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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.

Page 1 of 31

  1. Integrated care has the potential to ease the increasing pressures faced by health and social care systems, however, challenges around measuring the benefits for providers, patients, and service users remain. ...

    Authors: Helen Crocker, Laura Kelly, Jenny Harlock, Ray Fitzpatrick and Michele Peters

    Citation: BMC Health Services Research 2020 20:515

    Content type: Research article

    Published on:

  2. The health and social care workforce requires access to appropriate education and training to provide quality care for people with dementia. Success of a training programme depends on staff ability to put thei...

    Authors: Claire A. Surr, Sahdia Parveen, Sarah J. Smith, Michelle Drury, Cara Sass, Sarah Burden and Jan Oyebode

    Citation: BMC Health Services Research 2020 20:512

    Content type: Research article

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  3. The substitution of healthcare is a way to control rising healthcare costs. The Primary Care Plus (PC+) intervention of the Dutch ‘Blue Care’ pioneer site aims to achieve this feat by facilitating consultation...

    Authors: Esther H. A. van den Bogaart, Mariëlle E. A. L. Kroese, Marieke D. Spreeuwenberg, Herm Martens, Peter M. Steijlen and Dirk Ruwaard

    Citation: BMC Health Services Research 2020 20:510

    Content type: Research article

    Published on:

  4. More people living into old age with dementia. The complexity of treatment and care, particularly those with multiple health problems, can be experienced as disjointed. As part of an evaluation of a ‘healthcar...

    Authors: Gerard Leavey, Emma Curran, Deirdre Fullerton, Steven Todd, Sonja McIlfatrick, Vivien Coates, Max Watson, Aine Abbott and Dagmar Corry

    Citation: BMC Health Services Research 2020 20:503

    Content type: Research article

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  5. Little is known about the impact of infectious disease (ID) consultations on the management of patients with cancer. This study aimed to describe the consultation services provided by ID specialists to all dep...

    Authors: Naoya Itoh, Yoshiro Hadano, Yasumasa Yamamoto, Norihiko Terada and Hanako Kurai

    Citation: BMC Health Services Research 2020 20:500

    Content type: Research article

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  6. The relationship between healthcare system inputs (e.g., human resources and infrastructure) and mortality has been extensively studied. However, the association between healthcare system inputs and patient-re...

    Authors: Liesbet Van Bulck, Eva Goossens, Koen Luyckx, Silke Apers, Erwin Oechslin, Corina Thomet, Werner Budts, Junko Enomoto, Maayke A. Sluman, Chun-Wei Lu, Jamie L. Jackson, Paul Khairy, Stephen C. Cook, Shanthi Chidambarathanu, Luis Alday, Katrine Eriksen…

    Citation: BMC Health Services Research 2020 20:496

    Content type: Research article

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  7. Allied health assistants (AHAs) are support staff who complete clinical and non-clinical tasks under the supervision and delegation of an allied health professional. The effect of allied health professional de...

    Authors: David A. Snowdon, Beth Storr, Annette Davis, Nicholas F. Taylor and Cylie M. Williams

    Citation: BMC Health Services Research 2020 20:491

    Content type: Research article

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  8. To improve the use of eRehabilitation after stroke, the identification of barriers and facilitators influencing this use in different healthcare contexts around the world is needed. Therefore, this study aims ...

    Authors: Berber Brouns, Leti van Bodegom-Vos, Arend J. de Kloet, Thea P. M. Vliet Vlieland, Ingrid L. C. Gil, Lígia M. N. Souza, Lucia W. Braga and Jorit J. L. Meesters

    Citation: BMC Health Services Research 2020 20:488

    Content type: Research article

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  9. Community volunteerism is essential in the implementation of the Community-based Health Planning and Services (CHPS) in Ghana. We explored the responsibilities, motivations and challenges of community health m...

    Authors: Margaret Kweku, Emmanuel Manu, Hubert Amu, Fortress Yayra Aku, Martin Adjuik, Elvis Enowbeyang Tarkang, Joyce Komesuor, Geoffery Adebayor Asalu, Norbert N. Amuna, Laud Ampomah Boateng, Justine Sefakor Alornyo, Roland Glover, Ayaga A. Bawah, Timothy Letsa, John Koku Awoonor-Williams, James F. Phillips…

    Citation: BMC Health Services Research 2020 20:482

    Content type: Research article

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  10. Attempts to achieve digital transformation across the health service have stimulated increasingly large-scale and more complex change programmes. These encompass a growing range of functions in multiple locati...

    Authors: Kathrin Cresswell, Aziz Sheikh, Bryony Dean Franklin, Marta Krasuska, Hung The Nguyen, Susan Hinder, Wendy Lane, Hajar Mozaffar, Kathy Mason, Sally Eason, Henry W. W. Potts and Robin Williams

    Citation: BMC Health Services Research 2020 20:477

    Content type: Review

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  11. Many studies assessed the effect of mobile phone applications on self-management outcomes in patients with asthma, but all of them presented variable results. In this paper. we examined the effect of a mobile ...

    Authors: Laura Adela Munteanu, Mirela Frandes, Bogdan Timar, Emanuela Tudorache, Ariadna Petronela Fildan, Cristian Oancea and Doina Ecaterina Tofolean

    Citation: BMC Health Services Research 2020 20:475

    Content type: Research article

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  12. Numerous studies have revealed challenges associated with ensuring informational continuity in municipal care services for older adults with comprehensive, prolonged and complex care needs. Most research is qu...

    Authors: Marijke Veenstra, Marianne Sundlisæter Skinner and Maren Kristine Raknes Sogstad

    Citation: BMC Health Services Research 2020 20:464

    Content type: Research article

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  13. Cochlear implants (CIs) can provide a sound sensation for those with severe sensorineural hearing loss (SNHL), benefitting speech understanding and quality of life. Nevertheless, rates of implantation remain l...

    Authors: Frances Rapport, Sarah E. Hughes, Isabelle Boisvert, Catherine M. McMahon, Jeffrey Braithwaite, Mona Faris and Mia Bierbaum

    Citation: BMC Health Services Research 2020 20:457

    Content type: Research article

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  14. Adverse childhood experiences (ACEs) are associated with increased morbidity and mortality, lower levels of distress tolerance, and greater emotional dysregulation, as well as with increased healthcare utiliza...

    Authors: Eva Purkey, Colleen Davison, Meredith MacKenzie, Tracey Beckett, Daniel Korpal, Katherine Soucie and Susan Bartels

    Citation: BMC Health Services Research 2020 20:455

    Content type: Research article

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  15. While the majority of deaths in high-income countries currently occur within institutional settings such as hospitals and nursing homes, there is considerable variation in the pattern of place of death. The pl...

    Authors: Jorid Kalseth and Thomas Halvorsen

    Citation: BMC Health Services Research 2020 20:454

    Content type: Research article

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  16. Accessibility to efficient and person-centered healthcare delivery drives healthcare transformation in many countries. In Singapore, specialist outpatient clinics (SOCs) are commonly congested due to increasin...

    Authors: Milawaty Nurjono, Pami Shrestha, Ian Yi Han Ang, Farah Shiraz, Ke Xin Eh, Sue-Anne Ee Shiow Toh and Hubertus Johannes Maria Vrijhoef

    Citation: BMC Health Services Research 2020 20:452

    Content type: Research article

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  17. The concept of rapid implementation has emerged in the literature recently, but without a precise definition. Further exploration is required to distinguish the concept’s unique meanings and significance from ...

    Authors: James Smith, Frances Rapport, Tracey A. O’Brien, Stephanie Smith, Vanessa J. Tyrrell, Emily V. A. Mould, Janet C. Long, Hossai Gul, Jeremy Cullis and Jeffrey Braithwaite

    Citation: BMC Health Services Research 2020 20:449

    Content type: Research article

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  18. The number of people aged 80 years and above is projected to triple over the next 30 years. People in this age group normally have at least two chronic conditions. The impact of multimorbidity is often signifi...

    Authors: Ingvild Lilleheie, Jonas Debesay, Asta Bye and Astrid Bergland

    Citation: BMC Health Services Research 2020 20:446

    Content type: Research article

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  19. Healthcare teams often consist of geographically dispersed members. Virtual worlds can support immersive, high-quality, multimedia interaction between remote individuals; this study investigated use of virtual...

    Authors: Michael J. Taylor, Chiya Shikaislami, Chris McNicholas, David Taylor, Julie Reed and Ivo Vlaev

    Citation: BMC Health Services Research 2020 20:442

    Content type: Research article

    Published on:

  20. The concept of Organizational Culture (OC) which refers to the pattern of values, norms, beliefs, attitudes and assumptions may not be articulated through verbal language. However, it shapes the way people beh...

    Authors: Dereje Mesfin, Mirkuzie Woldie, Ayinengida Adamu and Fitsum Bekele

    Citation: BMC Health Services Research 2020 20:438

    Content type: Research article

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  21. Remote Patient Monitoring Systems (RPMS) based on e-health, Nurse Navigators (NNs) and patient engagement can improve patient follow-up and have a positive impact on quality of care (by limiting adverse events...

    Authors: Marie Ferrua, Etienne Minvielle, Aude Fourcade, Benoît Lalloué, Claude Sicotte, Mario Di Palma and Olivier Mir

    Citation: BMC Health Services Research 2020 20:434

    Content type: Research article

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  22. In England, since 2015, there has been a formal drive to integrate pharmacists into general practice as a new healthcare service. Research efforts have offered insights into how general practice-based professi...

    Authors: Georgios Dimitrios Karampatakis, Nilesh Patel, Graham Stretch and Kath Ryan

    Citation: BMC Health Services Research 2020 20:431

    Content type: Research article

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  23. In addition to delivering vital health care to millions of patients in the United States, community health centers (CHCs) provide needed health insurance outreach and enrollment support to their communities. W...

    Authors: Brigit Hatch, Carrie Tillotson, Nathalie Huguet, Miguel Marino, Andrea Baron, Joan Nelson, Aleksandra Sumic, Deborah Cohen and Jennifer E. DeVoe

    Citation: BMC Health Services Research 2020 20:428

    Content type: Research article

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  24. When healthcare professionals’ workloads are greater than available resources, care activities can be missed, omitted or delayed, potentially leading to adverse patient outcomes. Prioritisation, a precursor to...

    Authors: Kristiana Ludlow, Kate Churruca, Virginia Mumford, Louise A. Ellis and Jeffrey Braithwaite

    Citation: BMC Health Services Research 2020 20:423

    Content type: Research article

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  25. The indications for general anesthesia (GA) in obstetric settings, which are determined in consideration of maternal and fetal outcome, could be affected by local patterns of clinical practice grounded in uniq...

    Authors: Takamitsu Ikeda, Atsuko Kato, Masahiko Bougaki, Yuko Araki, Takuya Ohata, Seiichiro Kawashima, Yousuke Imai, Jun Ninagawa, Koji Oba, Kyungho Chang, Kanji Uchida and Yoshitsugu Yamada

    Citation: BMC Health Services Research 2020 20:421

    Content type: Research article

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  26. The Improved assessment of chest pain trial (IMPACT) protocol is an accelerated strategy for the risk stratification and management of patients presenting to the emergency department (ED) with chest pain. This...

    Authors: Jaimi H. Greenslade, Ariel Ho, Tracey Hawkins, William Parsonage, Julia Crilly and Louise Cullen

    Citation: BMC Health Services Research 2020 20:419

    Content type: Research article

    Published on:

  27. To improve the effectiveness of interventions targeting non-adherence in older adults, a systematic approach to intervention design is required. The content of complex interventions and design decisions are of...

    Authors: D. E. Patton, C. Ryan and C. M. Hughes

    Citation: BMC Health Services Research 2020 20:418

    Content type: Research article

    Published on:

  28. The definition of community health outreach to promote the health of vulnerable populations depends heavily on the particulars of the given health project and community. There is no consistency in the definiti...

    Authors: Hye Young Shin, Ka Young Kim and Purum Kang

    Citation: BMC Health Services Research 2020 20:417

    Content type: Research article

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  29. Tuberculosis (TB) control programmes rely heavily on laboratories to support both clinical care and public health. Qualified personnel with adequate technical and managerial skills comprise an integral compone...

    Authors: Philomena Raftery, Csaba Ködmön, Marieke J. van der Werf and Vladyslav Nikolayevskyy

    Citation: BMC Health Services Research 2020 20:413

    Content type: Research article

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  30. Patients with low health literacy experience difficulty in understanding their medications leading to worse health outcomes. Pharmacists need to use formal assessment tools to be able to identify these patient...

    Authors: Sara Chan, Sean P. Spina, Dalyce M. Zuk and Karen Dahri

    Citation: BMC Health Services Research 2020 20:401

    Content type: Research article

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  31. Physician turnover is a concern in many health care systems globally. A better understanding of physicians’ reasons for leaving their job may inform organisational policies to retain key personnel. The aim of ...

    Authors: Pål E. Martinussen, Jon Magnussen, Karsten Vrangbæk and Jan C. Frich

    Citation: BMC Health Services Research 2020 20:400

    Content type: Research article

    Published on:

  32. The increasing complexity and variability in radiology have significantly fueled the need for guidelines. There are many methods for disseminating and implementing guidelines however; and obtaining lasting cha...

    Authors: Ann Mari Gransjøen, Siri Wiig, Kristin Bakke Lysdahl and Bjørn Morten Hofmann

    Citation: BMC Health Services Research 2020 20:397

    Content type: Research article

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  33. Over the past several years, there has been more emphasis on integration within health care. Community pharmacy is often under-represented within integrated care models. This study explored stakeholder percept...

    Authors: Jennifer D. Lake, Zahava R. S. Rosenberg-Yunger, Katie N. Dainty, Teagan Rolf von den Baumen, Amanda C. Everall and Sara J. T. Guilcher

    Citation: BMC Health Services Research 2020 20:396

    Content type: Research article

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  34. The implementation of any technology in community health care is seen as a challenge. Similarly, the implementation of eHealth technology also has challenges, and many initiatives never fully reach their poten...

    Authors: Etty R. Nilsen, Karen Stendal and Monika K. Gullslett

    Citation: BMC Health Services Research 2020 20:395

    Content type: Research article

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  35. The NHS Health Check Programme is a risk-reduction programme offered to all adults in England aged 40–74 years. Previous studies mainly focused on patient perspectives and programme delivery; however, delivery...

    Authors: Lirije Hyseni, Maria Guzman-Castillo, Chris Kypridemos, Brendan Collins, Ellen Schwaller, Simon Capewell, Angela Boland, Rumona Dickson, Martin O’Flaherty, Kay Gallacher, Peter Hale and Ffion Lloyd-Williams

    Citation: BMC Health Services Research 2020 20:394

    Content type: Research article

    Published on:

  36. The present challenge for patient involvement is the improvement of healthcare efficiency through a deeper consideration of the patient experience. In hospitals, numerous interventions promoting patient involv...

    Authors: Lucie Malloggi, Brice Leclère, Clément Le Glatin and Leïla Moret

    Citation: BMC Health Services Research 2020 20:391

    Content type: Research article

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  37. Patient feedback in the English NHS is now widespread and digital methods are increasingly used. Adoption of digital methods depends on socio-technical and contextual factors, alongside human agency and lived ...

    Authors: Bie Nio Ong, Damian Hodgson, Nicola Small, Papreen Nahar and Caroline Sanders

    Citation: BMC Health Services Research 2020 20:387

    Content type: Research article

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  38. To improve the uptake of research into practice, knowledge translation frameworks recommend tailoring implementation strategies to address practice barriers. This study reports our experience pairing the Theor...

    Authors: Elaine Yuen Ling Kwok, Sheila T. F. Moodie, Barbara Jane Cunningham and Janis E. Oram Cardy

    Citation: BMC Health Services Research 2020 20:385

    Content type: Research article

    Published on:

  39. To review the international literature on community-based interventions aiming to improve the oral health of Indigenous adolescents and identify which demonstrate a positive impact.

    Authors: Josephine Gwynn, John Skinner, Yvonne Dimitropoulos, Angela Masoe, Boe Rambaldini, Vita Christie, Woosung Sohn and Kylie Gwynne

    Citation: BMC Health Services Research 2020 20:384

    Content type: Research article

    Published on:

  40. Smoking exacerbates the complications of diabetes, but little is known about whether patients with diabetes who smoke have more unplanned medical visits than those who do not smoke. This study examines the ass...

    Authors: Arielle Selya, Eric L. Johnson, Tess L. Weber, Jaymi Russo, Cheryl Stansbury, Drake Anshutz, Emily Griese and Benson Hsu

    Citation: BMC Health Services Research 2020 20:383

    Content type: Research article

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  41. Breast cancer is the most common malignant disease in women. Compared with other cancer types, breast cancer has a higher survival rate. The majority of breast cancer patients are overstrained to implement can...

    Authors: Mercedes Rutsch, Nicole Jochems, Andreas Schrader, Iris Brandes, Lisa Weier and Ruth Deck

    Citation: BMC Health Services Research 2020 20:378

    Content type: Study protocol

    Published on:

  42. Medication errors are a leading cause of mortality and morbidity. Clinical pharmacy services provided in hospital can reduce medication errors and medication related harm. However, few rural or remote hospital...

    Authors: Julaine Allan, Shannon Nott, Brett Chambers, Ged Hawthorn, Alice Munro, Chris Doran, Chris Oldmeadow, Clare Coleman and Teesta Saksena

    Citation: BMC Health Services Research 2020 20:373

    Content type: Study protocol

    Published on:

  43. To meet the complex needs of healthcare delivery, the Ministry of Health and Long Term Care (MOHLTC) introduced Physician Assistants (PAs) into the Ontario health care system in 2006 with the goal of helping t...

    Authors: Kristen E. Burrows, Julia Abelson, Patricia A. Miller, Mitchell Levine and Meredith Vanstone

    Citation: BMC Health Services Research 2020 20:365

    Content type: Research article

    Published on:

  44. Patient medicines helpline services (PMHS) have been established at some National Health Service (NHS) Trusts in England, with the aim of providing medicines-related support to patients after they have been di...

    Authors: Matt Williams, Abbie Jordan, Jenny Scott and Matthew D. Jones

    Citation: BMC Health Services Research 2020 20:364

    Content type: Research article

    Published on:

  45. Missed healthcare appointments (no-shows) are costly and operationally inefficient for health systems. No-show rates are particularly high for vulnerable populations, even though these populations often requir...

    Authors: Kai Ruggeri, Tomas Folke, Amel Benzerga, Sanne Verra, Clara Büttner, Viktoria Steinbeck, Susan Yee and Krisda Chaiyachati

    Citation: BMC Health Services Research 2020 20:363

    Content type: Research article

    Published on:

  46. Knowledge Translation evidence from health care practitioners and administrators implementing Enhanced Recovery After Surgery (ERAS) care has allowed for the spread and scale of the health care innovation. The...

    Authors: Leah Gramlich, Gregg Nelson, Alison Nelson, Laura Lagendyk, Loreen E. Gilmour and Tracy Wasylak

    Citation: BMC Health Services Research 2020 20:361

    Content type: Research article

    Published on:

  47. The Oncology Care Model (OCM) was developed as a payment model to encourage participating practices to provide better-quality care for cancer patients at a lower cost. The risk-adjustment model used in OCM is ...

    Authors: Madhu Mazumdar, Jung-Yi Joyce Lin, Wei Zhang, Lihua Li, Mark Liu, Kavita Dharmarajan, Mark Sanderson, Luis Isola and Liangyuan Hu

    Citation: BMC Health Services Research 2020 20:350

    Content type: Research article

    Published on:

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