M. Sutherland and Edward J. Harvey

    Citation: BMC Health Services Research 2020 20:935

    Content type: Research article

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  17. Improved medical care access for rural populations continues to be a major concern. There remains little published evidence about postgraduate rural pathways of junior doctors, which may have strong implicatio...

    Authors: Matthew R. McGrail, Belinda G. O’Sullivan, Deborah J. Russell and Muntasirur Rahman

    Citation: BMC Health Services Research 2020 20:930

    Content type: Research article

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  18. Substance use disorders are prevalent among youth involved with the criminal justice system, however, evidence-based substance use disorder treatment is often unavailable to this population. The goal of this s...

    Authors: A. Johnson-Kwochka, A. Dir, M. P. Salyers and M. C. Aalsma

    Citation: BMC Health Services Research 2020 20:929

    Content type: Research article

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  19. The aim of this study was to explore expert professionals’ opinions on service provision to children under six with life-limiting neurodevelopmental disabilities (LLNDD), including the goals of care and the in...

    Authors: Suzanne Guerin, Gemma Kiernan, Eileen Courtney, Regina McQuillan and Karen Ryan

    Citation: BMC Health Services Research 2020 20:927

    Content type: Research article

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  20. In Australia and other developed countries, chronic illness prevalence is increasing, as are costs of healthcare, particularly hospital-based care. Integrating healthcare and supporting illness management in t...

    Authors: Steven A. Trankle, Tim Usherwood, Penelope Abbott, Mary Roberts, Michael Crampton, Christian M. Girgis, John Riskallah, Yashu Chang, Jaspreet Saini and Jennifer Reath

    Citation: BMC Health Services Research 2020 20:925

    Content type: Research article

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  21. New technology implementation in healthcare must address important challenges such as interdisciplinary approaches. In oncology, molecular tumorboard (MTB) settings require biomedical researchers and clinical ...

    Authors: Nathalie Bot and Mathias Waelli

    Citation: BMC Health Services Research 2020 20:922

    Content type: Research article

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  22. Breast cancer (BC) clinical guidelines offer evidence-based recommendations to improve quality of healthcare for patients with or at risk of BC. Suboptimal adherence to recommendations has the potential to neg...

    Authors: Ignacio Ricci-Cabello, Adrián Vásquez-Mejía, Carlos Canelo-Aybar, Ena Niño de Guzman, Javier Pérez-Bracchiglione, Montserrat Rabassa, David Rigau, Ivan Solà, Yang Song, Luciana Neamtiu, Elena Parmelli, Zuleika Saz-Parkinson and Pablo Alonso-Coello

    Citation: BMC Health Services Research 2020 20:920

    Content type: Research article

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  23. Group antenatal care has been successfully implemented around the world with suggestions of improved outcomes, including for disadvantaged groups, but it has not been formally tested in the UK in the context o...

    Authors: Meg Wiggins, Mary Sawtell, Octavia Wiseman, Christine McCourt, Sandra Eldridge, Rachael Hunter, Ekaterina Bordea, Connor Mustard, Ainul Hanafiah, Bethan Hatherall, Vivian Holmes, Anita Mehay, Helliner Robinson, Cathryn Salisbury, Lorna Sweeney, Kade Mondeh…

    Citation: BMC Health Services Research 2020 20:919

    Content type: Study protocol

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  24. Chronic diseases are the leading contributor to the excess morbidity and mortality burden experienced by Aboriginal and Torres Strait Islander (hereafter, respectfully, Indigenous) people, compared to their no...

    Authors: Deborah A. Askew, Samantha J. Togni, Sonya Egert, Lynne Rogers, Nichola Potter, Noel E. Hayman, Alan Cass, Alex D. H. Brown and Philip J. Schluter

    Citation: BMC Health Services Research 2020 20:917

    Content type: Research article

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  25. In Australia, as in many high income countries, there has been a movement to improve out-of-hospital care. If primary care improvements can yield appropriately lower hospital use, this would improve productive...

    Authors: Rachael E. Moorin, David Youens, David B. Preen and Cameron M. Wright

    Citation: BMC Health Services Research 2020 20:915

    Content type: Research article

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  26. In 2017, ostomy patients gained access to ostomy products in community pharmacies that are fully reimbursed by the Portuguese National Health Service. This impacted the daily lives of people with ostomy and op...

    Authors: Mariana Romão, Débora Figueira, Heloísa Galante, José Guerreiro and Sónia Romano

    Citation: BMC Health Services Research 2020 20:914

    Content type: Research article

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  27. Pelvic Floor Muscle Training (PFMT) has been shown to be effective for pelvic organ prolapse in women, but its implementation in routine practice is challenging due to lack of adequate specialist staff. It is ...

    Authors: Purva Abhyankar, Joyce Wilkinson, Karen Berry, Sarah Wane, Isabelle Uny, Patricia Aitchison, Edward Duncan, Eileen Calveley, Helen Mason, Karen Guerrero, Douglas Tincello, Doreen McClurg, Andrew Elders, Suzanne Hagen and Margaret Maxwell

    Citation: BMC Health Services Research 2020 20:910

    Content type: Research article

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  28. The desire to increase the role of home care in Finland has created problems in home care work. Working conditions have deteriorated, the quality of care experienced is low, and staff members suffer from time ...

    Authors: Salla Ruotsalainen, Sami Jantunen and Timo Sinervo

    Citation: BMC Health Services Research 2020 20:896

    Content type: Research article

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  29. The transition period between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) has been identified as an especially critical time for patients with anorexia nervosa. ...

    Authors: Veronica Lockertsen, Liv Nilsen, Lill Ann Wellhaven Holm, Øyvind Rø, Linn May Burger and Jan Ivar Røssberg

    Citation: BMC Health Services Research 2020 20:891

    Content type: Research article

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  30. Improving the health of women before pregnancy and throughout a woman’s lifespan could mitigate disparities and improve the health and wellbeing of women, infants and children. The preconception period is impo...

    Authors: Angela Wangari Walter, Clevanne Julce, Nireesha Sidduri, Leanne Yinusa-Nyahkoon, Jessica Howard, Matthew Reichert, Timothy Bickmore and Brian W. Jack

    Citation: BMC Health Services Research 2020 20:889

    Content type: Study protocol

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  31. The value of digital health technologies in delivering vital health care interventions, especially in low resource settings is increasingly appreciated. We co-developed and tested a decision support mobile hea...

    Authors: Pauline Bakibinga, Eva Kamande, Lyagamula Kisia, Milka Omuya, Dennis J. Matanda and Catherine Kyobutungi

    Citation: BMC Health Services Research 2020 20:888

    Content type: Research article

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  32. Use of emergency department (ED) care globally seems to be increasing at a faster rate than population growth (Baker, House of Commons Library. Accident and Emergency Statistics, Demand, Performance, 2017). In...

    Authors: Gemma McKenna, Anne Rogers, Sandra Walker and Catherine Pope

    Citation: BMC Health Services Research 2020 20:887

    Content type: Research article

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  33. Health professionals’ training is a key element to address unhealthy alcohol use in Primary Care (PC). Education about alcohol use can be effective in improving PC provider’s knowledge and skills addressing al...

    Authors: Esperanza Romero-Rodríguez, Luis Ángel Pérula de Torres, Roger Ruiz Moral, José Ángel Fernández García, Juan Manuel Parras Rejano, Ana Roldán Villalobos and Francisco Camarelles Guillem

    Citation: BMC Health Services Research 2020 20:877

    Content type: Research article

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  34. In 2013, the Nigeria Federal Ministry of Health established a Master Health Facility List (MHFL) as recommended by WHO. Since then, some health facilities (HFs) have ceased functioning and new facilities were ...

    Authors: Usaini Bala, Olufemi Ajumobi, Amina Umar, Adefisoye Adewole, Ndadilnasiya Waziri, Saheed Gidado, Audu B. Mohammed, Perpetua Uhomoibhi, Basheer Muhammad, Munira Ismail, Stephen Patrick Kachur, Shelby Cash and Kwame Asamoa

    Citation: BMC Health Services Research 2020 20:874

    Content type: Research article

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  35. Allied health services are core to the improvement in health outcomes for remote and rural residents. Substantial infrastructure has been put into place to facilitate rural work-ready allied health practitione...

    Authors: Anna Moran, Susan Nancarrow, Catherine Cosgrave, Anna Griffith and Rhiannon Memery

    Citation: BMC Health Services Research 2020 20:866

    Content type: Research article

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  36. Today’s remarkable popularity of value-based health care (VBHC) is accompanied by considerable ambiguity concerning the very meaning of the concept. This is evident within academic publications, and mirrored i...

    Authors: Gijs Steinmann, Hester van de Bovenkamp, Antoinette de Bont and Diana Delnoij

    Citation: BMC Health Services Research 2020 20:862

    Content type: Research article

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  37. Integration, the coordination and alignment of tasks, has been promoted widely in order to improve the performance of hospitals. Both organization theory and social network analysis offer perspectives on integ...

    Authors: Annelies van der Ham, Frits van Merode, Dirk Ruwaard and Arno van Raak

    Citation: BMC Health Services Research 2020 20:857

    Content type: Research article

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  38. Facilitating access to professional interpretation services is key to equitable hospital care for migrants with limited language proficiency; however, interpreter underuse has been documented. The factors that...

    Authors: Eli Feiring and Stine Westdahl

    Citation: BMC Health Services Research 2020 20:856

    Content type: Research article

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  39. Diabetes self-management education (DSME) is an effective intervention for patients with type 2 diabetes mellitus (T2DM); nevertheless, patient participation in this type of programme is low. Implementation of...

    Authors: Emmanuel Allory, Hélène Lucas, Arnaud Maury, Ronan Garlantezec, Candan Kendir, Anthony Chapron and Laure Fiquet

    Citation: BMC Health Services Research 2020 20:855

    Content type: Research article

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  40. Emergency department (ED) use is often viewed as an indicator of health system quality. ED use for mental health (MH) reasons is increasing and costly for health systems, patients, and their families. Patients...

    Authors: Morgane Gabet, Guy Grenier, Zhirong Cao and Marie-Josée Fleury

    Citation: BMC Health Services Research 2020 20:854

    Content type: Research article

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  41. Allied Health Professionals (AHPs) form a significant part of the healthcare workforce and have great potential to improve services through research and research-informed practice. However, there is a lack of ...

    Authors: Jennifer Harris, Kate Grafton and Jo Cooke

    Citation: BMC Health Services Research 2020 20:852

    Content type: Research article

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  42. Obtaining a sample that is representative of the group of interest is of utmost importance in questionnaire studies. In a survey using a state authorized web-portal for citizen communication with authorities, ...

    Authors: Søren Birkeland, Thea Linkhorst, Anders Haakonsson, Michael John Barry and Sören Möller

    Citation: BMC Health Services Research 2020 20:851

    Content type: Research article

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  43. Clinical practice guidelines (CPGs) include evidence-based recommendations for managing obesity in adolescents. However, information on how health care providers (HCPs) implement these recommendations in day-t...

    Authors: M. Kebbe, A. Perez, A. Buchholz, S. D. Scott, T.-L. F. McHugh, M. P. Dyson and G.D.C. Ball

    Citation: BMC Health Services Research 2020 20:850

    Content type: Research article

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  44. Health policy in many countries directs treatment to the lowest effective care level and encourages collaboration between primary and specialist mental health care. A number of models for collaborative care ha...

    Authors: Jorun Rugkåsa, Ole Gunnar Tveit, Julie Berteig, Ajmal Hussain and Torleif Ruud

    Citation: BMC Health Services Research 2020 20:844

    Content type: Research article

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  45. Computerized provider order entry (CPOE) can help providers deliver better quality care. We aimed to understand recent trends in use of CPOE by health system-affiliated ambulatory clinics.

    Authors: Shira H. Fischer, Robert S. Rudin, Yunfeng Shi, Paul Shekelle, Alejandro Amill-Rosario, Dennis Scanlon and Cheryl L. Damberg

    Citation: BMC Health Services Research 2020 20:836

    Content type: Research article

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  46. In Australia registrar training to become a general practitioner (GP) involves three to four years of supervised learning with at least 50% of GP registrars training wholly in rural areas. In particular rural ...

    Authors: Danielle Couch, Belinda O’Sullivan, Deborah Russell, Matthew McGrail, Glen Wallace and Michael Bentley

    Citation: BMC Health Services Research 2020 20:834

    Content type: Research article

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  47. Aboriginal women and their infants experience significant disadvantage in health outcomes compared to their non-Aboriginal counterparts. Access to timely, effective and appropriate maternal and child healthcar...

    Authors: Nina Sivertsen, Olga Anikeeva, Janiene Deverix and Julian Grant

    Citation: BMC Health Services Research 2020 20:829

    Content type: Research article

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  48. Medication adherence to immunosuppressants in allogeneic stem cell transplantation (alloSCT) is essential to achieve favorable clinical outcomes (e.g. control of Graft-versus-Host Disease). Over 600 apps suppo...

    Authors: Janette Ribaut, Lynn Leppla, Alexandra Teynor, Sabine Valenta, Fabienne Dobbels, Leah L. Zullig and Sabina De Geest

    Citation: BMC Health Services Research 2020 20:827

    Content type: Research article

    Published on: