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Organization, structure and delivery of healthcare

This section aims to publish studies looking at how health care is planned, organized and structured, including in terms of relationships among personnel or departments, as well as research on the provision of healthcare to an individual, group, population or community.


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  1. The NHS Diabetes Prevention Programme (NHS-DPP) is a nine-month, group-based behavioural intervention for adults in England at risk of developing Type 2 diabetes. Four independent providers were commissioned t...

    Authors: Rhiannon E. Hawkes, Elaine Cameron, Sarah Cotterill, Peter Bower and David P. French

    Citation: BMC Health Services Research 2020 20:1098

    Content type: Research article

    Published on:

  2. There is consensus that vitamin D supplementation is often indicated but population-based screening by laboratory testing for vitamin D deficiency is inadequate. Testing should be restricted to people at high ...

    Authors: Stefan Essig, Christoph Merlo, Oliver Reich and Maria Trottmann

    Citation: BMC Health Services Research 2020 20:1097

    Content type: Research article

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  3. There is growing interest in and focus on healthcare services research to identify factors associated with innovation in healthcare organizations. However, previous innovation research has concentrated primari...

    Authors: Terje Slåtten, Barbara Rebecca Mutonyi and Gudbrand Lien

    Citation: BMC Health Services Research 2020 20:1096

    Content type: Research article

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  4. Healthcare professionals are experiencing unprecedented levels of occupational stress and burnout. Higher stress and burnout in health professionals is linked with the delivery of poorer quality, less safe pat...

    Authors: Judith Johnson, Ruth Simms-Ellis, Gillian Janes, Thomas Mills, Luke Budworth, Lauren Atkinson and Reema Harrison

    Citation: BMC Health Services Research 2020 20:1094

    Content type: Research article

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  5. Evidence-based family support programs such as the Triple P – Positive Parenting Program have the potential to enhance the well-being of children and families. However, they cannot achieve their expected outco...

    Authors: Marie-Kim Côté and Marie-Hélène Gagné

    Citation: BMC Health Services Research 2020 20:1092

    Content type: Research article

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  6. Integrated utilisation of digital health data has the power to transform healthcare to deliver more efficient and effective services, and the learning health system (LHS) is emerging as a model to achieve this...

    Authors: Joanne Enticott, Sandra Braaf, Alison Johnson, Angela Jones and Helena J. Teede

    Citation: BMC Health Services Research 2020 20:1087

    Content type: Research article

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  7. Involving a patient’s relatives is a complex endeavour, especially in emergency departments (EDs). Generally, relatives are recognized as vital partners in health care, but in-depth knowledge on how these fami...

    Authors: Susanne Nissen Sagoo and Regine Grytnes

    Citation: BMC Health Services Research 2020 20:1086

    Content type: Research article

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  8. Increasing numbers of nurses, pharmacists and allied health professionals across the world have prescribing rights for medicines: over 90,000 of the eligible United Kingdom workforce are qualified as non-docto...

    Authors: Nicola Carey, Judith Edwards, Simon Otter, Heather Gage, Peter Williams, Molly Courtenay, Ann Moore and Karen Stenner

    Citation: BMC Health Services Research 2020 20:1074

    Content type: Research article

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  9. Healthcare organisations are complex social entities, comprising of multiple stakeholders with differing priorities, roles, and expectations about how care should be delivered. To reach agreement among these d...

    Authors: Lisa Rogers, Aoife De Brún, Sarah A. Birken, Carmel Davies and Eilish McAuliffe

    Citation: BMC Health Services Research 2020 20:1059

    Content type: Research article

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  10. Increasing mental health problems and scarce treatment resources put pressure on mental health services to make innovations in service provision, such as developing differentiated services adapted to different...

    Authors: Hilde V. Markussen, Lene Aasdahl and Marit B. Rise

    Citation: BMC Health Services Research 2020 20:1056

    Content type: Research article

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  11. In the light of “Internet plus”, hospitals are following the trend of using mobile internet and adopting a strategy of spreading public health knowledge through mobile terminals. WeChat is a social media with ...

    Authors: Jie Wang and Lanting Wu

    Citation: BMC Health Services Research 2020 20:1055

    Content type: Research article

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  12. Physical activity (PA) is a well-established therapeutic modality for the maintenance and improvement of long-term health in cystic fibrosis (CF). Healthcare professionals (HCP) are considered credible and wel...

    Authors: Nicola Hurley, Bróna Kehoe, Noel McCaffrey, Karen Redmond, Lydia Cullen and Niall M. Moyna

    Citation: BMC Health Services Research 2020 20:1052

    Content type: Research article

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  13. Ischemic stroke patients with a good outcome in terms of motor functioning and communication are likely to be discharged home without further rehabilitation. A significant number of these patients experience c...

    Authors: J. P. L. Slenders, R. M. Van den Berg-Vos, C. M. van Heugten, J. M. A. Visser-Meily, S. M. A. A. Evers, R. J. de Haan, J. M. de Man-van Ginkel and V. I. H. Kwa

    Citation: BMC Health Services Research 2020 20:1049

    Content type: Study protocol

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  14. Patients with B-cell neoplasms in remission are monitored with regular physician visits at the hospital. The current standard follow-up procedure is not evidence-based or individualized to patient needs. To im...

    Authors: Mia Sommer, Lone Frandsen, Paw Jensen, Søren Ramme Nielsen, Lars Børty Nielsen, Rasmus Froberg Brøndum, Martin Bøgsted, Jakob Madsen, Marianne Tang Severinsen, Erik Elgaard Sørensen, Mette Grønkjær and Tarec Christoffer El-Galaly

    Citation: BMC Health Services Research 2020 20:1047

    Content type: Research article

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  15. As the number of persons with dementia is increasing, there has been a call for establishing sustainable clinical pathways for coordinating care and support for this group. The LIVE@Home.Path trial is a multic...

    Authors: Stein Erik Fæø, Oscar Tranvåg, Rune Samdal, Bettina S. Husebo and Frøydis K. Bruvik

    Citation: BMC Health Services Research 2020 20:1045

    Content type: Research article

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  16. Achievement of the elimination target for mother-to-child transmission (MTCT) of HIV in selected countries has increased hope to end the HIV epidemic in children across the world. However, MTCT rates remain we...

    Authors: Reuben Musarandega, Joanna Robinson, Priti Dave Sen, Anna Hakobyan, Angela Mushavi, Agnes Mahomva and Godfrey Woelk

    Citation: BMC Health Services Research 2020 20:1042

    Content type: Research article

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  17. A large proportion of admissions to psychiatric hospitals happen as emergency admissions and many of them occur out of core working hours (during the weekends, on public holidays and during night time). Howeve...

    Authors: Peter M. Kreuzer, Stefan Günther, Jorge Simoes, Michael Ziereis and Berthold Langguth

    Citation: BMC Health Services Research 2020 20:1041

    Content type: Research article

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  18. Providing care to cancer patients is associated with a substantial psychological and emotional load on oncology workers. The purpose of this project is to co-construct, implement and assess multidimensional in...

    Authors: Carl-Ardy Dubois, Roxane Borgès Da Silva, Mélanie Lavoie-Tremblay, Bernard Lespérance, Kathleen Bentein, Alain Marchand, Sara Soldera, Christine Maheu, Sébastien Grenier and Marie-Andrée Fortin

    Citation: BMC Health Services Research 2020 20:1039

    Content type: Study protocol

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  19. To explore the perceptions of health workers on the risks of contracting tuberculosis at Namwala District Hospital. Tuberculosis literature indicates that health workers are at risk of contracting tuberculosis...

    Authors: Shadreck Mwenya and Salley Stapley

    Citation: BMC Health Services Research 2020 20:1037

    Content type: Research article

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  20. To cope with shortages of equipment during the COVID-19 pandemic, we established a nonprofit end-to-end system to identify, validate, regulate, manufacture, and distribute 3D-printed medical equipment. Here we...

    Authors: Ferran Fillat-Gomà, Sergi Coderch-Navarro, Laia Martínez-Carreres, Núria Monill-Raya, Toni Nadal-Mir, Cristina Lalmolda, Manel Luján, Candelaria de Haro and Lluís Blanch

    Citation: BMC Health Services Research 2020 20:1035

    Content type: Research article

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  21. Extensive measures to reduce person-to-person transmission of COVID-19 are required to control the current outbreak. Special attention is directed at healthcare professionals as reducing the risk of infection ...

    Authors: Malene Missel, Camilla Bernild, Ilkay Dagyaran, Signe Westh Christensen and Selina Kikkenborg Berg

    Citation: BMC Health Services Research 2020 20:1031

    Content type: Research article

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  22. Colorectal cancer (CRC) is the 3rd leading cancer killer among men and women in the US. The Strategies and Opportunities to STOP Colon Cancer in Priority Populations (STOP CRC) project aimed to increase CRC sc...

    Authors: Amanda F. Petrik, Erin Keast, Eric S. Johnson, David H. Smith and Gloria D. Coronado

    Citation: BMC Health Services Research 2020 20:1028

    Content type: Research article

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  23. Chronic obstructive pulmonary disease (COPD) is one of the most common and deadliest chronic diseases worldwide. Since COPD is a chronic and progressive disease, treatment is necessary throughout life. For peo...

    Authors: Sara Lundell, Ulla-Maija Pesola, André Nyberg and Karin Wadell

    Citation: BMC Health Services Research 2020 20:1025

    Content type: Research article

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  24. In the Netherlands, the for-profit sector has gained a substantial share of nursing home care within just a few years. The ethical question that arises from the growth of for-profit care is whether the market ...

    Authors: Florien M. Kruse, Wieke M. R. Ligtenberg, Anke J. M. Oerlemans, Stef Groenewoud and Patrick P. T. Jeurissen

    Citation: BMC Health Services Research 2020 20:1024

    Content type: Research article

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  25. Despite a strong evidence base and policy recommendation supporting the implementation of psychoeducation interventions within the mental health system, equitable access for many service users and family membe...

    Authors: Agnes Higgins, Rebecca Murphy, Carmel Downes, Jennifer Barry, Mark Monahan, David Hevey, Thilo Kroll, Louise Doyle and Patrick Gibbons

    Citation: BMC Health Services Research 2020 20:1023

    Content type: Research article

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  26. Risk assessment is a precision medicine technique that can be used to enhance population health when applied to prevention. Several barriers limit the uptake of risk assessment in health care systems; and litt...

    Authors: Lori A. Orlando, R. Ryanne Wu, Rachel A. Myers, Joan Neuner, Catherine McCarty, Irina V. Haller, Melissa Harry, Kimberly G. Fulda, David Dimmock, Teji Rakhra-Burris, Adam Buchanan and Geoffrey S. Ginsburg

    Citation: BMC Health Services Research 2020 20:1015

    Content type: Research article

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  27. HIV continuum of care has been used as a strategy to reduce HIV transmission rates, with timely engagement in HIV testing being the first and most critical step. This study examines interprofessional-collabora...

    Authors: Liliane Cambraia Windsor, Rogério Meireles Pinto and Carol Ann Lee

    Citation: BMC Health Services Research 2020 20:1014

    Content type: Research article

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  28. ‘Older People’s Shoes’ is a training intervention designed for healthcare assistants (HCAs) to improve the relational care of older people in hospital. The intervention formed part of a broader evaluation, in ...

    Authors: Heather Wharrad, Sophie Sarre, Justine Schneider, Jill Maben, Clare Aldus, Elaine Argyle and Anthony Arthur

    Citation: BMC Health Services Research 2020 20:1010

    Content type: Research article

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  29. Acute 24-h detoxification services (detox) are necessary but insufficient for many individuals working towards long-term recovery from opiate, alcohol or other drug addiction. Longer engagement in substance us...

    Authors: Maria E. Torres, Mary Brolin, Lee Panas, Grant Ritter, Dominic Hodgkin, Margaret Lee, Elizabeth Merrick, Constance Horgan, Jonna C. Hopwood, Andrea Gewirtz, Natasha De Marco and Nancy Lane

    Citation: BMC Health Services Research 2020 20:1004

    Content type: Research article

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  30. During discharge from hospital, older patients and physicians discuss the plan for managing patients’ health at home. If not followed at home, it can result in poor medication management, readmissions, or othe...

    Authors: Tahreem Ghazal Siddiqui, Socheat Cheng, Marte Mellingsæter, Ramune Grambaite, Pål Gulbrandsen, Christofer Lundqvist and Jennifer Gerwing

    Citation: BMC Health Services Research 2020 20:1002

    Content type: Research article

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  31. Whilst treatment for mental health issues has traditionally been conducted in-person, advances in technology has seen a recent growth in the use of online video therapy services to help overcome access-to-care...

    Authors: Samuel D. Muir, Kathleen de Boer, Maja Nedeljkovic and Denny Meyer

    Citation: BMC Health Services Research 2020 20:999

    Content type: Research article

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  32. Intimate partner violence (IPV) is highly prevalent in the United States and impacts the physical and mental health and social well-being of those who experience it. Healthcare settings are important intervent...

    Authors: Emma C. Jackson, Lynette M. Renner, Nyla I. Flowers, Mary E. Logeais and Cari Jo Clark

    Citation: BMC Health Services Research 2020 20:996

    Content type: Research article

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  33. Healthy Homes and Neighbourhoods (HHAN) Integrated Care Initiative was established to improve the care of families with complex health and social needs who reside in Sydney Local Health District. HHAN seeks to...

    Authors: E. Tennant, E. Miller, K. Costantino, D. De Souza, H. Coupland, P. Fotheringham and J. Eastwood

    Citation: BMC Health Services Research 2020 20:995

    Content type: Research article

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  34. Millions of older adults in the United States experience hearing, vision, and dual sensory impairment (concurring hearing and vision impairment) yet little research exists on their needs in interactions with t...

    Authors: Nicholas S. Reed, Lama Assi, Emily Pedersen, Yasmeen Alshabasy, Ashley Deemer, Jennifer A. Deal, Amber Willink and Bonnielin K. Swenor

    Citation: BMC Health Services Research 2020 20:990

    Content type: Research article

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  35. Falls and fall-related injuries are a major public health problem and an international priority for health services. Despite research showing that evidence-based fall prevention is effective, its translation i...

    Authors: Hilde Worum, Daniela Lillekroken, Birgitte Ahlsen, Kirsti Skavberg Roaldsen and Astrid Bergland

    Citation: BMC Health Services Research 2020 20:985

    Content type: Research article

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  36. While there is a growing body of literature supporting clinical decision-making for rehabilitation professionals, suboptimal use of evidence-based practices in that field persists. A strategic initiative that ...

    Authors: Katherine Montpetit-Tourangeau, Dahlia Kairy, Sara Ahmed, Dana Anaby, André Bussières, Marie-Ève Lamontagne, Annie Rochette, Keiko Shikako-Thomas and Aliki Thomas

    Citation: BMC Health Services Research 2020 20:973

    Content type: Research article

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  37. Despite many studies evaluating the effectiveness of integrated care, evidence remains inconsistent. There is increasing commentary pointing out the mismatch between the ability to capture the somewhat ‘illusi...

    Authors: Jenny Billings, Simone R. de Bruin, Caroline Baan and Giel Nijpels

    Citation: BMC Health Services Research 2020 20:971

    Content type: Research article

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  38. Early diagnosis is crucial for the treatment of childhood cancer as it in some cases can prevent progression of disease and improve prognoses. However, childhood cancer can be difficult to diagnose and barrier...

    Authors: Line Hjøllund Pedersen, Ayo Wahlberg, Marie Cordt, Kjeld Schmiegelow, Susanne Oksbjerg Dalton and Hanne Bækgaard Larsen

    Citation: BMC Health Services Research 2020 20:969

    Content type: Research article

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  39. Timely access is a challenge for providers of outpatient and community-based health services, as seen by the often lengthy waiting lists to manage demand. The Specific Timely Appointments for Triage (STAT) mod...

    Authors: Katherine E. Harding, David A. Snowdon, Luke Prendergast, Annie K. Lewis, Bridie Kent, Sandy F. Leggat and Nicholas F. Taylor

    Citation: BMC Health Services Research 2020 20:968

    Content type: Research article

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  40. As an alternative to acute hospitalisations, all communities in Norway are required to provide inpatient care in municipal acute bed units (MAUs) for patients who can be treated at the primary care level. Pati...

    Authors: Synnøve Karin Hernes, Valborg Baste, Kurt Arild Krokmyrdal, Silje Longva Todnem, Sabine Ruths and Ingrid Hjulstad Johansen

    Citation: BMC Health Services Research 2020 20:963

    Content type: Research article

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  41. Healthcare systems implement change at different rates because of differences in incentives, organizational processes, key influencers, and management styles. A comparable set of forces may play out at the nat...

    Authors: Kamran Badizadegan, David M. Vanlandingham, Wesley Hampton and Kimberly M. Thompson

    Citation: BMC Health Services Research 2020 20:962

    Content type: Research article

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  42. Implementation of person-centred care (PCC) is a challenging undertaking. Thus, a call has been issued for a robust and generic instrument to measure and enable evaluation of PCC across settings and patient gr...

    Authors: Helena Fridberg, Lars Wallin, Catarina Wallengren, Anders Kottorp, Henrietta Forsman and Malin Tistad

    Citation: BMC Health Services Research 2020 20:960

    Content type: Research article

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  43. Embedding patient accommodation need in the electronic health record (EHR) has been proposed as one means to improve health care delivery to patients with disabilities. Accommodation need is not a standard fie...

    Authors: Nancy R. Mudrick, Mary Lou Breslin, Kyrian A. Nielsen and LeeAnn C. Swager

    Citation: BMC Health Services Research 2020 20:958

    Content type: Research article

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  44. Healthcare organisations differ in performance even if they are located in the same country or region. Suitable managerial practices and organisational processes can lead to better health outcomes. As a result...

    Authors: Simone Fanelli, Roberto Bellù, Antonello Zangrandi, Luigi Gagliardi and Rinaldo Zanini

    Citation: BMC Health Services Research 2020 20:957

    Content type: Research article

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  45. Among all women who experienced an abortion in Sweden 2017, 45% had previously underwent at least one abortion. This phenomenon of increasing rates of repeat abortions stimulated efforts to improve contracepti...

    Authors: Helena Kilander, Jan Brynhildsen, Siw Alehagen and Johan Thor

    Citation: BMC Health Services Research 2020 20:948

    Content type: Research article

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  46. Health care services internationally are refocussing care delivery towards patient centred, integrated care that utilises effective, efficient and innovative models of care to optimise patient outcomes and sys...

    Authors: Maha Pervaz Iqbal, Elizabeth Manias, Laurel Mimmo, Stephen Mears, Briony Jack, Liz Hay and Reema Harrison

    Citation: BMC Health Services Research 2020 20:952

    Content type: Research article

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  47. HIV-positive children have lagged adults on retention in HIV care and viral suppression. To address this gap, Eswatini’s Ministry of Health started a pilot family-centered HIV care model (FCCM) targeting HIV-p...

    Authors: Philisiwe N. Khumalo, Leila Katirayi, Kim Ashburn, Caspian Chouraya, Lydia Mpango, Nobuhle Mthethwa and Lynne M. Mofenson

    Citation: BMC Health Services Research 2020 20:951

    Content type: Research article

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  48. Repeated studies of working hours among Norwegian regular general practitioners (RGPs) have shown that the average total number of weekly working hours has remained unchanged since 1994 and up until 2014. For ...

    Authors: Ingrid Keilegavlen Rebnord, Tone Morken, Kjell Maartmann-Moe and Steinar Hunskaar

    Citation: BMC Health Services Research 2020 20:944

    Content type: Research article

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  49. Competing demands for operative resources may affect time to hip fracture surgery. We sought to determine the time to hip fracture surgery by variation in demand in Canadian hospitals.

    Authors: Katie J. Sheehan, Boris Sobolev, Pierre Guy, Jason D. Kim, Lisa Kuramoto, Lauren Beaupre, Adrian R. Levy, Suzanne N. Morin, Jason M. Sutherland and Edward J. Harvey

    Citation: BMC Health Services Research 2020 20:935

    Content type: Research article

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