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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 21

  1. Content type: Research article

    The main purpose of health service systems is to improve patients’ quality of life (QoL) and to ensure equitable access to health services. However, in reality, nearly half of knee osteoarthritis (OA) patients...

    Authors: Siriwan Choojaturo, Siriorn Sindhu, Ketsarin Utriyaprasit and Chukiat Viwatwongkasem

    Citation: BMC Health Services Research 2019 19:688

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  2. Content type: Research article

    Schistosomiasis is endemic in the uMkhanyakude district of KwaZulu-Natal, South Africa. The South Africa Department of Health (DoH) has decided to implement a schistosomiasis preventive mass drug administratio...

    Authors: Mhlengi Vella Ncube and Moses John Chimbari

    Citation: BMC Health Services Research 2019 19:685

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  3. Content type: Research article

    This study aimed to assess the quality of antenatal care (ANC) women received in Migori county, Kenya—including both service provision and experience dimensions—and to examine factors associated with each dime...

    Authors: Patience A. Afulani, Laura Buback, Francisca Essandoh, Joyceline Kinyua, Leah Kirumbi and Craig R. Cohen

    Citation: BMC Health Services Research 2019 19:684

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  4. Content type: Research article

    This study aimed to investigate the relationship between complementary health insurance and frequency of dental visits.

    Authors: Morteza Rostam Beigi, Ahmad Reza Shamshiri, Mohsen Asadi- Lari, Hossein Hessari and Ahmad Jafari

    Citation: BMC Health Services Research 2019 19:678

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  5. Content type: Research article

    The psychological and professional impact of adverse events on doctors and nurses is well-established, but limited data has emerged from low- and middle-income. This article reports the experiences of being in...

    Authors: Reema Harrison, Anurag Sharma, Merrilyn Walton, Esmond Esguerra, Seinyenede Onobrakpor, Bui Trung Nghia and Nguyen Duc Chinh

    Citation: BMC Health Services Research 2019 19:677

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  6. Content type: Research article

    The Ghana Community-based Health Planning and Services (CHPS) initiative is a national strategy for improving access to primary health care services for underserved communities. Following a successful trial in...

    Authors: Mawuli K. Kushitor, Adriana A. Biney, Kalifa Wright, James F Phillips, John Koku Awoonor-Williams and Ayaga A. Bawah

    Citation: BMC Health Services Research 2019 19:675

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  7. Content type: Research article

    Measuring patient satisfaction has become an important parameter of the continuous quality assessment and improvement in anaesthesia services. The aim of this study was to assess the level of patient satisfact...

    Authors: Yonatan Mehari Andemeskel, Traudl Elsholz, Ghidey Gebreyohannes and Eyasu H. Tesfamariam

    Citation: BMC Health Services Research 2019 19:669

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  8. Content type: Research article

    A high proportion of African women utilize family planning (FP) services. Accordingly, incorporating HIV testing into FP services may strategically target the first WHO 90–90-90 goal of 90% of people living wi...

    Authors: McKenna C. Eastment, George Wanje, Barbra A. Richardson, Faiza Nassir, Emily Mwaringa, Ruanne V. Barnabas, Kenneth Sherr, Kishorchandra Mandaliya, Walter Jaoko and R. Scott McClelland

    Citation: BMC Health Services Research 2019 19:665

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  9. Content type: Research article

    Health workers (HWs) providing routine immunization (RI) services play a crucial role in influencing vaccine uptake, a key determinant of improved immunization coverage. Over the years, Training Needs Assessme...

    Authors: Linda Arogundade, Titilola Akinwumi, Shola Molemodile, Ebubechi Nwaononiwu, Joshua Ezika, Inuwa Yau and Chizoba Wonodi

    Citation: BMC Health Services Research 2019 19:664

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  10. Content type: Research article

    Various attempts to examine health financing mechanisms in Nigeria highlight the fact that there is no single mechanism that fits all contexts and people. This paper sets out findings of an in-depth assessment...

    Authors: Obinna Onwujekwe, Nkoli Ezumah, Chinyere Mbachu, Felix Obi, Hyacinth Ichoku, Benjamin Uzochukwu and Hong Wang

    Citation: BMC Health Services Research 2019 19:661

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  11. Content type: Research article

    Healthcare worker absenteeism is common in resource limited settings and contributes to poor quality of care in maternal and child health service delivery. There is a dearth of qualitative information on the s...

    Authors: Katherine Tumlinson, Margaret W. Gichane, Siân L. Curtis and Katherine LeMasters

    Citation: BMC Health Services Research 2019 19:660

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  12. Content type: Research article

    In 2009, the prevention service “Familieambulatoriet” (FA) was established in three pilot hospital areas offering psychosocial support and health monitoring to parents in high risk regarding mental health and ...

    Authors: Tormod Rimehaug, Karianne Framstad Holden, Stian Lydersen and Marit Sæbø Indredavik

    Citation: BMC Health Services Research 2019 19:658

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  13. Content type: Research article

    In Thailand, two community-based drug treatment approaches are common. The first one is the traditional community-based treatment program (FAST) which brings the principles of community therapy as a guideline ...

    Authors: Niramon Kaewkham, Thawatchai Leelahanaj, Jatsada Yingwiwattanapong and Wanida Rattanasumawong

    Citation: BMC Health Services Research 2019 19:656

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  14. Content type: Research article

    Obstetric guidelines are useful to improve the quality of care. Availability of international guidelines has rapidly increased, however the contextualization to enhance feasibility of implementation in health ...

    Authors: Kim J. C. Verschueren, Lachmi R. Kodan, Tom K. Brinkman, Raez R. Paidin, Sheran S. Henar, Humphrey H. H. Kanhai, Joyce L. Browne, Marcus J. Rijken and Kitty W. M. Bloemenkamp

    Citation: BMC Health Services Research 2019 19:651

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  15. Content type: Research article

    Medication transcription errors (MTEs) are frequent in hospitalized patient settings. Definitions and scenarios that represent potential MTEs in the Palestinian nursing practice were not previously approached ...

    Authors: Ramzi Shawahna, Abbas Abbas and Ameed Ghanem

    Citation: BMC Health Services Research 2019 19:644

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  16. Content type: Research article

    Loss to follow-up (LTFU) from care among people living with HIV (PLHIV) is thought to be more common in the public setting compared to the private health care. It is anticipated that the problem may become wor...

    Authors: Denis Opio, Fred C. Semitala, Alex Kakeeto, Emmanuel Sendaula, Paul Okimat, Brenda Nakafeero, Joaniter I. Nankabirwa, Charles Karamagi and Joan N. Kalyango

    Citation: BMC Health Services Research 2019 19:628

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  17. Content type: Research article

    In countries where hepatitis B virus (HBV) is endemic, including Senegal, the World Health Organization recommends systematic HBV screening of pregnant women and vaccination at birth to prevent mother-to-child...

    Authors: Tchadine Djaogol, Marion Coste, Fabienne Marcellin, Antoine Jaquet, Fanny Chabrol, Tamara Giles-Vernick, Aldiouma Diallo, Maria Patrizia Carrieri and Sylvie Boyer

    Citation: BMC Health Services Research 2019 19:627

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  18. Content type: Research article

    Job stress is a strong indicator of presenteeism, but few studies have examined its diverse effects and mediators on presenteeism. This study explored the relationships between job stress, public service motiv...

    Authors: Jianwei Deng, Yaxin Li, Yangyang Sun, Run Lei and Tianan Yang

    Citation: BMC Health Services Research 2019 19:625

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  19. Content type: Research article

    General practitioners (GPs) are among the most important resources of healthcare system and public health is considerably influenced by the function of this group. Income inequality among GPs considerably affe...

    Authors: Mohsen Bayati, Arash Rashidian, Yaser Sarikhani and Saeed Lohivash

    Citation: BMC Health Services Research 2019 19:620

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  20. Content type: Research article

    Client satisfaction is the best indicator of quality service provision and has been found to correlate with continuity of care perceived by the client. The measurement of client satisfaction helps in understan...

    Authors: Aregawi Gebreyesus

    Citation: BMC Health Services Research 2019 19:618

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  21. Content type: Research article

    Despite clinical practice guideline recommendations that cardiovascular disease patients participate, cardiac rehabilitation (CR) programs are highly unavailable and underutilized. This is particularly true in...

    Authors: Thaianne Cavalcante Sérvio, Raquel Rodrigues Britto, Gabriela Lima de Melo Ghisi, Lilian Pinto da Silva, Luciana Duarte Novais Silva, Márcia Maria Oliveira Lima, Danielle Aparecida Gomes Pereira and Sherry L. Grace

    Citation: BMC Health Services Research 2019 19:615

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  22. Content type: Research article

    This study aims to assess geographical distribution of hospitals and extent of inequalities in hospital beds against socioeconomic status (SES) of residents of five metropolitan cities in Iran.

    Authors: Yousef Chavehpour, Arash Rashidian, Abraha Woldemichael and Amirhossein Takian

    Citation: BMC Health Services Research 2019 19:614

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  23. Content type: Research article

    This paper examines perinatal death reporting and reviews in Bungoma county, Kenya, where substantial progress has been made, providing important insights for wider scale up to other contexts.

    Authors: Sarah Bandali, Camille Thomas, Phidelis Wamalwa, Shanti Mahendra, Peter Kaimenyi, Osman Warfa and Nicole Fulton

    Citation: BMC Health Services Research 2019 19:611

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  24. Content type: Research article

    Primary health care (PHC) is usually the initial point of contact for individuals seeking to access health care and providers of PHC play a crucial role in the healthcare model. However, few studies have asses...

    Authors: Shizheng Du, Yuling Cao, Tong Zhou, Agus Setiawan, Myat Thandar, Virya Koy, Mohd Said Bin Nurumal, Hong Anh, Wipada Kunaviktikul and Yan Hu

    Citation: BMC Health Services Research 2019 19:602

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  25. Content type: Research article

    The economic burden of type 2 diabetes has not been adequately investigated in many low- and lower middle-income countries, including Bangladesh. The aim of this study was to estimate the cost-of-illness of ty...

    Authors: Afsana Afroz, Khurshid Alam, Liaquat Ali, Afsana Karim, Mohammed J. Alramadan, Samira Humaira Habib, Dianna J. Magliano and Baki Billah

    Citation: BMC Health Services Research 2019 19:601

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  26. Content type: Research article

    In Madhya Pradesh, India, the government invited private obstetric hospitals for partnership to provide intrapartum care to poor women, paid for by the state. This statewide program, the Janani Sahayogi Yojana...

    Authors: Vishal Diwan, Sudhir Chandra Joshi, Kate Jehan and Ayesha De Costa

    Citation: BMC Health Services Research 2019 19:599

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  27. Content type: Research article

    Although the prevalence of type 2 diabetes mellitus is increasing in Uganda, data on loss to follow up (LTFU) of patients in care is scanty. We aimed to estimate proportions of patients LTFU and document assoc...

    Authors: Salome Tino, Clara Wekesa, Onesmus Kamacooko, Anthony Makhoba, Raymond Mwebaze, Samuel Bengo, Rose Nabwato, Aisha Kigongo, Edward Ddumba, Billy N. Mayanja, Pontiano Kaleebu, Rob Newton and Moffat Nyerinda

    Citation: BMC Health Services Research 2019 19:598

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  28. Content type: Research article

    An adequate and qualified health workforce is critical for achieving Universal Health Coverage (UHC) and responding to the Sustainable Development Goals (SDGs). Frontline health workers who are mainly women, p...

    Authors: Sreytouch Vong, Bandeth Ros, Rosemary Morgan and Sally Theobald

    Citation: BMC Health Services Research 2019 19:595

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  29. Content type: Research article

    Management for multi-drug-resistant tuberculosis (MDR-TB) is challenging and has poor patient outcomes. Peru has a high burden of MDR-TB. The Loreto region in the Peruvian Amazon is worst affected for reasons ...

    Authors: Thomas W. McNally, Gilles de Wildt, Graciela Meza and Connie M. D. Wiskin

    Citation: BMC Health Services Research 2019 19:594

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  30. Content type: Research article

    The key to the effective management of healthcare wastes is segregation of the waste at the point of generation; no matter what final strategy for treatment and disposal of wastes is selected, it is critical t...

    Authors: Biniyam Sahiledengle

    Citation: BMC Health Services Research 2019 19:591

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  31. Content type: Research article

    The Human Immunodeficiency Virus (HIV) epidemic is growing rapidly among South African adolescents and young adults (AYA). Although HIV counselling and testing, HIV prevention and treatment options are widely ...

    Authors: Philip Smith, Tsidiso Tolla, Rebecca Marcus and Linda-Gail Bekker

    Citation: BMC Health Services Research 2019 19:584

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  32. 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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  33. 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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  34. 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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  35. 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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  36. 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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  37. 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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  38. 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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  39. 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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  40. 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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  41. 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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  42. 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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  43. 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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  44. 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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  45. 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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  46. 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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  47. 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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  48. 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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  49. 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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