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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 3 of 16

  1. Content type: Research article

    Significant knowledge gaps exist in the functioning of institutional designs and organisational practices in purchasing within free healthcare schemes in low resource countries. The study provides evidence of ...

    Authors: Daniel Chukwuemeka Ogbuabor and Obinna Emmanuel Onwujekwe

    Citation: BMC Health Services Research 2018 18:245

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  2. Content type: Research article

    The 2014 Ebola Virus Disease epidemic evolved in alarming ways in Sierra Leone spreading to all districts. The country struggled to control it against a backdrop of a health system that was already over-burden...

    Authors: Joanna Raven, Haja Wurie and Sophie Witter

    Citation: BMC Health Services Research 2018 18:251

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  3. Content type: Research article

    Delivery of quality healthcare in resource-limited settings is an important, understudied public health priority. Thirty-day (early) hospital readmission is often avoidable and an important indicator of health...

    Authors: Kashmira Satish Chawla, Nora E. Rosenberg, Christopher Stanley, Mitch Matoga, Alice Maluwa, Cecilia Kanyama, Jonathan Ngoma and Mina C. Hosseinipour

    Citation: BMC Health Services Research 2018 18:225

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  4. Content type: Research article

    This study aimed to examine the availability, use, and affordability of medicines in urban China following the 2009 Health Care System Reform that included implementation of universal health coverage (UHC).

    Authors: Yunyu Huang, Youfen Jiang, Luying Zhang, Wenhui Mao, Job F. M. van Boven, Maarten J. Postma and Wen Chen

    Citation: BMC Health Services Research 2018 18:218

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  5. Content type: Research article

    In most health systems, Community Health Workers (CHWs) identify and screen for severe acute malnutrition (SAM) in the community. This study aimed to investigate the potential of integrating SAM identification...

    Authors: J. L. Alvarez Morán, G. B. Franck Alé, P. Charle, N. Sessions, S. Doumbia and S. Guerrero

    Citation: BMC Health Services Research 2018 18:207

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  6. Content type: Research article

    Although depression and alcohol use disorder (AUD) are expected to be common among patients presenting to primary health care setting, there is limited research on prevalence of depression and AUD among people...

    Authors: Nagendra P. Luitel, Emily C. Baron, Brandon A. Kohrt, Ivan H. Komproe and Mark J. D. Jordans

    Citation: BMC Health Services Research 2018 18:215

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  7. Content type: Research article

    Perinatal depression is common in low and middle income countries (LAMICs). Task sharing interventions have been implemented to treat perinatal depression in these settings, as a way of dealing with staff shor...

    Authors: Memory Munodawafa, Sumaya Mall, Crick Lund and Marguerite Schneider

    Citation: BMC Health Services Research 2018 18:205

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  8. Content type: Correspondence

    The purpose of this correspondence is to describe how the positive-deviance approach can be used to translate evidence into practice, based on successive studies conducted in Ethiopia. In earlier studies, it w...

    Authors: Yibeltal Assefa, Peter S. Hill, Helmut Kloos, Gorik Ooms and Wim Van Damme

    Citation: BMC Health Services Research 2018 18:193

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  9. Content type: Research article

    Three-quarters of sub-Saharan Africa’s urban population currently live under slum conditions making them susceptible to ill health and diseases. Ghana characterizes the situation in many developing countries w...

    Authors: Adanna Uloaku Nwameme, Philip Teg-Nefaah Tabong and Philip Baba Adongo

    Citation: BMC Health Services Research 2018 18:186

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  10. Content type: Research article

    Maternal morbidity and mortality is most prevalent in resource-poor settings such as sub-Saharan Africa and southern Asia. In sub-Saharan Africa, Ghana is one of the countries still facing particular challenge...

    Authors: Minerva Kyei-Onanjiri, Mary Carolan-Olah, John Koku Awoonor-Williams and Terence V. McCann

    Citation: BMC Health Services Research 2018 18:184

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  11. Content type: Research article

    The burden of cervical cancer and shortage of screening services in Tanzania confers an urgent need for human papillomavirus (HPV) vaccination. However, the sustainability and impact of another new vaccine cam...

    Authors: Katherine E. Gallagher, Tusajigwe Erio, Kathy Baisley, Shelley Lees and Deborah Watson-Jones

    Citation: BMC Health Services Research 2018 18:173

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  12. Content type: Research article

    Since 2003 Tanzania has upgraded its approximately 7000 drug stores to Accredited Drug Dispensing Outlets (ADDOs), involving dispenser training, introduction of record keeping and enhanced regulation. Prior to...

    Authors: Rebecca Thomson, Boniface Johanes, Charles Festo, Admirabilis Kalolella, Mark Taylor, Sarah Tougher, Yazoume Ye, Andrea Mann, Ruilin Ren, Katia Bruxvoort, Barbara Willey, Fred Arnold, Kara Hanson and Catherine Goodman

    Citation: BMC Health Services Research 2018 18:169

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  13. Content type: Research article

    Substance use is a potentially modifiable risk factor for suicidal behaviour. Little is known about the epidemiology of substance use among self-harm patients in South Africa. This study set out to collect epi...

    Authors: Elsie Breet, Jason Bantjes and Ian Lewis

    Citation: BMC Health Services Research 2018 18:157

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  14. Content type: Research article

    Research has shown that community mobilization is a useful strategy in promoting maternal care of HIV negative women in resource poor settings; however, similar evidence for women living with HIV is missing. T...

    Authors: Choolwe Muzyamba, Wim Groot, Sonila Tomini and Milena Pavlova

    Citation: BMC Health Services Research 2018 18:155

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  15. Content type: Research article

    The first month of life is the period with the highest risk of dying. Despite knowledge of effective interventions, newborn mortality is high and utilization of health care services remains low in Ethiopia. In...

    Authors: Onarheim Kristine Husøy, Sisay Mitike Molla, Gizaw Muluken, Moland Karen Marie, Norheim Ole Frithof and Miljeteig Ingrid

    Citation: BMC Health Services Research 2018 18:153

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  16. Content type: Research article

    Delays in receiving adequate care for children suffering from pneumonia can be life threatening and have been described associated with parents’ limited education and their difficulties in recognizing the seve...

    Authors: Mónica J. Pajuelo, Cynthia Anticona Huaynate, Malena Correa, Holger Mayta Malpartida, Cesar Ramal Asayag, Juan R. Seminario, Robert H. Gilman, Laura Murphy, Richard A. Oberhelman and Valerie A. Paz-Soldan

    Citation: BMC Health Services Research 2018 18:149

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  17. Content type: Research article

    Inadequate antenatal care (ANC) can lead to missed diagnosis of danger signs or delayed referral to emergency obstetrical care, contributing to maternal mortality. In developing countries, ANC quality is often...

    Authors: Anatole Manzi, Laetitia Nyirazinyoye, Joseph Ntaganira, Hema Magge, Evariste Bigirimana, Leoncie Mukanzabikeshimana, Lisa R. Hirschhorn and Bethany Hedt-Gauthier

    Citation: BMC Health Services Research 2018 18:136

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  18. Content type: Research article

    Understanding the knowledge, attitudes and practices of physicians towards antibiotic resistance is key to developing interventions aimed at behavior change. The survey aimed to investigate physicians’ knowled...

    Authors: Appiah-Korang Labi, Noah Obeng-Nkrumah, Stephanie Bjerrum, Nii Armah Adu Aryee, Yaw Adjei Ofori-Adjei, Alfred E. Yawson and Mercy J. Newman

    Citation: BMC Health Services Research 2018 18:126

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  19. Content type: Research article

    Effective implementation of rapid point of care tests (POCTs) for antenatal syphilis screening especially in settings where antenatal care attendance is high, can significantly increase screening coverage and ...

    Authors: Edward Tieru Dassah, Yaw Adu-Sarkodie and Philippe Mayaud

    Citation: BMC Health Services Research 2018 18:130

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  20. Content type: Research article

    Throughput might be partially responsible for sub-optimum organisational and medical outcomes. The present study examined throughput and the challenges to ensuring optimum throughput in hospitals, and determin...

    Authors: Mandreker Bahall

    Citation: BMC Health Services Research 2018 18:129

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  21. Content type: Research article

    Length measurements are important in growth, monitoring and promotion (GMP) for the surveillance of a child’s weight-for-length and length-for-age. These two indices provide an indication of a child’s risk of ...

    Authors: Matilda E. Laar, Grace S. Marquis, Anna Lartey and Katherine Gray-Donald

    Citation: BMC Health Services Research 2018 18:118

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  22. Content type: Research article

    Adolescents’ sexual and reproductive healthcare (SRH) needs have been prioritized globally, and they have the rights to access and utilize SRH services for their needs. However, adolescents under-utilize SRH s...

    Authors: Kim Jonas, Rik Crutzen, Anja Krumeich, Nicolette Roman, Bart van den Borne and Priscilla Reddy

    Citation: BMC Health Services Research 2018 18:109

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  23. Content type: Research article

    Maternal mortality rates vary significantly from region to region. Interventions such as early and planned antenatal care attendance and facility delivery with skilled health workers can potentially reduce mat...

    Authors: Stephen M. Kibusi, Bruno Fokas Sunguya, Eunice Kimunai and Courtney S. Hines

    Citation: BMC Health Services Research 2018 18:112

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  24. Content type: Research article

    Poor quality of health services and socio-cultural dynamics may severely limit utilization of health services. Facility health committees were established in several states in northern Nigeria to reduce these ...

    Authors: Olugbenga Oguntunde, Isa M. Surajo, Dauda Sulaiman Dauda, Abdulsamad Salihu, Salma Anas-Kolo and Irit Sinai

    Citation: BMC Health Services Research 2018 18:104

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  25. Content type: Research article

    One of the most successful modes of record-keeping and data collection is the use of health management information systems, where patient information and management plans are uniformly entered into a database ...

    Authors: Lily Kpobi, Leslie Swartz and Angela L. Ofori-Atta

    Citation: BMC Health Services Research 2018 18:98

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  26. Content type: Research article

    Availability and accessibility of sexual and reproductive health services for adolescents are very crucial for prevention and control of sexual and reproductive health problems. These services also play vital ...

    Authors: Amelia Ngozi ODO, Efiong Sunday SAMUEL, Evelyn N. NWAGU, Petra Obioma NNAMANI and Chiemezie S. ATAMA

    Citation: BMC Health Services Research 2018 18:92

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  27. Content type: Research article

    Malawi, Uganda, and Zimbabwe have recently adopted a universal ‘test-and-treat’ approach to the prevention of mother-to-child transmission of HIV (Option B+). Amongst a largely asymptomatic population of women...

    Authors: Fabian Cataldo, Janet Seeley, Misheck J. Nkhata, Zivai Mupambireyi, Edward Tumwesige and Diana M. Gibb

    Citation: BMC Health Services Research 2018 18:76

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  28. Content type: Research article

    Ghana introduced a National Health Insurance Scheme (NHIS) in 2003 applying fee-for-service method for paying NHIS-credentialed health care providers. The National Health Insurance Authority (NHIA) later intro...

    Authors: Francis-Xavier Andoh-Adjei, Renske van der Wal, Eric Nsiah-Boateng, Felix Ankomah Asante, Koos van der Velden and Ernst Spaan

    Citation: BMC Health Services Research 2018 18:52

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  29. Content type: Research article

    Engagement with HIV medical care is critical to successful HIV treatment and prevention efforts. However, in Ukraine, delays in the timely initiation of HIV treatment hamper viral suppression. By January 01, 2...

    Authors: Tetiana Kiriazova, Oleksandr Postnov, Trista Bingham, Janet Myers, Timothy Flanigan, Charles Vitek and Oleksandr Neduzhko

    Citation: BMC Health Services Research 2018 18:58

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  30. Content type: Research article

    Increased availability of maternal health services alone does not lead to better outcomes for maternal health.The services need to be utilized first.One way to increase service utilization is to plan responsiv...

    Authors: Prosper Niyongabo, Renate Douwes, Marjolein Dieleman, Frédéric Irambona, Jimmy Mategeko, Georges Nsengiyumva and Tjard De Cock Buning

    Citation: BMC Health Services Research 2018 18:46

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  31. Content type: Research article

    Good quality clinical practice guidelines (CPGs) are a vehicle to implementing evidence into allied health (AH) care. This paper reports on the current ‘state of play’ of CPGs in a lower-to-middle-income count...

    Authors: J. M. Dizon, K. A. Grimmer, S. Machingaidze, Q. A. Louw and H. Parker

    Citation: BMC Health Services Research 2018 18:48

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  32. Content type: Research article

    Where access to facilities for childhood diarrhea and pneumonia is inadequate, community case management (CCM) is an effective way of improving access to care. In Pakistan, utilization of CCM for these disease...

    Authors: Wafa Aftab, Leah Shipton, Fauziah Rabbani, Kashif Sangrasi, Shagufta Perveen, Aysha Zahidie, Imran Naeem and Shamim Qazi

    Citation: BMC Health Services Research 2018 18:44

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  33. Content type: Research article

    Under the National Health Mission (NHM) of India, Janani Suraksha Yojana (JSY) offers conditional cash transfer and support services to pregnant women to use institutional delivery care facilities. This study ...

    Authors: Adyya Gupta, Jasmine Fledderjohann, Hanimi Reddy, V. R. Raman, David Stuckler and Sukumar Vellakkal

    Citation: BMC Health Services Research 2018 18:40

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  34. Content type: Research article

    Service readiness of health facilities is an integral part of providing comprehensive quality healthcare to the community. Comprehensive assessment of general and service-specific (i.e. child immunization) rea...

    Authors: Md. Shajedur Rahman Shawon, Gourab Adhikary, Md. Wazed Ali, Md. Shamsuzzaman, Shahabuddin Ahmed, Nurul Alam, Katya A. Shackelford, Alexander Woldeab, Stephen S. Lim, Aubrey Levine, Emmanuela Gakidou and Md. Jasim Uddin

    Citation: BMC Health Services Research 2018 18:39

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  35. Content type: Research article

    This paper aims to identify factors that influence the capacity of women to voice their concerns regarding maternal health services at the local level.

    Authors: Eric M. Mafuta, Tjard De Cock Buning, Didier L. Lolobi, Papy M. Mayala, Thérèse N. M. Mambu, Patrick K. Kayembe and Marjolein A. Dieleman

    Citation: BMC Health Services Research 2018 18:37

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  36. Content type: Research article

    Several frameworks now exist to guide intervention development but there remains only limited evidence of their application to health interventions based around use of mobile phones or devices, particularly in...

    Authors: Kirsten Bobrow, Andrew Farmer, Nomazizi Cishe, Ntobeko Nwagi, Mosedi Namane, Thomas P. Brennan, David Springer, Lionel Tarassenko and Naomi Levitt

    Citation: BMC Health Services Research 2018 18:33

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  37. Content type: Research article

    The recent scale-up of prevention of mother-to-child transmission of HIV (PMTCT) services has rapidly accelerated antiretroviral therapy (ART) uptake among pregnant and postpartum women in sub-Saharan Africa. ...

    Authors: Abby DiCarlo, Ruby Fayorsey, Masila Syengo, Duncan Chege, Martin Sirengo, William Reidy, Juliana Otieno, Jackton Omoto, Mark P. Hawken and Elaine J. Abrams

    Citation: BMC Health Services Research 2018 18:17

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  38. Content type: Research article

    In fragile and war-affected setting such as South Sudan, a combination of physical environmental, socioeconomic factors and healthcare’s characteristic contributes to higher rates of home delivery attended by ...

    Authors: Ngatho S. Mugo, Michael J. Dibley, Eliaba Yona Damundu and Ashraful Alam

    Citation: BMC Health Services Research 2018 18:10

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  39. Content type: Research article

    Trained healthcare workers are an essential resource for effective health systems. However, healthcare workers’ perspective on healthcare, the challenges they face to provide quality health services, and oppor...

    Authors: Fabienne N. Jaeger, Mahamat Bechir, Moumini Harouna, Daugla D. Moto and Jürg Utzinger

    Citation: BMC Health Services Research 2018 18:7

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  40. Content type: Research article

    Non-communicable diseases (NCDs) represent the largest, and fastest growing, burden of disease in India. This study aimed to quantify levels of diagnosis, treatment, and control among hypertensive and diabetic...

    Authors: Rose Gabert, Marie Ng, Ruchi Sogarwal, Miranda Bryant, R. V. Deepu, Claire R. McNellan, Sunil Mehra, Bryan Phillips, Marissa Reitsma, Blake Thomson, Shelley Wilson, Alexandra Wollum, Emmanuela Gakidou and Herbert C. Duber

    Citation: BMC Health Services Research 2017 17:846

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  41. Content type: Research article

    Global policy reports, national frameworks, and programmatic tools and guidance emphasize the integration of family planning and HIV testing and counseling services to ensure universal access to reproductive h...

    Authors: Deogratius Bintabara, Keiko Nakamura and Kaoruko Seino

    Citation: BMC Health Services Research 2017 17:844

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  42. Content type: Research article

    Health extension workers (HEWs) are the frontline health workers for Ethiopia’s primary health care system. The Federal Ministry of Health is seeking to upgrade and increase the number of HEWs, particularly in...

    Authors: Firew Ayalew Desta, Girma Temam Shifa, Damtew WoldeMariam Dagoye, Catherine Carr, Jos Van Roosmalen, Jelle Stekelenburg, Assefa Bulcha Nedi, Adrienne Kols and Young Mi Kim

    Citation: BMC Health Services Research 2017 17:839

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  43. Content type: Research article

    Integrated Management of Childhood Illness (IMCI) is regarded as a standard public health approach to lowering child mortality in developing countries. However, little is known about how health workers adhere ...

    Authors: Carsten Krüger, Monika Heinzel-Gutenbrunner and Mohammed Ali

    Citation: BMC Health Services Research 2017 17:822

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  44. Content type: Research article

    Visual impairment is a public health problem in sub-Saharan Africa, affecting nearly 5% of the population. Efforts to combat avoidable causes have been hampered by weak health systems and little evidence exist...

    Authors: Emma Jolley, Milka Mafwiri, Joanna Hunter and Elena Schmidt

    Citation: BMC Health Services Research 2017 17:823

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  45. Content type: Research article

    Evidence for efficacy of cognitive-behavioural therapy (CBT) in treatment of schizophrenia is growing. CBT is effective and cost efficient in treating positive and negative symptoms. To effectively meet the ne...

    Authors: Muhammed Omair Husain, Imran B. Chaudhry, Nasir Mehmood, Raza ur Rehman, Ajmal Kazmi, Munir Hamirani, Tayyeba Kiran, Ameer Bukhsh, Paul Bassett, Muhammad Ishrat Husain, Farooq Naeem and Nusrat Husain

    Citation: BMC Health Services Research 2017 17:808

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  46. Content type: Research article

    Organization of HIV care and treatment services, including clinic staffing and services, may shape clinical and financial outcomes, yet there has been little attempt to describe different models of HIV care in...

    Authors: Sharon Tsui, Julie A. Denison, Caitlin E. Kennedy, Larry W. Chang, Olivier Koole, Kwasi Torpey, Eric Van Praag, Jason Farley, Nathan Ford, Leine Stuart and Fred Wabwire-Mangen

    Citation: BMC Health Services Research 2017 17:811

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  47. Content type: Study protocol

    Metabolic syndrome (MetS), the clustering of multiple leading risk factors, predisposes individuals to increased risk for developing type 2 diabetes and/or cardiovascular disease (CVD). Cardio-metabolic diseas...

    Authors: Melinda J. Carrington and Paul Zimmet

    Citation: BMC Health Services Research 2017 17:813

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  48. Content type: Research article

    An in-depth understanding of how organizational culture is experienced by health workers (HWs), and influences their decisions to leave their jobs is a fundamental, yet under-examined, basis for forming effect...

    Authors: Constance Sibongile Shumba, Karina Kielmann and Sophie Witter

    Citation: BMC Health Services Research 2017 17:809

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  49. Content type: Research article

    In health research, indicators of socioeconomic status (SES) are often used interchangeably and often lack theoretical foundation. This makes it difficult to compare results from different studies and to explo...

    Authors: Michael Fliesser, Jessie De Witt Huberts and Pia-Maria Wippert

    Citation: BMC Health Services Research 2017 17:800

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