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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.

Page 1 of 24

  1. Content type: Research article

    Guidelines recommend shared decision making (SDM) for determining whether to use statins to prevent cardiovascular events in at-risk patients. We sought to develop a toolkit to facilitate the cross-organizatio...

    Authors: Aaron L. Leppin, Kasey R. Boehmer, Megan E. Branda, Nilay D. Shah, Ian Hargraves, Sara Dick, Glyn Elwyn, Henry H. Ting, Siqin Ye, Ryan Gilles, Marghoob Abbas, Alex Alexander and Victor M. Montori

    Citation: BMC Health Services Research 2019 19:249

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  2. Content type: Research article

    Hospital-initiated smoking cessation interventions utilizing pharmacotherapy increase post-discharge quit rates. Use of smoking cessation medications following discharge may further increase quit rates. This s...

    Authors: Edward P. Liebmann, Taneisha S. Scheuermann, Babalola Faseru and Kimber P. Richter

    Citation: BMC Health Services Research 2019 19:246

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  3. Content type: Study protocol

    A comprehensive in-hospital patient management with reasonable and economic resource allocation is arguably the major challenge of health-care systems worldwide, especially in elderly, frail, and polymorbid pa...

    Authors: Alexander Kutz, Daniel Koch, Antoinette Conca, Ciril Baechli, Sebastian Haubitz, Katharina Regez, Ursula Schild, Zeljka Caldara, Fahim Ebrahimi, Stefano Bassetti, Jens Eckstein, Juerg Beer, Michael Egloff, Vladimir Kaplan, Tobias Ehmann, Claus Hoess…

    Citation: BMC Health Services Research 2019 19:237

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  4. Content type: Research article

    Commissioning is a term used in the English National Health Service (NHS) to refer to what most health systems call health planning or strategic purchasing. Drawing on research from a recent in-depth mixed met...

    Authors: Judith Smith, Gerald Wistow, Holly Holder and Matthew Gaskins

    Citation: BMC Health Services Research 2019 19:228

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  5. Content type: Research article

    Effective collaboration between speech and language therapists (SLTs) and teachers is essential in meeting the needs of children with developmental language disorders in school, but it is difficult to achieve....

    Authors: A. L. Gallagher, CA. Murphy, P. F. Conway and A. Perry

    Citation: BMC Health Services Research 2019 19:226

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  6. Content type: Research article

    Cardiac rehabilitation (CR) has proven health benefits and, according to international guidelines, CR must be offered to all eligible patients. Studies have reported lower uptake of CR among migrants, and migr...

    Authors: Fatima Al-Sharifi, Hanne Winther Frederiksen, Henriette Knold Rossau, Marie Norredam and Ann-Dorthe Zwisler

    Citation: BMC Health Services Research 2019 19:223

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  7. Content type: Research article

    The use of psychotropic medications in relation to mental disorders is considered central to preventing suicide. However, few studies have addressed prescription patterns at different time points within the la...

    Authors: Anne Reneflot, Silje L. Kaspersen, Lars Johan Hauge and Jorid Kalseth

    Citation: BMC Health Services Research 2019 19:215

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  8. Content type: Research article

    Ultrasound (US) can be used for many perioperative procedures, but evidence is lacking as to its frequency of use and barrier of application. The objectives of this survey were to determine i) how often US gui...

    Authors: J. Chui, R. Lavi, A. F. Hegazy, P. M. Jones, R. Arellano, H. Yang and D. Bainbridge

    Citation: BMC Health Services Research 2019 19:214

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  9. Content type: Study protocol

    In 2016, Oregon became the first of eight states to allow pharmacists to directly prescribe hormonal contraception (HC), including the pill, patch, or ring, without a clinic visit. In the two years following t...

    Authors: Maria I. Rodriguez, Blair G. Darney, Alison B. Edelman, Kimberly Yee, Lorinda B. Anderson and K. John McConnell

    Citation: BMC Health Services Research 2019 19:207

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  10. Content type: Study protocol

    Hospitalisations are a critical event in the care process. Insufficient communication and uncoordinated follow-up care often impede the recovery process of the patient resulting in a high number of rehospitali...

    Authors: Johanna Forstner, Cornelia Straßner, Aline Kunz, Lorenz Uhlmann, Tobias Freund, Frank Peters-Klimm, Michel Wensing, Stephanie Kümmel, Nadja El-Kurd, Ronja Rück, Bärbel Handlos and Joachim Szecsenyi

    Citation: BMC Health Services Research 2019 19:206

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  11. Content type: Research article

    Accurate and valid measures for implementation constructs are critical to advance research and guide implementation efforts. However, there is a continued need for valid and reliable measures for implementatio...

    Authors: Timothy J. Walker, Serena A. Rodriguez, Sally W. Vernon, Lara S. Savas, Erica L. Frost and Maria E. Fernandez

    Citation: BMC Health Services Research 2019 19:205

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  12. Content type: Research article

    In Sweden, the number of older people using emergency department (ED) care is rising. Among older persons an ED visit is a stressful event, which potentially could have been prevented or treated at other level...

    Authors: Megan Doheny, Janne Agerholm, Nicola Orsini, Pär Schön and Bo Burström

    Citation: BMC Health Services Research 2019 19:202

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  13. Content type: Research article

    A number of working time arrangements have been linked to negative consequences for both health personnel and their patients. A common hypothesis put forth to explain these findings suggests that certain worki...

    Authors: Vilde H. Bernstrøm, Daniele Evelin Alves, Dag Ellingsen and Mari Holm Ingelsrud

    Citation: BMC Health Services Research 2019 19:193

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  14. Content type: Research article

    A majority of nursing home residents have dementia, and many develop neuropsychiatric symptoms. These symptoms are often caused by neuropathological changes in the brain, but modifiable factors related to qual...

    Authors: Sigrid Nakrem, Geir-Tore Stensvik, Rickard Johan Skjong and Joan Ostaszkiewicz

    Citation: BMC Health Services Research 2019 19:191

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  15. Content type: Research article

    Worldwide community pharmacies are shifting their role in the healthcare system from simple medication dispensers to health care providers. High levels of satisfaction with pharmacy services were found in prev...

    Authors: Verónica Policarpo, Sónia Romano, João H. C. António, Tânia Sofia Correia and Suzete Costa

    Citation: BMC Health Services Research 2019 19:186

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  16. Content type: Study protocol

    More than one million people in Germany live with dementia. Most of these people are cared for at home in the family setting. Supporting and caring for people with dementia is time-consuming, and family carers...

    Authors: Martin Berwig, Susanne Lessing and Ruth Deck

    Citation: BMC Health Services Research 2019 19:183

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  17. Content type: Research article

    Enhanced Recovery After Surgery (ERAS) guidelines recommend early oral feeding with nutritionally adequate diets after surgery. However, studies have demonstrated variations in practice and poor adherence to t...

    Authors: Megan Rattray, Shelley Roberts, Ben Desbrow, Martin Wullschleger, Tayla Robertson, Ingrid Hickman and Andrea P. Marshall

    Citation: BMC Health Services Research 2019 19:178

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  18. Content type: Research article

    To cope with rising demand for healthcare services in Singapore, Regional Health Systems (RHS) comprising of health and social care providers across care settings were set up to integrate service delivery. Tas...

    Authors: Milawaty Nurjono, Pami Shrestha, Ian Yi Han Ang, Farah Shiraz, Joanne Su-Yin Yoong, Sue-Anne Ee Shiow Toh and Hubertus Johannes Maria Vrijhoef

    Citation: BMC Health Services Research 2019 19:177

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  19. Content type: Research article

    Shared Decision Making (SDM) is an approach where clinicians and patients share the best available evidence to make decision and where patients opinions are considered. This approach provides benefits for pati...

    Authors: M. R. Gualano, F. Bert, S. Passi, M. Stillo, V. Brescia, G. Scaioli, R. Thomas, G. Voglino, D. Minniti, F. Boraso and R. Siliquini

    Citation: BMC Health Services Research 2019 19:174

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  20. Content type: Research article

    Shared decision-making in oncology requires information on individual prognosis. This comprises cancer prognosis as well as competing risks of dying due to age and comorbidities. Decision aids usually do not p...

    Authors: Viktoria Mühlbauer, Birte Berger-Höger, Martina Albrecht, Ingrid Mühlhauser and Anke Steckelberg

    Citation: BMC Health Services Research 2019 19:171

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  21. Content type: Study protocol

    Polypharmacy is prevalent among hospitalized older adults, particularly those being discharged to a post-care care facility (PAC). The aim of this randomized controlled trial is to determine if a patient-cente...

    Authors: Eduard E. Vasilevskis, Avantika S. Shah, Emily K. Hollingsworth, Matthew S. Shotwell, Amanda S. Mixon, Susan P. Bell, Sunil Kripalani, John F. Schnelle and Sandra F. Simmons

    Citation: BMC Health Services Research 2019 19:165

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  22. Content type: Research article

    Better management of long-term conditions remains a policy priority, with a focus on improving outcomes and reducing use of expensive hospital services. A number of interventions have been tested, but many hav...

    Authors: David G. Lugo-Palacios, Jonathan Hammond, Thomas Allen, Sarah Darley, Ruth McDonald, Thomas Blakeman and Peter Bower

    Citation: BMC Health Services Research 2019 19:159

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  23. Content type: Research article

    The increasing adoption of hospital electronic prescribing and medication administration (ePA) systems has driven a wealth of research around the impact on patient safety. Yet relatively little research has so...

    Authors: Monsey McLeod, Georgios Dimitrios Karampatakis, Lore Heyligen, Ann McGinley and Bryony Dean Franklin

    Citation: BMC Health Services Research 2019 19:156

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  24. Content type: Research article

    Efforts to address health literacy should favour a system-based approach with the dual aim both of fostering the material conditions and creating a work culture inside health care organisations that makes it e...

    Authors: Gilles Henrard, Marc Vanmeerbeek, Laetitia Buret and Jany Rademakers

    Citation: BMC Health Services Research 2019 19:146

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  25. Content type: Research article

    An important goal of the patient-centered medical home is increasing timely access for urgent needs, while maintaining continuity. In academic primary care clinics, meeting this goal, along with training medic...

    Authors: Jane H. Forman, Claire H. Robinson and Sarah L. Krein

    Citation: BMC Health Services Research 2019 19:145

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  26. Content type: Research article

    Generally, a significant portion of healthcare spending consists of out-of-pocket (OOP) expenses. Patients indicate that, in practice, there are often some OOP expenses, incurred when they receive medical care...

    Authors: A. Victoor, J. Noordman, A. Potappel, M. Meijers, C. J. J. Kloek and J. D. de Jong

    Citation: BMC Health Services Research 2019 19:141

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  27. Content type: Research article

    Family navigation in mental health and addictions is a mode of support aimed at helping families through the complex mental health and addictions system, making well-informed service matches, and engaging with...

    Authors: Roula Markoulakis, Samantha Chan and Anthony Levitt

    Citation: BMC Health Services Research 2019 19:137

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  28. Content type: Research article

    Cross-cultural educational initiatives for professionals are now commonplace across a variety of sectors including health care. A growing number of studies have attempted to explore the utility of such initiat...

    Authors: Stephane M. Shepherd, Cynthia Willis-Esqueda, Danielle Newton, Diane Sivasubramaniam and Yin Paradies

    Citation: BMC Health Services Research 2019 19:135

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  29. Content type: Research article

    The state of São Paulo recorded a significant reduction in infant mortality from 1990 to 2013, but the desired reduction in maternal mortality was not achieved. Knowledge of the factors with impact on these in...

    Authors: Alexandre Bergo Guerra, Luciane Miranda Guerra, Livia Fernandes Probst, Brunna Verna Castro Gondinho, Gláucia Maria Bovi Ambrosano, Estêvão Azevedo Melo, Valéria Silva Cândido Brizon, Jaqueline Vilela Bulgareli, Karine Laura Cortellazzi and Antonio Carlos Pereira

    Citation: BMC Health Services Research 2019 19:133

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  30. Content type: Research article

    OnkoNetwork is a recently established integrated care model with a personalized pathway system to manage patients with first suspect of a solid tumour in secondary care, that evolved as a regional initiative i...

    Authors: János G. Pitter, Marcell Csanádi, Annamária Szigeti, Gábor Lukács, Árpád Kovács, Mariann Moizs, Imre Repa, Antal Zemplényi, Thomas Czypionka, Markus Kraus, Maureen P. M. H. Rutten-van Mölken and Zoltán Kaló

    Citation: BMC Health Services Research 2019 19:131

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  31. Content type: Research article

    Patient and public involvement (PPI) in health education is a practice whereby research and education are carried in collaboration ‘with’ patients and/or citizens, maintaining their role as a team member or ex...

    Authors: Maman Joyce Dogba, Anara Richi Dossa, Erik Breton and Ruth Gandonou-Migan

    Citation: BMC Health Services Research 2019 19:128

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  32. Content type: Research article

    With its emphasis on cost-reduction and external management, New Public Management emerged as the dominant healthcare policy in many Western countries. The ability to provide comprehensive and customized patie...

    Authors: Maria Strandås, Steen Wackerhausen and Terese Bondas

    Citation: BMC Health Services Research 2019 19:121

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  33. Content type: Research article

    Collaborative care involves active engagement of primary care and hospital physicians in shared care of patients beyond usual discharge summaries. This enhances community-based care and reduces dependence on s...

    Authors: Joanne Shaw, Suvena Sethi, Lisa Vaccaro, Lisa Beatty, Laura Kirsten, David Kissane, Brian Kelly, Geoff Mitchell, Kerry Sherman and Jane Turner

    Citation: BMC Health Services Research 2019 19:120

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  34. Content type: Research article

    The purpose of this study was to contribute to knowledge about what is regarded as an appropriate governance model in welfare markets in healthcare, from the perspective of government. The study draws on a fra...

    Authors: Anna Häger Glenngård

    Citation: BMC Health Services Research 2019 19:114

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  35. Content type: Research article

    This cross-sectional study aimed to explore, among a sample of patients attending one of four Aboriginal Health Services (ACCHSs), the degree of concordance between self-report and medical records for whether ...

    Authors: Natasha Noble, Christine Paul, Justin Walsh, Kylie Wyndham, Sue Wilson and Jessica Stewart

    Citation: BMC Health Services Research 2019 19:111

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  36. Content type: Research article

    Gaining insight into factors influencing the adoption of evidence-based interventions (EBI) is essential to ensuring their sustainability in the mental healthcare setting. This article describes 1) differences...

    Authors: Marte Rye, Oddgeir Friborg and Ingunn Skre

    Citation: BMC Health Services Research 2019 19:110

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  37. Content type: Research article

    Especially patients older than 65 years undergoing surgery are prone to develop frailty-related complications that may go far beyond the index hospitalization (e.g., cognitive impairment following postoperativ...

    Authors: Daniel Fürstenau, Claudia Spies, Martin Gersch, Amyn Vogel, Rudolf Mörgeli, Akira-Sebastian Poncette, Ursula Müller-Werdan and Felix Balzer

    Citation: BMC Health Services Research 2019 19:105

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  38. Content type: Study protocol

    Language barriers play a decisive role in determining the outcomes of medical consultations between healthcare providers and their foreign patients. This issue is a significant challenge to the German healthca...

    Authors: Ghefar Furaijat, Evelyn Kleinert, Anne Simmenroth and Frank Müller

    Citation: BMC Health Services Research 2019 19:103

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  39. Content type: Study protocol

    The goal of Lean Enterprise Transformation (LET) is to go beyond simply using Lean tools and instead embed Lean principles and practices in the system so that it becomes a fundamental, collective mindset of th...

    Authors: Anita A. Vashi, Barbara Lerner, Tracy H. Urech, Steven M. Asch and Martin P. Charns

    Citation: BMC Health Services Research 2019 19:98

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  40. Content type: Research article

    Health and social care organisations globally are moving towards prevention-focussed community-based, integrated care. The success of this depends on professionals changing practice behaviours. This study expl...

    Authors: Eleanor R Bull, Joanne K Hart, Juliette Swift, Kirstie Baxter, Neil McLauchlan, Sophia Joseph and Lucie M T Byrne-Davis

    Citation: BMC Health Services Research 2019 19:97

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  41. Content type: Research article

    Innovative health promotion strategies are needed to improve access to HIV testing among regional people in Australia, particularly for men who have sex with men (MSM). This project aimed to establish proof of...

    Authors: Amy B. Mullens, Josh Duyker, Charlotte Brownlow, Jime Lemoire, Kirstie Daken and Jeff Gow

    Citation: BMC Health Services Research 2019 19:93

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  42. Content type: Research article

    Care coordination has been a common tool for practices seeking to manage complex patients, yet there remains confusion about the most effective and sustainable model. Research exists on opinions of providers o...

    Authors: Mark D. Williams, Gladys B. Asiedu, Dawn Finnie, Claire Neely, Jason Egginton, Lila J. Finney Rutten and Robert M. Jacobson

    Citation: BMC Health Services Research 2019 19:92

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  43. Content type: Research article

    Under- and over nutrition as well as nutrition risk factors such as communicable and non-communicable diseases are a common and major cause of morbidity and mortality in correctional facilities. Consequently, ...

    Authors: Karen M. Davison, Carla D’Andreamatteo and Victoria L. Smye

    Citation: BMC Health Services Research 2019 19:89

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  44. Content type: Research article

    The Four-Hour Rule or National Emergency Access Target policy (4HR/NEAT) was implemented by Australian State and Federal Governments between 2009 and 2014 to address increased demand, overcrowding and access b...

    Authors: Roberto Forero, Shizar Nahidi, Josephine de Costa, Daniel Fatovich, Gerry FitzGerald, Sam Toloo, Sally McCarthy, David Mountain, Nick Gibson, Mohammed Mohsin and Wing Nicola Man

    Citation: BMC Health Services Research 2019 19:82

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  45. Content type: Research article

    Knowledgeable Health Care Workers (HCWs) are indispensable for the proper management of clients. We investigated retention of HCWs at health facility and retention of knowledge at 18, 24 and 36 months after tr...

    Authors: Nyuyki Clement Kufe, Carole Metekoua, Monkam Nelly, Florence Tumasang and Enow Robinson Mbu

    Citation: BMC Health Services Research 2019 19:78

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  46. Content type: Research article

    The purpose of this study was to measure the level of job satisfaction of certified physicians in rural primary health care facilities (PHCFs) in Shandong Province in order to ascertain the key factors affecti...

    Authors: Jingliang Gu, Tianmin Zhen, Yan Song and Lingzhong Xu

    Citation: BMC Health Services Research 2019 19:75

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  47. Content type: Research article

    Collective or shared leadership approaches have been associated with team performance outcomes in several sectors. Based on this evidence, there have been calls for more inclusive approaches to leadership in h...

    Authors: Aoife De Brún, Roisin O’Donovan and Eilish McAuliffe

    Citation: BMC Health Services Research 2019 19:72

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  48. Content type: Research article

    The number of frail elderly will increase as the world population ageing accelerates. Since frail elders are at risk of falls, hospitalizations and disabilities, they will require more health care and services...

    Authors: Vanessa Fillion, Marie-Josée Sirois, Philippe Gamache, Jason Robert Guertin, Suzanne N. Morin and Sonia Jean

    Citation: BMC Health Services Research 2019 19:70

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  49. Content type: Research article

    When implementing an empirically supported intervention (ESI) arrays of influencing factors operate on the professional and organizational level, but so far dependency between these levels has often been ignor...

    Authors: Daphne Kuiper, Nardi Steverink, Roy E. Stewart, Sijmen A. Reijneveld, Robbert Sanderman and Martine M. Goedendorp

    Citation: BMC Health Services Research 2019 19:67

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  50. Content type: Research article

    Burnout and employee turnover in mental health services are costly and can have a negative impact on service user outcomes. Using the Job Demands-Resources model as a foundation, the aim of this study was to e...

    Authors: Justin Newton Scanlan and Megan Still

    Citation: BMC Health Services Research 2019 19:62

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