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Quality, performance, safety and outcomes

Section edited by Koustuv Dalal

This section aims to publish studies on healthcare quality practice and improving patient care and its safety. The section also accepts articles on changes in the health status of an individual, group or population resulting from interventions of the health care team.

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  2. Across Ontario, since the year 2006 various knowledge translation (KT) interventions designed to improve the quality of rectal cancer surgery have been implemented by the provincial cancer agency or by individ...

    Authors: Marko Simunovic, Christine Fahim, Angela Coates, David Urbach, Craig Earle, Vanja Grubac, Melissa Brouwers, Mary Ann O’Brien and Nancy Baxter

    Citation: BMC Health Services Research 2020 20:506

    Content type: Research article

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  3. The need to reduce healthcare practices that provide no value has led to the development of initiatives that generate and publish recommendations to improve the appropriateness of clinical practice by identify...

    Authors: Xavier Bonfill, Karla Salas-Gama, Carolina Requeijo, Angela Merchán-Galvis, Antonio Sánchez, Elena Medarde and M. Jesús Quintana

    Citation: BMC Health Services Research 2020 20:505

    Content type: Research article

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  4. Public guidelines in many western countries recommend post-incident reviews (PIRs) with patients after restraint use in mental health care. PIRs are one of several elements of seclusion and restraint reduction...

    Authors: Unn Elisabeth Hammervold, Reidun Norvoll, Kari Vevatne and Hildegunn Sagvaag

    Citation: BMC Health Services Research 2020 20:499

    Content type: Research article

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  5. Value-based healthcare (VBHC) is a promising strategy to increase patient value. For a successful implementation of VBHC, intensive collaborations between organizations and integrated care delivery systems are...

    Authors: Dennis van Veghel, Mohamed Soliman-Hamad, Daniela N. Schulz, Bernard Cost, Timothy A. Simmers and Lukas R. C. Dekker

    Citation: BMC Health Services Research 2020 20:494

    Content type: Research article

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  6. Quantifying the burden of multimorbidity for healthcare research using administrative data has been constrained. Existing measures incompletely capture chronic conditions of relevance and are narrowly focused ...

    Authors: Melissa Y. Wei, Jamie E. Luster, Chiao-Li Chan and Lillian Min

    Citation: BMC Health Services Research 2020 20:489

    Content type: Research article

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  7. According to the Donabedian model, the assessment for the quality of care includes three dimensions. These are structure, process, and outcome. Therefore, the present study aimed at assessing the structural qu...

    Authors: Atkure Defar, Theodros Getachew, Girum Taye, Tefera Tadele, Misrak Getnet, Tigist Shumet, Gebeyaw Molla, Geremew Gonfa, Habtamu Teklie, Ambaye Tadesse and Abebe Bekele

    Citation: BMC Health Services Research 2020 20:485

    Content type: Research article

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  8. Access to affordable and adequate healthcare in a health system determines the universal health coverage achievement for all residents in a country. Achieving access to healthcare requires the availability of ...

    Authors: N’doh Ashken Sanogo, Arone Wondwossen Fantaye and Sanni Yaya

    Citation: BMC Health Services Research 2020 20:483

    Content type: Research article

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  9. Rapid Response Team (RRT) calls are clinical crises. Clinical and time pressures can hinder effective liaison between staff who call the RRT (‘users’) and those responding as part of the RRT (‘members’). Non-t...

    Authors: Richard Chalwin, Lynne Giles, Amy Salter, Karoline Kapitola and Jonathan Karnon

    Citation: BMC Health Services Research 2020 20:480

    Content type: Research article

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  10. To determine how socioeconomic factors, such as level of education and employment status, affect patient experiences on quality of care for ambulatory healthcare services in teaching hospitals in southeast Nig...

    Authors: Henry E. Aloh, Obinna E. Onwujekwe, Obianuju G. Aloh, Ijeoma L. Okoronkwo and Chijioke Joel Nweke

    Citation: BMC Health Services Research 2020 20:473

    Content type: Research article

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  11. Guidelines based on patient preferences differ from those developed solely by clinicians and may promote patient adherence to guideline recommendations. There is scant evidence on how to develop patient-inform...

    Authors: Jayden Blackwood, Melissa J. Armstrong, Corinna Schaefer, Ian D. Graham, Loes Knaapen, Sharon E. Straus, Robin Urquhart and Anna R. Gagliardi

    Citation: BMC Health Services Research 2020 20:458

    Content type: Research article

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  12. Delirium is very common in critically ill patients admitted to the intensive care unit (ICU) and results in negative long-term outcomes. Family members are also at risk of long-term complications, including de...

    Authors: Kirsten M. Fiest, Karla D. Krewulak, Bonnie G. Sept, Krista L. Spence, Judy E. Davidson, E. Wesley Ely, Andrea Soo and Henry T. Stelfox

    Citation: BMC Health Services Research 2020 20:453

    Content type: Study protocol

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  13. Overactive bladder (OAB) is common and morbid. Medication and diagnosis claims may be specific, but lack sensitivity to identify patients with overactive bladder. We used an “electronic health record (EHR) phe...

    Authors: Jeffrey A. Linder, Joel S. Weissman, Harry Reyes Nieva, Stuart Lipsitz, R. Sterling Haring, Julie DeAngelis, Rita M. Kristy and Kevin R. Loughlin

    Citation: BMC Health Services Research 2020 20:447

    Content type: Research article

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  14. Clinical work in the operating room (OR) is considered challenging as it is complex, dynamic, and often time- and resource-constrained. Important characteristics for successful management of complexity include...

    Authors: Camilla Göras, Ulrica Nilsson, Mirjam Ekstedt, Maria Unbeck and Anna Ehrenberg

    Citation: BMC Health Services Research 2020 20:440

    Content type: Research article

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  15. Prompt Mental Health Care (PMHC) is the Norwegian adaptation of Improving Access to Psychological Therapies (IAPT). Thus far, evaluations of PMHC have mostly focused on the effectiveness, rather than on contex...

    Authors: Linn Vathne Lervik, Marit Knapstad and Otto Robert Frans Smith

    Citation: BMC Health Services Research 2020 20:437

    Content type: Research article

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  16. The Charlson Comorbidity Index (CCI) can be automatically calculated from the International Classification of Disease (ICD) code. However, the feasibility of this transformation has not been acknowledged, part...

    Authors: Liyi Mo, Zhen Xie, Guohui Liu, Qiang He, Zhiming Mo, Yanhua Wu, Wenji Wang, Feng Ding, Yuanjiang Liao, Li Hao, Chen Lu, Jin Sun, Libin Xu, Yusheng Zhang, Rizwangul Ghappar, Hongwei Peng…

    Citation: BMC Health Services Research 2020 20:432

    Content type: Research article

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  17. High-risk patients presenting for surgery require complex decision-making and perioperative management. However, given there is no gold standard for identifying high-risk patients, doing so may be challenging ...

    Authors: Amanda Selwood, Brette Blakely, Siva Senthuran, Paul Lane, John North and Robyn Clay-Williams

    Citation: BMC Health Services Research 2020 20:427

    Content type: Research article

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  18. Most interventions to improve patient safety (Patient Safety Practices (PSPs)), are introduced without engaging front-line professionals. Administrative staff, managers and sometimes a few professionals, repre...

    Authors: Connie Dekker - van Doorn, Linda Wauben, Jeroen van Wijngaarden, Johan Lange and Robbert Huijsman

    Citation: BMC Health Services Research 2020 20:426

    Content type: Research article

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  19. Fingolimod is an oral multiple sclerosis drug that is considered a specialty drug due to its high cost and safety issues. The Fingolimod Patient Support Program (F-PSP) is a specialty pharmacy service develope...

    Authors: Aline Bourdin, Julie Dubois, Rose-Anna Foley, Myriam Schluep, Olivier Bugnon and Jérôme Berger

    Citation: BMC Health Services Research 2020 20:425

    Content type: Research article

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  20. This paper describes a participatory methodology that supports investigation of the synergistic collaboration between communities affected by infectious disease outbreak events and relevant official institutio...

    Authors: Daniel H. de Vries, John Kinsman, Judit Takacs, Svetla Tsolova and Massimo Ciotti

    Citation: BMC Health Services Research 2020 20:411

    Content type: Research article

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  21. In pediatrics, communication often occurs through an intermediary such as a caregiver. The goal of this study is to assess caregiver communication expectations and determine if meeting expectations influences ...

    Authors: Tyler Lee, Julie Cui, Hinette Rosario, Didja Hilmara, Kate Samuelson, Emery C. Lin, Victoria A. Miller and Henry C. Lin

    Citation: BMC Health Services Research 2020 20:408

    Content type: Research article

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  22. In 2018, the Japanese medical reimbursement system was revised to introduce a fee for the implementation of an antimicrobial stewardship (AS) fee for pediatric patients. The purpose of this study was to evalua...

    Authors: Yuichi Muraki, Yoshiki Kusama, Masaki Tanabe, Kayoko Hayakawa, Yoshiaki Gu, Masahiro Ishikane, Daisuke Yamasaki, Tetsuya Yagi and Norio Ohmagari

    Citation: BMC Health Services Research 2020 20:399

    Content type: Research article

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  23. The aim of this study was to demonstrate a novel method of assessing data quality for an orthopaedic registry and its effects on data quality metrics.

    Authors: Binglong Lee, Milad Ebrahimi, Nalan Ektas, Chee Han Ting, MacDougal Cowley, Corey Scholes and Christopher Bell

    Citation: BMC Health Services Research 2020 20:393

    Content type: Research article

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  24. National Health Service (NHS) staff support service users to change health-related behaviours such as smoking, alcohol consumption, diet and physical activity. It can be challenging to discuss behaviour change...

    Authors: Anna Chisholm, Lucie Byrne-Davis, Sarah Peters, Jane Beenstock, Suzanne Gilman and Jo Hart

    Citation: BMC Health Services Research 2020 20:390

    Content type: Research article

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  25. The 2013 Diabetes Canada guidelines recommended routinely using vascular protective medications for most patients with diabetes. These medications included statins and angiotensin-converting enzyme inhibitors ...

    Authors: Michelle Greiver, Sumeet Kalia, Rahim Moineddin, Simon Chen, Raquel Duchen and Alanna Rigobon

    Citation: BMC Health Services Research 2020 20:370

    Content type: Research article

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  26. One way of measuring the quality of home care are quality indicators (QIs) derived from data collected with the Resident Assessment Instrument-Home Care (RAI-HC). In order to produce meaningful results for qua...

    Authors: Aylin Wagner, René Schaffert, Nathalie Möckli, Franziska Zúñiga and Julia Dratva

    Citation: BMC Health Services Research 2020 20:366

    Content type: Research article

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  27. Violence towards staff working in psychiatric inpatient care is a serious problem. The aim of the present study was to explore staff perspectives of serious violent incidents involving psychiatric inpatients t...

    Authors: Veikko Pelto-Piri, Lars-Erik Warg and Lars Kjellin

    Citation: BMC Health Services Research 2020 20:362

    Content type: Research article

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  28. Under the Japanese free access healthcare system, patients are allowed to consult multiple medical institutions (including clinics and hospitals for general or specialist consultation) without primary care ref...

    Authors: Toshiki Suzuki, Masao Iwagami, Shota Hamada, Tomoyuki Matsuda and Nanako Tamiya

    Citation: BMC Health Services Research 2020 20:359

    Content type: Research article

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  29. As people are living longer with higher incidences of long-term health conditions, there is a move towards greater integration of care, including integration of health and social care services. Integrated care...

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

    Citation: BMC Health Services Research 2020 20:358

    Content type: Research article

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  30. Emergency Department (ED) crowding is a pervasive problem, yet there have been few comparisons of the extent of, and contributors to, crowding among different types of EDs. The study quantifies and compares cr...

    Authors: Brian H. Rowe, Andrew McRae and Rhonda J. Rosychuk

    Citation: BMC Health Services Research 2020 20:356

    Content type: Research article

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  31. Remote monitoring of cardiac implantable electronic devices (CIEDs) has demonstrated substantial benefits. Treatment guidelines have therefore endorsed its use and is being increasingly adopted in the clinical...

    Authors: Miguel A. Ruiz Díaz, Marta Egea García, Roberto Muñoz Aguilera, Xavier Viñolas Prat, Jorge Silvestre García, María Álvarez Orozco and José Martínez Ferrer

    Citation: BMC Health Services Research 2020 20:354

    Content type: Research article

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  32. Improving hand hygiene (HH) compliance is one of the most important, but elusive, goals of infection control. The purpose of this study was to use the capability (C), opportunity (O), motivation (M), and behav...

    Authors: Kathryn Lambe, Sinéad Lydon, Caoimhe Madden, Jenny McSharry, Rebecca Marshall, Ruth Boylan, Aoife Hehir, Molly Byrne, Omar Tujjar and Paul O’Connor

    Citation: BMC Health Services Research 2020 20:353

    Content type: Research article

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  33. Dispensations of benzodiazepines, z-hypnotics, and gabapentinoids to patients on opioid agonist therapy (OAT) are common and have pros and cons. The objectives of the current study are to define the dispensati...

    Authors: Jørn Henrik Vold, Svetlana Skurtveit, Christer Aas, Fatemeh Chalabianloo, Pia Synnøve Kloster, Kjell Arne Johansson and Lars Thore Fadnes

    Citation: BMC Health Services Research 2020 20:352

    Content type: Research article

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  34. Patients who live in minority language situations are generally more likely to experience poor health outcomes, including harmful events. The delivery of healthcare services in a language-concordant environmen...

    Authors: Michael Reaume, Ricardo Batista, Robert Talarico, Emily Rhodes, Eva Guerin, Sarah Carson, Denis Prud’homme and Peter Tanuseputro

    Citation: BMC Health Services Research 2020 20:340

    Content type: Research article

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  35. Understanding the resilience of healthcare is critically important. A resilient healthcare system might be expected to consistently deliver high quality care, withstand disruptive events and continually adapt,...

    Authors: Siri Wiig, Karina Aase, Stephen Billett, Carolyn Canfield, Olav Røise, Ove Njå, Veslemøy Guise, Cecilie Haraldseid-Driftland, Eline Ree, Janet E. Anderson and Carl Macrae

    Citation: BMC Health Services Research 2020 20:330

    Content type: Debate

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  36. Shared decision-making (SDM) can advance patient satisfaction, understanding, goal fulfilment, and patient-reported outcomes. We lack clarity on whether this physician-focused literature applies to community r...

    Authors: Kiran Pohar Manhas, Karin Olson, Katie Churchill, Sunita Vohra and Tracy Wasylak

    Citation: BMC Health Services Research 2020 20:329

    Content type: Research article

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  37. Traditional approaches to safety management in health care have focused primarily on counting errors and understanding how things go wrong. Resilient Health Care (RHC) provides an alternative complementary per...

    Authors: Mais Iflaifel, Rosemary H. Lim, Kath Ryan and Clare Crowley

    Citation: BMC Health Services Research 2020 20:324

    Content type: Research article

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  38. The weekend effect is the phenomenon of a patient’s day of admission affecting their risk for mortality. Our study reviews the situation at six secondary hospitals in the greater Helsinki area over a 14-year p...

    Authors: Morag Tolvi, Kimmo Mattila, Jari Haukka, Leena-Maija Aaltonen and Lasse Lehtonen

    Citation: BMC Health Services Research 2020 20:323

    Content type: Research article

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  39. Transitional care for older chronically ill people is an important area for healthcare quality improvement. A central goal is to involve older people more in transitional care and make care more patient-center...

    Authors: Cecilie Fromholt Olsen, Jonas Debesay, Astrid Bergland, Asta Bye and Anne G. Langaas

    Citation: BMC Health Services Research 2020 20:317

    Content type: Research article

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  40. The use of Patient Reported Experience Measures (PREMs) has great potential in healthcare service improvement, but a limited use. This paper presents an empirical case of PREMs innovation in Italy, to foster p...

    Authors: Sabina De Rosis, Domenico Cerasuolo and Sabina Nuti

    Citation: BMC Health Services Research 2020 20:315

    Content type: Research article

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  41. Adverse Childhood Experiences (ACEs) are common and associated with many illnesses. Most physicians do not routinely screen for ACEs. We aimed to determine if screening is related to knowledge or medical speci...

    Authors: Robert G. Maunder, Jonathan J. Hunter, David W. Tannenbaum, Thao Lan Le and Christine Lay

    Citation: BMC Health Services Research 2020 20:314

    Content type: Research article

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  42. Issuing of correct prescriptions is a foundation of patient safety. Medication errors represent one of the most important problems in health care, with ‘look-alike and sound-alike’ (LASA) being the lead error....

    Authors: Hsien-Wei Ting, Sheng-Luen Chung, Chih-Fang Chen, Hsin-Yi Chiu and Yow-Wen Hsieh

    Citation: BMC Health Services Research 2020 20:312

    Content type: Research article

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  43. Patient safety culture is defined as a product of individual and group values, attitudes, perceptions, competencies, and patterns of behavior that determine the commitment to, and the style and proficiency of,...

    Authors: Ryosuke Hayashi, Shigeru Fujita, Shuhei Iida, Yoji Nagai, Yoshiko Shimamori and Tomonori Hasegawa

    Citation: BMC Health Services Research 2020 20:310

    Content type: Research article

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  44. This study aimed to examine managers’ attitudes towards and use of a mandatory accreditation program in Denmark, the Danish Healthcare Quality Program (Den Danske Kvalitetsmodel [DDKM]) after it was terminated...

    Authors: Louise A. Ellis, Anne Nicolaisen, Søren Bie Bogh, Kate Churruca, Jeffrey Braithwaite and Christian von Plessen

    Citation: BMC Health Services Research 2020 20:306

    Content type: Research article

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  45. Preventing patient falls is a priority in tertiary spinal cord injury (SCI) rehabilitation. Falls can result in patient or staff injury, delayed rehabilitation, and hospital liability. A comprehensive overview...

    Authors: Hardeep Singh, Heather M. Flett, Michelle P. Silver, B. Catharine Craven, Susan B. Jaglal and Kristin E. Musselman

    Citation: BMC Health Services Research 2020 20:299

    Content type: Research article

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  46. Evaluation of renal replacement therapy with haemodialysis is essential for its improvement. Remarkably, outcomes vary across centres. In addition, the methods used have important epistemological limitations, ...

    Authors: Eduardo Parra, María Dolores Arenas, María José Fernandez-Reyes Luis, Angel Blasco Forcén, Fernando Alvarez-Ude, Juan Aguarón Joven, Alfredo Altuzarra Casas and José María Moreno-Jiménez

    Citation: BMC Health Services Research 2020 20:297

    Content type: Research article

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  47. Patient safety in home healthcare is largely unexplored. No-harm incidents may give valuable information about risk areas and system failures as a source for proactive patient safety work. We hypothesized that...

    Authors: Marléne Lindblad, Maria Unbeck, Lena Nilsson, Kristina Schildmeijer and Mirjam Ekstedt

    Citation: BMC Health Services Research 2020 20:289

    Content type: Research article

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  48. Nurses are particularly vulnerable to nosocomial tuberculosis (TB) infection because, being in the frontline of healthcare provision, they are frequently exposed to patients with infectious TB disease. Althoug...

    Authors: Patrick Aboh Akande

    Citation: BMC Health Services Research 2020 20:280

    Content type: Research article

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  49. Medical-incident reporting (MIR) ensures patient safety and delivery of quality of care by minimizing unintentional harm among health care providers. We explored medical-incident reporting practices, perceived...

    Authors: Turyahabwe Naome, Mwesigwa James, Atuhairwe Christine and Taremwa Ivan Mugisha

    Citation: BMC Health Services Research 2020 20:276

    Content type: Research article

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  50. The “practice makes perfect” concept considers the more frequent a hospital performs a procedure, the better the outcome of the procedure. We aimed to study this concept by investigating whether patient outcom...

    Authors: Cécile Payet, Stéphanie Polazzi, Jean-Christophe Lifante, Eddy Cotte, Daniel Grinberg, Matthew J. Carty, Stéphane Sanchez, Muriel Rabilloud and Antoine Duclos

    Citation: BMC Health Services Research 2020 20:274

    Content type: Research article

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