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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

    Antimicrobial resistance is an increasing problem in hospitals world-wide. Following other countries, English hospitals experienced outbreaks of carbapenemase-producing Enterobacteriaceae (CPE), a bacterial in...

    Authors: Annegret Schneider, Caroline Coope, Susan Michie, Richard Puleston, Susan Hopkins and Isabel Oliver

    Citation: BMC Health Services Research 2019 19:689

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  2. Content type: Study protocol

    Social inequities are widening globally, contributing to growing health and health care inequities. Health inequities are unjust differences in health and well-being between and within groups of people caused ...

    Authors: Colleen Varcoe, Vicky Bungay, Annette J. Browne, Erin Wilson, C. Nadine Wathen, Kat Kolar, Nancy Perrin, Scott Comber, Amélie Blanchet Garneau, David Byres, Agnes Black and Elder Roberta Price

    Citation: BMC Health Services Research 2019 19:687

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  3. Content type: Research article

    Low-intensity treatments imply reduced therapist contact due to an emphasis on self-help and the use of technologies to deliver treatment. The role of the remoteness, the reduced therapist contact, and the int...

    Authors: Elisa Haller, Nicole Besson and Birgit Watzke

    Citation: BMC Health Services Research 2019 19:686

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  4. Content type: Research article

    Telemedicine services are promoting more access to healthcare. Portugal was an early adopter of telemedicine to overcome both its geological barriers and the shortage of healthcare professionals. The Pediatric...

    Authors: Mélanie Raimundo Maia, Eduardo Castela, António Pires and Luís Velez Lapão

    Citation: BMC Health Services Research 2019 19:681

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  5. Content type: Research article

    To evaluate the impact of the Dementia Care in Hospitals Program (DCHP) on clinical and non-clinical staff job satisfaction, level of confidence and comfort in caring for patients with cognitive impairment (CI...

    Authors: Margaret E. Murray, Anna Wong Shee, Emma West, Michelle Morvell, Meredith Theobald, Vincent Versace and Mark Yates

    Citation: BMC Health Services Research 2019 19:680

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  6. Content type: Research article

    Minimizing the time until start of cancer treatment is a political goal. In Norway, the target time for lung cancer is 42 days. The aim of this study was to identify reasons for delays and estimate the effect ...

    Authors: Trine Stokstad, Sveinung Sørhaug, Tore Amundsen and Bjørn H. Grønberg

    Citation: BMC Health Services Research 2019 19:679

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  7. Content type: Research article

    Asylum seekers coming to most countries are offered a specific health examination. A previous study concluded that a considerable proportion of those taking part of it in Sweden had poor experiences of the com...

    Authors: Josefin Wångdahl, Ragnar Westerling, Per Lytsy and Lena Mårtensson

    Citation: BMC Health Services Research 2019 19:676

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  8. Content type: Research article

    To investigate timely access to and the time needed to complete the diagnostic path of children and adolescents with suspected attention deficit hyperactivity disorder (ADHD) in the 18 Italian Lombardy Region ...

    Authors: Maurizio Bonati, Massimo Cartabia and Michele Zanetti

    Citation: BMC Health Services Research 2019 19:673

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  9. Content type: Study protocol

    The transplantation process usually takes place without transplant teams being able to use imaging data to assess graft quality. The decision of whether to go get the graft or not is therefore limited and subo...

    Authors: Kevin Zarca, Jean-Claude K. Dupont, Lorène Jacoud, Julie Bulsei, Olivier Huot, Hélène Logerot and Isabelle Durand-Zaleski

    Citation: BMC Health Services Research 2019 19:672

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  10. Content type: Research article

    Pre-gestational and gestational diabetes mellitus are common complications in pregnancy affecting one in six pregnancies. The maternity services are under significant strain managing the increasing number of c...

    Authors: Abdelrahim Alqudah, Paul McMullan, Anna Todd, Conor O’Doherty, Anne McVey, Mae McConnell, John O’Donoghue, Joe Gallagher, Chris J. Watson and Lana McClements

    Citation: BMC Health Services Research 2019 19:662

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  11. Content type: Research article

    Lean is commonly adopted in healthcare to increase quality of care and efficiency. Few studies of Lean involve staff-related outcomes, and few have a longitudinal design. Thus, the aim was to examine the exten...

    Authors: Monica Kaltenbrunner, Lars Bengtsson, Svend Erik Mathiassen, Hans Högberg and Maria Engström

    Citation: BMC Health Services Research 2019 19:652

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  12. Content type: Research article

    Commissioning innovative health technologies is typically complex and multi-faceted. Drawing on the negotiated order perspective, we explore the process by which commissioning organisations make their decision...

    Authors: Gregory Maniatopoulos, Shona Haining, John Allen and Scott Wilkes

    Citation: BMC Health Services Research 2019 19:648

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  13. Content type: Research article

    Emergency department (ED) presentations made by patients having cancer treatment are associated with worse outcomes. This study aimed to explore the socio-demographic and disease related characteristics associ...

    Authors: Polly H. Dufton, Allison Drosdowsky, Marie F. Gerdtz and Mei Krishnasamy

    Citation: BMC Health Services Research 2019 19:647

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  14. Content type: Research article

    Health care systems are continually being reformed, however care improvement and intervention effectiveness are often assumed, not measured. This paper aimed to review findings from published studies about the...

    Authors: Kam Chun Ho, Fiona Stapleton, Louise Wiles, Peter Hibbert, Sally Alkhawajah, Andrew White and Isabelle Jalbert

    Citation: BMC Health Services Research 2019 19:646

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  15. Content type: Research article

    Malnutrition is a comprehensive challenge for the nursing home, home care- and home nursing sector. Nutritional care and the subsequent documentation are a common and multifaceted healthcare practice that requ...

    Authors: S. J. Håkonsen, P. U. Pedersen, A. Bygholm, C. N. Thisted and M. Bjerrum

    Citation: BMC Health Services Research 2019 19:642

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  16. Content type: Research article

    The use of mobile health apps is now common in diabetes self-management and acceptability of such tools could help predict further use. There is limited research on the acceptability of such apps: use over tim...

    Authors: Astrid Torbjørnsen, Lis Ribu, Marit Rønnevig, Astrid Grøttland and Sølvi Helseth

    Citation: BMC Health Services Research 2019 19:641

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  17. Content type: Study protocol

    Outpatient care is steadily changing from hospital consultations to other platforms, such as phone consultation and online virtual clinics. It is prudent to maintain quality of care with such initiatives. Curr...

    Authors: Birgith Engelst Grove, Per Ivarsen, Annette de Thurah, Liv Marit Schougaard, Derek Kyte and Niels Henrik Hjøllund

    Citation: BMC Health Services Research 2019 19:631

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  18. Content type: Research article

    A physician shortage is a worldwide problem and foreign-born physicians fill in the shortage of physicians in many developed countries. One problem that is associated with the physician shortage is increased p...

    Authors: Tarja Heponiemi, Laura Hietapakka, Anu Kaihlanen and Anna-Mari Aalto

    Citation: BMC Health Services Research 2019 19:624

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  19. Content type: Research article

    Shared decision-making (SDM) is a key principle in asthma management, but continues to be poorly implemented in routine care. This study aimed to evaluate the impact of a SDM communication skills training for ...

    Authors: Evamaria Müller, Alice Diesing, Anke Rosahl, Isabelle Scholl, Martin Härter and Angela Buchholz

    Citation: BMC Health Services Research 2019 19:612

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  20. Content type: Research article

    The number of type 2 diabetes mellitus (T2DM) patients and related treatment costs are rapidly increasing. Consequentially, more cost-effective and efficient strategies for the treatment of T2DM are needed. On...

    Authors: Astrid N. van Smoorenburg, Dorijn F. L. Hertroijs, Tessa Dekkers, Arianne M. J. Elissen and Marijke Melles

    Citation: BMC Health Services Research 2019 19:605

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  21. Content type: Research article

    Technology-based self-assessment (TB-SA) benefits patients and providers and has shown feasibility, ease of use, efficiency, and cost savings. A promising TB-SA, the VA eScreening program, has shown promise fo...

    Authors: James O. E. Pittman, Niloofar Afari, Elizabeth Floto, Erin Almklov, Susan Conner, Borsika Rabin and Laurie Lindamer

    Citation: BMC Health Services Research 2019 19:604

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  22. Content type: Research article

    Physician assistants/associates (PAs) are a recent innovation in acute hospital teams in England and many other countries worldwide. Although existing evidence indicates generally high levels of patient satisf...

    Authors: Francesca Taylor, Mary Halter and Vari M Drennan

    Citation: BMC Health Services Research 2019 19:603

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  23. Content type: Research article

    Health systems, globally, are attempting to strengthen primary care to promote a population-health management approach to care provision, incentivising prevention and self-management. This paper evaluates the ...

    Authors: Vishalie Shah, Jonathan Stokes and Matt Sutton

    Citation: BMC Health Services Research 2019 19:593

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  24. Content type: Research article

    ‘Cascade training’ or ‘train-the-trainers’ has been widely utilised in the dissemination of information and expertise in health and social care, but with little examination of the work required for optimal del...

    Authors: Linda Gask, Nia Coupe and Gillian Green

    Citation: BMC Health Services Research 2019 19:588

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  25. Content type: Research article

    Influenza-like illnesses (ILIs) and lower respiratory tract infections (LRTIs) cause substantial morbidity and mortality worldwide.

    Authors: Cecilia Trucchi, Chiara Paganino, Andrea Orsi, Daniela Amicizia, Valentino Tisa, Maria Francesca Piazza, Domenico Gallo, Simona Simonetti, Bruno Buonopane, Giancarlo Icardi and Filippo Ansaldi

    Citation: BMC Health Services Research 2019 19:585

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  26. Content type: Research article

    Many countries have implemented standardized cancer patient pathways (CPPs) to reduce waiting times in cancer care and to ensure timely and quick diagnosis as well as treatment. Yet, no studies have explored t...

    Authors: Sara Delilovic, Henna Hasson, Mårten Åhström and Mia von Knorring

    Citation: BMC Health Services Research 2019 19:577

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  27. Content type: Research article

    Though much is known about the benefits attributed to medical scribes documenting patient visits (e.g., reducing documentation time for the provider, increasing patient-care time, expanding the roles of licens...

    Authors: Jennifer M. Van Tiem, Kenda R. Stewart Steffensmeier, Bonnie J. Wakefield, Greg L. Stewart, Nancy A. Zemblidge, Melissa J. A. Steffen and Jane Moeckli

    Citation: BMC Health Services Research 2019 19:574

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  28. Content type: Research article

    Historically, governmental hospital organisation consisted in a heterogeneous distribution of staff and a fragmented logistical organisation without cross-functionality or sharing of resources between departme...

    Authors: Isabelle Briatte, Caroline Allix-Béguec, Gérard Garnier and Mercédès Michel

    Citation: BMC Health Services Research 2019 19:554

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  29. Content type: Research article

    Healthcare middle managers play a central role in reducing harm, improving patient safety, and strengthening the quality of healthcare. The aim of this systematic review was to identify the present knowledge a...

    Authors: Trude Anita Hartviksen, Jessica Aspfors and Lisbeth Uhrenfeldt

    Citation: BMC Health Services Research 2019 19:546

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  30. Content type: Research article

    Emergency Medical call-takers working in Emergency Medical Communication Centers (EMCCs) are addressing complex and potentially life threatening problems. The call-takers have to make fast decisions, respondin...

    Authors: Ann-Chatrin Leonardsen, Helge Ramsdal, Theresa M. Olasveengen, Jon E. Steen-Hansen, Fredrik Westmark, Andreas E. Hansen and Camilla Hardeland

    Citation: BMC Health Services Research 2019 19:545

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  31. Content type: Research article

    Presenteeism is the employee behaviour of physically attending work with reduced performance due to illness or for other reasons. Nurses are four times more likely to exhibit presenteeism compared to other occ...

    Authors: Juliana Nga Man Lui and Janice Mary Johnston

    Citation: BMC Health Services Research 2019 19:542

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  32. Content type: Research article

    Organizational readiness is a factor known to influence the predisposition of individuals within an organization to change. Based on Weiner’s organizational theory, the “Organizational Readiness for Implementi...

    Authors: M. Ruest, G. Léonard, A. Thomas, J. Desrosiers and M. Guay

    Citation: BMC Health Services Research 2019 19:535

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  33. Content type: Research article

    In the United States, primary care providers (PCPs) routinely balance acute, chronic, and preventive patient care delivery, including cancer prevention and screening, in time-limited visits. Clinical decision ...

    Authors: Melissa L. Harry, Anjali R. Truitt, Daniel M. Saman, Hillary A. Henzler-Buckingham, Clayton I. Allen, Kayla M. Walton, Heidi L. Ekstrom, Patrick J. O’Connor, JoAnn M. Sperl-Hillen, Joseph A. Bianco and Thomas E. Elliott

    Citation: BMC Health Services Research 2019 19:534

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  34. Content type: Research article

    In surgical teams, health professionals are highly interdependent and work under time pressure. It is of particular importance that teamwork is well-functioning in order to achieve quality treatment and patien...

    Authors: Birgitte Tørring, Jody Hoffer Gittell, Mogens Laursen, Bodil Steen Rasmussen and Erik Elgaard Sørensen

    Citation: BMC Health Services Research 2019 19:528

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  35. Content type: Research article

    The PRagmatic trial Of Video Education in Nursing homes (PROVEN) aims to test the effectiveness of an advance care planning (ACP) video intervention. Relatively little is known about the challenges associated ...

    Authors: Jennifer A. Palmer, Victoria A. Parker, Vincent Mor, Angelo E. Volandes, Lacey R. Barre, Emmanuelle Belanger, Phoebe Carter, Lacey Loomer, Ellen McCreedy and Susan L. Mitchell

    Citation: BMC Health Services Research 2019 19:527

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  36. Content type: Research article

    Linking process of care data from general practice (GP) and hospital data may provide more information about the risk of hospital admission and re-admission for people with type-2 diabetes mellitus (T2DM). Thi...

    Authors: Sarah Dennis, Jane Taggart, Hairong Yu, Bin Jalaludin, Mark F. Harris and Siaw-Teng Liaw

    Citation: BMC Health Services Research 2019 19:526

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  37. Content type: Research article

    Mental illness is a leading cause of illness and disability and around 75% of people suffering mental illness do not have access to adequate care. In Australia, nearly half the population experiences mental il...

    Authors: Steven A. Trankle and Jennifer Reath

    Citation: BMC Health Services Research 2019 19:524

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  38. Content type: Research article

    Liaison psychiatry services provide mental health care for patients in physical healthcare (usually acute hospital) settings including emergency departments. Liaison work involves close collaboration with acut...

    Authors: Keeble Jasmin, Andrew Walker, Elspeth Guthrie, Peter Trigwell, Alan Quirk, Jenny Hewison, Carolyn Czoski Murray and Allan House

    Citation: BMC Health Services Research 2019 19:522

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  39. Content type: Research article

    Approximately 3.5 million Americans are infected with the hepatitis C virus (HCV). Although many patients with HCV are asymptomatic, HCV is the leading cause of infection-related death in the U.S. With advance...

    Authors: Leah L. Zullig, Haresh L. Bhatia, Ziad F. Gellad, Mark Eatherly, Rochelle Henderson and Hayden B. Bosworth

    Citation: BMC Health Services Research 2019 19:521

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  40. Content type: Research article

    World Health Organization (WHO) has created an essential list of in-vitro diagnostics. Supply chain management (SCM) is said to be the vehicle that ensures that developed point-of-care (POC) tests reach their ...

    Authors: Desmond Kuupiel, Vitalis Bawontuo, Paul K. Drain, Nonjabulo Gwala and Tivani P. Mashamba-Thompson

    Citation: BMC Health Services Research 2019 19:519

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  41. Content type: Research article

    As health care strives towards the Triple Aim of improved population health, patient experience, and reduced costs, an organization’s readiness for change may be a key factor. The concept refers to the collect...

    Authors: Marie Höjriis Storkholm, Carl Savage, Mesfin Kassaye Tessma, Jannie Dalby Salvig and Pamela Mazzocato

    Citation: BMC Health Services Research 2019 19:517

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  42. Content type: Research article

    Emergency department (ED) crowding and prolonged length of stay (LOS) are associated with delays in treatment, adverse outcomes and decreased patient satisfaction. Hospital restructuring and mergers are often ...

    Authors: Ida Mentzoni, Stig Tore Bogstrand and Kashif Waqar Faiz

    Citation: BMC Health Services Research 2019 19:506

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  43. Content type: Research article

    There is a call for sexual health services to support young people achieve sexual wellbeing in addition to treating or preventing sexual ill-health. Progress towards realising this ambition is limited. This st...

    Authors: Katie Shearn, Hilary Piercy, Peter Allmark and Julia Hirst

    Citation: BMC Health Services Research 2019 19:503

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  44. Content type: Research article

    Trust has been introduced as the cornerstone of the public and health providers’ relation. Public trust in primary health care (PHC) is crucial and must be measured. The aim of this study was to develop and va...

    Authors: Homayoun Sadeghi-Bazargani, Mostafa farahbakhsh, Jafar Sadegh Tabrizi, Zahra Zare and Mohammad Saadati

    Citation: BMC Health Services Research 2019 19:502

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  45. Content type: Research article

    Amid the current burden of non-communicable (NCD) diseases in Malaysia, there is a growing demand for more efficient service delivery of primary healthcare. A complex intervention is proposed to improve NCD ma...

    Authors: Lee Lan Low, Fathullah Iqbal Ab Rahim, Mohammad Zabri Johari, Zalilah Abdullah, Siti Hajar Abdul Aziz, Nur Ajeerah Suhaimi, Norrafizah Jaafar, Ainul Nadziha Mohd Hanafiah, Yuke Lin Kong, Siti Haniza Mahmud, Mohamad Zaidan Zulkepli, Komathi Perialathan, Norazlin Muharam, Nur Hani Zainudin, Zaikiah Mohd Zin, Norazilah Mohd Roslan…

    Citation: BMC Health Services Research 2019 19:497

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  46. Content type: Research article

    Although there is evidence with respect to the effectiveness of Chronic Care Model (CCM)-based programs in terms of improved patient outcomes, less attention has been given to the effect of high-quality care o...

    Authors: Lotte Vestjens, Jane M. Cramm and Anna P. Nieboer

    Citation: BMC Health Services Research 2019 19:496

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  47. Content type: Research article

    Patient information sharing between hospitals and community pharmacies is generally insufficient. Since August 2013, the pharmacy department of Kyoto University Hospital has initiated and mediated a collaborat...

    Authors: Miwa Hinata, Kikuko Miyazaki, Hiroshi Okada and Takeo Nakayama

    Citation: BMC Health Services Research 2019 19:487

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  48. Content type: Study protocol

    Facing the increasing cancer incidence and cancer survivorship, many national strategic cancer plans have identified cancer care coordination as a priority for health service improvement. However, the high var...

    Authors: F. Colombani, M. Sibé, M. Kret, B. Quintard, A. Ravaud and F. Saillour-Glénisson

    Citation: BMC Health Services Research 2019 19:483

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  49. Content type: Research article

    Theoretical models have sought to comprehend and conceptualise how people seek help from health professionals but it is unclear if such models apply to urgent care. Much previous research does not explain the ...

    Authors: Joanne Turnbull, Catherine Pope, Jane Prichard, Gemma McKenna and Anne Rogers

    Citation: BMC Health Services Research 2019 19:481

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