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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.

Page 1 of 27

  1. The worldwide prevalence of depressive disorders among children and youth has been reported in ranges from just under 3% to over 10%. In Canada, 7% of youth report past year depression, which is higher than an...

    Authors: Priya Watson, Kamna Mehra, Lisa D. Hawke and Joanna Henderson

    Citation: BMC Health Services Research 2019 19:947

    Content type: Research article

    Published on:

  2. Buurtzorg, a model of community nursing conceived in the Netherlands, is widely cited as a promising and evidence-based approach to improving the delivery of integrated nursing and social care in community set...

    Authors: Mirza Lalani, Jane Fernandes, Richard Fradgley, Caroline Ogunsola and Martin Marshall

    Citation: BMC Health Services Research 2019 19:945

    Content type: Research article

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  3. High-risk patients are most vulnerable during transitions of care. Due to the high burden of resource allocation for such patients, we propose that segmentation of this heterogeneous population into distinct s...

    Authors: Shawn Choon Wee Ng, Yu Heng Kwan, Shi Yan, Chuen Seng Tan and Lian Leng Low

    Citation: BMC Health Services Research 2019 19:931

    Content type: Research article

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  4. Telemedicine is the use of telecommunication technology to remotely provide healthcare services. Evaluation of telemedicine use often relies on administrative data, but the validity of identifying telemedicine...

    Authors: Deepika Yeramosu, Florence Kwok, Jeremy M. Kahn and Kristin N. Ray

    Citation: BMC Health Services Research 2019 19:928

    Content type: Research article

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  5. Empowerment of hospital workers is known as a key factor of organizational performance and occupational health. Nevertheless, empowering workers remains a real challenge. As in many traditional organizations, ...

    Authors: Baptiste Cougot, Jules Gauvin, Nicolas Gillet, Kalyane Bach-Ngohou, Johan Lesot, Isaac Getz, Xavier Deparis, Claire Longuenesse, Anne Armant, Emmanuelle Bataille, Brice Leclere, Ghozlane Fleury-Bahi, Leïla Moret and Dominique Tripodi

    Citation: BMC Health Services Research 2019 19:927

    Content type: Study protocol

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  6. As the demand for nursing home (NH) services increases, older adults and their families expect exceptional services. Neighbourhood Team Development (NTD) is a multi-component intervention designed to train tea...

    Authors: Veronique M. Boscart, Souraya Sidani, Jenny Ploeg, Sherry L. Dupuis, George Heckman, Jessica Luh Kim, Josie d’Avernas and Paul Brown

    Citation: BMC Health Services Research 2019 19:922

    Content type: Study protocol

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  7. The health and social care sector (HCS) is currently facing multiple challenges across Europe: against the background of ageing societies, more people are in need of care. Simultaneously, several countries rep...

    Authors: Sebastian Merkel, Mervi Ruokolainen and Daniel Holman

    Citation: BMC Health Services Research 2019 19:918

    Content type: Research article

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  8. The workforce shortage is one of the major issues associated with the recovery of Minamisoma City in Fukushima Prefecture, after the Great East Japan Earthquake and the subsequent accidents at the Fukushima Da...

    Authors: Moe Hirohara, Akihiko Ozaki and Masaharu Tsubokura

    Citation: BMC Health Services Research 2019 19:917

    Content type: Research article

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  9. This cross-sectional study evaluated the adequacy of the Family Health Strategy for the primary care model for chronic noncommunicable diseases and the changes that occurred between the two cycles of external ...

    Authors: Kelly Cristina Gomes Alves, Rafael Alves Guimarães, Marta Rovery de Souza and Otaliba Libânio de Morais Neto

    Citation: BMC Health Services Research 2019 19:913

    Content type: Research article

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  10. In 2012, the Saskatchewan Ministry for Health mandated a system-wide Lean transformation. Research has been conducted on the implementation processes of this system-wide Lean implementation. However, no resear...

    Authors: Rachel Flynn, Thomas Rotter, Dawn Hartfield, Amanda S. Newton and Shannon D. Scott

    Citation: BMC Health Services Research 2019 19:912

    Content type: Research article

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  11. The capacity of the Indigenous primary healthcare (PHC) sector to continue playing a crucial role in meeting the health needs of Aboriginal and Torres Strait Islander Australians is in large part reliant on th...

    Authors: Crystal Jongen, Janya McCalman, Sandy Campbell and Ruth Fagan

    Citation: BMC Health Services Research 2019 19:910

    Content type: Research article

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  12. RESPOND is a telephone-based falls prevention program for older people who present to a hospital emergency department (ED) with a fall. A randomised controlled trial (RCT) found RESPOND to be effective at redu...

    Authors: Rebecca L. Morris, Keith D. Hill, Ilana N. Ackerman, Darshini Ayton, Glenn Arendts, Caroline Brand, Peter Cameron, Christopher D. Etherton-Beer, Leon Flicker, Anne-Marie Hill, Peter Hunter, Judy A. Lowthian, Renata Morello, Samuel R. Nyman, Julie Redfern, De Villiers Smit…

    Citation: BMC Health Services Research 2019 19:906

    Content type: Research article

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  13. Anticoagulation therapy is used for atrial fibrillation (AF) patients for reducing the risk of cardioembolic complications such as stroke. The previously recommended anticoagulant, warfarin, has a narrow thera...

    Authors: Aapeli Leminen, Mikko Pyykönen, Juho Tynkkynen, Markku Tykkyläinen and Tiina Laatikainen

    Citation: BMC Health Services Research 2019 19:901

    Content type: Research article

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  14. Integrated care is the coordination of general and behavioral health and is a highly promising and practical approach to improving healthcare delivery and patient outcomes. While there is growing interest and ...

    Authors: Nicole A. Stadnick, Euan Sadler, Jane Sandall, Cristina Fernandez Turienzo, Ian M. Bennett, Jeffrey Borkan, Bibilola Oladeji, Oye Gureje, Gregory A. Aarons and Marisa Sklar

    Citation: BMC Health Services Research 2019 19:899

    Content type: Research article

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  15. Organizational change is often associated with reduced employee health and increased sickness absence. However, most studies in the field accentuate major organizational change and often do not distinguish bet...

    Authors: Anniken Grønstad, Lars Erik Kjekshus, Trond Tjerbo and Vilde Hoff Bernstrøm

    Citation: BMC Health Services Research 2019 19:895

    Content type: Research article

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  17. Addiction health service researchers have focused efforts on opioid use disorder (OUD) and strategies to address the emerging public health threats associated with the epidemics of opioid use and opioid overdo...

    Authors: Kim A. Hoffman, Javier Ponce Terashima and Dennis McCarty

    Citation: BMC Health Services Research 2019 19:884

    Content type: Review

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  18. Optimising health professionals’ contribution is an essential step in effective and efficient health human resources utilisation. However, despite the considerable efforts made to implement advanced practice n...

    Authors: Nancy Côté, Andrew Freeman, Emmanuelle Jean and Jean-Louis Denis

    Citation: BMC Health Services Research 2019 19:882

    Content type: Research article

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  19. The focus of emergency room (ER) treatment is on acute medical crises, but frequent users of ER services often present with various needs. The objectives of this study were to obtain information on persistent ...

    Authors: Jonna M. Levola, Eila S. Sailas, Timo S. Säämänen, Leena M. Turunen and Annika C. Thomson

    Citation: BMC Health Services Research 2019 19:881

    Content type: Research article

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  20. Unequal access to inpatient rehabilitation after stroke has been reported. We sought to identify and compare patient and service factors associated with referral and admission to an inpatient rehabilitation fa...

    Authors: Angela S. Labberton, Mathias Barra, Ole Morten Rønning, Bente Thommessen, Leonid Churilov, Dominique A. Cadilhac and Elizabeth A. Lynch

    Citation: BMC Health Services Research 2019 19:871

    Content type: Research article

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  21. There has long been debate about the balance between fidelity to evidence-based interventions (EBIs) and the need for adaptation for specific contexts or particular patients. The debate is relevant to virtuall...

    Authors: Ulrica von Thiele Schwarz, Gregory A. Aarons and Henna Hasson

    Citation: BMC Health Services Research 2019 19:868

    Content type: Debate

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  22. Open visiting refers to the principle of unrestricted visiting hours in the hospital setting to enable relatives, families and carers to visit at any time. There has been recognition that open visiting support...

    Authors: Helen Hurst, Jane Griffiths, Carrie Hunt and Ellen Martinez

    Citation: BMC Health Services Research 2019 19:867

    Content type: Research article

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  23. Acute Day Units (ADUs) exist in some English NHS Trusts as an alternative to psychiatric inpatient admission. However, there is a lack of information about the number, configuration, and functioning of such un...

    Authors: Danielle Lamb, Michael Davidson, Brynmor Lloyd-Evans, Sonia Johnson, Samira Heinkel, Thomas Steare, Vanessa Pinfold, Scott Weich, Nicola Morant, James Kirkbride, Louise Marston, Alastair Canaway, Jason Madan and David Osborn

    Citation: BMC Health Services Research 2019 19:866

    Content type: Research article

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  24. The CTN-0067 CHOICES trial tests implementation of extended-release naltrexone (XR-NTX) versus treatment-as-usual (TAU) for opioid use disorders (OUD) in HIV clinics to improve HIV viral suppression. The study...

    Authors: Kim A. Hoffman, Robin Baker, Lynn E. Kunkel, Elizabeth Needham Waddell, Paula J. Lum, Dennis McCarty and P. Todd Korthuis

    Citation: BMC Health Services Research 2019 19:862

    Content type: Research article

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  25. The number of independent treatment centres (ITCs) has grown substantially. However, little is known as to whether the volume-quality relationship exists within this sector and whether other possible organisat...

    Authors: Florien Margareth Kruse, M. C. van Nieuw Amerongen, I. Borghans, A. S. Groenewoud, E. Adang and P. P. T. Jeurissen

    Citation: BMC Health Services Research 2019 19:853

    Content type: Research article

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  27. Over the past two decades, we have seen a nationwide increase in the use of medical-legal partnerships (MLPs) to address health disparities affecting vulnerable populations. These partnerships increase medical...

    Authors: Miguel Muñoz-Laboy, Omar Martinez, Robin Davison and Isa Fernandez

    Citation: BMC Health Services Research 2019 19:849

    Content type: Study protocol

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  28. The decline of the incidence rate of tuberculosis in Taiwan has been partly attributed to the launch of the directly observed therapy short course (DOTS) program in 2006, followed by the DOTS-Plus in 2007. How...

    Authors: Chien-Chou Chen, Po-Huang Chiang, Yen-Hsu Chen, I-Chun Fan and Ta-Chien Chan

    Citation: BMC Health Services Research 2019 19:846

    Content type: Research article

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  29. Mathematical modelling has been a vital research tool for exploring complex systems, most recently to aid understanding of health system functioning and optimisation. System dynamics models (SDM) and agent-bas...

    Authors: Rachel Cassidy, Neha S. Singh, Pierre-Raphaël Schiratti, Agnes Semwanga, Peter Binyaruka, Nkenda Sachingongu, Chitalu Miriam Chama-Chiliba, Zaid Chalabi, Josephine Borghi and Karl Blanchet

    Citation: BMC Health Services Research 2019 19:845

    Content type: Research article

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  30. Patients with multiple chronic conditions represent a growing segment for healthcare. The Chronic Care Model (CCM) supports leveraging community programs to support patients and their caregivers overwhelmed by...

    Authors: Kasey R. Boehmer, Diane E. Holland and Catherine E. Vanderboom

    Citation: BMC Health Services Research 2019 19:843

    Content type: Research article

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  31. Organisational change in health systems is common. Success is often tied to the actors involved, including their awareness of the change, personal engagement and ownership of it. In many health systems, one of...

    Authors: Chiara Pomare, Kate Churruca, Janet C. Long, Louise A. Ellis and Jeffrey Braithwaite

    Citation: BMC Health Services Research 2019 19:840

    Content type: Research article

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  32. Survivors of sexual violence, who are predominantly women, commonly access mental health services. Psychiatric inpatient units in Australia are predominately mixed gender and may further retraumatise these wom...

    Authors: Carol O’Dwyer, Laura Tarzia, Sabin Fernbacher and Kelsey Hegarty

    Citation: BMC Health Services Research 2019 19:839

    Content type: Research article

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  33. Women and families experiencing socioeconomic and psychosocial adversity are the least likely to access health care but most likely to benefit. For health services to effectively meet the needs of individuals ...

    Authors: Anna Price, Hannah Bryson, Ashlee Smith, Fiona Mensah and Sharon Goldfeld

    Citation: BMC Health Services Research 2019 19:833

    Content type: Research article

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  34. Managing demand for services is a problem in many areas of healthcare, including specialist medical outpatient clinics. Some of these clinics have long waiting lists with variation in access for referred peopl...

    Authors: Annie K. Lewis, Nicholas F. Taylor, Patrick W. Carney and Katherine E. Harding

    Citation: BMC Health Services Research 2019 19:831

    Content type: Study protocol

    Published on:

  35. In Saudi Arabia, healthcare industry is undergoing major expansions to meet the demand of rapidly growing healthcare needs. The aims of this study were; (1) to assess the pattern of smartphone use in healthcar...

    Authors: Mostafa A. Abolfotouh, Ala’a BaniMustafa, Mahmoud Salam, Mohammed Al-Assiri, Bader Aldebasi and Ibraheem Bushnak

    Citation: BMC Health Services Research 2019 19:826

    Content type: Research article

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  36. Discharge letters are crucial during care transitions from hospital to home. Research indicates a need for improvement to increase quality of care and decrease adverse outcomes. These letters are often sent fr...

    Authors: Katharine Weetman, Jeremy Dale, Emma Scott and Stephanie Schnurr

    Citation: BMC Health Services Research 2019 19:825

    Content type: Study protocol

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  37. Genomic screening has unique challenges which makes it difficult to easily implement on a wide scale. If the costs, benefits and tradeoffs of investing in genomic screening are not evaluated properly, there is...

    Authors: Viktor Dombrádi, Erica Pitini, Carla G. van El, Anant Jani, Martina Cornel, Paolo Villari, Muir Gray and Klára Bíró

    Citation: BMC Health Services Research 2019 19:823

    Content type: Debate

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  38. We have previously modelled that the optimal number of comprehensive stroke centres (CSC) providing endovascular thrombectomy (EVT) in England would be 30 (net 6 new centres). We now estimate the relative effe...

    Authors: Peter McMeekin, Darren Flynn, Mike Allen, Diarmuid Coughlan, Gary A. Ford, Hannah Lumley, Joyce S. Balami, Martin A. James, Ken Stein, David Burgess and Phil White

    Citation: BMC Health Services Research 2019 19:821

    Content type: Research article

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  39. The Transmural Trauma Care Model (TTCM) is a refined post-clinical rehabilitation approach, in which a multidisciplinary hospital-based team guides a network of primary care physical therapists in the treatmen...

    Authors: Suzanne H. Wiertsema, Johanna M. van Dongen, Edwin Geleijn, Heleen Beckerman, Frank W. Bloemers, Raymond W. J. G. Ostelo and Vincent de Groot

    Citation: BMC Health Services Research 2019 19:819

    Content type: Research article

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  40. While Medicare is a federal health insurance program, managed Medicare limits access to healthcare services to networks within states or territories. However, if a natural disaster requires evacuation, displac...

    Authors: George Mellgard, David Abramson, Charles Okamura and Himali Weerahandi

    Citation: BMC Health Services Research 2019 19:818

    Content type: Case report

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  41. Around the world, many healthcare organizations engage patients as a quality improvement strategy. In Canada, the University of Montreal has developed a model which consists in partnering with patient advisors...

    Authors: Nathalie Clavel, Marie-Pascale Pomey and Djahanchah Philip (Sacha) Ghadiri

    Citation: BMC Health Services Research 2019 19:815

    Content type: Research article

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  42. Patients with type 2 diabetes mellitus (T2DM) receiving primary care regularly visit their practice nurses (PNs). By actively participating during medical consultations, patients can better manage their diseas...

    Authors: E. du Pon, A. T. Wildeboer, A. A. van Dooren, H. J. G. Bilo, N. Kleefstra and S. van Dulmen

    Citation: BMC Health Services Research 2019 19:814

    Content type: Research article

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  43. Out-of-hours (OOH) healthcare services in Western countries are often differentiated into out-of-hours primary healthcare services (OOH-PC) and emergency medical services (EMS). Call waiting time, triage model...

    Authors: Morten Breinholt Søvsø, Morten Bondo Christensen, Bodil Hammer Bech, Helle Collatz Christensen, Erika Frischknecht Christensen and Linda Huibers

    Citation: BMC Health Services Research 2019 19:813

    Content type: Research article

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  44. Human workload is a key factor for system performance, but data on emergency medical services (EMS) are scarce. We investigated paramedics’ workload and the influencing factors for non-emergency medical transf...

    Authors: Johann Georg Keunecke, Christine Gall, Torsten Birkholz, Andreas Moritz, Christian Eiche and Johannes Prottengeier

    Citation: BMC Health Services Research 2019 19:812

    Content type: Research article

    Published on:

  45. The number of people living with chronic health conditions is increasing in Australia. The Chronic Disease Management program was introduced to Medicare Benefits Schedule (MBS) to provide a more structured app...

    Authors: Heidi Welberry, Margo Linn Barr, Elizabeth J. Comino, Ben F. Harris-Roxas, Elizabeth Harris, Shona Dutton, Tony Jackson, Debra Donnelly and Mark Fort Harris

    Citation: BMC Health Services Research 2019 19:811

    Content type: Research article

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  46. Consumers frequently access the internet looking for health information. With the growing burden of chronic disease internationally, strategies are focussing on self-management interventions in community and a...

    Authors: Laura Cooper, Kylie Johnston and Marie Williams

    Citation: BMC Health Services Research 2019 19:808

    Content type: Research article

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  47. The growing field of participation in healthcare has the potential to provide a number of benefits for children, patients, healthcare professionals and also the healthcare systems. According to the Convention ...

    Authors: Ingrid Larsson, Petra Svedberg, Susann Arvidsson, Jens M. Nygren and Ing-Marie Carlsson

    Citation: BMC Health Services Research 2019 19:800

    Content type: Research article

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  48. Improved immunization rates have reduced the incidence of vaccine-preventable diseases (VPDs) in advanced nations. Japan’s unique vaccination system classifies vaccines into routine vaccines ostensibly require...

    Authors: Hiroko Otsuka-Ono, Narumi Hori, Hiroshi Ohta, Yukari Uemura and Kiyoko Kamibeppu

    Citation: BMC Health Services Research 2019 19:798

    Content type: Research article

    Published on:

  49. Half of the older persons in high-income counties are affected with multimorbidity and the prevalence increases with older age. To cope with both the complexity of multimorbidity and the ageing population heal...

    Authors: Lilian Keene Boye, Christian Backer Mogensen, Tine Mechlenborg, Frans Boch Waldorff and Pernille Tanggaard Andersen

    Citation: BMC Health Services Research 2019 19:795

    Content type: Research article

    Published on:

  50. Health professionals in Norway are required by law to help safeguard information and follow-up with children of parents with mental or physical illness, or who have substance abuse problems, to reduce their hi...

    Authors: Bjørg Eva Skogøy, Terje Ogden, Bente Weimand, Torleif Ruud, Knut Sørgaard and Darryl Maybery

    Citation: BMC Health Services Research 2019 19:793

    Content type: Research article

    Published on:

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