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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.

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  1. Content type: Research article

    A previous census of electronic prescribing (EP) systems in England showed that more than half of hospitals with EP reported more than one EP system within the same hospital. Our objectives were to describe th...

    Authors: Zamzam Ahmed, Yogini Jani and Bryony Dean Franklin

    Citation: BMC Health Services Research 2018 18:969

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  2. Content type: Research article

    In publicly funded health care systems, governance models are developed to push public service providers to use tax payers’ money more efficiently and maintain a high quality of service. Although this implies ...

    Authors: Sara Korlén, Anne Richter, Isis Amer-Wåhlin, Peter Lindgren and Ulrica von Thiele Schwarz

    Citation: BMC Health Services Research 2018 18:963

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  3. Content type: Research article

    Acute hospital services account for the largest proportion of health care system budgets, and older adults are the most frequent users. As a result, older people who have been recently discharged from hospital...

    Authors: Kathleen Finlayson, Anne M. Chang, Mary D. Courtney, Helen E. Edwards, Anthony W. Parker, Kyra Hamilton, Thu Dinh Xuan Pham and Jane O’Brien

    Citation: BMC Health Services Research 2018 18:956

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  4. Content type: Research article

    Health service providers play a key role in addressing women’s need for pregnancy prevention, especially during the postpartum period. Yet, in Nepal, little is known about their views on providing postpartum f...

    Authors: Mahesh C. Puri, Manju Maharjan, Erin Pearson, Elina Pradhan, Yasaswi Dhungel, Aayush Khadka and Iqbal H. Shah

    Citation: BMC Health Services Research 2018 18:948

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  5. Content type: Research article

    The UK Equality Act 2010 requires providers of health services to make changes or ‘reasonable adjustments’ to their practices in order to protect disabled people from discrimination or disadvantage when access...

    Authors: Stuart Read, Pauline Heslop, Sue Turner, Victoria Mason-Angelow, Nadine Tilbury, Caroline Miles and Chris Hatton

    Citation: BMC Health Services Research 2018 18:931

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  6. Content type: Research article

    The number of people affected by cataract in the United Kingdom (UK) is growing rapidly due to ageing population. As the only way to treat cataract is through surgery, there is a high demand for this type of s...

    Authors: Eren Demir, David Southern, Syed Rashid and Reda Lebcir

    Citation: BMC Health Services Research 2018 18:933

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  7. Content type: Research article

    Hospitals are increasingly parts of larger care collaborations, rather than individual entities. Organizing and operating these collaborations is challenging; a significant number do not succeed, as it is diff...

    Authors: Melissa De Regge, Kaat De Pourcq, Paul Gemmel, Carine Van de Voorde, Koen Van den Heede and Kristof Eeckloo

    Citation: BMC Health Services Research 2018 18:942

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  8. Content type: Research article

    The sale of antibiotics without a prescription poses a global public health concern. Antibiotics dispensed without a prescription are largely recognised as a cause of antibiotic misuse and overuse which may re...

    Authors: Faten Alhomoud, Reem Almahasnah and Farah Kais Alhomoud

    Citation: BMC Health Services Research 2018 18:915

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  9. Content type: Research article

    Youth with concurrent substance use and mental health concerns have diverse psychosocial needs and may present to a multitude of clinical and social service sectors. By integrating service sectors at a system ...

    Authors: Rachel McGihon, Lisa D. Hawke, Gloria Chaim and Joanna Henderson

    Citation: BMC Health Services Research 2018 18:901

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  10. Content type: Study protocol

    Mental health care lags behind other forms of medical care in its reliance on subjective clinician assessment. Although routine use of standardized patient-reported outcome measures, measurement-based care (MB...

    Authors: Laura O. Wray, Mona J. Ritchie, David W. Oslin and Gregory P. Beehler

    Citation: BMC Health Services Research 2018 18:753

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  11. Content type: Research article

    Mechanisms by which liaison mental health services (LMHS) may bring about improved patient and organisational outcomes are poorly understood. A small number of logic models have been developed, but they fail t...

    Authors: Allan House, Elspeth Guthrie, Andrew Walker, Jenny Hewsion, Peter Trigwell, Cathy Brennan, Mike Crawford, Carolyn Czoski Murray, Matt Fossey, Claire Hulme, Adam Martin, Alan Quirk and Sandy Tubeuf

    Citation: BMC Health Services Research 2018 18:742

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  12. Content type: Research article

    General Practitioners (GPs) in the Netherlands routinely register all patient contacts electronically. These records include longitudinally gathered clinical information of the patient contacts in coded data a...

    Authors: Hugo M. Smeets, Marlous F. Kortekaas, Frans H. Rutten, Michiel L. Bots, Willem van der Kraan, Gerard Daggelders, Hanneke Smits-Pelser, Charles W. Helsper, Arno W. Hoes and Niek J. de Wit

    Citation: BMC Health Services Research 2018 18:735

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  13. Content type: Research article

    A major healthcare reform agenda in Ireland is underway which underpins the establishment of a series of National Clinical Programmes (NCPs), which aim to take an evidence based approach to improve quality, ac...

    Authors: Catherine D. Darker, Gail H. Nicolson, Aine Carroll and Joe M. Barry

    Citation: BMC Health Services Research 2018 18:733

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  14. Content type: Research article

    Imaging is overused in the management of low back pain (LBP). Interventions designed to decrease non-indicated imaging have predominantly targeted practitioner education alone; however, these are typically ine...

    Authors: Hazel J. Jenkins, Niamh A. Moloney, Simon D. French, Chris G. Maher, Blake F. Dear, John S. Magnussen and Mark J. Hancock

    Citation: BMC Health Services Research 2018 18:734

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  15. Content type: Research article

    Cell-free fetal DNA sequencing based non-invasive prenatal testing (NIPT) for Down syndrome (DS) has become widely available. In Hong Kong, obstetric providers in the public sector refer women identified at hi...

    Authors: Olivia Miu Yung Ngan, Huso Yi and Shenaz Ahmed

    Citation: BMC Health Services Research 2018 18:731

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  16. Content type: Research article

    Declining job satisfaction and concurrent reductions in Medicaid participation among primary care providers have been documented, but there is limited qualitative work detailing their first-hand experiences tr...

    Authors: Sarah H. Gordon, Emily A. Gadbois, Renee R. Shield, Patrick M. Vivier, Chima D. Ndumele and Amal N. Trivedi

    Citation: BMC Health Services Research 2018 18:728

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  17. Content type: Research article

    Bronchiectasis is a worsening public health problem in New Zealand. This study aimed to explore the health care experiences of mothers of children with bronchiectasis in the Counties Manukau District Health Bo...

    Authors: Nicola Jepsen, Nadia A. Charania and Sarah Mooney

    Citation: BMC Health Services Research 2018 18:722

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  18. Content type: Research article

    Rehabilitation services depend on competent professionals who collaborate effectively. Well-functioning interprofessional teams are expected to positively impact continuity of care. Key factors in continuity o...

    Authors: Merethe Hustoft, Eva Biringer, Sturla Gjesdal, Jörg Aβmus and Øystein Hetlevik

    Citation: BMC Health Services Research 2018 18:719

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  19. Content type: Research article

    Acute low back pain is one of the most common reasons for individuals to seek medical care in the United States. The US Military Health System provides medical care to approximately 9.4 million beneficiaries a...

    Authors: Erich J. Dietrich, Todd Leroux, Carla F. Santiago, Melvin D. Helgeson, Patrick Richard and Tracey P. Koehlmoos

    Citation: BMC Health Services Research 2018 18:720

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  20. Content type: Research article

    Forced migration significantly endangers health. Women face numerous health risks, including sexual violence, lack of contraception, sexually transmitted disease, and adverse perinatal outcomes. Therefore, sex...

    Authors: Eva Cignacco, Friederike zu Sayn-Wittgenstein, Coline Sénac, Anja Hurni, Doris Wyssmüller, Jean Anthony Grand-Guillaume-Perrenoud and Anke Berger

    Citation: BMC Health Services Research 2018 18:712

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  21. Content type: Research article

    South Africa’s tuberculosis burden is the third highest globally and is closely associated with the country’s devastating HIV epidemic. The separation of HIV and TB services in primary healthcare services in S...

    Authors: Irit Sinai, Farley Cleghorn and Hans Friedemann Kinkel

    Citation: BMC Health Services Research 2018 18:711

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  22. Content type: Research article

    Accurate patient expectations are important to optimise treatment success, especially for complex conditions such as chronic pain. Communication may be the key to managing patient expectations. This study aime...

    Authors: Bianca Wiering, Dolf de Boer, Maarten Krol, Hilda Wieberneit-Tolman and Diana Delnoij

    Citation: BMC Health Services Research 2018 18:706

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  23. Content type: Research article

    Hip fracture in elderly patients is a rising global public health concern because of population ageing, and increasing frailty. Long-term morbidity related to poor management of hip fracture is associated with...

    Authors: Dario Tedesco, Dino Gibertoni, Paola Rucci, Tina Hernandez-Boussard, Simona Rosa, Luca Bianciardi, Maurizia Rolli and Maria Pia Fantini

    Citation: BMC Health Services Research 2018 18:701

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  24. Content type: Research article

    Assistant practitioners have knowledge and skills beyond the level of traditional support workers, and work in many clinical settings. However, some assistant practitioners lack a clearly defined role and may ...

    Authors: Catherine Henshall, Andrea Doherty, Helen Green, Liz Westcott and Helen Aveyard

    Citation: BMC Health Services Research 2018 18:695

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  25. Content type: Research article

    The community pharmacy center of the Department of Ambulatory Care and Community Medicine of the Policlinique Médicale Universitaire (PMU), Lausanne, Switzerland developed and implemented an interprofessional ...

    Authors: Mélanie Lelubre, Olivier Clerc, Marielle Grosjean, Karim Amighi, Carine De Vriese, Olivier Bugnon and Marie-Paule Schneider

    Citation: BMC Health Services Research 2018 18:698

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  26. Content type: Research article

    Successful implementation of pay-for-quality (P4Q) programs mostly depends upon a valid, timely, and reliable data about quality measures generated by providers, and interpreted by payers. The aim of this stud...

    Authors: Shabnam Iezadi, Jafar Sadegh Tabrizi, Akbar Ghiasi, Mostafa Farahbakhsh and Kamal Gholipour

    Citation: BMC Health Services Research 2018 18:692

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  27. Content type: Research article

    The World Health Organization describes health literacy as a critical determinant of health and driver of citizen empowerment and health equity. Several studies have shown that health literacy is associated wi...

    Authors: Anita Trezona, Sarity Dodson and Richard H. Osborne

    Citation: BMC Health Services Research 2018 18:694

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  28. Content type: Research article

    Over recent years there has been a growth in cancer early diagnosis (ED) research, which requires valid measurement of routes to diagnosis and diagnostic intervals. The Aarhus Statement, published in 2012, pro...

    Authors: Domenica Coxon, Christine Campbell, Fiona M. Walter, Suzanne E. Scott, Richard D. Neal, Peter Vedsted, Jon Emery, Greg Rubin, William Hamilton and David Weller

    Citation: BMC Health Services Research 2018 18:677

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  29. Content type: Research article

    In recent years, significant efforts have been made to improve the provision of care for compensated injured workers internationally. However, despite increasing efforts at implementing best practices in this ...

    Authors: Anne Hudon, Matthew Hunt and Debbie Ehrmann Feldman

    Citation: BMC Health Services Research 2018 18:682

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  30. Content type: Research article

    Role clarification is consistently documented as a challenging process for inter professional healthcare teams, despite being a core tenet of interprofessional collaboration. This paper explores the role clari...

    Authors: Olivia Ly, Shannon L. Sibbald, Jennifer Y. Verma and Graeme M. Rocker

    Citation: BMC Health Services Research 2018 18:680

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  31. Content type: Debate

    Health Technology Reassessment (HTR) is an emerging field that shifts the focus from traditional methods of technology adoption to managing technology throughout its lifecycle. HTR is a mechanism to improve pa...

    Authors: Rosmin Esmail, Heather Hanson, Jayna Holroyd-Leduc, Daniel J. Niven and Fiona Clement

    Citation: BMC Health Services Research 2018 18:674

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  32. Content type: Research article

    Burnout is a health problem in nurses. Individuals with a certain personality are more susceptible to job-related burnout. General self-efficacy (GSE) is an important predictor of job-related burnout. The rela...

    Authors: Yongcheng Yao, Shan Zhao, Xia Gao, Zhen An, Shouying Wang, Hongbin Li, Yuchun Li, Liyun Gao, Lingeng Lu and Ziming Dong

    Citation: BMC Health Services Research 2018 18:667

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  33. Content type: Research article

    Our primary aim was to assess the ability of a non-profit foundation-sponsored clinic network to facilitate access to specialized care for patients with neurofibromatoses (NF), a group of neurogenetic disorder...

    Authors: Vanessa L. Merker, Annie Dai, Heather B. Radtke, Pamela Knight, Justin T. Jordan and Scott R. Plotkin

    Citation: BMC Health Services Research 2018 18:668

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  34. Content type: Research article

    The school nurse’s role varies across countries. In Scotland, the Chief Nursing Officer recommended that the role should be refocused. The refocused programme emphasises nine care pathways with a view to impro...

    Authors: Lawrence Doi, Deborah Wason, Stephen Malden and Ruth Jepson

    Citation: BMC Health Services Research 2018 18:664

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  35. Content type: Research article

    Chronic diseases are becoming more common due to an increasing ageing population. Patients with chronic conditions managed in outpatient clinics account for a large share of healthcare costs. We developed a 24...

    Authors: Anders Damgaard Møller, David Høyrup Christiansen, Cathrine Bell, Ulrich Fredberg and Peter Vedsted

    Citation: BMC Health Services Research 2018 18:663

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  36. Content type: Research article

    More and more countries have been implementing chronic care programs, such as the Chronic Care Model (CCM) to manage non-acute conditions of diseases in a more effective and less expensive way. Often, these pr...

    Authors: Milena Vainieri, Cecilia Quercioli, Mauro Maccari, Sara Barsanti and Anna Maria Murante

    Citation: BMC Health Services Research 2018 18:659

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  37. Content type: Research article

    The majority of undiagnosed diseases manifest with objective findings that warrant further investigation. The Undiagnosed Diseases Network (UDN) receives applications from patients whose symptoms and signs hav...

    Authors: Nicole M. Walley, Loren D. M. Pena, Stephen R. Hooper, Heidi Cope, Yong-Hui Jiang, Allyn McConkie-Rosell, Camilla Sanders, Kelly Schoch, Rebecca C. Spillmann, Kimberly Strong, Alexa T. McCray, Paul Mazur, Cecilia Esteves, Kimberly LeBlanc, Anastasia L. Wise and Vandana Shashi

    Citation: BMC Health Services Research 2018 18:652

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  38. Content type: Technical advance

    Many healthcare services are under considerable pressure to reduce costs while improving quality. This is particularly true in the United Kingdom’s National Health Service where postnatal care is sometimes vie...

    Authors: John Bowers, Helen Cheyne, Gillian Mould, Martin Miller, Miranda Page, Fiona Harris and Debra Bick

    Citation: BMC Health Services Research 2018 18:656

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  39. Content type: Research article

    In a rapidly aging society that has promoted extensive reforms of the healthcare system, clarifying functional patterns in long-term care wards is important for developing regional healthcare policies. This st...

    Authors: Ayumi Igarashi, Noriko Yamamoto-Mitani, Kojiro Morita, Hiroki Matsui, Claudia K.Y. Lai and Hideo Yasunaga

    Citation: BMC Health Services Research 2018 18:655

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  40. Content type: Research article

    A specialist primary care oral surgery service combined with an electronic referral management and triage system was developed in response to concerns raised around overburdened secondary care services in the ...

    Authors: Joanna Goldthorpe, Caroline Sanders, Richard Macey, Lesley Gough, Jean Rogers, Martin Tickle and Iain Pretty

    Citation: BMC Health Services Research 2018 18:646

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  41. Content type: Research article

    Ward rounds are an important and ubiquitous element of hospital care with a history extending well over a century. Although originally intended as a means of educating medical trainees and junior doctors, over...

    Authors: Paul Perversi, John Yearwood, Emilia Bellucci, Andrew Stranieri, Jim Warren, Frada Burstein, Heather Mays and Alan Wolff

    Citation: BMC Health Services Research 2018 18:643

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  42. Content type: Research article

    A primary care oral surgery service was commissioned alongside an electronic referral management system in England, in response to rising demand for Oral Surgery services in secondary care. It is important to ...

    Authors: Joanna Goldthorpe, Caroline Sanders, Lesley Gough, Jean Rogers, Colette Bridgman, Martin Tickle and Iain Pretty

    Citation: BMC Health Services Research 2018 18:636

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  43. Content type: Research article

    The maternal health outcomes in Georgia are linked to shortcomings in healthcare such as inequities in access to adequate maternal care. Due to the macro-level, quantitative approach applied in most previous s...

    Authors: Elina Miteniece, Milena Pavlova, Lela Shengelia, Bernd Rechel and Wim Groot

    Citation: BMC Health Services Research 2018 18:631

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  44. Content type: Study protocol

    Aged polymedicated patients are particularly vulnerable for drug-related problems. A medication review aims to optimize the medication use of patients and improve health outcomes. In this study, the effect of ...

    Authors: J. Wuyts, J. Maesschalck, I. De Wulf, K. Foubert, K. Boussery, J. De Lepeleire and V. Foulon

    Citation: BMC Health Services Research 2018 18:623

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  45. Content type: Research article

    In Australia, the New South Wales (NSW) State Insurance Regulatory Authority has been continuously developing and implementing clinical practice guidelines to address the health and economic burden from whipla...

    Authors: Aila Nica Bandong, Andrew Leaver, Martin Mackey, Rodney Ingram, Samantha Shearman, Christen Chan, Ian D Cameron, Niamh Moloney, Rebecca Mitchell, Eoin Doyle, Emma Leyten and Trudy Rebbeck

    Citation: BMC Health Services Research 2018 18:622

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  46. Content type: Research article

    Although electronic health information systems (EHIS) with immunization components exist in Kenya, questions and concerns remain about their use and alignment with the Kenya Ministry of Health’s (MOH) National...

    Authors: Apophia Namageyo-Funa, Millicent Aketch, Collins Tabu, Adam MacNeil and Peter Bloland

    Citation: BMC Health Services Research 2018 18:621

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