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Health systems and services in low and middle income settings

Section edited by Dina Balabanova, Hengjin Dong, David Hotchkiss and Kaspar Wyss 

This section aims to publish research on health systems and services with a focus on research relevant to low and middle income settings as defined by The World Bank.

Page 1 of 20

  1. Content type: Research article

    Medication safety in cancer patients receiving complex medication regimens is an important problem in various settings. Medication related events, interceptions and interventions are not well described in this...

    Authors: Marium Azim, Ahmad Khan, Tahir Mehmood Khan and Mohammad Kamran

    Citation: BMC Health Services Research 2019 19:583

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  2. Content type: Research article

    Clean Cut is a six month, multi-modal, adaptive intervention aimed at reducing surgical infections through improving six critical perioperative processes: 1) handwashing/skin preparation, 2) surgical gown/drap...

    Authors: Aviva S. Mattingly, Nichole Starr, Senait Bitew, Jared A. Forrester, Tihitena Negussie, Sylvia Bereknyei Merrell and Thomas G. Weiser

    Citation: BMC Health Services Research 2019 19:579

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  3. Content type: Research article

    Affordability and availability of quality medicines to all its citizens has been a key priority area for South Africa since democracy in 1994. In order to introduce transparency in the private market the gover...

    Authors: R. Moodley and F. Suleman

    Citation: BMC Health Services Research 2019 19:576

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  4. Content type: Research article

    The use of psychotropic substances is controlled in most parts of the world due to their potential of abuse and addiction. Diazepam is one of the psychotropic substances which can be dispensed in community pha...

    Authors: Wigilya Padili Mikomangwa, Nassoro A. Madende, Manase Kilonzi, Hamu Joseph Mlyuka, Pacifique Ndayishimiye, Alphonce Ignace Marealle and Ritah Mutagonda

    Citation: BMC Health Services Research 2019 19:571

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  5. Content type: Research article

    The focus of the community anti-retroviral therapy Group model is on drug refill, adherence and support groups. However, laboratory services are completely neglected in this model, and stable patient still hav...

    Authors: Mpanji Siwingwa, Selestine H. Nzala, Bornwell Sikateyo and Wilbroad Mutale

    Citation: BMC Health Services Research 2019 19:570

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  6. Content type: Research article

    Ensuring financial protection of the community against health care expenditures is one of the fundamental goals of the health system. Catastrophic health expenditures (CHE) occurs when out-of-pocket health exp...

    Authors: Mohammad Hassan Kazemi-galougahi, Elham Dadgar, Zahra Kavosi and Reza Majdzadeh

    Citation: BMC Health Services Research 2019 19:569

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  7. Content type: Research article

    Community health workers, known as Village Health Teams (VHTs) in Uganda, play a central role in increasing access to community-based health services. The objective of this research is to explore tensions that...

    Authors: Samantha Perry, Cynthia D. Fair, Sahai Burrowes, Sarah Jane Holcombe and Robert Kalyesubula

    Citation: BMC Health Services Research 2019 19:563

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  8. Content type: Research article

    To assess the level of awareness, knowledge and help-seeking attitudes and behaviours in relation to mental health conditions (MHCs) and associations with socio-demographic characteristics of a rural district ...

    Authors: Mohammed Nazim Uddin, Sunil Bhar and Fakir M Amirul Islam

    Citation: BMC Health Services Research 2019 19:562

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  9. Content type: Research article

    To date, there is little information on the sustainability of family planning (FP) service quality after completion of a donor-funded program. This paper examines the sustainability of the Nigerian Urban Repro...

    Authors: Ilene S. Speizer, Lisa M. Calhoun, Courtney McGuire, Peter M. Lance, Caroline Heller and David K. Guilkey

    Citation: BMC Health Services Research 2019 19:559

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  10. Content type: Research article

    Male partner involvement has been shown to increase mothers’ uptake of Prevention of Mother-to-Child Transmission of HIV (PMTCT) and improve maternal and infant HIV treatment outcomes. Currently, male involvem...

    Authors: Patience A. Muwanguzi, Louise K. Nassuna, Joachim G. Voss, Joanita Kigozi, Alex Muganzi, Tom Denis Ngabirano, Nelson Sewankambo and Damalie Nakanjako

    Citation: BMC Health Services Research 2019 19:557

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  11. Content type: Research article

    Ethiopia is one of five countries that account for half of the world’s 2.6 million newborn deaths. A quarter of neonatal deaths in Ethiopia are caused by birth asphyxia. Understanding different dimensions of t...

    Authors: Wasihun Andualem Gobezie, Patricia Bailey, Emily Keyes, Ana Lorena Ruano and Habtamu Teklie

    Citation: BMC Health Services Research 2019 19:552

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  12. Content type: Research article

    The awareness of diabetes mellitus (DM) and its complications, especially diabetic retinopathy (DR), is the key to reducing their burden. This study aimed to assess both the awareness of diabetic outpatients a...

    Authors: Ammar Hamzeh, Ghaith Almhanni, Yazen Aljaber, Rana Alhasan, Raneem Alhasan, MHD Imadaldin Alsamman, Nawras Alhalabi and Yousra Haddeh

    Citation: BMC Health Services Research 2019 19:549

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  13. Content type: Research article

    In most developing countries, healthcare cost is mainly paid at the time of sickness and out-of-pocket at the point of service delivery which potentially could inhibit access. The total economic cost of illness f...

    Authors: Tsega Hagos Mirach, Getu Debalkie Demissie and Gashaw Andargie Biks

    Citation: BMC Health Services Research 2019 19:544

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  14. Content type: Research article

    There exists low uptake of Human Immunodeficiency Virus (HIV) testing among Tuberculosis (TB) patients through Provider-Initiated HIV Testing and Counseling (PITC) under the national TB control program in Nepa...

    Authors: Randeep Kumar, Ari Probandari, Biwesh Ojha, Ashmin Hari Bhattarai and Yanri Wijayanti Subronto

    Citation: BMC Health Services Research 2019 19:543

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  15. Content type: Research article

    The floating population serves an important role in economic and social development. However, little is known about the floating population’s reproductive health (RH) services, especially in low- and middle-in...

    Authors: Yanhui Zhou, Ting Wang, Jingxia Fu, Mingzhu Chen, Yanting Meng and Yang Luo

    Citation: BMC Health Services Research 2019 19:540

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  16. Content type: Research article

    Antenatal care (ANC) provides a range of critical health services during pregnancy that can improve maternal and neonatal health outcomes. In Mozambique, only half of women receive four or more ANC visits, whi...

    Authors: Estelle Gong, Janeth Dula, Carla Alberto, Amanda de Albuquerque, Maria Steenland, Quinhas Fernandes, Rosa Marlene Cuco, Sandra Sequeira, Sérgio Chicumbe, Eduardo Samo Gudo and Margaret McConnell

    Citation: BMC Health Services Research 2019 19:538

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  17. Content type: Research article

    Hypertension and Diabetes mellitus are risk factors for cardiovascular diseases that cause 17 million deaths globally. Many of these deaths could have been prevented if hypertensive and diabetic patients had t...

    Authors: Juma Adinan, Rachel Manongi, Gloria August Temu, Ntuli Kapologwe, Annette Marandu, Bahati Wajanga, Haruna Dika, Sarah Maongezi, Sweetness Laizer, Ridhiwani Manyuti, Rehema Abdillahi Nassir, Jenny Renju and Jim Todd

    Citation: BMC Health Services Research 2019 19:537

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  18. Content type: Research article

    Many low- and middle-income countries (LMIC) are moving towards enforcing prescription-only access to antibiotics. This systematic literature review aims to assess the interventions used to enforce existing le...

    Authors: Tom G. Jacobs, Jane Robertson, Hendrika A. van den Ham, Kotoji Iwamoto, Hanne Bak Pedersen and Aukje K. Mantel-Teeuwisse

    Citation: BMC Health Services Research 2019 19:536

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  19. Content type: Research article

    In some low-resource settings bubble continuous positive airway pressure (bCPAP) is increasingly used to treat children with pneumonia. However, the time required for healthcare workers (HCWs) to administer bC...

    Authors: Kristen L. Sessions, Tisungane Mvalo, Davie Kondowe, Donnie Makonokaya, Mina C. Hosseinipour, Alfred Chalira, Norman Lufesi, Michelle Eckerle, Andrew G. Smith and Eric D. McCollum

    Citation: BMC Health Services Research 2019 19:533

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  20. Content type: Research article

    Tuberculosis elimination requires treatment of latently infected high-risk persons, such as contacts of index cases. Identification and referral of tuberculosis contacts for investigation are major barriers in...

    Authors: Anete Trajman, Maria F. Wakoff-Pereira, Jonas Ramos-Silva, Marcelo Cordeiro-Santos, Maria de Fátima Militão de Albuquerque, Philip C. Hill and Dick Menzies

    Citation: BMC Health Services Research 2019 19:532

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  21. Content type: Research article

    The Lebanese public perceives the physician-patient relationship as flawed. The objectives of this study are to assess factors associated with the public’s trust in physicians in the context of the Lebanese he...

    Authors: Bashir Shaya, Nadine Al Homsi, Kevin Eid, Zeinab Haidar, Ali Khalil, Kelly Merheb, Gladys Honein-Abou Haidar and Elie A. Akl

    Citation: BMC Health Services Research 2019 19:525

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  22. Content type: Research article

    Suboptimal healthcare quality may be a barrier to achieving child health improvements, yet little is known about the relationship between provider compliance with evidence-based practices and client behavior c...

    Authors: Adrienne Epstein, Corrina Moucheraud, Haribondhu Sarma, Mahfuzur Rahman, Md. Tariqujjaman, Tahmeed Ahmed, Jeffrey Glenn, Thomas Bossert and Margaret E. Kruk

    Citation: BMC Health Services Research 2019 19:516

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  23. Content type: Research article

    The synthetic control method (SCM) is a useful tool in providing unbiased analysis on the policy effect in real-world health policy evaluations. Through controlling for a few confounding factors, we aim to app...

    Authors: Xiao Zang, Mengran Zhang, Shihao Wei, Wenxi Tang and Shan Jiang

    Citation: BMC Health Services Research 2019 19:512

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  24. Content type: Study protocol

    Learning Clubs is a multi-component intervention to address the eight common risk factors for women’s health, and infant’s health and development in resource-constrained settings. We are testing in a cluster rand...

    Authors: Jane Fisher, Trang Nguyen, Thach Duc Tran, Ha Tran, Tuan Tran, Stanley Luchters, David Hipgrave, Sarah Hanieh and Beverley-Ann Biggs

    Citation: BMC Health Services Research 2019 19:511

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  25. Content type: Research article

    Blood transfusion is a life-saving intervention. However, the safety of the donor and the recipient is paramount. This study was aimed at determining the blood donation deferral pattern of University of Calaba...

    Authors: Henshaw Uchechi Okoroiwu and Enosakhare Aiyudubie Asemota

    Citation: BMC Health Services Research 2019 19:510

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  26. Content type: Research article

    Community-Directed Interventions (CDI) is a participatory approach for delivery of essential healthcare services at community level. It is based on the values and principles of Primary Health Care (PHC). The C...

    Authors: Peter Makaula, Mathias Funsanani, Kondwani Chidzammbuyo Mamba, Janelisa Musaya and Paul Bloch

    Citation: BMC Health Services Research 2019 19:509

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  27. Content type: Research article

    Global burden of cardiovascular diseases is alarming which is intricately linked with health literacy. To what extent improvement in health literacy can lower down cardiovascular diseases occurrence has not ye...

    Authors: Maria Nazar, Shahzad Ali Khan, Ramesh Kumar and Assad Hafeez

    Citation: BMC Health Services Research 2019 19:504

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  28. Content type: Research article

    Cardiovascular disease remains the most common cause of death. However, effective and timely secondary care contributes to improved quality of life, decreased morbidity and mortality. This study analyzed the m...

    Authors: Mandreker Bahall, Terrence Seemungal, Katija Khan and George Legall

    Citation: BMC Health Services Research 2019 19:501

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  29. Content type: Research article

    World Health Organization (WHO) predicted that there will be a shortfall of skilled healthcare by 2035 with the greatest shortfall in Africa and Southeast Asia due to satisfaction with payment and incentives. ...

    Authors: Hailu Merga and Tilahun Fufa

    Citation: BMC Health Services Research 2019 19:494

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  30. Content type: Research article

    This paper reports on a rigorously designed non-masked randomized cluster trial of the childhood survival impact of deploying paid community health workers to provide doorstep preventive, promotional, and cura...

    Authors: Almamy M. Kanté, Amon Exavery, Elizabeth F. Jackson, Tani Kassimu, Colin D. Baynes, Ahmed Hingora and James F. Phillips

    Citation: BMC Health Services Research 2019 19:492

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  31. Content type: Research article

    Resistance to antimalarial drugs resulting from overuse of the medication remains a threat to malaria control and elimination in endemic settings including Ghana. Reliance on clinical signs alone results in pa...

    Authors: Michael Kurubire Anaba, Latifat Ibisomi, Seth Owusu-Agyei, Tobias Chirwa and Rohit Ramaswamy

    Citation: BMC Health Services Research 2019 19:491

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  32. Content type: Study protocol

    Depression and anxiety are two of the leading causes of disease burden in low-to-middle income coutnries. The World Health Organisation has engaged in a programme of scaling-up mental health services, but sign...

    Authors: Helen Brooks, Irmansyah Irmansyah, Karina Lovell, Ira Savitri, Bagus Utomo, Benny Prawira, Livia Iskandar, Laoise Renwick, Rebecca Pedley, Agustin Kusumayati and Penny Bee

    Citation: BMC Health Services Research 2019 19:484

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  33. Content type: Research article

    Malaria continues to place a high burden on communities due to challenges reaching intervention target levels in Chikwawa District, Malawi. The Hunger Project Malawi is using a health animator approach (HA) to...

    Authors: Blessings N. Kaunda-Khangamwa, Henk van den Berg, Robert S. McCann, Alinune Kabaghe, Willem Takken, Kamija Phiri, Michele van Vugt and Lucinda Manda-Taylor

    Citation: BMC Health Services Research 2019 19:478

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  34. Content type: Research article

    Despite continued investment, Maternal, Newborn and Child Health (MNCH) indicators in low and middle income countries have remained relatively poor. This could, in part, be explained by inadequate resources to...

    Authors: Lauren J. Wallace and Lydia Kapiriri

    Citation: BMC Health Services Research 2019 19:465

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  35. Content type: Research article

    Male partner participation in antenatal care (ANC) is important and contributes to better maternal and neonatal birth outcomes. Studies have been conducted to explore male participation in ANC and barriers to ...

    Authors: Hamalambo Muloongo, Doreen Sitali, Joseph Mumba Zulu, Alice Ngoma Hazemba and Oliver Mweemba

    Citation: BMC Health Services Research 2019 19:463

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  36. Content type: Research article

    The risk of cholera outbreak remains high in Cameroon. This is because of the persistent cholera outbreaks in neighboring countries coupled with the poor hygiene and sanitation conditions in Cameroon. The obje...

    Authors: Jerome Ateudjieu, Martin Ndinakie Yakum, Andre Pascal Goura, Sonia Sonkeng Nafack, Anthony Njimbia Chebe, Joliette Nguefack Azakoh, Benjamin Azike Chukuwchindun, Eugene Joel Bayiha, Corine Kangmo, Gnodjom Victorin Boris Tachegno and Anne-Cécile Zoung Kanyi Bissek

    Citation: BMC Health Services Research 2019 19:458

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  37. Content type: Research article

    Visual inspection with acetic acid and cervicography (VIAC) is a method used to screen for cervical cancer. VIAC can be used as part of a “see and treat” strategy. Nine Harare city council health facilities of...

    Authors: Christine Gabaza, Prosper Chonzi, Addmore Chadambuka, Gerald Shambira, Tsitsi Patience Juru, Notion Tafara Gombe, Peter Nsubuga and Mufuta Tshimanga

    Citation: BMC Health Services Research 2019 19:454

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  38. Content type: Research article

    Designing a standard data set is necessary to overcome the dispersion of data among different health information systems. The objective of this study was to evaluate the current demographic and clinical minimu...

    Authors: Reza Abbasi, Reza Khajouei and Moghadameh Mirzaee

    Citation: BMC Health Services Research 2019 19:450

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  39. Content type: Research article

    It is increasingly recognized that improving the quality of maternal health care delivery is of utmost importance in many countries. In Laos, the quality of antenatal care (ANC) service remains inadequate, but...

    Authors: Sysavanh Phommachanh, Dirk R. Essink, E. Pamela Wright, Jacqueline E. W. Broerse and Mayfong Mayxay

    Citation: BMC Health Services Research 2019 19:449

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  40. Content type: Research article

    Healthcare workers are often exposed to stressful working conditions at work which affect their quality of life. The study investigated the relationship between psychosocial risk factors, stress, burnout, and ...

    Authors: Joseph Obiri Asante, Meng Jie Li, Jing Liao, Yi Xiang Huang and Yuan Tao Hao

    Citation: BMC Health Services Research 2019 19:447

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  41. Content type: Research article

    Diseases of the ear, nose and throat (ENT) are common and are a major cause of morbidity and mortality. In many low income countries like Zambia, the high ENT disease burden has not received the required resou...

    Authors: Lufunda Lukama, Chester Kalinda and Colleen Aldous

    Citation: BMC Health Services Research 2019 19:443

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  42. Content type: Research article

    Along with economic growth and living standard improvement, hypertension has become one of the most prevalent chronic diseases in China. Self-reported measures and tested measures of hypertension may differ si...

    Authors: Dan Cao, Zhongliang Zhou, Yafei Si, Xiao Xiao, Xiao Wang, Chi Shen, Yangling Ren, Min Su, Shuyi He and Jianmin Gao

    Citation: BMC Health Services Research 2019 19:437

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  43. Content type: Research article

    Since the 2013 Rana Plaza incident in Bangladesh, the government of Bangladesh has been under pressure to improve health and safety conditions for workers in the ready-made garment industry. Its efforts have f...

    Authors: Sadika Akhter, Shannon Rutherford and Cordia Chu

    Citation: BMC Health Services Research 2019 19:435

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  44. Content type: Research article

    Maternal and child health workers (MCHWs) are often the first point of contact with pregnant women, children, and caregivers. Therefore, they can play a significant role in early detection of causes of childho...

    Authors: A. O. Olowoyeye, K. O. Musa and O. T. Aribaba

    Citation: BMC Health Services Research 2019 19:430

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  45. Content type: Research article

    Health system support is crucial for quality child healthcare. Therefore, this baseline survey, which is part of the community-based management study of severe pneumonia, was conducted to assess the state of h...

    Authors: Solomon Hailemariam, Yabibal Gebeyehu, Eskindir Loha, Kjell Arne Johansson and Bernt Lindtjørn

    Citation: BMC Health Services Research 2019 19:426

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  46. Content type: Research article

    The antenatal, intrapartum, and postnatal periods are considered high-risk periods for the health of mothers and their newborns. Although the current utilization rate of some maternal and child care services i...

    Authors: Mohammad S. Alyahya, Yousef S. Khader, Anwar Batieha and Majed Asad

    Citation: BMC Health Services Research 2019 19:425

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  47. Content type: Research article

    How the informal providers deliver health services are not well understood in Bangladesh. However, their practices are often considered inappropriate and unsafe. This study attempted to fill-in this knowledge ...

    Authors: M. Monaemul Islam Sizear, Herfina Y. Nababan, Md. Kaoser Bin Siddique, Shariful Islam, Sukanta Paul, Anup Kumar Paul and Syed Masud Ahmed

    Citation: BMC Health Services Research 2019 19:424

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  48. Content type: Research article

    Client-centric quality of care (QoC) in family planning (FP) services are imperative for contraceptive method adoption and continuation. Less is known about the choice of contraceptive method in India beyond r...

    Authors: Arupendra Mozumdar, Vandana Gautam, Abhishek Gautam, Arnab Dey, Uttamacharya, Ruhi Saith, Pranita Achyut, Abhishek Kumar, Kumudha Aruldas, Amit Chakraverty, Dinesh Agarwal, Ravi Verma, Priya Nanda, Suneeta Krishnan and Niranjan Saggurti

    Citation: BMC Health Services Research 2019 19:421

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  49. Content type: Research article

    Non-compliance with prescribed treatment is an important cause of preventable mortality and economic burden. Recognition of the factors for non-compliance with the therapeutic orders of specialists from the pe...

    Authors: Soheila Naghavi, Mohammad Hossein Mehrolhassani, Nouzar Nakhaee and Vahid Yazdi-Feyzabadi

    Citation: BMC Health Services Research 2019 19:413

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