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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 25

  1. Content type: Research article

    Amid the current burden of non-communicable (NCD) diseases in Malaysia, there is a growing demand for more efficient service delivery of primary healthcare. A complex intervention is proposed to improve NCD ma...

    Authors: Lee Lan Low, Fathullah Iqbal Ab Rahim, Mohammad Zabri Johari, Zalilah Abdullah, Siti Hajar Abdul Aziz, Nur Ajeerah Suhaimi, Norrafizah Jaafar, Ainul Nadziha Mohd Hanafiah, Yuke Lin Kong, Siti Haniza Mahmud, Mohamad Zaidan Zulkepli, Komathi Perialathan, Norazlin Muharam, Nur Hani Zainudin, Zaikiah Mohd Zin, Norazilah Mohd Roslan…

    Citation: BMC Health Services Research 2019 19:497

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  2. Content type: Research article

    Although there is evidence with respect to the effectiveness of Chronic Care Model (CCM)-based programs in terms of improved patient outcomes, less attention has been given to the effect of high-quality care o...

    Authors: Lotte Vestjens, Jane M. Cramm and Anna P. Nieboer

    Citation: BMC Health Services Research 2019 19:496

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  3. Content type: Research article

    Patient information sharing between hospitals and community pharmacies is generally insufficient. Since August 2013, the pharmacy department of Kyoto University Hospital has initiated and mediated a collaborat...

    Authors: Miwa Hinata, Kikuko Miyazaki, Hiroshi Okada and Takeo Nakayama

    Citation: BMC Health Services Research 2019 19:487

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  4. Content type: Study protocol

    Facing the increasing cancer incidence and cancer survivorship, many national strategic cancer plans have identified cancer care coordination as a priority for health service improvement. However, the high var...

    Authors: F. Colombani, M. Sibé, M. Kret, B. Quintard, A. Ravaud and F. Saillour-Glénisson

    Citation: BMC Health Services Research 2019 19:483

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  5. Content type: Research article

    Theoretical models have sought to comprehend and conceptualise how people seek help from health professionals but it is unclear if such models apply to urgent care. Much previous research does not explain the ...

    Authors: Joanne Turnbull, Catherine Pope, Jane Prichard, Gemma McKenna and Anne Rogers

    Citation: BMC Health Services Research 2019 19:481

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  6. Content type: Research article

    Attention to culture and its impact on health care can improve the quality of care given, add to our understanding of health care among culturally diverse populations, and encourage a more holistic approach to...

    Authors: Nina Sivertsen, Ann Harrington and Mohammad Hamiduzzaman

    Citation: BMC Health Services Research 2019 19:477

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  7. Content type: Research article

    Although workers’ health surveillance is an important preventive activity, it is not regularly performed. In addition to the occupational physician, the management of occupational health services can also be i...

    Authors: Felicia S. Los, Carel T. J. Hulshof and Judith K. Sluiter

    Citation: BMC Health Services Research 2019 19:473

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  8. Content type: Technical advance

    ADHD affects some individuals throughout their lifespan, yet service provision for adults in the United Kingdom (UK) is patchy. Current methods for mapping health service provision are resource intensive, do n...

    Authors: Anna Price, Astrid Janssens, Susan Dunn-Morua, Helen Eke, Philip Asherson, Tony Lloyd and Tamsin Ford

    Citation: BMC Health Services Research 2019 19:468

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  9. Content type: Research article

    A growing body of evidence supports the link between hospital organisational culture and health outcomes. Organisational culture is thus an essential consideration for hospital accreditation, a practice of sys...

    Authors: Ellie Bostwick Andres, Wei Song, Catherine Mary Schooling and Janice Mary Johnston

    Citation: BMC Health Services Research 2019 19:467

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  10. Content type: Research article

    Contingency management (CM) is one of the only behavioral interventions shown to be effective for the treatment of opioid use disorders when delivered alone and in combination with pharmacotherapy. Despite ext...

    Authors: Sara J. Becker, Kelli Scott, Cara M. Murphy, Melissa Pielech, Samantha A. Moul, Kimberly R. Yap and Bryan R. Garner

    Citation: BMC Health Services Research 2019 19:466

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  11. Content type: Research article

    The healthcare systems in the western world have in recent years faced major challenges caused by demographic changes and altered patterns of diseases as well as political decisions influencing the organisatio...

    Authors: Helle Riisgaard, Jette V. Le, Jens Søndergaard, Maria Munch, Loni Ledderer and Line B. Pedersen

    Citation: BMC Health Services Research 2019 19:464

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  12. Content type: Research article

    Blunt chest injury can lead to significant morbidity and mortality if not treated appropriately. A blunt chest injury care bundle was to be implemented at two sites to guide care.

    Authors: Sarah Kourouche, Tom Buckley, Connie Van, Belinda Munroe and Kate Curtis

    Citation: BMC Health Services Research 2019 19:461

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  13. Content type: Research article

    Wait time, defined as time spent in the waiting and exam rooms waiting to see a provider, is a key quality metric in a number of national patient experience surveys. However, the literature on wait time does n...

    Authors: Holly Chu, Robert A. Westbrook, Sarah Njue-Marendes, Thomas P. Giordano and Bich N. Dang

    Citation: BMC Health Services Research 2019 19:459

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  14. Content type: Research article

    Schwartz Center Rounds® (henceforce Rounds) were developed in the United States (US) in 1995 to provide a regular, structured time and safe place for staff to meet to share the emotional, psychological and soc...

    Authors: Mary Leamy, Ellie Reynolds, Glenn Robert, Cath Taylor and Jill Maben

    Citation: BMC Health Services Research 2019 19:457

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  15. Content type: Research article

    Control of obesity is an important priority to reduce the burden of chronic disease. Clinical guidelines focus on the role of primary healthcare in obesity prevention. The purpose of this scoping review is to ...

    Authors: Claire Pearce, Lucie Rychetnik, Sonia Wutzke and Andrew Wilson

    Citation: BMC Health Services Research 2019 19:453

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  16. Content type: Research article

    Through the Choosing Wisely Canada (CWC) campaign, national medical specialty societies have released hundreds of recommendations against health care services that are unnecessary, i.e. present little to no be...

    Authors: Zachary Bouck, Ciara Pendrith, Xi-Kuan Chen, Jennifer Frood, Ben Reason, Tanya Khan, Alicia Costante, Kyle Kirkham, Karen Born, Wendy Levinson and R. Sacha Bhatia

    Citation: BMC Health Services Research 2019 19:446

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  17. Content type: Research article

    Acute intermittent porphyria (AIP) is an inherited metabolic disease with low clinical penetrance caused by mutations in the hydroxymethylbilane (HMBS) gene. Although most patients experience little or no symptom...

    Authors: Marte H. Hammersland, Aasne K. Aarsand, Sverre Sandberg and Janice Andersen

    Citation: BMC Health Services Research 2019 19:444

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  18. Content type: Research article

    Rising workload in general practice has been a recent cause for concern in several countries; this is also the case in Norway. Long working hours and heavy workload seem to affect recruitment and retention of ...

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

    Citation: BMC Health Services Research 2019 19:434

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  19. Content type: Research article

    A comprehensive disease management programme (DMP) with a central role for general practitioners (GPs) is needed to improve heart failure (HF) care. However, previous research has shown that GPs have mixed exp...

    Authors: Miek Smeets, Sofia Zervas, Hanne Leben, Mieke Vermandere, Stefan Janssens, Wilfried Mullens, Bert Aertgeerts and Bert Vaes

    Citation: BMC Health Services Research 2019 19:432

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  20. Content type: Research article

    With increased international migration, language barriers are likely becoming more relevant in primary care. The aim of this study was to investigate the language barrier in paediatric and adult primary care, ...

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

    Citation: BMC Health Services Research 2019 19:429

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  21. Content type: Research article

    Medication non-adherence is a major contributor to poor outcomes in diabetes. Previous research has shown an association between use of mail order pharmacy delivery and better medication adherence, but little ...

    Authors: Julie A. Schmittdiel, Cassondra J. Marshall, Deanne Wiley, Christopher V. Chau, Connie M. Trinacty, J. Frank Wharam, O. Kenrik Duru, Andrew J. Karter and Susan D. Brown

    Citation: BMC Health Services Research 2019 19:422

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  22. Content type: Research article

    Nurse managers encounter a wide range of ethical problems related to patients, staff, the organisation and themselves. However, little is known about the methods they use to try to solve these problems. In thi...

    Authors: Elina Aitamaa, Riitta Suhonen, Pauli Puukka and Helena Leino-Kilpi

    Citation: BMC Health Services Research 2019 19:417

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  23. Content type: Research article

    Wales introduced a soft opt-out organ donation system on 1st December 2015 with the aim of improving consent rates. In the first 18 months consent rates improved but the difference could not solely be attribut...

    Authors: Jane Noyes, Leah Mclaughlin, Karen Morgan, Abigail Roberts, Bethan Moss, Michael Stephens and Phillip Walton

    Citation: BMC Health Services Research 2019 19:414

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  24. Content type: Research article

    While several studies have tracked the care paths of patients in the early phases of stroke recovery, studies examining the transition from inpatient to outpatient rehabilitation are lacking. Examining this tr...

    Authors: Shannon Janzen, Magdalena Mirkowski, Amanda McIntyre, Swati Mehta, Jerome Iruthayarajah and Robert Teasell

    Citation: BMC Health Services Research 2019 19:399

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  25. Content type: Research article

    A training opportunity in which ongoing education is encouraged is one of the determinants in recruiting and retaining nurses in home-visit nursing care agencies. We investigated the association between ensuri...

    Authors: Noriko Morioka, Suguru Okubo, Yoshie Yumoto and Yasuko Ogata

    Citation: BMC Health Services Research 2019 19:398

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  26. Content type: Study protocol

    Australia is one of many nations struggling with the challenges of delivering quality primary health care (PHC) to increasing numbers of refugees. The OPTIMISE project represents a collaboration between 12 org...

    Authors: Grant Russell, Nilakshi Gunatillaka, Virginia Lewis, I-Hao Cheng, Joanne Enticott, Geraldine Marsh, Shiva Vasi, Jenny Advocat, Hyun Song, Shoko Saito, Sue Casey, Mitchell Smith and Mark Harris

    Citation: BMC Health Services Research 2019 19:396

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  27. Content type: Research article

    Hospital boards have the responsibility to ensure compliance of hospital staff with guidelines and other norms, but they have struggled to do so. The current study aims to identify possible solutions that addr...

    Authors: Louise H. K. Blume, Jamiu O. Busari, Nico J. H. W. van Weert and Diana M. J. Delnoij

    Citation: BMC Health Services Research 2019 19:395

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  28. Content type: Research article

    Traditionally, the care of infants in neonatal care units has been professionally centered, paying less attention to family support. In recent years, many interventions have been developed to improve family-ce...

    Authors: Mirka Toivonen, Liisa Lehtonen, Sari Ahlqvist-Björkroth and Anna Axelin

    Citation: BMC Health Services Research 2019 19:394

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  29. Content type: Research article

    Fall prevention is a priority in Canadian tertiary rehabilitation hospitals. We aimed to understand the perspectives of hospital administrators on the challenges experienced when implementing fall prevention p...

    Authors: H. Singh, B. C. Craven, H. M. Flett, C. Kerry, S. B. Jaglal, M. P. Silver and K. E. Musselman

    Citation: BMC Health Services Research 2019 19:391

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  30. Content type: Research article

    Initiating parenteral nutrition (PN) within 24 h in critically ill children is inferior to withholding PN during the first week, as was found in the PEPaNIC study. The aims of this study were to investigate de...

    Authors: Esther van Puffelen, An Jacobs, Charlotte J. M. Verdoorn, Koen F. M. Joosten, Greet van den Berghe, Erwin Ista and Sascha C. A. T. Verbruggen

    Citation: BMC Health Services Research 2019 19:379

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  31. Content type: Research article

    Switzerland recently introduced Acute and Transitional Care (ATC) as a new financing option and a preventive measure to mitigate potential side effects of Swiss Diagnosis Related Group (SwissDRG). The goal of ...

    Authors: Tenzin Wangmo, Yvonne Padrutt, Insa Koné, Thomas Gächter, Bernice S. Elger and Agnes Leu

    Citation: BMC Health Services Research 2019 19:374

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  32. Content type: Study protocol

    Comprehensive assessment of integrated care deployment constitutes a major challenge to ensure quality, sustainability and transferability of both healthcare policies and services in the transition toward a co...

    Authors: Erik Baltaxe, Isaac Cano, Carmen Herranz, Anael Barberan-Garcia, Carme Hernandez, Albert Alonso, María José Arguis, Cristina Bescos, Felip Burgos, Montserrat Cleries, Joan Carles Contel, Jordi de Batlle, Kamrul Islam, Rachelle Kaye, Maarten Lahr, Graciela Martinez-Palli…

    Citation: BMC Health Services Research 2019 19:370

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  33. Content type: Research article

    Healthcare professionals’ person-centered communication skills are pivotal for delivering successful diabetes education. Many healthcare professionals favor person-centeredness as a concept, but implementation...

    Authors: Vibeke Stenov, Gitte Wind, Michael Vallis, Susanne Reventlow and Nana Folmann Hempler

    Citation: BMC Health Services Research 2019 19:368

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  34. Content type: Research article

    Implementation of digital monitoring technology systems is considered beneficial for increasing the safety and quality of care for residents in nursing homes and simultaneously improving care providers’ workfl...

    Authors: Janne Dugstad, Tom Eide, Etty R. Nilsen and Hilde Eide

    Citation: BMC Health Services Research 2019 19:366

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  35. Content type: Research article

    Electronic health (e-Health) interventions are emerging as an effective alternative model for improving secondary prevention of coronary artery disease (CAD). The aim of this study was to describe the effectiv...

    Authors: Gunhild Brørs, Trond Røed Pettersen, Tina B. Hansen, Bengt Fridlund, Linn Benjaminsen Hølvold, Hans Lund and Tone M. Norekvål

    Citation: BMC Health Services Research 2019 19:364

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  36. Content type: Research article

    Advance care planning (ACP) is the process of ongoing communication among patients, family and health care professionals regarding what plans for future care are preferred in the event that patients become una...

    Authors: Carmen Wing Han Chan, Nancy Hiu Yim Ng, Helen Y. L. Chan, Martin M. H. Wong and K. M. Chow

    Citation: BMC Health Services Research 2019 19:362

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  37. Content type: Research article

    Little is known about the participation of surgeons in preventative health activities in the non-admitted hospital care setting. The aim of this study was to identify which preventive health activities surgeon...

    Authors: Stephen Barrett, Stephen Begg, Andrea Sloane and Michael Kingsley

    Citation: BMC Health Services Research 2019 19:358

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  38. Content type: Research article

    The Targeted Intervention Interdisciplinary Model for Evaluation and Treatment of Neuropsychiatric Symptoms (TIME) has recently in a three-month cluster randomised controlled trial demonstrated reduction in ag...

    Authors: Bjørn Lichtwarck, Janne Myhre, Geir Selbaek, Øyvind Kirkevold, Anne Marie Mork Rokstad, Jūratė Šaltytė Benth and Sverre Bergh

    Citation: BMC Health Services Research 2019 19:349

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  39. Content type: Research article

    With an extensive rise in the number of acute patients and increases in both admissions and readmissions, hospitals are at times overcrowded and under immense pressure and this may challenge patient safety. Th...

    Authors: Cathrine Bell, Ulrich Fredberg, Anders Damgaard Moeller Schlünsen and Peter Vedsted

    Citation: BMC Health Services Research 2019 19:346

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  40. Content type: Research article

    Survival rates after in-hospital cardiac arrest are low and vary across hospitals. The ERC guidelines state that more research is needed to explore factors that could influence survival. Research into the role .....

    Authors: Marc Schluep, Geertje Johanna Catharina van Limpt, Robert Jan Stolker, Sanne Elisabeth Hoeks and Henrik Endeman

    Citation: BMC Health Services Research 2019 19:333

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  41. Content type: Study protocol

    Deficits in general and specialized on-site medical care are a common problem in nursing homes and can lead to unnecessary, costly and burdensome hospitalizations for residents. Reasons for this are often orga...

    Authors: Boris A. Brühmann, Christina Reese, Klaus Kaier, Margrit Ott, Christoph Maurer, Simone Kunert, Bruno R. Saurer and Erik Farin

    Citation: BMC Health Services Research 2019 19:332

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  42. Content type: Research article

    Each year around 5–10% of people with non-diabetic hyperglycaemia will develop type 2 diabetes mellitus. Diabetes prevention is a national and global public health concern. Diabetes Prevention Programmes, whic...

    Authors: Sarah Knowles, Sarah Cotterill, Nia Coupe and Michael Spence

    Citation: BMC Health Services Research 2019 19:321

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  43. Content type: Research article

    A good portion of stroke patients in Western countries are over 65 of age. Because of sequelae, they often lead more isolated lives after the stroke. In terms of social reintegration, this group of patients is...

    Authors: Susanne Lillelund Sørensen, Sedsel Kristine Stage Pedersen and Hanne Pallesen

    Citation: BMC Health Services Research 2019 19:320

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  44. Content type: Research article

    Hospitals need to understand how to reduce their frontline employees’ turnover rate as well as how to positively engage them and improve their service. Central to these issues, we find, is the employees’ perce...

    Authors: Terje Slåtten, Gudbrand Lien and Peer Jacob Svenkerud

    Citation: BMC Health Services Research 2019 19:307

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  45. Content type: Research article

    The impact of new medical graduates on the social dimensions of the rural medical workforce is yet to be examined. Social Network Analysis (SNA) is able to visualize and measure these dimensions. We apply this...

    Authors: Denese E. Playford, Tessa Burkitt and David Atkinson

    Citation: BMC Health Services Research 2019 19:305

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  46. Content type: Study protocol

    A number of challenges impede our ability to consistently provide high quality care to patients hospitalized with medical conditions. Teams are large, team membership continually evolves, and physicians are of...

    Authors: Kevin J. O’Leary, Julie K. Johnson, Milisa Manojlovich, Jenna D. Goldstein, Jungwha Lee and Mark V. Williams

    Citation: BMC Health Services Research 2019 19:293

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  47. Content type: Research article

    In 2012, Switzerland introduced the diagnosis-related group hospital payment system. Fearing that vulnerable patients may be discharged early, Acute and Transitional Care (ATC) was introduced to address the nu...

    Authors: Bettina M. Zimmermann, Insa Koné, Michael Rost, Agnes Leu, Tenzin Wangmo and Bernice S. Elger

    Citation: BMC Health Services Research 2019 19:289

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  48. Content type: Research article

    Managers and professionals in health and social care are required to implement evidence-based methods. Despite this, they generally lack training in implementation. In clinical settings, implementation is ofte...

    Authors: Rebecca Mosson, Hanna Augustsson, Annika Bäck, Mårten Åhström, Ulrica von Thiele Schwarz, Anne Richter, Malin Gunnarsson and Henna Hasson

    Citation: BMC Health Services Research 2019 19:287

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