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Organization, structure and delivery of healthcare

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. The transition period between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) has been identified as an especially critical time for patients with anorexia nervosa. ...

    Authors: Veronica Lockertsen, Liv Nilsen, Lill Ann Wellhaven Holm, Øyvind Rø, Linn May Burger and Jan Ivar Røssberg

    Citation: BMC Health Services Research 2020 20:891

    Content type: Research article

    Published on:

  2. Improving the health of women before pregnancy and throughout a woman’s lifespan could mitigate disparities and improve the health and wellbeing of women, infants and children. The preconception period is impo...

    Authors: Angela Wangari Walter, Clevanne Julce, Nireesha Sidduri, Leanne Yinusa-Nyahkoon, Jessica Howard, Matthew Reichert, Timothy Bickmore and Brian W. Jack

    Citation: BMC Health Services Research 2020 20:889

    Content type: Study protocol

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  3. The value of digital health technologies in delivering vital health care interventions, especially in low resource settings is increasingly appreciated. We co-developed and tested a decision support mobile hea...

    Authors: Pauline Bakibinga, Eva Kamande, Lyagamula Kisia, Milka Omuya, Dennis J. Matanda and Catherine Kyobutungi

    Citation: BMC Health Services Research 2020 20:888

    Content type: Research article

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  4. Use of emergency department (ED) care globally seems to be increasing at a faster rate than population growth (Baker, House of Commons Library. Accident and Emergency Statistics, Demand, Performance, 2017). In...

    Authors: Gemma McKenna, Anne Rogers, Sandra Walker and Catherine Pope

    Citation: BMC Health Services Research 2020 20:887

    Content type: Research article

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  5. Health professionals’ training is a key element to address unhealthy alcohol use in Primary Care (PC). Education about alcohol use can be effective in improving PC provider’s knowledge and skills addressing al...

    Authors: Esperanza Romero-Rodríguez, Luis Ángel Pérula de Torres, Roger Ruiz Moral, José Ángel Fernández García, Juan Manuel Parras Rejano, Ana Roldán Villalobos and Francisco Camarelles Guillem

    Citation: BMC Health Services Research 2020 20:877

    Content type: Research article

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  6. In 2013, the Nigeria Federal Ministry of Health established a Master Health Facility List (MHFL) as recommended by WHO. Since then, some health facilities (HFs) have ceased functioning and new facilities were ...

    Authors: Usaini Bala, Olufemi Ajumobi, Amina Umar, Adefisoye Adewole, Ndadilnasiya Waziri, Saheed Gidado, Audu B. Mohammed, Perpetua Uhomoibhi, Basheer Muhammad, Munira Ismail, Stephen Patrick Kachur, Shelby Cash and Kwame Asamoa

    Citation: BMC Health Services Research 2020 20:874

    Content type: Research article

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  7. Allied health services are core to the improvement in health outcomes for remote and rural residents. Substantial infrastructure has been put into place to facilitate rural work-ready allied health practitione...

    Authors: Anna Moran, Susan Nancarrow, Catherine Cosgrave, Anna Griffith and Rhiannon Memery

    Citation: BMC Health Services Research 2020 20:866

    Content type: Research article

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  8. Today’s remarkable popularity of value-based health care (VBHC) is accompanied by considerable ambiguity concerning the very meaning of the concept. This is evident within academic publications, and mirrored i...

    Authors: Gijs Steinmann, Hester van de Bovenkamp, Antoinette de Bont and Diana Delnoij

    Citation: BMC Health Services Research 2020 20:862

    Content type: Research article

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  9. Integration, the coordination and alignment of tasks, has been promoted widely in order to improve the performance of hospitals. Both organization theory and social network analysis offer perspectives on integ...

    Authors: Annelies van der Ham, Frits van Merode, Dirk Ruwaard and Arno van Raak

    Citation: BMC Health Services Research 2020 20:857

    Content type: Research article

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  10. Facilitating access to professional interpretation services is key to equitable hospital care for migrants with limited language proficiency; however, interpreter underuse has been documented. The factors that...

    Authors: Eli Feiring and Stine Westdahl

    Citation: BMC Health Services Research 2020 20:856

    Content type: Research article

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  11. Diabetes self-management education (DSME) is an effective intervention for patients with type 2 diabetes mellitus (T2DM); nevertheless, patient participation in this type of programme is low. Implementation of...

    Authors: Emmanuel Allory, Hélène Lucas, Arnaud Maury, Ronan Garlantezec, Candan Kendir, Anthony Chapron and Laure Fiquet

    Citation: BMC Health Services Research 2020 20:855

    Content type: Research article

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  12. Emergency department (ED) use is often viewed as an indicator of health system quality. ED use for mental health (MH) reasons is increasing and costly for health systems, patients, and their families. Patients...

    Authors: Morgane Gabet, Guy Grenier, Zhirong Cao and Marie-Josée Fleury

    Citation: BMC Health Services Research 2020 20:854

    Content type: Research article

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  13. Allied Health Professionals (AHPs) form a significant part of the healthcare workforce and have great potential to improve services through research and research-informed practice. However, there is a lack of ...

    Authors: Jennifer Harris, Kate Grafton and Jo Cooke

    Citation: BMC Health Services Research 2020 20:852

    Content type: Research article

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  14. Obtaining a sample that is representative of the group of interest is of utmost importance in questionnaire studies. In a survey using a state authorized web-portal for citizen communication with authorities, ...

    Authors: Søren Birkeland, Thea Linkhorst, Anders Haakonsson, Michael John Barry and Sören Möller

    Citation: BMC Health Services Research 2020 20:851

    Content type: Research article

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  15. Clinical practice guidelines (CPGs) include evidence-based recommendations for managing obesity in adolescents. However, information on how health care providers (HCPs) implement these recommendations in day-t...

    Authors: M. Kebbe, A. Perez, A. Buchholz, S. D. Scott, T.-L. F. McHugh, M. P. Dyson and G.D.C. Ball

    Citation: BMC Health Services Research 2020 20:850

    Content type: Research article

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  16. Health policy in many countries directs treatment to the lowest effective care level and encourages collaboration between primary and specialist mental health care. A number of models for collaborative care ha...

    Authors: Jorun Rugkåsa, Ole Gunnar Tveit, Julie Berteig, Ajmal Hussain and Torleif Ruud

    Citation: BMC Health Services Research 2020 20:844

    Content type: Research article

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  17. Computerized provider order entry (CPOE) can help providers deliver better quality care. We aimed to understand recent trends in use of CPOE by health system-affiliated ambulatory clinics.

    Authors: Shira H. Fischer, Robert S. Rudin, Yunfeng Shi, Paul Shekelle, Alejandro Amill-Rosario, Dennis Scanlon and Cheryl L. Damberg

    Citation: BMC Health Services Research 2020 20:836

    Content type: Research article

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  18. In Australia registrar training to become a general practitioner (GP) involves three to four years of supervised learning with at least 50% of GP registrars training wholly in rural areas. In particular rural ...

    Authors: Danielle Couch, Belinda O’Sullivan, Deborah Russell, Matthew McGrail, Glen Wallace and Michael Bentley

    Citation: BMC Health Services Research 2020 20:834

    Content type: Research article

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  19. Aboriginal women and their infants experience significant disadvantage in health outcomes compared to their non-Aboriginal counterparts. Access to timely, effective and appropriate maternal and child healthcar...

    Authors: Nina Sivertsen, Olga Anikeeva, Janiene Deverix and Julian Grant

    Citation: BMC Health Services Research 2020 20:829

    Content type: Research article

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  20. Medication adherence to immunosuppressants in allogeneic stem cell transplantation (alloSCT) is essential to achieve favorable clinical outcomes (e.g. control of Graft-versus-Host Disease). Over 600 apps suppo...

    Authors: Janette Ribaut, Lynn Leppla, Alexandra Teynor, Sabine Valenta, Fabienne Dobbels, Leah L. Zullig and Sabina De Geest

    Citation: BMC Health Services Research 2020 20:827

    Content type: Research article

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  21. Telemedicine improves access to health care services enabling remote care diagnosis and treatment of patients at a distance. However, the implementation of telemedicine services often pose challenges stemming ...

    Authors: Joanna Kho, Nicole Gillespie and Melinda Martin-Khan

    Citation: BMC Health Services Research 2020 20:815

    Content type: Research article

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  22. Substantial government funding has been invested to support the training of General Practitioners (GPs) in Australia to serve rural communities. However, there is little data on the impact of this expanded tra...

    Authors: Katerina Kanakis, Louise Young, Carole Reeve, Richard Hays, Tarun Sen Gupta and Bunmi Malau-Aduli

    Citation: BMC Health Services Research 2020 20:812

    Content type: Research article

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  23. Community care has recently been restructured with the development of Community Health Centres (CHCs), forcing a general rethink on the survival of previous organizational solutions adopted to reduce inappropr...

    Authors: Cristina Ugolini, Anna Caterina Leucci, Lucia Nobilio and Gianfranco Bertè

    Citation: BMC Health Services Research 2020 20:807

    Content type: Research article

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  24. The purpose of this study was to produce a risk stratification within a population of high-risk patients with multiple chronic conditions who are currently treated under a case management program and to explor...

    Authors: Pablo E. Bretos-Azcona, Eduardo Sánchez-Iriso and Juan M. Cabasés Hita

    Citation: BMC Health Services Research 2020 20:806

    Content type: Research article

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  25. The nursing associate role was developed in England in response to the ‘Shape of Caring’ review. It has been implemented to fulfil two aims; to bridge the gap between registered nurses and healthcare assistant...

    Authors: Rachel King, Tony Ryan, Emily Wood, Angela Tod and Steve Robertson

    Citation: BMC Health Services Research 2020 20:802

    Content type: Research article

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  26. Closely linked to the concept of supportive care, the integrated model of palliative care (PC) implies identifying, assessing and treating physical and psychological suffering as early as needed, irrespective ...

    Authors: Asmaa Janah, Christine Le Bihan-Benjamin, Julien Mancini, Anne-Déborah Bouhnik, Philippe-Jean Bousquet and Marc-Karim Bendiane

    Citation: BMC Health Services Research 2020 20:798

    Content type: Research article

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  27. To better understand how radiation oncologists perceive intensity-modulated radiation therapy (IMRT) and stereotactic body radiation therapy (SBRT) for prostate cancer and how these perceptions may influence t...

    Authors: Bruce L. Jacobs, Megan Hamm, Flor de Abril Cameron, Jose G. Luiggi-Hernandez, Dwight E. Heron, Jeremy M. Kahn and Amber E. Barnato

    Citation: BMC Health Services Research 2020 20:796

    Content type: Research article

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  28. Numerous forces drive the evolution and need for transformation of long-term care services. During the previous decade, primary health care has assumed increased responsibility for developing and providing car...

    Authors: Hanne Marie Rostad, Marianne Sundlisæter Skinner, Ragnhild Hellesø and Maren Kristine Raknes Sogstad

    Citation: BMC Health Services Research 2020 20:793

    Content type: Research article

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  29. High quality goal setting in stroke rehabilitation is vital, but challenging to deliver. The G-AP framework (including staff training and a stroke survivor held G-AP record) guides patient centred goal setting...

    Authors: Lesley Scobbie, Edward A. S. Duncan, Marian C. Brady, Katie Thomson and Sally Wyke

    Citation: BMC Health Services Research 2020 20:791

    Content type: Research article

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  30. In 2017, the Vietnam Ministry of Health conducted a demonstration project to introduce seasonal influenza vaccination to health care workers. A total of 11,000 doses of influenza vaccine, single-dose prefilled...

    Authors: Nga T. Ha, Thoa T. M. Nguyen, Tung X. Nguyen, Phu D. Tran, Hang M. Nguyen, Van T. Ha, Kathryn E. Lafond, Jane F. Seward, Jeffrey W. McFarland and Susan Y. Chu

    Citation: BMC Health Services Research 2020 20:785

    Content type: Research article

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  31. Improving health system value and efficiency are considered major policy priorities internationally. Ontario has undergone a primary care reform that included introduction of interprofessional teams. The purpo...

    Authors: Wissam Haj-Ali, Rahim Moineddin, Brian Hutchison, Walter P. Wodchis and Richard H. Glazier

    Citation: BMC Health Services Research 2020 20:782

    Content type: Research article

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  32. Migrant families’ transnational ties (i.e., connections to their countries of origin) may contribute to their hardships and/or may be a source of resiliency. A care approach that addresses these transnational ...

    Authors: Lisa Merry, Sarah Fredsted Villadsen, Veronik Sicard and Naomie Lewis-Hibbert

    Citation: BMC Health Services Research 2020 20:778

    Content type: Research article

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  33. A policy statement recommending that healthcare providers (HCPs) encourage cardiac patients to enroll in cardiac rehabilitation (CR) was recently endorsed by 23 medical societies. This study describes the deve...

    Authors: Carolina Santiago de Araújo Pio, Anna Gagliardi, Neville Suskin, Farah Ahmad and Sherry L. Grace

    Citation: BMC Health Services Research 2020 20:768

    Content type: Research article

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  34. For several years mobile X-ray equipment has been routinely used for imaging in patients too unwell within the hospital, when transportation to the radiology department was inadvisable. Now, mobile X-ray exami...

    Authors: Maria Dietz Toppenberg, Thomas Erik Møller Christiansen, Finn Rasmussen, Camilla Palmhøj Nielsen and Else Marie Damsgaard

    Citation: BMC Health Services Research 2020 20:767

    Content type: Research article

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  35. Globally there are growing multicultural and multilingual societies. As a result of extensive international migration, the number of elderly migrants has increased and will further increase in the future. This...

    Authors: Emina Hadziabdic and Katarina Hjelm

    Citation: BMC Health Services Research 2020 20:766

    Content type: Research article

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  36. The coverage for influenza vaccination among healthcare workers (HCWs) is inadequate in many countries despite strong recommendations; is there evidence that influenza vaccination is effective in preventing ab...

    Authors: Francesca Antinolfi, Claudio Battistella, Laura Brunelli, Francesca Malacarne, Francesco Giuseppe Bucci, Daniele Celotto, Roberto Cocconi and Silvio Brusaferro

    Citation: BMC Health Services Research 2020 20:763

    Content type: Research article

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  37. Failure to attend the clinic without prior intimation, known as “Did Not Attend” (DNA) is a significant global issue. There have been no published studies attempting to reduce DNA rates in breast clinics. We a...

    Authors: Pasupathy Kiruparan, Nanthesh Kiruparan and Debasish Debnath

    Citation: BMC Health Services Research 2020 20:757

    Content type: Research article

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  38. People with severe mental illness (SMI) are at greater risk of earlier mortality due to physical health problems including cardiovascular disease (CVD). There is limited work exploring whether physical health ...

    Authors: Suzan Hassan, Samira Heinkel, Alexandra Burton, Ruth Blackburn, Tayla McCloud, Jamie Ross, David Osborn and Kate Walters

    Citation: BMC Health Services Research 2020 20:753

    Content type: Research article

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  39. The Advanced Geriatric Nurse role recently has been introduced into Norway’s primary healthcare system, and our study’s purpose was to examine the implementation of models of care developed for Advanced Geriat...

    Authors: Konstantinos Antypas and Marit Kirkevold

    Citation: BMC Health Services Research 2020 20:749

    Content type: Research article

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  40. Research in lifestyle interventions focusing on nutrition and physical activity in people living with psychotic illness, highlights anthropometric and metabolic benefits of these interventions. However, little...

    Authors: Doreen Mucheru, Samantha Ashby, Mary-Claire Hanlon, Mark McEvoy and Lesley MacDonald-Wicks

    Citation: BMC Health Services Research 2020 20:743

    Content type: Research article

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  41. Diagnosis by computed tomography (CT) and magnetic resonance imaging (MRI) is important for patient care. However, the geographic distribution and utilisation of these machines in countries with limited resour...

    Authors: Moe Khaing, Yu Mon Saw, Thet Mon Than, Aye Myat Mon, Su Myat Cho, Thu Nandar Saw, Tetsuyoshi Kariya, Eiko Yamamoto and Nobuyuki Hamajima

    Citation: BMC Health Services Research 2020 20:742

    Content type: Research article

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  42. Early warning systems (EWS) are most effective when clinicians monitor patients’ vital signs and comply with the recommended escalation of care protocols once deterioration is recognised.

    Authors: Tracy Flenady, Trudy Dwyer, Agnieszka Sobolewska, Danielle Le Lagadec, Justine Connor, Julie Kahl, Tania Signal and Matthew Browne

    Citation: BMC Health Services Research 2020 20:736

    Content type: Research article

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  43. A recent nurse-led, telephone-administered 18-month intervention, Care Coordination for Health Promotion and Activities in Parkinson’s Disease (CHAPS), was tested in a randomized controlled trial and improved ...

    Authors: Karen I. Connor, Hilary C. Siebens, Brian S. Mittman, David A. Ganz, Frances Barry, E. J. Ernst, Lisa K. Edwards, Michael G. McGowan, Donna K. McNeese-Smith, Eric M. Cheng and Barbara G. Vickrey

    Citation: BMC Health Services Research 2020 20:732

    Content type: Research article

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  44. Insomnia is a common diagnosis among patients in psychiatric health care and effective treatments are highly demanded. Previous research suggests that internet-delivered cognitive behavioural therapy for insom...

    Authors: Josefin Kadesjö Banck and Susanne Bernhardsson

    Citation: BMC Health Services Research 2020 20:729

    Content type: Research article

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  45. Employee burnout and its associated consequences is a significant problem in the healthcare workforce. Workplace animal therapy programs offer a potential strategy for improving employee well-being; however, r...

    Authors: Bella Etingen, Rachael N. Martinez, Bridget M. Smith, Timothy P. Hogan, Laura Miller, Karen L. Saban, Dawn Irvin, Becky Jankowski and Frances M. Weaver

    Citation: BMC Health Services Research 2020 20:714

    Content type: Research article

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  46. There is both higher mortality and morbidity from cancer in low and medium income countries (LMICs) compared with high income countries (HICs). Clinical trial activities and development of more effective and l...

    Authors: Atara Ntekim, Abiola Ibraheem, Adenike Adeniyi-Sofoluwe, Toyosi Adepoju, Mojisola Oluwasanu, Toyin Aniagwu, Olutosin Awolude, Williams Balogun, Olayinka Kotila, Prisca Adejumo, Chinedum Peace Babalola, Ganiyu Arinola, Oladosu Ojengbede, Christopher O. Olopade and Olufunmilayo I. Olopade

    Citation: BMC Health Services Research 2020 20:713

    Content type: Research article

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  47. In response to a high number of incoming asylum seekers and refugees (AS&R) in Germany, initial reception centres were established to provide immediate shelter, food and health support. This study evaluates th...

    Authors: Annabelle J. Bockey, Aleš Janda, Cornelia Braun, Anne-Maria Müller, Katarina Stete, Winfried V. Kern, Siegbert R. Rieg and Berit Lange

    Citation: BMC Health Services Research 2020 20:709

    Content type: Research article

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  48. Detection of tuberculosis (TB) in children in Kenya is sub-optimal. Xpert MTB/RIF® assay (Xpert®) has the potential to improve speed of TB diagnosis due to its sensitivity and fast turnaround for results. Sign...

    Authors: Jacquie Narotso Oliwa, Sabina Adhiambo Odero, Jacinta Nzinga, Michaël Boele van Hensbroek, Caroline Jones, Mike English and Anja van’t Hoog

    Citation: BMC Health Services Research 2020 20:708

    Content type: Research article

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  49. In an effort to reduce the high rate of suicide among post-9/11 veterans, a collaborative team within the Department of Veterans Affairs (VA) has developed a holistic community-based health promotion program d...

    Authors: Sarah Shue, Jayme Brosmer and Marianne S. Matthias

    Citation: BMC Health Services Research 2020 20:707

    Content type: Research article

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