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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. Diabetes mellitus is highly prevalent and associated with huge economic burden globally. The conventional care and management of diabetes mellitus is highly fragmented and complex, warranting the need for a co...

    Authors: Sara Abdulrhim, Sowndramalingam Sankaralingam, Mohamed Izham Mohamed Ibrahim, Mohammed Issam Diab, Mohamed Abdelazim Mohamed Hussain, Hend Al Raey, Mohammed Thahir Ismail and Ahmed Awaisu

    Citation: BMC Health Services Research 2021 21:192

    Content type: Research article

    Published on:

  2. 30-day hospital readmissions are an indicator of quality of care; hospitals are financially penalized by Medicare for high rates. Numerous care transition processes reduce readmissions in clinical trials. The ...

    Authors: Jacqueline Pugh, Lauren S. Penney, Polly H. Noël, Sean Neller, Michael Mader, Erin P. Finley, Holly J. Lanham and Luci Leykum

    Citation: BMC Health Services Research 2021 21:189

    Content type: Research article

    Published on:

  3. This study aimed to reflect on scientific experts’ and executive stakeholders’ opinions on how charitable organizations can participate in the health care system properly and cope with problems, challenges, st...

    Authors: Raana Gholamzadeh Nikjoo, Yegane Partovi and Nasrin Joudyian

    Citation: BMC Health Services Research 2021 21:181

    Content type: Research article

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  4. Intermediate care (IC) bridges the clinical pathway of older patients transitioning from the hospital to home. Currently, there is a strong consensus that the practice environment is an important factor in hel...

    Authors: Linda Aimée Hartford Kvæl and Astrid Bergland

    Citation: BMC Health Services Research 2021 21:180

    Content type: Research article

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  5. Despite the success of stroke rehabilitation services, differences in service utilization exist. Some patients with stroke may travel across regions to receive necessary care prescribed by their physician. It ...

    Authors: Julianna M. Dean, Kimberly Hreha, Ickpyo Hong, Chih-Ying Li, Daniel Jupiter, John Prochaska and Timothy Reistetter

    Citation: BMC Health Services Research 2021 21:176

    Content type: Research article

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  6. There is increasing evidence that integrated care improves child related quality of life and reduces health service use. However, there is limited evidence on family perspectives about the quality of integrate...

    Authors: Rose-Marie Satherley, Raghu Lingam, Judith Green and Ingrid Wolfe

    Citation: BMC Health Services Research 2021 21:167

    Content type: Research article

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  7. Extensive waiting times before receiving services is a major barrier to adequate pain management. Waiting times may have a detrimental impact on patients’ conditions and quality of life. However, there remains...

    Authors: Simon Deslauriers, Jean-Sébastien Roy, Sasha Bernatsky, Nathan Blanchard, Debbie E. Feldman, Anne Marie Pinard, Mary-Ann Fitzcharles, François Desmeules and Kadija Perreault

    Citation: BMC Health Services Research 2021 21:160

    Content type: Research article

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  8. Early identification of patients with chronic conditions and complex health needs in emergency departments (ED) would enable the provision of services better suited to their needs, such as case management. A c...

    Authors: Catherine Hudon, Mathieu Bisson, Marie-France Dubois, Yohann Chiu, Maud-Christine Chouinard, Nicole Dubuc, Nicolas Elazhary, Véronique Sabourin and Alain Vanasse

    Citation: BMC Health Services Research 2021 21:157

    Content type: Research article

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  9. More fragmented ambulatory care (i.e., care spread across many providers without a dominant provider) has been associated with more subsequent healthcare utilization (such as more tests, procedures, emergency ...

    Authors: Lisa M. Kern, Mangala Rajan, Lisandro D. Colantonio, Evgeniya Reshetnyak, Joanna Bryan Ringel, Paul M. Muntner, Lawrence P. Casalino, Laura C. Pinheiro and Monika M. Safford

    Citation: BMC Health Services Research 2021 21:154

    Content type: Research article

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  10. The COVID-19 pandemic halted non-emergency surgery across Scotland. Measures to mitigate the risks of transmitting COVID-19 are creating significant challenges to restarting all surgical services safely. We de...

    Authors: Kelvin KW Cheng, Martin J Anderson, Stavros Velissaris, Robert Moreton, Ahmed Al-Mansour, Roshini Sanders, Shona Sutherland, Peter Wilson and Andrew Blaikie

    Citation: BMC Health Services Research 2021 21:153

    Content type: Research article

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  11. Little is known about the nature of patients’ transitions between healthcare settings in the last year of life (LYOL) in Germany. Patients often experience transitions between different healthcare settings, su...

    Authors: Alina Kasdorf, Gloria Dust, Vera Vennedey, Christian Rietz, Maria C. Polidori, Raymond Voltz and Julia Strupp

    Citation: BMC Health Services Research 2021 21:147

    Content type: Research article

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  12. In the context of the volume of mixed- and multi-methods studies in health services research, the present study sought to develop an appraisal tool to determine the methodological and reporting quality of such...

    Authors: Reema Harrison, Benjamin Jones, Peter Gardener and Rebecca Lawton

    Citation: BMC Health Services Research 2021 21:144

    Content type: Research article

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  13. Technology is increasingly transforming the way we interact with others and undertake activities in our daily lives. The healthcare setting has, however, not yet realised the potential of technology solutions ...

    Authors: Kim E. Alexander, Theodora Ogle, Hana Hoberg, Libbie Linley and Natalie Bradford

    Citation: BMC Health Services Research 2021 21:141

    Content type: Research article

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  14. Patient medicines helpline services (PMHS) have been established at some National Health Service (NHS) hospitals, to provide patients with post-discharge medicines-related support. However, findings suggest th...

    Authors: Matt Williams, Abbie Jordan, Jenny Scott and Matthew D. Jones

    Citation: BMC Health Services Research 2021 21:137

    Content type: Research article

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  15. This study was a retrospective evaluation of an unsuccessfully implemented team-based, chronic disease management program, with an aim to understand more about implementation barriers. The program, the Chronic...

    Authors: Shannon L. Sibbald, Rachelle Van Asseldonk, Peiwen L. Cao and Benson Law

    Citation: BMC Health Services Research 2021 21:134

    Content type: Research article

    Published on:

  16. Women developing Gestational Diabetes Mellitus (GDM) are subsequently at a higher risk of developing Type 2 Diabetes later in life. Screening and effective management of women with GDM are essential in prevent...

    Authors: Biswamitra Sahu, Giridhara R. Babu, Kaveri Siddappa Gurav, Maithili Karthik, Deepa Ravi, Eunice Lobo, Daisy Abu John, Laura Oakley, Eugene Oteng-Ntim, Iliatha Papachristou Nadal and Sanjay Kinra

    Citation: BMC Health Services Research 2021 21:133

    Content type: Research article

    Published on:

  17. The paper aims to understand the main antecedents related to the blood donation propensity related to both donors and non-donors. With our research, we will analyse the two perspectives to identify similaritie...

    Authors: Roberta Guglielmetti Mugion, Maria Giovina Pasca, Laura Di Di Pietro and Maria Francesca Renzi

    Citation: BMC Health Services Research 2021 21:127

    Content type: Research article

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  18. As telemedicine adoption increases, so does the importance of building cohesion among physicians in telemedicine teams. For example, in acute telestroke services, stroke specialists provide rapid remote stroke...

    Authors: Himalaya Patel, Teresa M. Damush, Edward J. Miech, Nicholas A. Rattray, Holly A. Martin, April Savoy, Laurie Plue, Jane Anderson, Sharyl Martini, Glenn D. Graham and Linda S. Williams

    Citation: BMC Health Services Research 2021 21:124

    Content type: Research article

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  19. The purpose of this study is to increase understanding of physicians’ attitudes towards disability pension applicants, and the impact of diagnosis. We hypothesize that physicians are more likely to think that ...

    Authors: Ashley McAllister, Allison Milner, Monika Engblom, Patrick Corrigan and Bo Burström

    Citation: BMC Health Services Research 2021 21:122

    Content type: Research article

    Published on:

  20. Interventions in which individual older patients with multi-morbidity participate in formulating goals for their own care are being implemented in several countries. Successful service delivery requires normat...

    Authors: Jannike Dyb Oksavik, Turid Aarseth, Marit Solbjør and Ralf Kirchhoff

    Citation: BMC Health Services Research 2021 21:117

    Content type: Research article

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  21. Health services have a clear role in the treatment of obesity and diseases linked to obesity but a less well-established role in prevention, particularly in hospital and community-based health services.

    Authors: Claire Pearce, Lucie Rychetnik and Andrew Wilson

    Citation: BMC Health Services Research 2021 21:111

    Content type: Research article

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  22. In settings with high prevalence of female genital mutilation (FGM), the health sector could play a bigger role in its prevention and care of women and girls who have undergone this harmful practice. However, ...

    Authors: Wisal Ahmed, Vernon Mochache, Karin Stein, Patrick Ndavi, Tammary Esho, Mamadou Dioulde Balde, Anne-Marie Soumah, Ahmed Diriye, Muna Abdi Ahmed, Max Petzold and Christina Pallitto

    Citation: BMC Health Services Research 2021 21:109

    Content type: Study protocol

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  23. Primary care is the first point of care, also for people with disabilities. The accessibility of primary care facilities is therefore very important. In this study we analysed comparative data on physical acce...

    Authors: Peter P. Groenewegen, Madelon Kroneman and Peter Spreeuwenberg

    Citation: BMC Health Services Research 2021 21:107

    Content type: Research article

    Published on:

  24. Caregiving is a demanding role that can negatively impact a person’s health and well-being. As such, adequate access to health care is important for maintaining the family caregiver’s own personal health. The ...

    Authors: Jill C. Slaboda, Sandahl H. Nelson, Zia Agha and Gregory J. Norman

    Citation: BMC Health Services Research 2021 21:101

    Content type: Research article

    Published on:

  25. The importance of the therapeutic relationship is widely recognised across healthcare professions. Despite the importance of therapeutic relationships, there are significant gaps in the knowledge base on how t...

    Authors: Ayana Horton, Gail Hebson and David Holman

    Citation: BMC Health Services Research 2021 21:97

    Content type: Research article

    Published on:

  26. The indication for prescribing a particular medication, or its reason for use (RFU) is a crucial piece of information for all those involved in the circle of care. Research has shown that sharing RFU informati...

    Authors: Colin Whaley, Ashley Bancsi, Joanne Man-Wai Ho, Catherine M. Burns and Kelly Grindrod

    Citation: BMC Health Services Research 2021 21:89

    Content type: Research article

    Published on:

  27. An increased and/or stable proportion of the child and adolescent population reports symptoms of impaired health, and the symptoms can be identified early. Therefore, structured child- and parent-reported outc...

    Authors: Thomas Westergren, Eirin Mølland, Kristin Haraldstad, Åshild Tellefsen Håland, Unni Mette Stamnes Köpp, Liv Fegran and Eirik Abildsnes

    Citation: BMC Health Services Research 2021 21:86

    Content type: Research article

    Published on:

  28. Due to regional, professional, and resource limitations, access to mental health care for Canada’s Indigenous peoples can be difficult. Telemental health (TMH) offers the opportunity to provide care across vas...

    Authors: Zhida Shang, Antonia Arnaert, Yvonne Hindle, Zoumanan Debe, Geneviève Côté-Leblanc and Amine Saadi

    Citation: BMC Health Services Research 2021 21:85

    Content type: Research article

    Published on:

  29. Community pharmacies provide an appropriate setting to deliver minor ailment services (MASs). Many community pharmacy services have been developed previously without stakeholder involvement. As a result, imple...

    Authors: Sarah Dineen-Griffin, Shalom I. Benrimoj, Kylie A. Williams and Victoria Garcia-Cardenas

    Citation: BMC Health Services Research 2021 21:80

    Content type: Research article

    Published on:

  30. Obstructive sleep apnea is common among rural Veterans, however, access to diagnostic sleep testing, sleep specialists, and treatment devices is limited. To improve access to sleep care, the Veterans Health Ad...

    Authors: Francesca M. Nicosia, Bhavika Kaul, Annette M. Totten, Molly C. Silvestrini, Katherine Williams, Mary A. Whooley and Kathleen F. Sarmiento

    Citation: BMC Health Services Research 2021 21:77

    Content type: Research article

    Published on:

  31. Service reconfiguration of inpatient services in a hospital includes complete and partial closure of all emergency inpatient facilities. The “natural experiment” of service reconfiguration may give insight int...

    Authors: Joanne Martin, Edwin Amalraj Raja and Steve Turner

    Citation: BMC Health Services Research 2021 21:75

    Content type: Research article

    Published on:

  32. Health care administrators must establish and promote effective partnerships with community agencies to address social determinants of health, including reducing exposure of infants and young children to chron...

    Authors: Julie S. McCrae, Jo Ann L. Robinson, Angeline K. Spain, Kaela Byers and Jennifer L. Axelrod

    Citation: BMC Health Services Research 2021 21:71

    Content type: Research article

    Published on:

  33. The need to improve the care of people with complex care requirements has been driving the reforms integrating care processes. This study examines the effect of the integration of health services on health car...

    Authors: Katja Wikström, Marja-Leena Lamidi, Päivi Rautiainen, Hilkka Tirkkonen, Petri Kivinen and Tiina Laatikainen

    Citation: BMC Health Services Research 2021 21:65

    Content type: Research article

    Published on:

  34. Up to 50% of medicines are not used as intended, resulting in poor health and economic outcomes. Medicines optimisation is ‘a person-centred approach to safe and effective medicines use, to ensure people obtai...

    Authors: John Fellenor, Nicky Britten, Molly Courtenay, Rupert A. Payne, Jose Valderas, Rachel Denholm, Polly Duncan, Deborah McCahon, Lynn Tatnell, Richard Fitzgerald, Krystal Warmoth, David Gillespie, Katrina Turner and Margaret Watson

    Citation: BMC Health Services Research 2021 21:64

    Content type: Research article

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  35. Financial incentives is emerging as a viable strategy for improving clinical outcomes for adults with type 2 diabetes. However, there is limited data on optimal structure for financial incentives and whether f...

    Authors: Leonard E. Egede, Jennifer A. Campbell, Rebekah J. Walker, Aprill Z. Dawson and Joni S. Williams

    Citation: BMC Health Services Research 2021 21:57

    Content type: Research article

    Published on:

  36. Global calls for renewed efforts to address stillbirth burden highlighted areas for policy and implementation resulting in national level translations. Information regarding adapted strategies to effect policy...

    Authors: Eric Ssegujja, Isaac Ddumba and Michelle Andipartin

    Citation: BMC Health Services Research 2021 21:53

    Content type: Research article

    Published on:

  37. To better understand the distribution and consumption patterns of resources in different ethnic groups and at different levels of economic development, this paper chose to describe the healthcare seeking behav...

    Authors: Xuechen Xiong, Xiaolin Cao and Li Luo

    Citation: BMC Health Services Research 2021 21:51

    Content type: Research article

    Published on:

  38. Cardiovascular diseases (CVD) are commonly comorbid with mental health disorders, portending poorer cardiac prognosis. Despite the high prevalence of depression and anxiety, and guidelines recommending routine...

    Authors: C. M. Collopy, S. M. Cosh and P. J. Tully

    Citation: BMC Health Services Research 2021 21:49

    Content type: Research article

    Published on:

  39. Implementing community-based innovations for older adults with serious illness, who are appropriate for a palliative approach to care, requires developing partnerships between health and community. Nav-CARE is...

    Authors: Grace Warner, Emily Kervin, Barb Pesut, Robin Urquhart, Wendy Duggleby and Taylor Hill

    Citation: BMC Health Services Research 2021 21:42

    Content type: Research article

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  40. The acute treatment for stroke takes place in hospitals and in Norway follow-up of stroke survivors residing in the communities largely takes place in general practice. In order to provide continuous post stro...

    Authors: Rune Aakvik Pedersen, Halfdan Petursson, Irene Hetlevik and Henriette Thune

    Citation: BMC Health Services Research 2021 21:41

    Content type: Research article

    Published on:

  41. Increasing patient numbers, complexity of patient management, and healthcare resource limitations have resulted in prolonged patient wait times, decreased quality of service, and decreased patient satisfaction...

    Authors: Andrew W. Kam, Scott Collins, Tae Park, Michael Mihail, Fiona F. Stanaway, Noni L. Lewis, Daniel Polya, Samantha Fraser-Bell, Timothy V. Roberts and James E.H. Smith

    Citation: BMC Health Services Research 2021 21:38

    Content type: Research article

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  42. Mental health professionals usually decide patients’ access to inpatient care to ensure care based on need and potential benefit. The purpose of the current study is to investigate how patients evaluate admiss...

    Authors: Olav Nyttingnes, Jūratė Šaltytė Benth and Torleif Ruud

    Citation: BMC Health Services Research 2021 21:36

    Content type: Research article

    Published on:

  43. As health systems transition to value-based care, improving transitional care (TC) remains a priority. Hospitals implementing evidence-based TC models often adapt them to local contexts. However, limited resea...

    Authors: Jing Li, Gaixin Du, Jessica Miller Clouser, Arnold Stromberg, Glen Mays, Joann Sorra, Jane Brock, Terry Davis, Suzanne Mitchell, Huong Q. Nguyen and Mark V. Williams

    Citation: BMC Health Services Research 2021 21:35

    Content type: Research article

    Published on:

  44. A systems-level approach to smoking cessation treatment may optimize healthcare provider adherence to guidelines. Institutions such as the Veterans Health Administration (VHA) are unique in their systematic ap...

    Authors: Jennifer A. Lewis, Nicole Senft, Heidi Chen, Kathryn E. Weaver, Lucy B. Spalluto, Kim L. Sandler, Leora Horn, Pierre P. Massion, Robert S. Dittus, Christianne L. Roumie and Hilary A. Tindle

    Citation: BMC Health Services Research 2021 21:33

    Content type: Research article

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  45. The Person-centred Practice Inventory-Staff (PCPI-S) instrument was developed to measure healthcare providers’ perception towards their person-centred practice. The study aimed to explore the influence of cult...

    Authors: Nur Zahirah Balqis-Ali, Pui San Saw, Anis Syakira Jailani, Weng Hong Fun, Noridah Mohd Saleh, Tengku Putri Zaharah Tengku Bahanuddin, Sondi Sararaks and Shaun Wen Huey Lee

    Citation: BMC Health Services Research 2021 21:32

    Content type: Research article

    Published on:

  46. Relationships between dietitians and other healthcare providers can impact the degree to which patient care is collaborative; inefficient communication can lead to suboptimal care. It takes time for multidisci...

    Authors: Sarah Hewko, Amirah Oyesegun, Samantha Clow and Charlene VanLeeuwen

    Citation: BMC Health Services Research 2021 21:25

    Content type: Research article

    Published on:

  47. Rising healthcare costs, an increasing general practitioner shortage and an aging population have made healthcare organization transformation a priority. To meet these challenges, traditional roles of non-medi...

    Authors: Ferdinand Bastiaens, Di-Janne Barten and Cindy Veenhof

    Citation: BMC Health Services Research 2021 21:19

    Content type: Research article

    Published on:

    The Correction to this article has been published in BMC Health Services Research 2021 21:102