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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. Large healthcare institutions like the Veterans Health Administration (VA) continually seek best practices to improve clinical care. Relational coordination is an evidence-based organizational theory of commun...

    Authors: Brigid Connelly, Catherine Battaglia and Heather M. Gilmartin

    Citation: BMC Health Services Research 2021 21:1018

    Content type: Research article

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  2. The vast availability of and demand for evidence in modern primary healthcare force clinical decisions to be made based on condensed evidence in the form of policies and guidelines. Primary healthcare managers...

    Authors: Tobias Abelsson, Helena Morténius, Ann-Kristin Karlsson, Stefan Bergman and Amir Baigi

    Citation: BMC Health Services Research 2021 21:1014

    Content type: Research article

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  3. Primary healthcare is the main entry to the health care system for most of the population. In 2008, it was estimated that about 26% of the population in Quebec (Canada) did not have a regular family physician....

    Authors: Carine Sandrine Ngo Bikoko Piemeu, Christine Loignon, Émilie Dionne, Andrée-Anne Paré-Plante, Jeannie Haggerty and Mylaine Breton

    Citation: BMC Health Services Research 2021 21:999

    Content type: Research article

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  4. Many countries, including Canada, have introduced primary care reforms to improve health system functioning and value. The purpose of this study was to examine the association between receiving care from inter...

    Authors: Wissam Haj-Ali, Brian Hutchison, Rahim Moineddin, Walter P. Wodchis and Richard H. Glazier

    Citation: BMC Health Services Research 2021 21:963

    Content type: Research article

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  5. Household survey data are frequently used to measure reproductive, maternal, newborn, child and adolescent health (RMNCAH) service utilisation in low and middle income countries. However, these surveys are typ...

    Authors: Kristine Nilsen, Natalia Tejedor-Garavito, Douglas R. Leasure, C. Edson Utazi, Corrine W. Ruktanonchai, Adelle S. Wigley, Claire A. Dooley, Zoe Matthews and Andrew J. Tatem

    Citation: BMC Health Services Research 2021 21(Suppl 1):370

    Content type: Research

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    This article is part of a Supplement: Volume 21 Supplement 1

  6. A disconnect exists between the idealized model of every patient having a family physician (FP) who acts as the central hub for care, and the reality of health care where patients must navigate a network of di...

    Authors: Laurent Perrault-Sequeira, Jacqueline Torti, Andrew Appleton, Maria Mathews and Mark Goldszmidt

    Citation: BMC Health Services Research 2021 21:950

    Content type: Research article

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  7. In the implementation of standardized cancer patient pathways (CPPs), the investigatory units, endoscopy, radiology and pathology, are crucial to ensure an eventual cancer diagnosis. However, when evaluating t...

    Authors: Jeanette Winterling, Sara Delilovic, Jessica Dervish, Malin Gunarsson, Mårten Åhström and Henna Hasson

    Citation: BMC Health Services Research 2021 21:933

    Content type: Research article

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  8. Patient participation in decision-making has become a hallmark of responsive healthcare systems. Cancer networks in many countries have committed to involving people living with and beyond cancer (PLC) at mult...

    Authors: Dominique Tremblay, Nassera Touati, Susan Usher, Karine Bilodeau, Marie-Pascale Pomey and Lise Lévesque

    Citation: BMC Health Services Research 2021 21:929

    Content type: Research article

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  9. Telemedical care of nursing home residents in Germany, especially in rural areas, is limited to a few pilot projects and is rarely implemented as part of standard care. The possible merits of implementing vide...

    Authors: Susann May, Kai Jonas, Georgia V. Fehler, Thomas Zahn, Martin Heinze and Felix Muehlensiepen

    Citation: BMC Health Services Research 2021 21:925

    Content type: Research article

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  10. Telemedicine offers additional ways of delivering medical care, e.g., in primary care in rural areas. During the last decades, projects including telemedicine are being implemented worldwide. However, implemen...

    Authors: Maja Maria Weißenfeld, Katja Goetz and Jost Steinhäuser

    Citation: BMC Health Services Research 2021 21:919

    Content type: Research article

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  11. Australian federally-funded cognitive pharmacy services (CPS) (e.g. medication management and reconciliation services) have not been translated into practice consistently. These health services are purportedly...

    Authors: Faith R. Yong, Su-Yin Hor and Beata V. Bajorek

    Citation: BMC Health Services Research 2021 21:906

    Content type: Research article

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  12. The growing number of people living with dementia (PlwD) implies an increase in the demand for eldercare services in Sweden like in many other countries. Few studies have analyzed the use of eldercare services...

    Authors: Atiqur sm-Rahman, Lars-Christer Hydén and Susanne Kelfve

    Citation: BMC Health Services Research 2021 21:893

    Content type: Research article

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  13. Older patients are at severe risk of harm from medicines following a hospital to home transition. Interventions aiming to support successful care transitions by improving medicines management have been impleme...

    Authors: Justine Tomlinson, Iuri Marques, Jonathan Silcock, Beth Fylan and Judith Dyson

    Citation: BMC Health Services Research 2021 21:890

    Content type: Research article

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  14. The organisation of health care services for older adults varies within and between countries. In Norway, primary care physiotherapy services offer home-based rehabilitation to older adults. The aim of this st...

    Authors: Ingebrigt Meisingset, Joakim Bjerke, Kristin Taraldsen, Mari Gunnes, Sylvi Sand, Anne E. Hansen, Gard Myhre and Kari Anne I. Evensen

    Citation: BMC Health Services Research 2021 21:887

    Content type: Research article

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  15. Previous research has found that social risk factors are associated with an increased risk of 30-day readmission. We aimed to assess the association of 5 social risk factors (living alone, lack of social suppo...

    Authors: Charlie M. Wray, Marzieh Vali, Louise C. Walter, Lee Christensen, Wendy Chapman, Peter C. Austin, Amy L. Byers and Salomeh Keyhani

    Citation: BMC Health Services Research 2021 21:874

    Content type: Research article

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  16. Individuals on the autism spectrum face significant disparities in health and physicians often report difficulties in providing care to autistic patients. In order to improve the quality of care autistic indiv...

    Authors: Chloe Walsh, Sinéad Lydon, Rosemary Geoghegan, Cornelia Carey, Michael Creed, Lauren O’Loughlin, Ellen Walsh, Dara Byrne and Paul O’Connor

    Citation: BMC Health Services Research 2021 21:873

    Content type: Research article

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  17. This study empirically evaluates the influence of medical information on patient trust at the physician level, the medical profession, hospitals, and with the payer. Restoring patient trust in a medical settin...

    Authors: Roman Lewandowski, Anatoliy G. Goncharuk and Giuseppe T. Cirella

    Citation: BMC Health Services Research 2021 21:865

    Content type: Research article

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  18. COVID-19 pandemic has resulted in global health and economic crisis. We investigated the experiences of frontline health care workers recovering from COVID-19 in Lagos State Nigeria.

    Authors: Ayi Vandi Kwaghe, Olayinka Stephen Ilesanmi, Peter Okpeh Amede, James Olatunde Okediran, Rowland Utulu and Muhammad Shakir Balogun

    Citation: BMC Health Services Research 2021 21:855

    Content type: Research article

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  19. The need for interprofessional collaboration has been emphasized by health organizations. This study was part of a mixed-methods evaluation of interprofessional teamwork modules implementation in an emergency ...

    Authors: Jenny Liu, Sari Ponzer, Nasim Farrokhnia and Italo Masiello

    Citation: BMC Health Services Research 2021 21:853

    Content type: Research article

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  20. The aim was to investigate attitudes and stressors related to the SARS-CoV-2 outbreak among emergency medical services (EMS) workers in Germany. We further aimed to detect possible changes within a 5-week peri...

    Authors: Annegret Dreher, Frank Flake, Reinhard Pietrowsky and Adrian Loerbroks

    Citation: BMC Health Services Research 2021 21:851

    Content type: Research article

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  21. Randomised controlled trials, and in particular those of psychosocial interventions, often fail to recruit to target, resulting in underpowered trials with poor generalisability of findings. The objectives of ...

    Authors: Trefor Aspden, Megan Armstrong and Marc Serfaty

    Citation: BMC Health Services Research 2021 21:837

    Content type: Research article

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  22. Since the introduction of pharmaceutical care concept by Hepler and Strand in 1990, community pharmacists worldwide have been realigning their roles from being product-focused to patient-orientated to improve ...

    Authors: Pengyeow Loh, Siew Siang Chua and Mahmathi Karuppannan

    Citation: BMC Health Services Research 2021 21:822

    Content type: Research article

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  23. The Advanced Access (AA) Model has shown considerable success in improving timely access for patients in primary care settings. As a result, a majority of family physicians have implemented AA in their organiz...

    Authors: Isabelle Gaboury, Mylaine Breton, Kathy Perreault, François Bordeleau, Sarah Descôteaux, Lara Maillet, Catherine Hudon, Yves Couturier, Arnaud Duhoux, Brigitte Vachon, Benoit Cossette, Isabel Rodrigues, Marie-Eve Poitras, Christine Loignon and Helen-Maria Vasiliadis

    Citation: BMC Health Services Research 2021 21:812

    Content type: Study protocol

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  24. As a response to many years of repetitive budget deficits, Region Dalarna in Sweden started a restructuring process in 2015, and implemented a decommissioning programme to achieve a balanced budget until 2019....

    Authors: Inga-Britt Gustafsson, Ulrika Winblad, Lars Wallin and Mio Fredriksson

    Citation: BMC Health Services Research 2021 21:805

    Content type: Research article

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  25. Proactive integrated virtual healthcare resource (VHR) use can improve efficiency, maximize resource capacity for delivering optimal coordinated care and improve patient outcomes. Proactive integrated VHR use ...

    Authors: Jolie N. Haun, Bridget A. Cotner, Christine Melillo, Vanessa Panaite, William Messina, Shilpa Patel-Teague and Brian Zilka

    Citation: BMC Health Services Research 2021 21:802

    Content type: Research article

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  26. Post-apartheid, South Africa adopted an inclusive education system that was intended to be free of unfair discrimination. This qualitative study examines the experiences and perceptions of racial discriminatio...

    Authors: Tshepo Nelson Maake, Bernadette Theresa Millar, Lloyd Denzil Christopher and Navindhra Naidoo

    Citation: BMC Health Services Research 2021 21:787

    Content type: Research article

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  27. The planning, resourcing, implementation and monitoring of new programmes by district health managers is integral for success and sustainability. Ethiopia introduced the Community-Based Newborn Care programme ...

    Authors: Della Berhanu, Iram Hashmi, Joanna Schellenberg and Bilal Avan

    Citation: BMC Health Services Research 2021 21:783

    Content type: Research article

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  28. Policies target networks of providers who treat people with mental illnesses, but little is known about the empirical structures of these networks and related variation in patient care. The goal of this paper ...

    Authors: Joshua Breslau, Beth Dana, Harold Pincus, Marcela Horvitz-Lennon and Luke Matthews

    Citation: BMC Health Services Research 2021 21:777

    Content type: Research article

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  29. Preparedness efforts for a COVID-19 outbreak required redesign and implementation of a perioperative workflow for the management of obstetric patients. In this report we describe factors which influenced rapid...

    Authors: Liana Zucco, Nadav Levy, Yunping Li, Toni Golen, Scott A. Shainker, Philip E. Hess and Satya Krishna Ramachandran

    Citation: BMC Health Services Research 2021 21:775

    Content type: Research article

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    The Correction to this article has been published in BMC Health Services Research 2021 21:833

  30. Nursing homes are under strong pressure to provide good care to the residents. In Norway, municipalities have applied the ‘Joy-of-Life-Nursing-Home’ strategy to increase a health-promoting perception that focu...

    Authors: Beate André, Kjersti Grønning, Frode F. Jacobsen and Gørill Haugan

    Citation: BMC Health Services Research 2021 21:771

    Content type: Research article

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  31. In 2021, the United States Preventive Services Task Force updated their recommendation, stating that individuals ages 45-49 should initiate screening for colorectal cancer. Since several screening strategies a...

    Authors: Travis Hyams, Bruce Golden, John Sammarco, Shahnaz Sultan, Evelyn King-Marshall, Min Qi Wang and Barbara Curbow

    Citation: BMC Health Services Research 2021 21:754

    Content type: Research article

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  32. Self-care is one of the cornerstones in the treatment of type 2 diabetes. Patients with type 2 diabetes struggle to maintain acceptable levels of blood sugar, blood pressure and lipids, the fundamental for the...

    Authors: Marina Taloyan, Meybod Kia, Fahimeh Lamian, Magnus Peterson and Elisabeth Rydwik

    Citation: BMC Health Services Research 2021 21:721

    Content type: Research article

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  33. Effective communication is a central aspect of organizational health literacy. Healthcare professionals are expected to ensure an effective and satisfactory flow of information and to support their patients in...

    Authors: Annika Baumeister, Digo Chakraverty, Angela Aldin, Ümran Sema Seven, Nicole Skoetz, Elke Kalbe and Christiane Woopen

    Citation: BMC Health Services Research 2021 21:716

    Content type: Research article

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  34. Primary care, the principal function of the health care system, requires effort from all local primary health care teams. Community Paramedicine (CP) has managed to reduce the use of Emergency Medical Services...

    Authors: Tuija Rasku, Marja Kaunonen, Elizabeth Thyer, Eija Paavilainen and Katja Joronen

    Citation: BMC Health Services Research 2021 21:710

    Content type: Research article

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  35. To explore the effect of applying a comprehensive unit-based safety program (CUSP) in the intrahospital transfer of patients with critical diseases.

    Authors: Yimei Gu, Lina Liang, Liuna Ge, Ling Jiang, Xiaole Hu, Jing Xu, Yu Cao and Xiaoting Feng

    Citation: BMC Health Services Research 2021 21:690

    Content type: Research article

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  36. Background: Quantitative evidence suggests that interventions involving telephone calls and text message are feasible and effective for improving lifestyle intervention adherence and clinical outcomes among ad...

    Authors: Emily Lewis, Peter Hassmén and Kate L. Pumpa

    Citation: BMC Health Services Research 2021 21:675

    Content type: Research article

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  37. To understand what is needed to achieve a successful Danish home-based reablement service from the perspective of reablement professionals.

    Authors: Mads Nibe Stausholm, Louise Pape-Haugaard, Ole Kristian Hejlesen and Pernille Heyckendorff Secher

    Citation: BMC Health Services Research 2021 21:665

    Content type: Research article

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  38. There is a global emphasis on engaging community health volunteers (CHVs) in low- to middle-income countries (LMICs) to reach to the vast underserved populations that live in rural areas. Retention of CHVs in ...

    Authors: Adelaide M Lusambili, Njeri Nyanja, Sophie Vusha Chabeda, Marleen Temmerman, Lucy Nyaga, Jerim Obure and Anthony Ngugi

    Citation: BMC Health Services Research 2021 21:642

    Content type: Research article

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  39. Syphilis infections have been on the rise, affecting men living with HIV in urban centres disproportionately. Since individuals in HIV care undergo routine blood testing, HIV clinics provide practical opportun...

    Authors: Kinnon R MacKinnon, Ramandip Grewal, Darrell HS Tan, Rodney Rousseau, John Maxwell, Sharon Walmsley, Paul A MacPherson, Anita Rachlis, Nisha Andany, Sharmistha Mishra, Vanessa G Allen and Ann N. Burchell

    Citation: BMC Health Services Research 2021 21:625

    Content type: Research article

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  40. Communities represent a highly relevant source of knowledge with regard to not only healthcare performance but also sociocultural context, yet their role in learning health systems has not been studied. Situat...

    Authors: Crystal Milligan and Whitney Berta

    Citation: BMC Health Services Research 2021 21:603

    Content type: Research article

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  41. Health care personnel who work in penitentiary environments are at risk of burnout due to a variety of factors. Latest research have brought forward a classification system consisting of five burnout profiles ...

    Authors: Stéphanie Boulier, Cédric Baumann, Hélène Rousseau, Pierre Horrach and Stéphanie Bourion-Bédès

    Citation: BMC Health Services Research 2021 21:595

    Content type: Research article

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  42. The French healthcare system is characterised by a shift towards outpatient care and the desire to develop telemedicine affirmed in the collective commitment “Ma santé 2022” presented by President Macron in 20...

    Authors: Corinne Rochette, Anne Sophie Michallet, Stéphanie Malartre-Sapienza and Sophie Rodier

    Citation: BMC Health Services Research 2021 21:580

    Content type: Research article

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  43. The COVID-19 pandemic impedes therapy and care activities. Tele-health, i.e., the provision of health care at a distance (HCD), is a promising way to fill the supply gap. However, facilitators and barriers inf...

    Authors: Verena Klamroth-Marganska, Michael Gemperle, Thomas Ballmer, Susanne Grylka-Baeschlin, Jessica Pehlke-Milde and Brigitte E. Gantschnig

    Citation: BMC Health Services Research 2021 21:578

    Content type: Research article

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  44. In recent years, there has been a growing interest in health care personalization and customization (i.e. personalized medicine and patient-centered care). While some positive impacts of these approaches have ...

    Authors: Etienne Minvielle, Aude Fourcade, Thomas Ricketts and Mathias Waelli

    Citation: BMC Health Services Research 2021 21:575

    Content type: Research article

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  45. Medical education should ensure graduates are equipped for practice in modern health-care systems. Practicing effectively in complex health-care systems requires contemporary attributes and competencies, compl...

    Authors: Kathryn Ogden, Sue Kilpatrick, Shandell Elmer and Kim Rooney

    Citation: BMC Health Services Research 2021 21:560

    Content type: Research article

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  46. Advances in genetics and sequencing technologies are enabling the identification of more individuals with inherited cancer susceptibility who could benefit from tailored screening and prevention recommendation...

    Authors: Kimberly A. Kaphingst, Wendy Kohlmann, Rachelle Lorenz Chambers, Melody S. Goodman, Richard Bradshaw, Priscilla A. Chan, Daniel Chavez-Yenter, Sarah V. Colonna, Whitney F. Espinel, Jessica N. Everett, Amanda Gammon, Eric R. Goldberg, Javier Gonzalez, Kelsi J. Hagerty, Rachel Hess, Kelsey Kehoe…

    Citation: BMC Health Services Research 2021 21:542

    Content type: Study protocol

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  47. Predischarge home assessments (PDHA) aim to support safe discharge from hospital or rehabilitation. There is insufficient evidence on the effectiveness of PDHA. For adults with any diagnosis, we aimed to deter...

    Authors: Uta Kirchner-Heklau, Kai Krause and Susanne Saal

    Citation: BMC Health Services Research 2021 21:540

    Content type: Research article

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  48. Telemedicine is increasingly utilized as an alternative to in person consultation. Current pandemic conditions are providing additional impetus to virtual care delivery. We compared both adolescent and caregiv...

    Authors: Yi Qiu, Sherry Coulson, Christopher William McIntyre, Brooke Wile and Guido Filler

    Citation: BMC Health Services Research 2021 21:537

    Content type: Research article

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