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Quality, performance, safety and outcomes

Section edited by Koustuv Dalal and Howard Degenholtz

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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  1. Content type: Research article

    Public and private family planning providers face different incentive structures, which may affect overall quality and ultimately the acceptability of family planning for their intended clients. This analysis ...

    Authors: Paul L Hutchinson, Mai Do and Sohail Agha

    Citation: BMC Health Services Research 2011 11:203

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  2. Content type: Research article

    Early school success is clearly related to later health. A prediction index that uses parent report to assess children's risk for poor academic achievement could potentially direct targeted service delivery to...

    Authors: Susmita Pati, Kyleen Hashim, Brett Brown, Alexander G Fiks and Christopher B Forrest

    Citation: BMC Health Services Research 2011 11:197

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  3. Content type: Research article

    Several instruments and clinical scoring systems have been established to evaluate patients with ligamentous knee injuries. A comparison of individual articles in the literature is challenging, not only becaus...

    Authors: Mazda Farshad, Christian Gerber, Thomas Szucs and Dominik C Meyer

    Citation: BMC Health Services Research 2011 11:182

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  4. Content type: Research article

    This study examined multiple dimensions of healthcare access in order to develop a typology of perceived barriers to healthcare access in community-dwelling elderly. Secondary aims were to define distinct clas...

    Authors: Joshua M Thorpe, Carolyn T Thorpe, Korey A Kennelty and Nancy Pandhi

    Citation: BMC Health Services Research 2011 11:181

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  5. Content type: Research article

    Chronic conditions such as coronary heart disease (CHD) challenge health care to provide systematic and long-lasting disease management. In this study of patients who were revascularized, we examine whether tr...

    Authors: Tuulikki Vehko, Reijo Sund, Kristiina Manderbacka, Unto Häkkinen and Ilmo Keskimäki

    Citation: BMC Health Services Research 2011 11:180

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  6. Content type: Research article

    The number of nongovernmental organizations working on AIDS has grown. There is great diversity in the type of activities and population groups that have been targeted. The purposes of this study are: to descr...

    Authors: Anna Berenguera, Enriqueta Pujol-Ribera, Concepció Violan, Amparo Romaguera, Rosa Mansilla, Albert Giménez, Carlos Ascaso and Jesús Almeda

    Citation: BMC Health Services Research 2011 11:176

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  7. Content type: Research article

    Medication errors are often involved in reported adverse events. Drug therapy, prescribed by physicians, is mostly carried out by nurses, who are expected to master all aspects of medication. Research has reve...

    Authors: Bjoerg O Simonsen, Inger Johansson, Gro K Daehlin, Lene Merete Osvik and Per G Farup

    Citation: BMC Health Services Research 2011 11:175

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  8. Content type: Research article

    Performance of specialty referrals is coming under scrutiny, but a lack of identifiable measures impedes measurement efforts. The objective of this study was to systematically review the literature to identify...

    Authors: James P Guevara, Diane Hsu and Christopher B Forrest

    Citation: BMC Health Services Research 2011 11:168

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  9. Content type: Research article

    Reducing spatial access disparities to healthcare services is a growing priority for healthcare planners especially among developed countries with aging populations. There is thus a pressing need to determine ...

    Authors: André Ngamini Ngui and Philippe Apparicio

    Citation: BMC Health Services Research 2011 11:166

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  10. Content type: Research article

    From a management perspective, it is necessary to examine how a hospital's top management assess the patient safety culture in their organisation. This study examines whether the Hospital Survey on Patient Saf...

    Authors: Antje Hammer, Nicole Ernstmann, Oliver Ommen, Markus Wirtz, Tanja Manser, Yvonne Pfeiffer and Holger Pfaff

    Citation: BMC Health Services Research 2011 11:165

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  11. Content type: Research article

    Evidence-based care should improve acute stroke outcomes with the same magnitude of effect for stroke patients of all ages. However, there is evidence to suggest that, in some instances, older stroke patients ...

    Authors: Julie A Luker, Kylie Wall, Julie Bernhardt, Ian Edwards and Karen A Grimmer-Somers

    Citation: BMC Health Services Research 2011 11:161

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  12. Content type: Research article

    Integrated delivery methods in healthcare systems have been proposed to confront the increasing complexity in general health care. INTERMED is an empirically derived, observer-rated instrument to measure case ...

    Authors: Elena Lobo, MªJosé Rabanaque, MªLuisa Bellido and Antonio Lobo

    Citation: BMC Health Services Research 2011 11:160

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  13. Content type: Research article

    The rights of undocumented migrants are frequently overlooked. Denmark has ratified several international conventions recognizing the right to health care for all human beings, but has very scanty legislation ...

    Authors: Natasja K Jensen, Marie Norredam, Tania Draebel, Marija Bogic, Stefan Priebe and Allan Krasnik

    Citation: BMC Health Services Research 2011 11:154

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  14. Content type: Research article

    Multiple comorbidity measures have been developed for risk-adjustment in studies using administrative data, but it is unclear which measure is optimal for specific outcomes and if the measures are equally vali...

    Authors: Jacqueline M Quail, Lisa M Lix, Beliz Acan Osman and Gary F Teare

    Citation: BMC Health Services Research 2011 11:146

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  15. Content type: Research article

    In the United Kingdom, non-medical prescribing (NMP) has been identified as one way to improve healthcare quality and efficiency. Healthcare organisations are charged with overseeing the clinical governance of...

    Authors: Molly Courtenay, Nicola Carey and Karen Stenner

    Citation: BMC Health Services Research 2011 11:142

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  16. Content type: Research article

    Adverse reactions and medication errors are complications of drug use. Spontaneous reporting systems and pharmacoepidemiological studies incompletely detect the occurrence of these events in daily hospital car...

    Authors: Jürgen Stausberg and Joerg Hasford

    Citation: BMC Health Services Research 2011 11:134

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  17. Content type: Research article

    For Norwegian general practitioners (GPs), acute treatment of mental illness and substance abuse are among the most commonly experienced emergency situations in out-of-hours primary healthcare. The largest sha...

    Authors: Ingrid H Johansen, Benedicte Carlsen and Steinar Hunskaar

    Citation: BMC Health Services Research 2011 11:132

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  18. Content type: Research article

    Optimal treatment gives complete relief of symptoms of many disorders. But even if such treatment is available, some patients have persisting complaints. One disorder, from which the patients should achieve co...

    Authors: Per G Farup, Ivar Blix, Sigurd Førre, Gjermund Johnsen, Ove Lange, Rune Johannessen and Hermod Petersen

    Citation: BMC Health Services Research 2011 11:111

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  19. Content type: Research article

    Little is known about the association between job stress and job performance among surgeons, although physicians' well-being could be regarded as an important quality indicator. This paper examines association...

    Authors: Jens Klein, Kirstin Grosse Frie, Karl Blum and Olaf von dem Knesebeck

    Citation: BMC Health Services Research 2011 11:109

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  20. Content type: Research article

    The use of comorbidities in risk adjustment for health outcomes research is frequently necessary to explain some of the observed variations. Medical charts reviews to obtain information on comorbidities is lab...

    Authors: Wai Fung Chong, Yew Yoong Ding and Bee Hoon Heng

    Citation: BMC Health Services Research 2011 11:105

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  21. Content type: Research article

    Although it has been increasingly recognised that patient safety in primary care is important, little is known about the feasibility and effectiveness of different strategies to improve patient safety in prima...

    Authors: Sander Gaal, Wim Verstappen and Michel Wensing

    Citation: BMC Health Services Research 2011 11:102

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  22. Content type: Research article

    Yunnan province in China has a high tuberculosis (TB) burden. Cure rates in general are high, but they were below the target of 85% in 26 out of 129 counties in 2005. In these 26 counties we assessed which pat...

    Authors: Hua Jianzhao, Susan van den Hof, Xu Lin, Qiu Yubang, Hou Jinglong and Marieke J van der Werf

    Citation: BMC Health Services Research 2011 11:97

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  23. Content type: Research article

    Primary care can play an important role in providing cardiovascular risk management in patients with established Cardiovascular Diseases (CVD), patients with a known high risk of developing CVD, and potentiall...

    Authors: Sabine Ludt, Stephen M Campbell, Jan van Lieshout, Richard Grol, Joachim Szecsenyi and Michel Wensing

    Citation: BMC Health Services Research 2011 11:70

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  24. Content type: Research article

    Clinical documentation systems, such as templates, have been associated with process utilization. The T-System emergency department (ED) templates are widely used but lacking are analyses of the templates asso...

    Authors: Kevin A Kerber, Timothy P Hofer, William J Meurer, A Mark Fendrick and Lewis B Morgenstern

    Citation: BMC Health Services Research 2011 11:65

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  25. Content type: Research article

    Although the proportion of women in medicine is growing, female physicians continue to be disadvantaged in professional activities. The purpose of the study was to determine and compare the professional activi...

    Authors: Ana Delgado, Lorena Saletti-Cuesta, Luis Andrés López-Fernández, Juan de Dios Luna and Inmaculada Mateo-Rodriguez

    Citation: BMC Health Services Research 2011 11:51

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  26. Content type: Research article

    Developing a patient safety culture was one of the recommendations made by the Institute of Medicine to assist hospitals in improving patient safety. In recent years, a multitude of evidence, mostly originatin...

    Authors: Fadi El-Jardali, Hani Dimassi, Diana Jamal, Maha Jaafar and Nour Hemadeh

    Citation: BMC Health Services Research 2011 11:45

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  27. Content type: Research article

    Efforts to improve the care of patients with chronic disease in primary care settings have been mixed. Application of a complex adaptive systems framework suggests that this may be because implementation effor...

    Authors: Luci K Leykum, Ray Palmer, Holly Lanham, Michelle Jordan, Reuben R McDaniel, Polly H Noël and Michael Parchman

    Citation: BMC Health Services Research 2011 11:44

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  28. Content type: Research article

    The health workforce in Australia is ageing, particularly in rural areas, where this change will have the most immediate implications for health care delivery and workforce needs. In rural areas, the sustainab...

    Authors: Lyn J Fragar and Julie C Depczynski

    Citation: BMC Health Services Research 2011 11:42

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  29. Content type: Research article

    Proposed neonatal quality measures have included structural measures such as average daily census, and outcome measures such as mortality and rates of complications of prematurity. However, process measures ha...

    Authors: Heather C Kaplan, Scott A Lorch, Jennifer Pinto-Martin, Mary Putt and Jeffrey H Silber

    Citation: BMC Health Services Research 2011 11:22

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  30. Content type: Research article

    The oral anticoagulant therapy - provided to prevent thrombosis - is known to be associated with substantial avoidable hospitalization. Improving the quality of the oral anticoagulant therapy could avoid drug ...

    Authors: Hanneke W Drewes, Mattijs S Lambooij, Caroline A Baan, Bert R Meijboom, Wilco C Graafmans and Gert P Westert

    Citation: BMC Health Services Research 2011 11:18

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  31. Content type: Research article

    Public pressure has increasingly emphasized the need to ensure the continuing quality of care provided by health professionals over their careers. Health profession's regulatory authorities, mandated to be pub...

    Authors: Nancy Winslade, Laurel Taylor, Sherry Shi, Lambert Schuwirth, Cees Van der Vleuten and Robyn Tamblyn

    Citation: BMC Health Services Research 2011 11:12

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  32. Content type: Research article

    The nationwide German disease management program (DMP) for type 2 diabetes was introduced in 2003. Meanwhile, results from evaluation studies were published, but possible baseline differences between DMP and u...

    Authors: Ingmar Schäfer, Claudia Küver, Benjamin Gedrose, Eike-Christin von Leitner, András Treszl, Karl Wegscheider, Hendrik van den Bussche and Hanna Kaduszkiewicz

    Citation: BMC Health Services Research 2010 10:351

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  33. Content type: Research article

    Medical residents are key figures in delivering care and an important target group for patient safety education. The objective of this study was to assess residents' intentions and actions concerning patient s...

    Authors: José D Jansma, Cordula Wagner and Arnold B Bijnen

    Citation: BMC Health Services Research 2010 10:350

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  34. Content type: Research article

    Most patients receive healthcare in primary care settings, but relatively little is known about patient safety. Out-of-hours contacts are of particular importance to patient safety. Our aim was to examine the ...

    Authors: Marleen Smits, Linda Huibers, Brian Kerssemeijer, Eimert de Feijter, Michel Wensing and Paul Giesen

    Citation: BMC Health Services Research 2010 10:335

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  35. Content type: Research article

    Many large studies have complex advisory committee structures, yet there is no empirical evidence regarding their optimal composition, scope and contribution. The aim of this study was to inform the committee ...

    Authors: Mike Slade, Victoria Bird, Ruth Chandler, Jo Fox, John Larsen, Jerry Tew and Mary Leamy

    Citation: BMC Health Services Research 2010 10:323

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  36. Content type: Research article

    Benzodiazepines are often used on a long term basis in the elderly to treat various psychological disorders including sleep disorders, some neurological disorders and anxiety. This is despite the risk of depen...

    Authors: Alesha J Smith and Susan E Tett

    Citation: BMC Health Services Research 2010 10:321

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  37. Content type: Research article

    Studies that identify reasons for readmissions are gaining importance in the light of the changing demographics worldwide which has led to greater demand for hospital beds. It is essential to profile the preva...

    Authors: Carrie HK Yam, Eliza LY Wong, Frank WK Chan, Michael CM Leung, Fiona YY Wong, Annie WL Cheung and EK Yeoh

    Citation: BMC Health Services Research 2010 10:311

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  38. Content type: Research article

    How hospital health care personnel perceive safety climate has been assessed in several countries by using the Hospital Survey on Patient Safety (HSOPS). Few studies have examined safety climate factors in sur...

    Authors: Arvid S Haugen, Eirik Søfteland, Geir E Eide, Monica W Nortvedt, Karina Aase and Stig Harthug

    Citation: BMC Health Services Research 2010 10:279

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