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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. Ocular conditions are common following stroke and frequently occur in combination with pre-existing ophthalmologic disease. The Medicare International Statistical Classification of Diseases and Related Health ...

    Authors: Kimberly P. Hreha, Steve R. Fisher, Timothy A. Reistetter, Kenneth Ottenbacher, Allen Haas, Chih-Ying Li, Joshua R. Ehrlich, Diane B. Whitaker and Heather E. Whitson

    Citation: BMC Health Services Research 2020 20:628

    Content type: Research article

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  2. Emergency Department (ED) crowding reduces staff satisfaction and healthcare quality and safety, which in turn increase costs. Despite a number of proposed solutions, ED length of stay (LOS) - a main cause of ...

    Authors: Andrea Strada, Niccolò Bolognesi, Lamberto Manzoli, Giorgia Valpiani, Chiara Morotti, Francesca Bravi, Roberto Bentivegna, Elena Forini, Antonella Pesci, Armando Stefanati, Eugenio Di Ruscio and Tiziano Carradori

    Citation: BMC Health Services Research 2020 20:624

    Content type: Research article

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  3. In many high-income countries, primary care practitioners are the main point of referral for specialist mental health services. In England, Child and Adolescent Mental Health Services (CAMHS) are increasingly ...

    Authors: Stephen Rocks, Margaret Glogowska, Melissa Stepney, Apostolos Tsiachristas and Mina Fazel

    Citation: BMC Health Services Research 2020 20:623

    Content type: Research article

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  4. Chronic care models like the Integrated Chronic Disease Management (ICDM) model strive to improve the efficiency and quality of care for patients with chronic diseases. However, there is a dearth of studies as...

    Authors: Limakatso Lebina, Tolu Oni, Olufunke A. Alaba and Mary Kawonga

    Citation: BMC Health Services Research 2020 20:617

    Content type: Research article

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  5. Older patients with multimorbidity have complex health and social care needs, associated with elevated use of health care resources. The aim of this study is to evaluate the impact of CareWell integrated care ...

    Authors: Maider Mateo-Abad, Nerea González, Ane Fullaondo, Marisa Merino, Lierni Azkargorta, Anna Giné, Dolores Verdoy, Itziar Vergara and Esteban de Manuel Keenoy

    Citation: BMC Health Services Research 2020 20:613

    Content type: Research article

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  6. The vertical integration of medical delivery systems (VIMDSs) is a reform direction both in China and worldwide. We conducted a controlled economic experiment to explore decision-making by managers of medical ...

    Authors: Yunque Bo, Miaojie Qi, Siyu Liu, Jiyu Cui and Youli Han

    Citation: BMC Health Services Research 2020 20:611

    Content type: Research article

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  7. Working effectively with Aboriginal and Torres Strait Islander people is important for maximising the effectiveness of a health care interaction between and Aboriginal and Torres Strait Islander patients and a...

    Authors: Annabelle M. Wilson, Janet Kelly, Michelle Jones, Kim O’Donnell, Sandra Wilson, Emma Tonkin and Anthea Magarey

    Citation: BMC Health Services Research 2020 20:601

    Content type: Research article

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  8. Off-label drug use among ambulatory patients is often based on little or no scientific support. This paper reports the impact of a health warning about the risks of off-label flutamide use by women and the act...

    Authors: Raquel Vázquez-Mourelle, Eduardo Carracedo-Martínez and Adolfo Figueiras

    Citation: BMC Health Services Research 2020 20:597

    Content type: Research article

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  9. Elderly patients with multiple health problems often experience disease complications and functional failure, resulting in a need for health care across different health care systems during care trajectory. Th...

    Authors: Marianne Kumlin, Geir Vegar Berg, Kari Kvigne and Ragnhild Hellesø

    Citation: BMC Health Services Research 2020 20:595

    Content type: Research article

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  10. We aimed to identify, synthesise and evaluate randomised control trial evidence on the effects of healthcare professional training on the delivery quality of health behaviour change interventions and, subseque...

    Authors: Thomas G. Hatfield, Thomas M. Withers and Colin J. Greaves

    Citation: BMC Health Services Research 2020 20:593

    Content type: Research article

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  11. Health services and systems research (HSSR) strategies dedicated to paediatric health care and service delivery are limited. Strategies are available but are outdated and yet to be optimised for use in a paedi...

    Authors: Robyn Littlewood, Oliver J. Canfell and Frank Tracey

    Citation: BMC Health Services Research 2020 20:589

    Content type: Research article

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  12. Social prescribing (SP) allows health professionals to refer primary care patients toward health and wellbeing interventions and activities in the local community. Now widely implemented across the UK and adop...

    Authors: Alison Fixsen, Helen Seers, Marie Polley and Jo Robins

    Citation: BMC Health Services Research 2020 20:580

    Content type: Research article

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  13. A three-phase implementation program was carried out to support Indigenous primary healthcare organisations in Australia to integrate e-mental health approaches into the day-to-day practice. The present study ...

    Authors: Buaphrao Raphiphatthana, Michelle Sweet, Stefanie Puszka, Kylie Dingwall and Tricia Nagel

    Citation: BMC Health Services Research 2020 20:576

    Content type: Research article

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  14. The integrated-Promoting Action on Research Implementation in Health Services (i-PARIHS) framework is an implementation framework that has been developed and refined over the last 20 years. Its underlying phil...

    Authors: S. C. Hunter, B. Kim, A. Mudge, L. Hall, A. Young, P. McRae and A. L. Kitson

    Citation: BMC Health Services Research 2020 20:573

    Content type: Research article

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  15. Previous self-harm is one of the strongest predictors of future self-harm and suicide. Increased risk of repeated self-harm and suicide exists amongst patients presenting to hospital with high-risk self-harm a...

    Authors: Ella Arensman, M. Isabela Troya, Sarah Nicholson, Anvar Sadath, Grace Cully, Ana Paula Ramos Costa, Ruth Benson, Paul Corcoran, Eve Griffin, Eileen Williamson, Joe Eustace, Frances Shiely, John Browne, Jan Rigby, Anne Jeffers and Eugene Cassidy

    Citation: BMC Health Services Research 2020 20:590

    Content type: Study protocol

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  16. Maternal overweight and obesity are associated with numerous adverse outcomes including higher rates of maternal and infant mortality and morbidity. Overweight and obesity before, during and after pregnancy ar...

    Authors: Frankie Fair, Katie Marvin-Dowle, Madelynne Arden and Hora Soltani

    Citation: BMC Health Services Research 2020 20:572

    Content type: Research article

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  17. The necessity of outpatient postpartum care has increased due to shorter hospital stays. In a health care system, where postpartum care after hospital discharge must be arranged by families themselves, this ca...

    Authors: Susanne Grylka-Baeschlin, Carolina Iglesias, Rebekka Erdin and Jessica Pehlke-Milde

    Citation: BMC Health Services Research 2020 20:565

    Content type: Research article

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  18. Ambulatory based treatment of tuberculosis has been recently introduced in Kazakhstan. We sought to assess the attitudes of the general population, TB patients and their household members towards ambulatory TB...

    Authors: Meruyert Darisheva, Melissa Tracy, Assel Terlikbayeva, Baurzhan Zhussupov, Neil Schluger and Tara McCrimmon

    Citation: BMC Health Services Research 2020 20:563

    Content type: Research article

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  19. CenteringPregnancy (CP) is a group antenatal care (G-ANC) model that has proven beneficial for mothers and their newborns. We conducted a feasibility study beginning in 2016 as part of the Mexican effort to im...

    Authors: Evelyn Fuentes-Rivera, Ileana Heredia-Pi, Zafiro Andrade-Romo, Jacqueline Alcalde-Rabanal, Lourdes Bravo, Laurie Jurkiewicz and Blair G. Darney

    Citation: BMC Health Services Research 2020 20:559

    Content type: Research article

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  20. Older people living in care homes are particularly susceptible to infections and antibiotics are therefore used frequently for this population. However, there is limited information on antibiotic prescribing i...

    Authors: Catherine M. Smith, Haydn Williams, Arnoupe Jhass, Selina Patel, Elise Crayton, Fabiana Lorencatto, Susan Michie, Andrew C. Hayward and Laura J. Shallcross

    Citation: BMC Health Services Research 2020 20:555

    Content type: Research article

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  21. For patients with multiple and complex health needs, such as those suffering from mental health disorders, outcomes are determined by the combined actions of the care providers they visit and their interaction...

    Authors: Coralie Gandré, Laurent Beauguitte, Alexandre Lolivier and Magali Coldefy

    Citation: BMC Health Services Research 2020 20:548

    Content type: Research article

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  22. There is an emerging international literature demonstrating clinical and cost-effectiveness of sub-acute residential mental health services. To date, however, there is limited information on the profile of con...

    Authors: Georgina Sutherland, Carol Harvey, Holly Tibble, Matthew J. Spittal, John Farhall, Justine Fletcher, Graham Meadows, J. Richard Newton, Ruth Vine and Lisa Brophy

    Citation: BMC Health Services Research 2020 20:542

    Content type: Research article

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  23. UK government guidelines and initiatives emphasise equity in delivery of care, shared decision-making, and patient-centred care. This includes sharing information with patients as partners in health decisions ...

    Authors: Katharine Weetman, Jeremy Dale, Emma Scott and Stephanie Schnurr

    Citation: BMC Health Services Research 2020 20:537

    Content type: Research article

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  24. Enhancing non-clinical home care supports and services for older adults to live well is a strategic priority in developed countries, including Canada. Underpinning these supports and services are structures of...

    Authors: Janice M. Keefe, Laura Funk, Lucy Knight, Michelle Lobchuk, Marilyn Macdonald, Lori Mitchell, Julie Rempel, Grace Warner and Susan Stevens

    Citation: BMC Health Services Research 2020 20:535

    Content type: Study protocol

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  25. Among Canadian Inuit, cervical cancer incidence and mortality rates are up to three times higher than the Canadian average. Cervical cancer is preventable through regular screening which, in Quebec, is opportu...

    Authors: Elyse Tratt, Ivan Sarmiento, Rachel Gamelin, Jeannie Nayoumealuk, Neil Andersson and Paul Brassard

    Citation: BMC Health Services Research 2020 20:529

    Content type: Research article

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  26. In 2017, 80% of 425 million adults with diabetes worldwide were living in low and middle-income countries. Diabetes affected 6.9 million adults in Bangladesh and accounted for 3% of the country’s total mortali...

    Authors: Farzana Yasmin, Nazmun Nahar, Bilkis Banu, Liaquat Ali, Rainer Sauerborn and Aurélia Souares

    Citation: BMC Health Services Research 2020 20:520

    Content type: Research article

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  27. Integrated care has the potential to ease the increasing pressures faced by health and social care systems, however, challenges around measuring the benefits for providers, patients, and service users remain. ...

    Authors: Helen Crocker, Laura Kelly, Jenny Harlock, Ray Fitzpatrick and Michele Peters

    Citation: BMC Health Services Research 2020 20:515

    Content type: Research article

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  28. The health and social care workforce requires access to appropriate education and training to provide quality care for people with dementia. Success of a training programme depends on staff ability to put thei...

    Authors: Claire A. Surr, Sahdia Parveen, Sarah J. Smith, Michelle Drury, Cara Sass, Sarah Burden and Jan Oyebode

    Citation: BMC Health Services Research 2020 20:512

    Content type: Research article

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  29. The substitution of healthcare is a way to control rising healthcare costs. The Primary Care Plus (PC+) intervention of the Dutch ‘Blue Care’ pioneer site aims to achieve this feat by facilitating consultation...

    Authors: Esther H. A. van den Bogaart, Mariëlle E. A. L. Kroese, Marieke D. Spreeuwenberg, Herm Martens, Peter M. Steijlen and Dirk Ruwaard

    Citation: BMC Health Services Research 2020 20:510

    Content type: Research article

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  30. More people living into old age with dementia. The complexity of treatment and care, particularly those with multiple health problems, can be experienced as disjointed. As part of an evaluation of a ‘healthcar...

    Authors: Gerard Leavey, Emma Curran, Deirdre Fullerton, Steven Todd, Sonja McIlfatrick, Vivien Coates, Max Watson, Aine Abbott and Dagmar Corry

    Citation: BMC Health Services Research 2020 20:503

    Content type: Research article

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  31. Little is known about the impact of infectious disease (ID) consultations on the management of patients with cancer. This study aimed to describe the consultation services provided by ID specialists to all dep...

    Authors: Naoya Itoh, Yoshiro Hadano, Yasumasa Yamamoto, Norihiko Terada and Hanako Kurai

    Citation: BMC Health Services Research 2020 20:500

    Content type: Research article

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  32. The relationship between healthcare system inputs (e.g., human resources and infrastructure) and mortality has been extensively studied. However, the association between healthcare system inputs and patient-re...

    Authors: Liesbet Van Bulck, Eva Goossens, Koen Luyckx, Silke Apers, Erwin Oechslin, Corina Thomet, Werner Budts, Junko Enomoto, Maayke A. Sluman, Chun-Wei Lu, Jamie L. Jackson, Paul Khairy, Stephen C. Cook, Shanthi Chidambarathanu, Luis Alday, Katrine Eriksen…

    Citation: BMC Health Services Research 2020 20:496

    Content type: Research article

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  33. Allied health assistants (AHAs) are support staff who complete clinical and non-clinical tasks under the supervision and delegation of an allied health professional. The effect of allied health professional de...

    Authors: David A. Snowdon, Beth Storr, Annette Davis, Nicholas F. Taylor and Cylie M. Williams

    Citation: BMC Health Services Research 2020 20:491

    Content type: Research article

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  34. To improve the use of eRehabilitation after stroke, the identification of barriers and facilitators influencing this use in different healthcare contexts around the world is needed. Therefore, this study aims ...

    Authors: Berber Brouns, Leti van Bodegom-Vos, Arend J. de Kloet, Thea P. M. Vliet Vlieland, Ingrid L. C. Gil, Lígia M. N. Souza, Lucia W. Braga and Jorit J. L. Meesters

    Citation: BMC Health Services Research 2020 20:488

    Content type: Research article

    Published on:

    The Correction to this article has been published in BMC Health Services Research 2020 20:607

  35. Community volunteerism is essential in the implementation of the Community-based Health Planning and Services (CHPS) in Ghana. We explored the responsibilities, motivations and challenges of community health m...

    Authors: Margaret Kweku, Emmanuel Manu, Hubert Amu, Fortress Yayra Aku, Martin Adjuik, Elvis Enowbeyang Tarkang, Joyce Komesuor, Geoffery Adebayor Asalu, Norbert N. Amuna, Laud Ampomah Boateng, Justine Sefakor Alornyo, Roland Glover, Ayaga A. Bawah, Timothy Letsa, John Koku Awoonor-Williams, James F. Phillips…

    Citation: BMC Health Services Research 2020 20:482

    Content type: Research article

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  36. Attempts to achieve digital transformation across the health service have stimulated increasingly large-scale and more complex change programmes. These encompass a growing range of functions in multiple locati...

    Authors: Kathrin Cresswell, Aziz Sheikh, Bryony Dean Franklin, Marta Krasuska, Hung The Nguyen, Susan Hinder, Wendy Lane, Hajar Mozaffar, Kathy Mason, Sally Eason, Henry W. W. Potts and Robin Williams

    Citation: BMC Health Services Research 2020 20:477

    Content type: Review

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  37. Many studies assessed the effect of mobile phone applications on self-management outcomes in patients with asthma, but all of them presented variable results. In this paper. we examined the effect of a mobile ...

    Authors: Laura Adela Munteanu, Mirela Frandes, Bogdan Timar, Emanuela Tudorache, Ariadna Petronela Fildan, Cristian Oancea and Doina Ecaterina Tofolean

    Citation: BMC Health Services Research 2020 20:475

    Content type: Research article

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  38. Numerous studies have revealed challenges associated with ensuring informational continuity in municipal care services for older adults with comprehensive, prolonged and complex care needs. Most research is qu...

    Authors: Marijke Veenstra, Marianne Sundlisæter Skinner and Maren Kristine Raknes Sogstad

    Citation: BMC Health Services Research 2020 20:464

    Content type: Research article

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  39. Cochlear implants (CIs) can provide a sound sensation for those with severe sensorineural hearing loss (SNHL), benefitting speech understanding and quality of life. Nevertheless, rates of implantation remain l...

    Authors: Frances Rapport, Sarah E. Hughes, Isabelle Boisvert, Catherine M. McMahon, Jeffrey Braithwaite, Mona Faris and Mia Bierbaum

    Citation: BMC Health Services Research 2020 20:457

    Content type: Research article

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  40. Adverse childhood experiences (ACEs) are associated with increased morbidity and mortality, lower levels of distress tolerance, and greater emotional dysregulation, as well as with increased healthcare utiliza...

    Authors: Eva Purkey, Colleen Davison, Meredith MacKenzie, Tracey Beckett, Daniel Korpal, Katherine Soucie and Susan Bartels

    Citation: BMC Health Services Research 2020 20:455

    Content type: Research article

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  41. While the majority of deaths in high-income countries currently occur within institutional settings such as hospitals and nursing homes, there is considerable variation in the pattern of place of death. The pl...

    Authors: Jorid Kalseth and Thomas Halvorsen

    Citation: BMC Health Services Research 2020 20:454

    Content type: Research article

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  42. Accessibility to efficient and person-centered healthcare delivery drives healthcare transformation in many countries. In Singapore, specialist outpatient clinics (SOCs) are commonly congested due to increasin...

    Authors: Milawaty Nurjono, Pami Shrestha, Ian Yi Han Ang, Farah Shiraz, Ke Xin Eh, Sue-Anne Ee Shiow Toh and Hubertus Johannes Maria Vrijhoef

    Citation: BMC Health Services Research 2020 20:452

    Content type: Research article

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  43. The concept of rapid implementation has emerged in the literature recently, but without a precise definition. Further exploration is required to distinguish the concept’s unique meanings and significance from ...

    Authors: James Smith, Frances Rapport, Tracey A. O’Brien, Stephanie Smith, Vanessa J. Tyrrell, Emily V. A. Mould, Janet C. Long, Hossai Gul, Jeremy Cullis and Jeffrey Braithwaite

    Citation: BMC Health Services Research 2020 20:449

    Content type: Research article

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  44. The number of people aged 80 years and above is projected to triple over the next 30 years. People in this age group normally have at least two chronic conditions. The impact of multimorbidity is often signifi...

    Authors: Ingvild Lilleheie, Jonas Debesay, Asta Bye and Astrid Bergland

    Citation: BMC Health Services Research 2020 20:446

    Content type: Research article

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  45. Healthcare teams often consist of geographically dispersed members. Virtual worlds can support immersive, high-quality, multimedia interaction between remote individuals; this study investigated use of virtual...

    Authors: Michael J. Taylor, Chiya Shikaislami, Chris McNicholas, David Taylor, Julie Reed and Ivo Vlaev

    Citation: BMC Health Services Research 2020 20:442

    Content type: Research article

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