Skip to main content

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.


Page 1 of 35

  1. Health care administrators must establish and promote effective partnerships with community agencies to address social determinants of health, including reducing exposure of infants and young children to chron...

    Authors: Julie S. McCrae, Jo Ann L. Robinson, Angeline K. Spain, Kaela Byers and Jennifer L. Axelrod

    Citation: BMC Health Services Research 2021 21:71

    Content type: Research article

    Published on:

  2. The need to improve the care of people with complex care requirements has been driving the reforms integrating care processes. This study examines the effect of the integration of health services on health car...

    Authors: Katja Wikström, Marja-Leena Lamidi, Päivi Rautiainen, Hilkka Tirkkonen, Petri Kivinen and Tiina Laatikainen

    Citation: BMC Health Services Research 2021 21:65

    Content type: Research article

    Published on:

  3. Up to 50% of medicines are not used as intended, resulting in poor health and economic outcomes. Medicines optimisation is ‘a person-centred approach to safe and effective medicines use, to ensure people obtai...

    Authors: John Fellenor, Nicky Britten, Molly Courtenay, Rupert A. Payne, Jose Valderas, Rachel Denholm, Polly Duncan, Deborah McCahon, Lynn Tatnell, Richard Fitzgerald, Krystal Warmoth, David Gillespie, Katrina Turner and Margaret Watson

    Citation: BMC Health Services Research 2021 21:64

    Content type: Research article

    Published on:

  4. Financial incentives is emerging as a viable strategy for improving clinical outcomes for adults with type 2 diabetes. However, there is limited data on optimal structure for financial incentives and whether f...

    Authors: Leonard E. Egede, Jennifer A. Campbell, Rebekah J. Walker, Aprill Z. Dawson and Joni S. Williams

    Citation: BMC Health Services Research 2021 21:57

    Content type: Research article

    Published on:

  5. Global calls for renewed efforts to address stillbirth burden highlighted areas for policy and implementation resulting in national level translations. Information regarding adapted strategies to effect policy...

    Authors: Eric Ssegujja, Isaac Ddumba and Michelle Andipartin

    Citation: BMC Health Services Research 2021 21:53

    Content type: Research article

    Published on:

  6. To better understand the distribution and consumption patterns of resources in different ethnic groups and at different levels of economic development, this paper chose to describe the healthcare seeking behav...

    Authors: Xuechen Xiong, Xiaolin Cao and Li Luo

    Citation: BMC Health Services Research 2021 21:51

    Content type: Research article

    Published on:

  7. Cardiovascular diseases (CVD) are commonly comorbid with mental health disorders, portending poorer cardiac prognosis. Despite the high prevalence of depression and anxiety, and guidelines recommending routine...

    Authors: C. M. Collopy, S. M. Cosh and P. J. Tully

    Citation: BMC Health Services Research 2021 21:49

    Content type: Research article

    Published on:

  8. Implementing community-based innovations for older adults with serious illness, who are appropriate for a palliative approach to care, requires developing partnerships between health and community. Nav-CARE is...

    Authors: Grace Warner, Emily Kervin, Barb Pesut, Robin Urquhart, Wendy Duggleby and Taylor Hill

    Citation: BMC Health Services Research 2021 21:42

    Content type: Research article

    Published on:

  9. The acute treatment for stroke takes place in hospitals and in Norway follow-up of stroke survivors residing in the communities largely takes place in general practice. In order to provide continuous post stro...

    Authors: Rune Aakvik Pedersen, Halfdan Petursson, Irene Hetlevik and Henriette Thune

    Citation: BMC Health Services Research 2021 21:41

    Content type: Research article

    Published on:

  10. Increasing patient numbers, complexity of patient management, and healthcare resource limitations have resulted in prolonged patient wait times, decreased quality of service, and decreased patient satisfaction...

    Authors: Andrew W. Kam, Scott Collins, Tae Park, Michael Mihail, Fiona F. Stanaway, Noni L. Lewis, Daniel Polya, Samantha Fraser-Bell, Timothy V. Roberts and James E.H. Smith

    Citation: BMC Health Services Research 2021 21:38

    Content type: Research article

    Published on:

  11. Mental health professionals usually decide patients’ access to inpatient care to ensure care based on need and potential benefit. The purpose of the current study is to investigate how patients evaluate admiss...

    Authors: Olav Nyttingnes, Jūratė Šaltytė Benth and Torleif Ruud

    Citation: BMC Health Services Research 2021 21:36

    Content type: Research article

    Published on:

  12. As health systems transition to value-based care, improving transitional care (TC) remains a priority. Hospitals implementing evidence-based TC models often adapt them to local contexts. However, limited resea...

    Authors: Jing Li, Gaixin Du, Jessica Miller Clouser, Arnold Stromberg, Glen Mays, Joann Sorra, Jane Brock, Terry Davis, Suzanne Mitchell, Huong Q. Nguyen and Mark V. Williams

    Citation: BMC Health Services Research 2021 21:35

    Content type: Research article

    Published on:

  13. A systems-level approach to smoking cessation treatment may optimize healthcare provider adherence to guidelines. Institutions such as the Veterans Health Administration (VHA) are unique in their systematic ap...

    Authors: Jennifer A. Lewis, Nicole Senft, Heidi Chen, Kathryn E. Weaver, Lucy B. Spalluto, Kim L. Sandler, Leora Horn, Pierre P. Massion, Robert S. Dittus, Christianne L. Roumie and Hilary A. Tindle

    Citation: BMC Health Services Research 2021 21:33

    Content type: Research article

    Published on:

  14. The Person-centred Practice Inventory-Staff (PCPI-S) instrument was developed to measure healthcare providers’ perception towards their person-centred practice. The study aimed to explore the influence of cult...

    Authors: Nur Zahirah Balqis-Ali, Pui San Saw, Anis Syakira Jailani, Weng Hong Fun, Noridah Mohd Saleh, Tengku Putri Zaharah Tengku Bahanuddin, Sondi Sararaks and Shaun Wen Huey Lee

    Citation: BMC Health Services Research 2021 21:32

    Content type: Research article

    Published on:

  15. Healthcare systems are overloaded and changing. In response to growing demands on the healthcare systems, new models of healthcare delivery are emerging. Community paramedicine is a novel approach in which par...

    Authors: Julia van Vuuren, Brodie Thomas, Gina Agarwal, Sean MacDermott, Leigh Kinsman, Peter O’Meara and Evelien Spelten

    Citation: BMC Health Services Research 2021 21:29

    Content type: Research article

    Published on:

  16. Relationships between dietitians and other healthcare providers can impact the degree to which patient care is collaborative; inefficient communication can lead to suboptimal care. It takes time for multidisci...

    Authors: Sarah Hewko, Amirah Oyesegun, Samantha Clow and Charlene VanLeeuwen

    Citation: BMC Health Services Research 2021 21:25

    Content type: Research article

    Published on:

  17. Recent evidence suggests the need to reframe healthcare delivery for patients with chronic conditions, with emphasis on minimizing healthcare footprint/workload on patients, caregivers, clinicians and health s...

    Authors: Abd Moain Abu Dabrh, Kasey R. Boehmer, Nathan Shippee, Stacey A. Rizza, Adam I. Perlman, Sara R. Dick, Emma M. Behnken and Victor M. Montori

    Citation: BMC Health Services Research 2021 21:24

    Content type: Research article

    Published on:

  18. Electronic Medical Records (EMRs) are one of a range of digital health solutions that are key enablers of the data revolution transforming the health sector. They offer a wide range of benefits to health profe...

    Authors: Anna Janssen, Candice Donnelly, Elisabeth Elder, Nirmala Pathmanathan and Tim Shaw

    Citation: BMC Health Services Research 2021 21:23

    Content type: Research article

    Published on:

  19. Rising healthcare costs, an increasing general practitioner shortage and an aging population have made healthcare organization transformation a priority. To meet these challenges, traditional roles of non-medi...

    Authors: Ferdinand Bastiaens, Di-Janne Barten and Cindy Veenhof

    Citation: BMC Health Services Research 2021 21:19

    Content type: Research article

    Published on:

  20. Optimizing access to recanalization therapies in acute ischemic stroke patients is crucial. Our aim was to measure the short and long term effectiveness, at the acute phase and 1 year after stroke, of four set...

    Authors: A. M. Schott, A. Termoz, M. Viprey, K. Tazarourte, C. Della Vecchia, E. Bravant, N. Perreton, N. Nighoghossian, S. Cakmak, S. Meyran, B. Ducreux, C. Pidoux, T. Bony, M. Douplat, V. Potinet, A. Sigal…

    Citation: BMC Health Services Research 2021 21:12

    Content type: Research article

    Published on:

  21. Quebec is one of the Canadian provinces with the highest rates of cancer incidence and prevalence. A study by the Rossy Cancer Network (RCN) of McGill university assessed six aspects of the patient experience ...

    Authors: M. P. Pomey, M. de Guise, M. Desforges, K. Bouchard, C. Vialaron, L. Normandin, M. Iliescu-Nelea, I. Fortin, I. Ganache, C. Régis, Z. Rosberger, D. Charpentier, L. Bélanger, M. Dorval, D. P. Ghadiri, M. Lavoie-Tremblay…

    Citation: BMC Health Services Research 2021 21:10

    Content type: Study protocol

    Published on:

    The Correction to this article has been published in BMC Health Services Research 2021 21:67

  22. Rural-urban health care disparities are an important topic in health services research. Hence, developing valid and reliable tools to measure rurality is needed to support high quality research. However, Japan...

    Authors: Makoto Kaneko, Ryuichi Ohta, Evelyn Vingilis, Maria Mathews and Thomas Robert Freeman

    Citation: BMC Health Services Research 2021 21:9

    Content type: Research article

    Published on:

  23. Severely and multiply disadvantaged members of the homeless population are disproportionately vulnerable to exceptionally high levels of multi-morbidity and premature death. Given widespread calls for the deve...

    Authors: Sarah Johnsen, Fiona Cuthill and Janice Blenkinsopp

    Citation: BMC Health Services Research 2021 21:7

    Content type: Research article

    Published on:

  24. This study contributes to research on the paediatrician shortage by examining occupational identity, job satisfaction and their effects on turnover intention among paediatricians in China.

    Authors: Wanjun Deng, Zhichun Feng, Xinying Yao, Tingting Yang, Jun Jiang, Bin Wang, Lan Lin, Wenhao Zhong and Oudong Xia

    Citation: BMC Health Services Research 2021 21:6

    Content type: Research article

    Published on:

  25. The Patient Protection and Affordable Care Act of 2010 (ACA) encouraged nonprofit hospitals to collaborate with local public health experts in the conduct of community health needs assessments (CHNAs) for the ...

    Authors: Geri Rosen Cramer, Gary J. Young, Simone Singh, Jean McGuire and Daniel Kim

    Citation: BMC Health Services Research 2021 21:1

    Content type: Research article

    Published on:

  26. Outpatient follow-up care for stroke survivors is often inadequate and mostly self-organized by the patients themselves. In the German health care system, there are no standard care programs for patients after...

    Authors: Johannes Deutschbein, Ulrike Grittner, Alice Schneider and Liane Schenk

    Citation: BMC Health Services Research 2020 20:1143

    Content type: Research article

    Published on:

  27. No studies, particularly quantitative analyses, have been conducted regarding the workload of village doctors in the National Essential Public Health Services (NEPHS) program and differences in service deliver...

    Authors: Delu Yin, Tao Yin, Huiming Yang, Lihong Wang and Bowen Chen

    Citation: BMC Health Services Research 2020 20:1134

    Content type: Research article

    Published on:

  28. Interprofessional education in childhood cancer is a multifaceted field involving multiple healthcare professionals with general and specialised knowledge and skills. Complex treatment, care and rehabilitation...

    Authors: Martha Krogh Topperzer, Marianne Hoffmann, Hanne Bækgaard Larsen, Susanne Rosthøj, Jacob Nersting, Louise Ingerslev Roug, Peter Pontoppidan, Liv Andrés-Jensen, Birgitte Lausen, Kjeld Schmiegelow and Jette Led Sørensen

    Citation: BMC Health Services Research 2020 20:1124

    Content type: Study protocol

    Published on:

  29. Rural hospitals face unique challenges to adopting Enhanced Recovery protocols after colorectal surgical procedures. There are few examples of successful implementation in the United States, and fewer yet of p...

    Authors: Levi Smucker, Jennifer Victory, Melissa Scribani, Luis Oceguera and Raul Monzon

    Citation: BMC Health Services Research 2020 20:1120

    Content type: Research article

    Published on:

  30. Person-centered care (PCC) emphasize the importance of supporting individuals’ involvement in care provided and self-care. PCC has become more important in chronic care as the number of people living with chro...

    Authors: Emma Granström, Carolina Wannheden, Mats Brommels, Helena Hvitfeldt and Monica E. Nyström

    Citation: BMC Health Services Research 2020 20:1108

    Content type: Research article

    Published on:

  31. Breast cancer is the most commonly diagnosed cancer in Australian women. Providing timely diagnostic assessment services for screen-detected abnormalities is a core quality indicator of the population-based sc...

    Authors: Karen Johnston, Deborah Smith, Robyn Preston, Rebecca Evans, Karen Carlisle, Janet Lengren, Helen Naess, Elizabeth Phillips, Greg Shephard, Lorraine Lydiard, Debbie Lattimore and Sarah Larkins

    Citation: BMC Health Services Research 2020 20:1103

    Content type: Research article

    Published on:

  32. As the prevalence of multi-morbidity increases in ageing societies, health and social care systems face the challenge of providing adequate care to persons with complex needs. Approaches that integrate care ac...

    Authors: Thomas Czypionka, Markus Kraus, Miriam Reiss, Erik Baltaxe, Josep Roca, Sabine Ruths, Jonathan Stokes, Verena Struckmann, Romana Tandara Haček, Antal Zemplényi, Maaike Hoedemakers and Maureen Rutten-van Mölken

    Citation: BMC Health Services Research 2020 20:1102

    Content type: Research article

    Published on:

  33. The NHS Diabetes Prevention Programme (NHS-DPP) is a nine-month, group-based behavioural intervention for adults in England at risk of developing Type 2 diabetes. Four independent providers were commissioned t...

    Authors: Rhiannon E. Hawkes, Elaine Cameron, Sarah Cotterill, Peter Bower and David P. French

    Citation: BMC Health Services Research 2020 20:1098

    Content type: Research article

    Published on:

  34. There is consensus that vitamin D supplementation is often indicated but population-based screening by laboratory testing for vitamin D deficiency is inadequate. Testing should be restricted to people at high ...

    Authors: Stefan Essig, Christoph Merlo, Oliver Reich and Maria Trottmann

    Citation: BMC Health Services Research 2020 20:1097

    Content type: Research article

    Published on:

  35. There is growing interest in and focus on healthcare services research to identify factors associated with innovation in healthcare organizations. However, previous innovation research has concentrated primari...

    Authors: Terje Slåtten, Barbara Rebecca Mutonyi and Gudbrand Lien

    Citation: BMC Health Services Research 2020 20:1096

    Content type: Research article

    Published on:

  36. Healthcare professionals are experiencing unprecedented levels of occupational stress and burnout. Higher stress and burnout in health professionals is linked with the delivery of poorer quality, less safe pat...

    Authors: Judith Johnson, Ruth Simms-Ellis, Gillian Janes, Thomas Mills, Luke Budworth, Lauren Atkinson and Reema Harrison

    Citation: BMC Health Services Research 2020 20:1094

    Content type: Research article

    Published on:

  37. Evidence-based family support programs such as the Triple P – Positive Parenting Program have the potential to enhance the well-being of children and families. However, they cannot achieve their expected outco...

    Authors: Marie-Kim Côté and Marie-Hélène Gagné

    Citation: BMC Health Services Research 2020 20:1092

    Content type: Research article

    Published on:

  38. Integrated utilisation of digital health data has the power to transform healthcare to deliver more efficient and effective services, and the learning health system (LHS) is emerging as a model to achieve this...

    Authors: Joanne Enticott, Sandra Braaf, Alison Johnson, Angela Jones and Helena J. Teede

    Citation: BMC Health Services Research 2020 20:1087

    Content type: Research article

    Published on:

  39. Involving a patient’s relatives is a complex endeavour, especially in emergency departments (EDs). Generally, relatives are recognized as vital partners in health care, but in-depth knowledge on how these fami...

    Authors: Susanne Nissen Sagoo and Regine Grytnes

    Citation: BMC Health Services Research 2020 20:1086

    Content type: Research article

    Published on:

  40. Increasing numbers of nurses, pharmacists and allied health professionals across the world have prescribing rights for medicines: over 90,000 of the eligible United Kingdom workforce are qualified as non-docto...

    Authors: Nicola Carey, Judith Edwards, Simon Otter, Heather Gage, Peter Williams, Molly Courtenay, Ann Moore and Karen Stenner

    Citation: BMC Health Services Research 2020 20:1074

    Content type: Research article

    Published on:

  41. Healthcare organisations are complex social entities, comprising of multiple stakeholders with differing priorities, roles, and expectations about how care should be delivered. To reach agreement among these d...

    Authors: Lisa Rogers, Aoife De Brún, Sarah A. Birken, Carmel Davies and Eilish McAuliffe

    Citation: BMC Health Services Research 2020 20:1059

    Content type: Research article

    Published on:

  42. Increasing mental health problems and scarce treatment resources put pressure on mental health services to make innovations in service provision, such as developing differentiated services adapted to different...

    Authors: Hilde V. Markussen, Lene Aasdahl and Marit B. Rise

    Citation: BMC Health Services Research 2020 20:1056

    Content type: Research article

    Published on:

  43. In the light of “Internet plus”, hospitals are following the trend of using mobile internet and adopting a strategy of spreading public health knowledge through mobile terminals. WeChat is a social media with ...

    Authors: Jie Wang and Lanting Wu

    Citation: BMC Health Services Research 2020 20:1055

    Content type: Research article

    Published on:

  44. Physical activity (PA) is a well-established therapeutic modality for the maintenance and improvement of long-term health in cystic fibrosis (CF). Healthcare professionals (HCP) are considered credible and wel...

    Authors: Nicola Hurley, Bróna Kehoe, Noel McCaffrey, Karen Redmond, Lydia Cullen and Niall M. Moyna

    Citation: BMC Health Services Research 2020 20:1052

    Content type: Research article

    Published on:

  45. Ischemic stroke patients with a good outcome in terms of motor functioning and communication are likely to be discharged home without further rehabilitation. A significant number of these patients experience c...

    Authors: J. P. L. Slenders, R. M. Van den Berg-Vos, C. M. van Heugten, J. M. A. Visser-Meily, S. M. A. A. Evers, R. J. de Haan, J. M. de Man-van Ginkel and V. I. H. Kwa

    Citation: BMC Health Services Research 2020 20:1049

    Content type: Study protocol

    Published on:

  46. Patients with B-cell neoplasms in remission are monitored with regular physician visits at the hospital. The current standard follow-up procedure is not evidence-based or individualized to patient needs. To im...

    Authors: Mia Sommer, Lone Frandsen, Paw Jensen, Søren Ramme Nielsen, Lars Børty Nielsen, Rasmus Froberg Brøndum, Martin Bøgsted, Jakob Madsen, Marianne Tang Severinsen, Erik Elgaard Sørensen, Mette Grønkjær and Tarec Christoffer El-Galaly

    Citation: BMC Health Services Research 2020 20:1047

    Content type: Research article

    Published on:

  47. As the number of persons with dementia is increasing, there has been a call for establishing sustainable clinical pathways for coordinating care and support for this group. The LIVE@Home.Path trial is a multic...

    Authors: Stein Erik Fæø, Oscar Tranvåg, Rune Samdal, Bettina S. Husebo and Frøydis K. Bruvik

    Citation: BMC Health Services Research 2020 20:1045

    Content type: Research article

    Published on:

  48. Achievement of the elimination target for mother-to-child transmission (MTCT) of HIV in selected countries has increased hope to end the HIV epidemic in children across the world. However, MTCT rates remain we...

    Authors: Reuben Musarandega, Joanna Robinson, Priti Dave Sen, Anna Hakobyan, Angela Mushavi, Agnes Mahomva and Godfrey Woelk

    Citation: BMC Health Services Research 2020 20:1042

    Content type: Research article

    Published on:

  49. A large proportion of admissions to psychiatric hospitals happen as emergency admissions and many of them occur out of core working hours (during the weekends, on public holidays and during night time). Howeve...

    Authors: Peter M. Kreuzer, Stefan Günther, Jorge Simoes, Michael Ziereis and Berthold Langguth

    Citation: BMC Health Services Research 2020 20:1041

    Content type: Research article

    Published on: