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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. In 2021, the United States Preventive Services Task Force updated their recommendation, stating that individuals ages 45-49 should initiate screening for colorectal cancer. Since several screening strategies a...

    Authors: Travis Hyams, Bruce Golden, John Sammarco, Shahnaz Sultan, Evelyn King-Marshall, Min Qi Wang and Barbara Curbow

    Citation: BMC Health Services Research 2021 21:754

    Content type: Research article

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  2. Self-care is one of the cornerstones in the treatment of type 2 diabetes. Patients with type 2 diabetes struggle to maintain acceptable levels of blood sugar, blood pressure and lipids, the fundamental for the...

    Authors: Marina Taloyan, Meybod Kia, Fahimeh Lamian, Magnus Peterson and Elisabeth Rydwik

    Citation: BMC Health Services Research 2021 21:721

    Content type: Research article

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  3. Effective communication is a central aspect of organizational health literacy. Healthcare professionals are expected to ensure an effective and satisfactory flow of information and to support their patients in...

    Authors: Annika Baumeister, Digo Chakraverty, Angela Aldin, Ümran Sema Seven, Nicole Skoetz, Elke Kalbe and Christiane Woopen

    Citation: BMC Health Services Research 2021 21:716

    Content type: Research article

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  4. Primary care, the principal function of the health care system, requires effort from all local primary health care teams. Community Paramedicine (CP) has managed to reduce the use of Emergency Medical Services...

    Authors: Tuija Rasku, Marja Kaunonen, Elizabeth Thyer, Eija Paavilainen and Katja Joronen

    Citation: BMC Health Services Research 2021 21:710

    Content type: Research article

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  5. To explore the effect of applying a comprehensive unit-based safety program (CUSP) in the intrahospital transfer of patients with critical diseases.

    Authors: Yimei Gu, Lina Liang, Liuna Ge, Ling Jiang, Xiaole Hu, Jing Xu, Yu Cao and Xiaoting Feng

    Citation: BMC Health Services Research 2021 21:690

    Content type: Research article

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  6. Background: Quantitative evidence suggests that interventions involving telephone calls and text message are feasible and effective for improving lifestyle intervention adherence and clinical outcomes among ad...

    Authors: Emily Lewis, Peter Hassmén and Kate L. Pumpa

    Citation: BMC Health Services Research 2021 21:675

    Content type: Research article

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  7. To understand what is needed to achieve a successful Danish home-based reablement service from the perspective of reablement professionals.

    Authors: Mads Nibe Stausholm, Louise Pape-Haugaard, Ole Kristian Hejlesen and Pernille Heyckendorff Secher

    Citation: BMC Health Services Research 2021 21:665

    Content type: Research article

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  8. There is a global emphasis on engaging community health volunteers (CHVs) in low- to middle-income countries (LMICs) to reach to the vast underserved populations that live in rural areas. Retention of CHVs in ...

    Authors: Adelaide M Lusambili, Njeri Nyanja, Sophie Vusha Chabeda, Marleen Temmerman, Lucy Nyaga, Jerim Obure and Anthony Ngugi

    Citation: BMC Health Services Research 2021 21:642

    Content type: Research article

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  9. Syphilis infections have been on the rise, affecting men living with HIV in urban centres disproportionately. Since individuals in HIV care undergo routine blood testing, HIV clinics provide practical opportun...

    Authors: Kinnon R MacKinnon, Ramandip Grewal, Darrell HS Tan, Rodney Rousseau, John Maxwell, Sharon Walmsley, Paul A MacPherson, Anita Rachlis, Nisha Andany, Sharmistha Mishra, Vanessa G Allen and Ann N. Burchell

    Citation: BMC Health Services Research 2021 21:625

    Content type: Research article

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  10. Communities represent a highly relevant source of knowledge with regard to not only healthcare performance but also sociocultural context, yet their role in learning health systems has not been studied. Situat...

    Authors: Crystal Milligan and Whitney Berta

    Citation: BMC Health Services Research 2021 21:603

    Content type: Research article

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  11. Health care personnel who work in penitentiary environments are at risk of burnout due to a variety of factors. Latest research have brought forward a classification system consisting of five burnout profiles ...

    Authors: Stéphanie Boulier, Cédric Baumann, Hélène Rousseau, Pierre Horrach and Stéphanie Bourion-Bédès

    Citation: BMC Health Services Research 2021 21:595

    Content type: Research article

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  12. The French healthcare system is characterised by a shift towards outpatient care and the desire to develop telemedicine affirmed in the collective commitment “Ma santé 2022” presented by President Macron in 20...

    Authors: Corinne Rochette, Anne Sophie Michallet, Stéphanie Malartre-Sapienza and Sophie Rodier

    Citation: BMC Health Services Research 2021 21:580

    Content type: Research article

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  13. The COVID-19 pandemic impedes therapy and care activities. Tele-health, i.e., the provision of health care at a distance (HCD), is a promising way to fill the supply gap. However, facilitators and barriers inf...

    Authors: Verena Klamroth-Marganska, Michael Gemperle, Thomas Ballmer, Susanne Grylka-Baeschlin, Jessica Pehlke-Milde and Brigitte E. Gantschnig

    Citation: BMC Health Services Research 2021 21:578

    Content type: Research article

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  14. In recent years, there has been a growing interest in health care personalization and customization (i.e. personalized medicine and patient-centered care). While some positive impacts of these approaches have ...

    Authors: Etienne Minvielle, Aude Fourcade, Thomas Ricketts and Mathias Waelli

    Citation: BMC Health Services Research 2021 21:575

    Content type: Research article

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  15. Medical education should ensure graduates are equipped for practice in modern health-care systems. Practicing effectively in complex health-care systems requires contemporary attributes and competencies, compl...

    Authors: Kathryn Ogden, Sue Kilpatrick, Shandell Elmer and Kim Rooney

    Citation: BMC Health Services Research 2021 21:560

    Content type: Research article

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  16. Advances in genetics and sequencing technologies are enabling the identification of more individuals with inherited cancer susceptibility who could benefit from tailored screening and prevention recommendation...

    Authors: Kimberly A. Kaphingst, Wendy Kohlmann, Rachelle Lorenz Chambers, Melody S. Goodman, Richard Bradshaw, Priscilla A. Chan, Daniel Chavez-Yenter, Sarah V. Colonna, Whitney F. Espinel, Jessica N. Everett, Amanda Gammon, Eric R. Goldberg, Javier Gonzalez, Kelsi J. Hagerty, Rachel Hess, Kelsey Kehoe…

    Citation: BMC Health Services Research 2021 21:542

    Content type: Study protocol

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  17. Predischarge home assessments (PDHA) aim to support safe discharge from hospital or rehabilitation. There is insufficient evidence on the effectiveness of PDHA. For adults with any diagnosis, we aimed to deter...

    Authors: Uta Kirchner-Heklau, Kai Krause and Susanne Saal

    Citation: BMC Health Services Research 2021 21:540

    Content type: Research article

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  18. Telemedicine is increasingly utilized as an alternative to in person consultation. Current pandemic conditions are providing additional impetus to virtual care delivery. We compared both adolescent and caregiv...

    Authors: Yi Qiu, Sherry Coulson, Christopher William McIntyre, Brooke Wile and Guido Filler

    Citation: BMC Health Services Research 2021 21:537

    Content type: Research article

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  19. The NHS pledges to give all patients access to clinical research. In England, 32% of General Practices are research active and only 14% of patients engage in research. This project aimed to evaluate consent-fo...

    Authors: Dorothy Coe, Angela Birt, Gareth Forbes, Jonathan Ling, Michael Foster, Stephen Robson, Joe McDonald and Yan Yiannakou

    Citation: BMC Health Services Research 2021 21:533

    Content type: Research article

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  20. Medical Assessment Units (MAUs) have become a popular model of acute medical care to improve patient flow through timely clinical assessment and patient management. The purpose of this study was to determine t...

    Authors: Sonya Osborne, Helen Cleak, Nicole White, Xing Lee, Anthony Deacon and Julian W M de Looze

    Citation: BMC Health Services Research 2021 21:527

    Content type: Research article

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  21. The ongoing Appalachian opioid epidemic has led to increasing hepatitis C virus (HCV) infections among people who inject drugs (PWID), and Human Immunodeficiency Virus (HIV) outbreaks have been observed. The p...

    Authors: Carmen N. Burrell, Melinda J. Sharon, Stephen Davis, Judith Feinberg, Elena M. Wojcik, Julia Nist, Owen Lander, Valerie Boley, Justin Burns and Ian B. K. Martin

    Citation: BMC Health Services Research 2021 21:524

    Content type: Research article

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  22. A large evidence-practice gap exists regarding provision of nutrition to patients following surgery. The aim of this study was to evaluate the processes supporting the implementation of an intervention designe...

    Authors: Megan Rattray, Andrea P. Marshall, Ben Desbrow, Michael von Papen and Shelley Roberts

    Citation: BMC Health Services Research 2021 21:514

    Content type: Research article

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  23. Current international consensus is that ‘early’ referral to palliative care services improves cancer patient and family carer outcomes. In practice, however, these referrals are not routine. An approach which ...

    Authors: Jennifer Philip, Roslyn Le Gautier, Anna Collins, Anna K. Nowak, Brian Le, Gregory B. Crawford, Nicole Rankin, Meinir Krishnasamy, Geoff Mitchell, Sue-Anne McLachlan, Maarten IJzerman, Robyn Hudson, Danny Rischin, Tanara Vieira Sousa and Vijaya Sundararajan

    Citation: BMC Health Services Research 2021 21:513

    Content type: Study protocol

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  24. From 2014 to 17, a large-scale project, ‘The User-involving Hospital’, was implemented at a Danish university hospital. Research highlights leadership as crucial for the outcome of change processes in general ...

    Authors: Kathrine Håland Jeppesen, Kirsten Frederiksen, Marianne Johansson Joergensen and Kirsten Beedholm

    Citation: BMC Health Services Research 2021 21:505

    Content type: Research article

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  25. There is a growing understanding that empowerment of interprofessional personnel is linked to job satisfaction levels and quality of care, but little is known about empowerment in the context of cancer care. T...

    Authors: Mervi Siekkinen, Liisa Kuokkanen, Hannele Kuusisto, Helena Leino-Kilpi, Päivi Rautava, Maijastiina Rekunen, Laura Seppänen, Minna Stolt, Leena Walta and Virpi Sulosaari

    Citation: BMC Health Services Research 2021 21:502

    Content type: Research article

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  26. The level of outpatient satisfaction plays a significant role in improving the quality and utilization of healthcare services. Patient satisfaction gives providers insights into various aspects of services inc...

    Authors: Weicun Ren, Lei Sun, Clifford Silver Tarimo, Quanman Li and Jian Wu

    Citation: BMC Health Services Research 2021 21:500

    Content type: Research article

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  27. Chronic pain presents a significant burden for both federal health care systems designed to serve combat Veterans in the United States (i.e., the Military Health System [MHS] and Veterans Health Administration...

    Authors: Rachel Sayko Adams, Esther L. Meerwijk, Mary Jo Larson and Alex H. S. Harris

    Citation: BMC Health Services Research 2021 21:494

    Content type: Research article

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  28. Improving health outcomes for Indigenous people by providing person-centred, culturally safe care is a crucial challenge for the health sector, both in Australia and internationally. Many cancer providers and ...

    Authors: Emma V. Taylor, Marilyn Lyford, Michele Holloway, Lorraine Parsons, Toni Mason, Sabe Sabesan and Sandra C. Thompson

    Citation: BMC Health Services Research 2021 21:493

    Content type: Research article

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  29. Nigeria has one of the largest Human Immunodeficiency Virus (HIV) epidemics in the world. Addressing the epidemic of HIV in such a high-burden country has necessitated responses of a multidimensional nature. H...

    Authors: David Akeju, Nerissa Nance, Andrea Salas-Ortiz, Ayoola Fakunmoju, Idoteyin Ezirim, Adejumoke G. Oluwayinka, Omoregie Godpower and Sergio Bautista-Arredondo

    Citation: BMC Health Services Research 2021 21:489

    Content type: Research article

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  30. There seems to be a consensus that a vision for an organization is a valuable thing for organizations to have. However, research on organizational vision has predominantly been studied from a leadership perspe...

    Authors: Terje Slåtten, Barbara Rebecca Mutonyi and Gudbrand Lien

    Citation: BMC Health Services Research 2021 21:483

    Content type: Research article

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  31. The Conversation, Understand, Replace, Experts and evidence-based treatment (CURE) project aims to provide a comprehensive offer of both pharmacotherapy and specialist support for tobacco dependence to all smo...

    Authors: Angela Wearn, Anna Haste, Catherine Haighton, Verity Mallion and Angela M. Rodrigues

    Citation: BMC Health Services Research 2021 21:481

    Content type: Research article

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  32. Health organization research is experiencing a strong refocus on employees’ individual innovative behavior (IIB), revealing that many of the influential factors at work remain uncertain. Hence, this study empi...

    Authors: Barbara Rebecca Mutonyi, Terje Slåtten and Gudbrand Lien

    Citation: BMC Health Services Research 2021 21:470

    Content type: Research article

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  33. To conduct a pilot study on an alternative model for the provision of respiratory therapies in sleep apnea-hypopnea syndrome (SAHS) by internalizing the service with the purchase, monitoring and control of con...

    Authors: Demetrio Gonzalez-Vergara, Sergio Marquez-Pelaez, Jose David Alfonso-Arias, Julia Perez-Ramos, Jose Luis Rojas-Box and Manuel Aumesquet-Nosea

    Citation: BMC Health Services Research 2021 21:469

    Content type: Research article

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  34. It was estimated that over a billion people have a disability and around 110 to 190 million experienced significant difficulties in functioning. Similarly, there were over 5 million and 32,630 individuals with...

    Authors: Nebiyou Dagnachew, Solomon Getnet Meshesha and Zelalem Tilahun Mekonen

    Citation: BMC Health Services Research 2021 21:467

    Content type: Research article

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  35. The Protocol-guided Rapid Evaluation of Veterans Experiencing New Transient Neurologic Symptoms (PREVENT) program was a complex quality improvement (QI) intervention targeting transient ischemic attack (TIA) e...

    Authors: Teresa M. Damush, Lauren S. Penney, Edward J. Miech, Nicholas A. Rattray, Sean A. Baird, Ariel J. Cheatham, Charles Austin, Ali Sexson, Laura J. Myers and Dawn M. Bravata

    Citation: BMC Health Services Research 2021 21:453

    Content type: Research article

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  36. The World Economic Forum has recently highlighted substantial problems in mental health service provision and called for the rapid deployment of smarter, digitally-enhanced health services as a means to facili...

    Authors: Sarah Piper, Tracey A. Davenport, Haley LaMonica, Antonia Ottavio, Frank Iorfino, Vanessa Wan Sze Cheng, Shane Cross, Grace Yeeun Lee, Elizabeth Scott and Ian B. Hickie

    Citation: BMC Health Services Research 2021 21:452

    Content type: Study protocol

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  37. Self-management is of paramount importance in the non-surgical treatment of knee/hip osteoarthritis (OA). Modern technologies offer the possibility of 24/7 self-management support. We developed an e-self-manag...

    Authors: Tim Pelle, Job van der Palen, Frank de Graaf, Frank H. J. van den Hoogen, Karen Bevers and Cornelia H. M. van den Ende

    Citation: BMC Health Services Research 2021 21:444

    Content type: Research article

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  38. : Interventional cardiac electrophysiology (EP) is a rapidly evolving field in Canada; a nationwide registry was established in 2011 to conduct a periodic review of resource allocation.

    Authors: Anna Kaoutskaia, Mohammed Shurrab, Guy Amit, Ratika Parkash, Derek Exner, Satish Toal, Laurence Sterns, Jean-Francois Sarrazin, Vijay Chauhan, Omar Sultan, Girish Nair, Marc Deyell, Laurent Macle, Steve Klassen, Benedict Glover and Eugene Crystal

    Citation: BMC Health Services Research 2021 21:435

    Content type: Research article

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  39. Caring for a growing aging population using existing long-term care resources while simultaneously supporting and educating family caregivers, is a public health challenge.

    Authors: N. A. Boucher, L. L. Zullig, M. Shepherd-Banigan, K. P. Decosimo, J. Dadolf, A. Choate, E. P. Mahanna, N. R. Sperber, V. Wang, K. A. Allen, S. N. Hastings and C. H. Van Houtven

    Citation: BMC Health Services Research 2021 21:430

    Content type: Research article

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  40. Reproductive coercion and abuse is defined as any behaviour that seeks to control a woman’s reproductive autonomy. In Australia, women often access reproductive health care through a primary care clinician, ho...

    Authors: Molly Wellington, Kelsey Hegarty and Laura Tarzia

    Citation: BMC Health Services Research 2021 21:424

    Content type: Research article

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  41. Worse health outcomes are consistently reported for First Nations people in Canada. Social, political and economic inequities as well as inequities in health care are major contributing factors to these health...

    Authors: Patrick McLane, Cheryl Barnabe, Brian R. Holroyd, Amy Colquhoun, Lea Bill, Kayla M. Fitzpatrick, Katherine Rittenbach, Chyloe Healy, Bonnie Healy and Rhonda J. Rosychuk

    Citation: BMC Health Services Research 2021 21:423

    Content type: Research article

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  42. Increasing use of volunteers in healthcare requires structured collaboration between healthcare services and volunteers. The aim of this research was to explore critical issues and strategies in the implementa...

    Authors: Erica Fredriksen, Elin Thygesen, Carl E. Moe and Santiago Martinez

    Citation: BMC Health Services Research 2021 21:410

    Content type: Research article

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  43. Demand for stroke rehabilitation is expected to grow dramatically; with the estimated prevalence of stroke survivors rising to 70 million worldwide by 2030. The World Health Organization’s (WHO) report - Rehabili...

    Authors: Kimberley Elizabeth Watkins, William Mark Magnus Levack, Farooq Azam Rathore and Elizabeth Jean Carleton Hay-Smith

    Citation: BMC Health Services Research 2021 21:399

    Content type: Research article

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  44. Work stress and compassion fatigue are prevalent among healthcare staff and their negative effects on staff well-being and patient care are well-known. This paper reports on the implementation and evaluation o...

    Authors: Jeremy Dawson, Imelda McCarthy, Cath Taylor, Kristin Hildenbrand, Mary Leamy, Ellie Reynolds and Jill Maben

    Citation: BMC Health Services Research 2021 21:392

    Content type: Research article

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  45. Provision of informal care may adversely affect health, daily and social activities of the informal caregivers, but few studies have examined these effects in relation to caregiving intensity. This study exami...

    Authors: Suhana Jawahir, Ee Hong Tan, Yeung R’ong Tan, Sarah Nurain Mohd Noh and Iqbal Ab Rahim

    Citation: BMC Health Services Research 2021 21:391

    Content type: Research article

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  46. Lean management practices are increasingly used in hospitals. However, their impacts on staff have not been systematically synthesised. This scoping review aims to synthesise the evidence on the effects of Lea...

    Authors: Zeyad Mahmoud, Nathalie Angelé-Halgand, Kate Churruca, Louise A. Ellis and Jeffrey Braithwaite

    Citation: BMC Health Services Research 2021 21:383

    Content type: Research article

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  47. Readmission rates are frequently used as a quality indicator for health care, yet their validity for evaluating quality is unclear. Published research on variables affecting readmission to psychiatric hospital...

    Authors: Eva Lassemo, Lars Henrik Myklebust, Damiano Salazzari and Jorid Kalseth

    Citation: BMC Health Services Research 2021 21:378

    Content type: Research article

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  48. The need for and usage of electronic patient records within hospitals has steadily increased over the last decade for economic reasons as well as the proceeding digitalization. While there are numerous benefit...

    Authors: Marina Beckmann, Kerstin Dittmer, Julia Jaschke, Ute Karbach, Juliane Köberlein-Neu, Maya Nocon, Carsten Rusniok, Florian Wurster and Holger Pfaff

    Citation: BMC Health Services Research 2021 21:377

    Content type: Study protocol

    Published on: