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.

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  1. Research article

    The effectiveness of emergency nurse practitioner service in the management of patients presenting to rural hospitals with chest pain: a multisite prospective longitudinal nested cohort study

    Health reforms in service improvement have included the use of nurse practitioners. In rural emergency departments, nurse practitioners work to the full scope of their expanded role across all patient acuities...

    Tina E. Roche, Glenn Gardner and Leanne Jack

    BMC Health Services Research 2017 17:445

    Published on: 27 June 2017

  2. Research article

    Perspectives of health care professionals on the facilitators and barriers to the implementation of a stroke rehabilitation guidelines cluster randomized controlled trial

    The Stroke Canada Optimization of Rehabilitation by Evidence Implementation Trial (SCORE-IT) was a cluster randomized controlled trial that evaluated two knowledge translation (KT) interventions for the promot...

    Sarah E. P. Munce, Ian D. Graham, Nancy M. Salbach, Susan B. Jaglal, Carol L. Richards, Janice J. Eng, Johanne Desrosiers, Marilyn MacKay-Lyons, Sharon Wood-Dauphinee, Nicol Korner-Bitensky, Nancy E. Mayo, Robert W. Teasell, Merrick Zwarenstein, Jennifer Mokry, Sandra Black and Mark T. Bayley

    BMC Health Services Research 2017 17:440

    Published on: 26 June 2017

  3. Research article

    Challenges and potential improvements in the admission process of patients with spinal cord injury in a specialized rehabilitation clinic – an interview based qualitative study of an interdisciplinary team

    The admission process of patients to a hospital is the starting point for inpatient services. In order to optimize the quality of the health services provision, one needs a good understanding of the patient ad...

    Fabian Röthlisberger, Stefan Boes, Sara Rubinelli, Klaus Schmitt and Anke Scheel-Sailer

    BMC Health Services Research 2017 17:443

    Published on: 26 June 2017

  4. Research article

    Supporting nurse practitioners’ practice in primary healthcare settings: a three-level qualitative model

    While greater reliance on nurse practitioners in primary healthcare settings can improve service efficiency and accessibility, their integration is not straightforward, challenging existing role definitions of...

    Véronique Chouinard, Damien Contandriopoulos, Mélanie Perroux and Catherine Larouche

    BMC Health Services Research 2017 17:437

    Published on: 26 June 2017

  5. Research article

    Not all waits are equal: an exploratory investigation of emergency care patient pathways

    Increasing pressure in the United Kingdom (UK) urgent care system has led to Emergency Departments (EDs) failing to meet the national requirement that 95% of patients are admitted, discharged or transferred wi...

    Dawn Swancutt, Sian Joel-Edgar, Michael Allen, Daniel Thomas, Heather Brant, Jonathan Benger, Richard Byng and Jonathan Pinkney

    BMC Health Services Research 2017 17:436

    Published on: 24 June 2017

  6. Research article

    Dignity in people with frontotemporal dementia and similar disorders — a qualitative study of the perspective of family caregivers

    Frontotemporal dementia (FTD) constitutes on average 10–15% of dementia in younger persons (≤65 years old), but can also affect older people. These patients demonstrate a decline in social conduct, and/or lang...

    Mette Sagbakken, Dagfinn Nåden, Ingun Ulstein, Kari Kvaal, Birgitta Langhammer and May-Karin Rognstad

    BMC Health Services Research 2017 17:432

    Published on: 23 June 2017

  7. Research article

    Typology of birth centres in the Netherlands using the Rainbow model of integrated care: results of the Dutch Birth Centre Study

    The goal of integrated care is to offer a continuum of care that crosses the boundaries of public health, primary, secondary, and tertiary care. Integrated care is increasingly promoted for people with complex...

    Inge C. Boesveld, Marc A. Bruijnzeels, Marit Hitzert, Marieke A. A. Hermus, Karin M. van der Pal-de Bruin, M. Elske van den Akker-van Marle, Eric A. P. Steegers, Arie Franx, Raymond G. de Vries and Therese A. Wiegers

    BMC Health Services Research 2017 17:426

    Published on: 21 June 2017

  8. Research article

    Mental disorders and the use of primary health care services among homeless shelter users in the Helsinki metropolitan area, Finland

    Homelessness is associated with increased morbidity, mortality and health care use. The aim of this study was to examine the role of mental disorders in relation to the use of 1) daytime primary health care se...

    Agnes Stenius-Ayoade, Peija Haaramo, Elisabet Erkkilä, Niko Marola, Kirsi Nousiainen, Kristian Wahlbeck and Johan G. Eriksson

    BMC Health Services Research 2017 17:428

    Published on: 21 June 2017

  9. Research article

    Sustainability in Health care by Allocating Resources Effectively (SHARE) 7: supporting staff in evidence-based decision-making, implementation and evaluation in a local healthcare setting

    This is the seventh in a series of papers reporting Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. The SHARE Program was a systematic, integrated, evid...

    Claire Harris, Kelly Allen, Cara Waller, Tim Dyer, Vanessa Brooke, Marie Garrubba, Angela Melder, Catherine Voutier, Anthony Gust and Dina Farjou

    BMC Health Services Research 2017 17:430

    Published on: 21 June 2017

  10. Research article

    Relationships of work characteristics to job satisfaction, turnover intention, and burnout among doctors in the district public-private mixed health system of Bangladesh

    Work design integrates work characteristics having organizational, social and job components which influence employees’ welfare and also organizational goals. We investigated the effects of work characteristic...

    Ashim Roy, Trudy van der Weijden and Nanne de Vries

    BMC Health Services Research 2017 17:421

    Published on: 20 June 2017

  11. Research article

    Cross-cultural validation of health literacy measurement tools in Italian oncology patients

    The aim of this study was to assess the psychometric characteristics of four Health Literacy (HL) measurement tools, viz. Newest Vital Sign (NVS), Short Test of Functional Health Literacy in Adults (STOFHLA), ...

    Paola Zotti, Simone Cocchi, Jerry Polesel, Chiara Cipolat Mis, Donato Bragatto, Silvio Cavuto, Alice Conficconi, Carla Costanzo, Melissa De Giorgi, Christina A. Drace, Federica Fiorini, Laura Gangeri, Andrea Lisi, Rosalba Martino, Paola Mosconi, Angelo Paradiso…

    BMC Health Services Research 2017 17:410

    Published on: 19 June 2017

  12. Research article

    Factors influencing professional life satisfaction among neurologists

    Predicted shortages in the supply of neurologists may limit patients’ access to and quality of care for neurological disorders. Retaining neurologists already in practice provides one opportunity to support th...

    Stephanie M. Teixeira-Poit, Michael T. Halpern, Heather L. Kane, Michael Keating and Murrey Olmsted

    BMC Health Services Research 2017 17:409

    Published on: 19 June 2017

  13. Research article

    Impact of pharmacy channel on adherence to oral oncolytics

    Oral chemotherapy is increasingly prescribed to treat cancer. Despite its benefits, concerns have been raised regarding adherence to therapy. The study objective was to compare and measure adherence, persisten...

    Michael Stokes, Carolina Reyes, Yu Xia, Veronica Alas, Hans-Peter Goertz and Luke Boulanger

    BMC Health Services Research 2017 17:414

    Published on: 19 June 2017

  14. Research article

    Evaluation of community provision of a preventive cardiovascular programme - the National Health Service Health Check in reaching the under-served groups by primary care in England: cross sectional observational study

    Cardiovascular disease (CVD) is the leading cause of premature mortality and a major contributor of health inequalities in England. Compared to more affluent and white counterparts, deprived people and ethnic ...

    Maria Woringer, Elizabeth Cecil, Hillary Watt, Kiara Chang, Fozia Hamid, Kamlesh Khunti, Elizabeth Dubois, Julie Evason, Azeem Majeed and Michael Soljak

    BMC Health Services Research 2017 17:405

    Published on: 14 June 2017

  15. Study protocol

    Care cascade structural intervention versus standard of care in the diagnosis and treatment of HIV in China: a cluster-randomized controlled trial protocol

    The high rate of attrition along the care cascade of infection with human immunodeficiency virus (HIV) results in lost opportunities to provide timely antiretroviral therapy (ART) and to prevent unnecessarily ...

    Yurong Mao, Zunyou Wu, Jennifer M. McGoogan, David Liu, Diane Gu, Lynda Erinoff, Walter Ling, Paul VanVeldhuisen, Roger Detels, Albert L. Hasson, Robert Lindblad, Julio S. G. Montaner, Zhenzhu Tang and Yan Zhao

    BMC Health Services Research 2017 17:397

    Published on: 12 June 2017

  16. Research article

    Building freeways: piloting communication skills in additional languages to health service personnel in Cape Town, South Africa

    This study reflects on the development and teaching of communication skills courses in additional national languages to health care staff within two primary health care facilities in Cape Town, South Africa. T...

    Joel Claassen, Zukile Jama, Nayna Manga, Minnie Lewis and Derek Hellenberg

    BMC Health Services Research 2017 17:390

    Published on: 7 June 2017

  17. Research article

    Using technology to engage hospitalised patients in their care: a realist review

    Patient participation in health care is associated with improved outcomes for patients and hospitals. New technologies are creating vast potential for patients to participate in care at the bedside. Several st...

    Shelley Roberts, Wendy Chaboyer, Ruben Gonzalez and Andrea Marshall

    BMC Health Services Research 2017 17:388

    Published on: 6 June 2017

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