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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. A large evidence-practice gap exists regarding provision of nutrition to patients following surgery. The aim of this study was to evaluate the processes supporting the implementation of an intervention designe...

    Authors: Megan Rattray, Andrea P. Marshall, Ben Desbrow, Michael von Papen and Shelley Roberts

    Citation: BMC Health Services Research 2021 21:514

    Content type: Research article

    Published on:

  2. Current international consensus is that ‘early’ referral to palliative care services improves cancer patient and family carer outcomes. In practice, however, these referrals are not routine. An approach which ...

    Authors: Jennifer Philip, Roslyn Le Gautier, Anna Collins, Anna K. Nowak, Brian Le, Gregory B. Crawford, Nicole Rankin, Meinir Krishnasamy, Geoff Mitchell, Sue-Anne McLachlan, Maarten IJzerman, Robyn Hudson, Danny Rischin, Tanara Vieira Sousa and Vijaya Sundararajan

    Citation: BMC Health Services Research 2021 21:513

    Content type: Study protocol

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  3. From 2014 to 17, a large-scale project, ‘The User-involving Hospital’, was implemented at a Danish university hospital. Research highlights leadership as crucial for the outcome of change processes in general ...

    Authors: Kathrine Håland Jeppesen, Kirsten Frederiksen, Marianne Johansson Joergensen and Kirsten Beedholm

    Citation: BMC Health Services Research 2021 21:505

    Content type: Research article

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  4. There is a growing understanding that empowerment of interprofessional personnel is linked to job satisfaction levels and quality of care, but little is known about empowerment in the context of cancer care. T...

    Authors: Mervi Siekkinen, Liisa Kuokkanen, Hannele Kuusisto, Helena Leino-Kilpi, Päivi Rautava, Maijastiina Rekunen, Laura Seppänen, Minna Stolt, Leena Walta and Virpi Sulosaari

    Citation: BMC Health Services Research 2021 21:502

    Content type: Research article

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  5. The level of outpatient satisfaction plays a significant role in improving the quality and utilization of healthcare services. Patient satisfaction gives providers insights into various aspects of services inc...

    Authors: Weicun Ren, Lei Sun, Clifford Silver Tarimo, Quanman Li and Jian Wu

    Citation: BMC Health Services Research 2021 21:500

    Content type: Research article

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  6. Chronic pain presents a significant burden for both federal health care systems designed to serve combat Veterans in the United States (i.e., the Military Health System [MHS] and Veterans Health Administration...

    Authors: Rachel Sayko Adams, Esther L. Meerwijk, Mary Jo Larson and Alex H. S. Harris

    Citation: BMC Health Services Research 2021 21:494

    Content type: Research article

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  7. Improving health outcomes for Indigenous people by providing person-centred, culturally safe care is a crucial challenge for the health sector, both in Australia and internationally. Many cancer providers and ...

    Authors: Emma V. Taylor, Marilyn Lyford, Michele Holloway, Lorraine Parsons, Toni Mason, Sabe Sabesan and Sandra C. Thompson

    Citation: BMC Health Services Research 2021 21:493

    Content type: Research article

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  8. Nigeria has one of the largest Human Immunodeficiency Virus (HIV) epidemics in the world. Addressing the epidemic of HIV in such a high-burden country has necessitated responses of a multidimensional nature. H...

    Authors: David Akeju, Nerissa Nance, Andrea Salas-Ortiz, Ayoola Fakunmoju, Idoteyin Ezirim, Adejumoke G. Oluwayinka, Omoregie Godpower and Sergio Bautista-Arredondo

    Citation: BMC Health Services Research 2021 21:489

    Content type: Research article

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  9. There seems to be a consensus that a vision for an organization is a valuable thing for organizations to have. However, research on organizational vision has predominantly been studied from a leadership perspe...

    Authors: Terje Slåtten, Barbara Rebecca Mutonyi and Gudbrand Lien

    Citation: BMC Health Services Research 2021 21:483

    Content type: Research article

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  10. The Conversation, Understand, Replace, Experts and evidence-based treatment (CURE) project aims to provide a comprehensive offer of both pharmacotherapy and specialist support for tobacco dependence to all smo...

    Authors: Angela Wearn, Anna Haste, Catherine Haighton, Verity Mallion and Angela M. Rodrigues

    Citation: BMC Health Services Research 2021 21:481

    Content type: Research article

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  11. Health organization research is experiencing a strong refocus on employees’ individual innovative behavior (IIB), revealing that many of the influential factors at work remain uncertain. Hence, this study empi...

    Authors: Barbara Rebecca Mutonyi, Terje Slåtten and Gudbrand Lien

    Citation: BMC Health Services Research 2021 21:470

    Content type: Research article

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  12. To conduct a pilot study on an alternative model for the provision of respiratory therapies in sleep apnea-hypopnea syndrome (SAHS) by internalizing the service with the purchase, monitoring and control of con...

    Authors: Demetrio Gonzalez-Vergara, Sergio Marquez-Pelaez, Jose David Alfonso-Arias, Julia Perez-Ramos, Jose Luis Rojas-Box and Manuel Aumesquet-Nosea

    Citation: BMC Health Services Research 2021 21:469

    Content type: Research article

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  13. It was estimated that over a billion people have a disability and around 110 to 190 million experienced significant difficulties in functioning. Similarly, there were over 5 million and 32,630 individuals with...

    Authors: Nebiyou Dagnachew, Solomon Getnet Meshesha and Zelalem Tilahun Mekonen

    Citation: BMC Health Services Research 2021 21:467

    Content type: Research article

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  14. The Protocol-guided Rapid Evaluation of Veterans Experiencing New Transient Neurologic Symptoms (PREVENT) program was a complex quality improvement (QI) intervention targeting transient ischemic attack (TIA) e...

    Authors: Teresa M. Damush, Lauren S. Penney, Edward J. Miech, Nicholas A. Rattray, Sean A. Baird, Ariel J. Cheatham, Charles Austin, Ali Sexson, Laura J. Myers and Dawn M. Bravata

    Citation: BMC Health Services Research 2021 21:453

    Content type: Research article

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  15. The World Economic Forum has recently highlighted substantial problems in mental health service provision and called for the rapid deployment of smarter, digitally-enhanced health services as a means to facili...

    Authors: Sarah Piper, Tracey A. Davenport, Haley LaMonica, Antonia Ottavio, Frank Iorfino, Vanessa Wan Sze Cheng, Shane Cross, Grace Yeeun Lee, Elizabeth Scott and Ian B. Hickie

    Citation: BMC Health Services Research 2021 21:452

    Content type: Study protocol

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  16. Self-management is of paramount importance in the non-surgical treatment of knee/hip osteoarthritis (OA). Modern technologies offer the possibility of 24/7 self-management support. We developed an e-self-manag...

    Authors: Tim Pelle, Job van der Palen, Frank de Graaf, Frank H. J. van den Hoogen, Karen Bevers and Cornelia H. M. van den Ende

    Citation: BMC Health Services Research 2021 21:444

    Content type: Research article

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  17. : Interventional cardiac electrophysiology (EP) is a rapidly evolving field in Canada; a nationwide registry was established in 2011 to conduct a periodic review of resource allocation.

    Authors: Anna Kaoutskaia, Mohammed Shurrab, Guy Amit, Ratika Parkash, Derek Exner, Satish Toal, Laurence Sterns, Jean-Francois Sarrazin, Vijay Chauhan, Omar Sultan, Girish Nair, Marc Deyell, Laurent Macle, Steve Klassen, Benedict Glover and Eugene Crystal

    Citation: BMC Health Services Research 2021 21:435

    Content type: Research article

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  18. Caring for a growing aging population using existing long-term care resources while simultaneously supporting and educating family caregivers, is a public health challenge.

    Authors: N. A. Boucher, L. L. Zullig, M. Shepherd-Banigan, K. P. Decosimo, J. Dadolf, A. Choate, E. P. Mahanna, N. R. Sperber, V. Wang, K. A. Allen, S. N. Hastings and C. H. Van Houtven

    Citation: BMC Health Services Research 2021 21:430

    Content type: Research article

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  19. Reproductive coercion and abuse is defined as any behaviour that seeks to control a woman’s reproductive autonomy. In Australia, women often access reproductive health care through a primary care clinician, ho...

    Authors: Molly Wellington, Kelsey Hegarty and Laura Tarzia

    Citation: BMC Health Services Research 2021 21:424

    Content type: Research article

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  20. Worse health outcomes are consistently reported for First Nations people in Canada. Social, political and economic inequities as well as inequities in health care are major contributing factors to these health...

    Authors: Patrick McLane, Cheryl Barnabe, Brian R. Holroyd, Amy Colquhoun, Lea Bill, Kayla M. Fitzpatrick, Katherine Rittenbach, Chyloe Healy, Bonnie Healy and Rhonda J. Rosychuk

    Citation: BMC Health Services Research 2021 21:423

    Content type: Research article

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  21. Increasing use of volunteers in healthcare requires structured collaboration between healthcare services and volunteers. The aim of this research was to explore critical issues and strategies in the implementa...

    Authors: Erica Fredriksen, Elin Thygesen, Carl E. Moe and Santiago Martinez

    Citation: BMC Health Services Research 2021 21:410

    Content type: Research article

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  22. Demand for stroke rehabilitation is expected to grow dramatically; with the estimated prevalence of stroke survivors rising to 70 million worldwide by 2030. The World Health Organization’s (WHO) report - Rehabili...

    Authors: Kimberley Elizabeth Watkins, William Mark Magnus Levack, Farooq Azam Rathore and Elizabeth Jean Carleton Hay-Smith

    Citation: BMC Health Services Research 2021 21:399

    Content type: Research article

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  23. Work stress and compassion fatigue are prevalent among healthcare staff and their negative effects on staff well-being and patient care are well-known. This paper reports on the implementation and evaluation o...

    Authors: Jeremy Dawson, Imelda McCarthy, Cath Taylor, Kristin Hildenbrand, Mary Leamy, Ellie Reynolds and Jill Maben

    Citation: BMC Health Services Research 2021 21:392

    Content type: Research article

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  24. Provision of informal care may adversely affect health, daily and social activities of the informal caregivers, but few studies have examined these effects in relation to caregiving intensity. This study exami...

    Authors: Suhana Jawahir, Ee Hong Tan, Yeung R’ong Tan, Sarah Nurain Mohd Noh and Iqbal Ab Rahim

    Citation: BMC Health Services Research 2021 21:391

    Content type: Research article

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  25. Lean management practices are increasingly used in hospitals. However, their impacts on staff have not been systematically synthesised. This scoping review aims to synthesise the evidence on the effects of Lea...

    Authors: Zeyad Mahmoud, Nathalie Angelé-Halgand, Kate Churruca, Louise A. Ellis and Jeffrey Braithwaite

    Citation: BMC Health Services Research 2021 21:383

    Content type: Research article

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  26. Readmission rates are frequently used as a quality indicator for health care, yet their validity for evaluating quality is unclear. Published research on variables affecting readmission to psychiatric hospital...

    Authors: Eva Lassemo, Lars Henrik Myklebust, Damiano Salazzari and Jorid Kalseth

    Citation: BMC Health Services Research 2021 21:378

    Content type: Research article

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  27. The need for and usage of electronic patient records within hospitals has steadily increased over the last decade for economic reasons as well as the proceeding digitalization. While there are numerous benefit...

    Authors: Marina Beckmann, Kerstin Dittmer, Julia Jaschke, Ute Karbach, Juliane Köberlein-Neu, Maya Nocon, Carsten Rusniok, Florian Wurster and Holger Pfaff

    Citation: BMC Health Services Research 2021 21:377

    Content type: Study protocol

    Published on:

  28. The COVID-19 pandemic has led to global shortages in the resources required to care for critically ill patients and to protect frontline healthcare providers. This study investigated physicians’ perceptions an...

    Authors: Jeanna Parsons Leigh, Laryssa G. Kemp, Chloe de Grood, Rebecca Brundin-Mather, Henry T. Stelfox, Josh S. Ng-Kamstra and Kirsten M. Fiest

    Citation: BMC Health Services Research 2021 21:374

    Content type: Research article

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  29. The sustainability of Australian rural maternity services is under threat due to current workforce shortages. In July 2019, a new midwifery caseload model of care was implemented in rural South Australia to pr...

    Authors: Pamela Adelson, Rachael Yates, Julie-Anne Fleet and Lois McKellar

    Citation: BMC Health Services Research 2021 21:368

    Content type: Research article

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  30. Primary healthcare (PHC) is an essential component of an effective healthcare system. The Kingdom of Saudi Arabia’s (KSA) health reforms prioritize tackling the increasing noncommunicable disease burden by pri...

    Authors: Quds Al Saffer, Taghred Al-Ghaith, Ahlam Alshehri, Rimah Al-Mohammed, Shahad Al Homidi, Mariam M. Hamza, Christopher H. Herbst and Nahar Alazemi

    Citation: BMC Health Services Research 2021 21:365

    Content type: Research article

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  31. Internationally, it is expected that health services will involve the public in health service design. Evaluation of public involvement has typically focused on the process and experiences for participants. Le...

    Authors: Nicola Lloyd, Amanda Kenny and Nerida Hyett

    Citation: BMC Health Services Research 2021 21:364

    Content type: Research article

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  32. Physical activity rates in cancer survivors continue to be low despite the known benefits and availability of evidence-based programs. LIVESTRONG at the Y is a national community-based physical activity progra...

    Authors: Jamie M. Faro, Kristin M. Mattocks, Dalton Mourao, Catherine S. Nagawa, Stephenie C. Lemon, Bo Wang, Sarah L. Cutrona and Rajani S. Sadasivam

    Citation: BMC Health Services Research 2021 21:358

    Content type: Research article

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  33. Vaccination is a common painful procedure for children. Parents’ concern regarding vaccination pain is a significant driver of vaccine hesitancy. Despite the wealth of evidence-based practices available for ma...

    Authors: Nicole E. MacKenzie, Perri R. Tutelman, Christine T. Chambers, Jennifer A. Parker, Noni E. MacDonald, C. Meghan McMurtry, Pierre Pluye, Vera Granikov, Anna Taddio, Melanie Barwick, Kathryn A. Birnie and Katelynn E. Boerner

    Citation: BMC Health Services Research 2021 21:355

    Content type: Research article

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  34. In Australia, activity-based funding models have emphasized the need for hospitals to be accountable for their clinical performance. Clinician managers, with medical backgrounds are essential to ensuring high ...

    Authors: Didir Imran, Karen Rog, John Gallichio and Laura Alston

    Citation: BMC Health Services Research 2021 21:351

    Content type: Research article

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  35. Sharing information about hospital care with primary care in the form of a discharge summary is essential to patient safety. In the United Kingdom, although discharge summary targets on timeliness have been ac...

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

    Citation: BMC Health Services Research 2021 21:349

    Content type: Research article

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  36. HIV-positive mothers who face the dual burden of HIV-positive status and motherhood, may benefit from holistic services that include early childhood development (ECD). We evaluated the acceptability and impact...

    Authors: Kathryn Dovel, Pericles Kalande, Evelyn Udedi, Tijana Temelkovska, Julie Hubbard, Chipariro Mbalanga, Laurie Bruns, Siyenunu Mulungu, Sundeep Gupta, Linda Richter and Thomas J. Coates

    Citation: BMC Health Services Research 2021 21:348

    Content type: Research article

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  37. Fibromyalgia (FM) is a contested, chronic widespread pain syndrome on which recommended therapies have short-lasting, moderate effects. Nevertheless, some patients become symptom-free, and their recovery exper...

    Authors: Anne Marit Mengshoel, Åse Skarbø, Elisabeth Hasselknippe, Tamara Petterson, Nina Linnea Brandsar, Ellen Askmann, Ragnhild Ildstad, Lena Løseth and Merja Helena Sallinen

    Citation: BMC Health Services Research 2021 21:339

    Content type: Research article

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  38. Exercise Referral Schemes have been delivered worldwide in developed countries to augment physical activity levels in sedentary patients with a range of health issues, despite their utility being questioned. U...

    Authors: John Downey, Katie Shearn, Nicola Brown, Ross Wadey and Jeff Breckon

    Citation: BMC Health Services Research 2021 21:335

    Content type: Research article

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  39. Inuit experience the highest cancer mortality rates from lung cancer in the world with increasing rates of other cancers in addition to other significant health burdens. Inuit who live in remote areas must oft...

    Authors: Janet Jull, Amanda J. Sheppard, Alex Hizaka, Gwen Barton, Paula Doering, Danielle Dorschner, Nancy Edgecombe, Megan Ellis, Ian D. Graham, Mara Habash, Gabrielle Jodouin, Lynn Kilabuk, Theresa Koonoo and Carolyn Roberts

    Citation: BMC Health Services Research 2021 21:328

    Content type: Research article

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  40. Women’s health and the reduction in the global maternal mortality rate is a research priority worldwide. The aim of this study was to investigate the structural conditions that influence the maternity care pro...

    Authors: Elin Mordal, Ingrid Hanssen, Andargachew Kassa Biratu and Solfrid Vatne

    Citation: BMC Health Services Research 2021 21:323

    Content type: Research article

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  41. The International Classification of Diseases (ICD) is the reference standard for reporting diseases and health conditions globally. Variations in ICD use and data collection across countries can hinder meaning...

    Authors: Lucia Otero Varela, Chelsea Doktorchik, Natalie Wiebe, Hude Quan and Catherine Eastwood

    Citation: BMC Health Services Research 2021 21:308

    Content type: Research article

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  42. Effective person-centred interventions are needed to support people living with mental-physical multimorbidity to achieve better health and wellbeing outcomes. Depression is identified as the most common menta...

    Authors: Kylie J. McKenzie, Susan L. Fletcher, David Pierce and Jane M. Gunn

    Citation: BMC Health Services Research 2021 21:301

    Content type: Research article

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  43. Children with medical complexity (CMC) require the expertise of many care providers spanning different disciplines, institutions, and settings of care. This leads to duplicate health records, breakdowns in com...

    Authors: Sherri Adams, Madison Beatty, Clara Moore, Arti Desai, Leah Bartlett, Erin Culbert, Eyal Cohen, Jennifer Stinson and Julia Orkin

    Citation: BMC Health Services Research 2021 21:300

    Content type: Research article

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  44. The rapid shift in hospital governance in the past few years suggests greater orthopedist involvement in management roles, would have wide-reaching benefits for the efficiency and effectiveness of healthcare d...

    Authors: André Côté, Kassim Said Abasse, Maude Laberge, Marie-Hélène Gilbert, Mylaine Breton and Célia Lemaire

    Citation: BMC Health Services Research 2021 21:299

    Content type: Research article

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  45. Timely treatment is essential for achieving optimal outcomes after traumatic spinal cord injury (TSCI), and expeditious transfer to a specialist spinal cord injury unit (SCIU) is recommended within 24 h from i...

    Authors: Lisa N. Sharwood, David Whyatt, Bharat P. Vaikuntam, Christiana L. Cheng, Vanessa K. Noonan, Anthony P. Joseph, Jonathon Ball, Ralph E. Stanford, Mei-Ruu Kok, Samuel R. Withers and James W. Middleton

    Citation: BMC Health Services Research 2021 21:292

    Content type: Research article

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  46. This study aims to explore the experiences, beliefs, feelings, and challenges faced by Pakistani migrant doctors working in the United Kingdom in times of the COVID-19 pandemic. The qualitative study aims to e...

    Authors: Javeria Saleem, Muhammad Ishaq, Rubeena Zakar, Imran Hussain Khan Suddahazai and Florian Fischer

    Citation: BMC Health Services Research 2021 21:291

    Content type: Research article

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  47. Strengthening the capacity of hospitals to take into account the level of health literacy of their public is a necessity to improve the quality of care. One way to develop adequate health literacy responsive p...

    Authors: Gilles Henrard, Marc Vanmeerbeek, Nadia Dardenne and Jany Rademakers

    Citation: BMC Health Services Research 2021 21:287

    Content type: Research article

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  48. In Belgium, General Practitioner Cooperatives (GPC) aim to improve working conditions for unplanned care and to reduce the number of low acuity emergency visits. Although this system is well organized, the num...

    Authors: Birgitte Schoenmakers, Jasper Van Criekinge, Timon Boeve, Jonas Wilms, Chris Van Der Mullen and Marc Sabbe

    Citation: BMC Health Services Research 2021 21:282

    Content type: Research article

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  49. Understanding the use of tele-intensive care unit (ICU) services is an essential component in evaluating current practice and informing future use as the adoption and application of teleICU services expands. W...

    Authors: Anna Krupp, Michael Di Martino, Wesley Chung, Krisda Chaiyachati, Anish K. Agarwal, Ann Marie Huffenberger and Krzysztof Laudanski

    Citation: BMC Health Services Research 2021 21:277

    Content type: Research article

    Published on: