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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 23

  1. 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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. 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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  11. 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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  12. 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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  13. 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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  14. 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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  15. 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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  16. 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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  17. 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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  18. 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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  19. 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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  20. 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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  21. 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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  22. Content type: Research article

    Preconception care has been acknowledged as an intervention to reduce perinatal mortality and morbidity. However, utilization of preconception care is low because of low awareness of availability and benefits ...

    Authors: Meertien K. Sijpkens, Sabine F. van Voorst, Lieke C. de Jong-Potjer, Semiha Denktaş, Arnoud P. Verhoeff, Loes C. M. Bertens, Ageeth N. Rosman and Eric A. P. Steegers

    Citation: BMC Health Services Research 2019 19:60

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  23. Content type: Research article

    Health care reform is changing preventive services delivery. This study explored trajectories in colorectal cancer (CRC) testing over a 5-year period that included implementation of 16 Medicaid Accountable Car...

    Authors: Melinda M. Davis, Paul Shafer, Stephanie Renfro, Kristen Hassmiller Lich, Jackilen Shannon, Gloria D. Coronado, K. John McConnell and Stephanie B. Wheeler

    Citation: BMC Health Services Research 2019 19:54

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  24. Content type: Research article

    Since the 1960s, the federal government has been providing or funding a selection of community-based primary healthcare (PHC) programs on First Nations reserves. A key question is whether local access to PHC c...

    Authors: Josée G. Lavoie, Sabrina T. Wong, Naser Ibrahim, John D. O’Neil, Michael Green and Amanda Ward

    Citation: BMC Health Services Research 2019 19:50

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  25. Content type: Research article

    Birth weight is continuously decreasing in Japan since food satiation has become a problem in recent years. The present study aimed to develop and examine the reliability and validity of a scale for the assess...

    Authors: Kazuko Sonoda, Yuko Matsunari and Syuji Takei

    Citation: BMC Health Services Research 2019 19:48

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  26. Content type: Study protocol

    Over-occupancy at the two tertiary pediatric care hospitals in Alberta, Canada is steadily increasing with simultaneous decline in occupancy of pediatric beds at regional hospitals. Over-occupancy negatively i...

    Authors: Sumedh Bele, Christine Cassidy, Janet Curran, David W. Johnson, Chad Saunders and J.A. Michelle Bailey

    Citation: BMC Health Services Research 2019 19:29

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  27. Content type: Study protocol

    ED overcrowding represents a significant public health problem in developed countries. Frequent users of the emergency departments (FUEDs; reporting 5 or more ED visits in the past year) are often affected by ...

    Authors: Véronique S. Grazioli, Joanna C. Moullin, Miriam Kasztura, Marina Canepa-Allen, Olivier Hugli, Judy Griffin, Francis Vu, Catherine Hudon, Yves Jackson, Hans Wolff, Bernard Burnand, Jean-Bernard Daeppen and Patrick Bodenmann

    Citation: BMC Health Services Research 2019 19:28

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  28. Content type: Research article

    Most seniors wish to live independently for as long as possible. Gerontechnologies such as personal alarms or remote control systems, have the potential to help them age in place. For seniors, assessing what i...

    Authors: Marc Haufe, Sebastiaan Theodorus Michaël Peek and Katrien Ger Luijkx

    Citation: BMC Health Services Research 2019 19:26

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  29. Content type: Research article

    Primary care practices are changing the way that they provide care by increasing their medical home functionality. Medical home functionality can improve access to care and increase patient-centeredness, which...

    Authors: Shawn Linman, Ivy Benjenk and Jie Chen

    Citation: BMC Health Services Research 2019 19:21

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  30. Content type: Research article

    The literature has described several challenges related to the quality of diabetes management clinics in public primary health care centres in Oman. These clinics continue to face challenges due to the continu...

    Authors: Kamila Al-Alawi, Ahmed Al Mandhari and Helene Johansson

    Citation: BMC Health Services Research 2019 19:18

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  31. Content type: Research article

    Patients with multi-morbidity have complex care needs that often make healthcare delivery difficult and costly to manage. Current healthcare delivery is not tailored to the needs of patients with multi-morbidi...

    Authors: Sanne Jannick Kuipers, Jane Murray Cramm and Anna Petra Nieboer

    Citation: BMC Health Services Research 2019 19:13

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  32. Content type: Research article

    At a population level, the majority of alcohol-related harm is attributable to drinkers whose consumption exceeds recommended drinking levels, rather than those with severe alcohol dependency. Identification a...

    Authors: Nicola Hall, John D Mooney, Zeibeda Sattar and Jonathan Ling

    Citation: BMC Health Services Research 2019 19:11

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  33. Content type: Research article

    Community pharmacists’ (CPs’) interventions have a positive impact on managing respiratory patients. However, methods used by CPs to assess patients’ inhaler technique and adherence are subjective. New technol...

    Authors: Iman Hesso, Reem Kayyali and Shereen Nabhani-Gebara

    Citation: BMC Health Services Research 2019 19:5

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  34. Content type: Research article

    The scope of implementation research is often restricted to the analysis of organizations that participate voluntarily in implementation interventions. The recruitment of participants for a quality improvement...

    Authors: Jeanny J. A. de Groot, Maite Timmermans, José M. C. Maessen, Bjorn Winkens, Carmen D. Dirksen, Brigitte F. M. Slangen and Trudy van der Weijden

    Citation: BMC Health Services Research 2018 18:1011

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  35. Content type: Research article

    Mental health among adolescents is an important public health challenge. School health services perform central public health functions in Norwegian municipalities, where school nurses are uniquely positioned ...

    Authors: Hanne Nissen Bjørnsen, Regine Ringdal, Geir Arild Espnes, Mary-Elizabeth Bradley Eilertsen and Unni Karin Moksnes

    Citation: BMC Health Services Research 2018 18:1001

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  36. Content type: Research article

    Improving the health of rural populations requires developing a medical workforce with the right skills and a willingness to work in rural areas. A novel strategy for achieving this aim is to align medical tra...

    Authors: Matthew R. McGrail, Deborah J. Russell, Belinda G. O’Sullivan, Carole Reeve, Lee Gasser and David Campbell

    Citation: BMC Health Services Research 2018 18:993

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  37. Content type: Research article

    Organizational Participatory Research (OPR) seeks organizational learning and/or practice improvement. Previous systematic literature reviews described some OPR processes and outcomes, but the link between the...

    Authors: Paula Louise Bush, Pierre Pluye, Christine Loignon, Vera Granikov, Michael T. Wright, Carol Repchinsky, Jeannie Haggerty, Gillian Bartlett, Sharon Parry, Jean-François Pelletier and Ann C. Macaulay

    Citation: BMC Health Services Research 2018 18:992

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  38. Content type: Research article

    The number of tuberculosis (TB) cases in Norway is increasing due to immigration from countries with high TB prevalence and few studies have been conducted on general practitioners’ (GPs) knowledge of TB in lo...

    Authors: Oddvar Aadnanes, Selina Wallis and Ingunn Harstad

    Citation: BMC Health Services Research 2018 18:987

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  39. Content type: Research article

    Presenteeism is a behavior in which an employee is physically present at work with reduced performance due to illness or other reasons. Hospital doctors and nurses are more inclined to exhibit presenteeism tha...

    Authors: Juliana Nga Man Lui, Ellie Bostwick Andres and Janice Mary Johnston

    Citation: BMC Health Services Research 2018 18:985

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  40. Content type: Research article

    General practice (GP) has historically been central to the prevention and treatment of childhood illnesses. In Ireland, this role has recently expanded with the introduction of free GP care for children aged u...

    Authors: Andrew O’Regan, Walter Cullen, Clodagh O’Gorman, Louise Hickey, Eimear O’Neill, Jane O’Doherty and Ailish Hannigan

    Citation: BMC Health Services Research 2018 18:979

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  41. Content type: Research article

    Home care providers struggle to manage their day-to-day work, which is increasing in volume and complexity. In general, they are expected to achieve more with the same planning methods, resources, and capacity...

    Authors: Berit Irene Helgheim, Birgithe E. Sandbaek and Line Slyngstad

    Citation: BMC Health Services Research 2018 18:977

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  42. Content type: Research article

    In July 2018, the Centers for Medicare and Medicaid Services (CMS) updated its Medicaid Managed Care (MMC) regulations that govern network and access standards for enrollees. There have been few published stud...

    Authors: Nathaniel Bell, Ana Lòpez-DeFede, Rebecca C. Wilkerson and Kathy Mayfield-Smith

    Citation: BMC Health Services Research 2018 18:974

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  43. Content type: Research article

    Chronic back disorders (CBD) are prevalent, costly, and among the most common reasons for seeking primary care; however, little is known regarding the comparative use of family physician, chiropractic, and phy...

    Authors: Brenna Bath, Josh Lawson, Dennis Ma and Catherine Trask

    Citation: BMC Health Services Research 2018 18:970

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  44. Content type: Research article

    A previous census of electronic prescribing (EP) systems in England showed that more than half of hospitals with EP reported more than one EP system within the same hospital. Our objectives were to describe th...

    Authors: Zamzam Ahmed, Yogini Jani and Bryony Dean Franklin

    Citation: BMC Health Services Research 2018 18:969

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  45. Content type: Research article

    In publicly funded health care systems, governance models are developed to push public service providers to use tax payers’ money more efficiently and maintain a high quality of service. Although this implies ...

    Authors: Sara Korlén, Anne Richter, Isis Amer-Wåhlin, Peter Lindgren and Ulrica von Thiele Schwarz

    Citation: BMC Health Services Research 2018 18:963

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  46. Content type: Research article

    Acute hospital services account for the largest proportion of health care system budgets, and older adults are the most frequent users. As a result, older people who have been recently discharged from hospital...

    Authors: Kathleen Finlayson, Anne M. Chang, Mary D. Courtney, Helen E. Edwards, Anthony W. Parker, Kyra Hamilton, Thu Dinh Xuan Pham and Jane O’Brien

    Citation: BMC Health Services Research 2018 18:956

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  47. Content type: Research article

    Health service providers play a key role in addressing women’s need for pregnancy prevention, especially during the postpartum period. Yet, in Nepal, little is known about their views on providing postpartum f...

    Authors: Mahesh C. Puri, Manju Maharjan, Erin Pearson, Elina Pradhan, Yasaswi Dhungel, Aayush Khadka and Iqbal H. Shah

    Citation: BMC Health Services Research 2018 18:948

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  48. Content type: Research article

    Hospitals are increasingly parts of larger care collaborations, rather than individual entities. Organizing and operating these collaborations is challenging; a significant number do not succeed, as it is diff...

    Authors: Melissa De Regge, Kaat De Pourcq, Paul Gemmel, Carine Van de Voorde, Koen Van den Heede and Kristof Eeckloo

    Citation: BMC Health Services Research 2018 18:942

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