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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. Telemedicine improves access to health care services enabling remote care diagnosis and treatment of patients at a distance. However, the implementation of telemedicine services often pose challenges stemming ...

    Authors: Joanna Kho, Nicole Gillespie and Melinda Martin-Khan

    Citation: BMC Health Services Research 2020 20:815

    Content type: Research article

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  2. Substantial government funding has been invested to support the training of General Practitioners (GPs) in Australia to serve rural communities. However, there is little data on the impact of this expanded tra...

    Authors: Katerina Kanakis, Louise Young, Carole Reeve, Richard Hays, Tarun Sen Gupta and Bunmi Malau-Aduli

    Citation: BMC Health Services Research 2020 20:812

    Content type: Research article

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  3. Community care has recently been restructured with the development of Community Health Centres (CHCs), forcing a general rethink on the survival of previous organizational solutions adopted to reduce inappropr...

    Authors: Cristina Ugolini, Anna Caterina Leucci, Lucia Nobilio and Gianfranco Bertè

    Citation: BMC Health Services Research 2020 20:807

    Content type: Research article

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  4. The purpose of this study was to produce a risk stratification within a population of high-risk patients with multiple chronic conditions who are currently treated under a case management program and to explor...

    Authors: Pablo E. Bretos-Azcona, Eduardo Sánchez-Iriso and Juan M. Cabasés Hita

    Citation: BMC Health Services Research 2020 20:806

    Content type: Research article

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  5. The nursing associate role was developed in England in response to the ‘Shape of Caring’ review. It has been implemented to fulfil two aims; to bridge the gap between registered nurses and healthcare assistant...

    Authors: Rachel King, Tony Ryan, Emily Wood, Angela Tod and Steve Robertson

    Citation: BMC Health Services Research 2020 20:802

    Content type: Research article

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  6. Closely linked to the concept of supportive care, the integrated model of palliative care (PC) implies identifying, assessing and treating physical and psychological suffering as early as needed, irrespective ...

    Authors: Asmaa Janah, Christine Le Bihan-Benjamin, Julien Mancini, Anne-Déborah Bouhnik, Philippe-Jean Bousquet and Marc-Karim Bendiane

    Citation: BMC Health Services Research 2020 20:798

    Content type: Research article

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  7. To better understand how radiation oncologists perceive intensity-modulated radiation therapy (IMRT) and stereotactic body radiation therapy (SBRT) for prostate cancer and how these perceptions may influence t...

    Authors: Bruce L. Jacobs, Megan Hamm, Flor de Abril Cameron, Jose G. Luiggi-Hernandez, Dwight E. Heron, Jeremy M. Kahn and Amber E. Barnato

    Citation: BMC Health Services Research 2020 20:796

    Content type: Research article

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  8. Numerous forces drive the evolution and need for transformation of long-term care services. During the previous decade, primary health care has assumed increased responsibility for developing and providing car...

    Authors: Hanne Marie Rostad, Marianne Sundlisæter Skinner, Ragnhild Hellesø and Maren Kristine Raknes Sogstad

    Citation: BMC Health Services Research 2020 20:793

    Content type: Research article

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  9. High quality goal setting in stroke rehabilitation is vital, but challenging to deliver. The G-AP framework (including staff training and a stroke survivor held G-AP record) guides patient centred goal setting...

    Authors: Lesley Scobbie, Edward A. S. Duncan, Marian C. Brady, Katie Thomson and Sally Wyke

    Citation: BMC Health Services Research 2020 20:791

    Content type: Research article

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  10. In 2017, the Vietnam Ministry of Health conducted a demonstration project to introduce seasonal influenza vaccination to health care workers. A total of 11,000 doses of influenza vaccine, single-dose prefilled...

    Authors: Nga T. Ha, Thoa T. M. Nguyen, Tung X. Nguyen, Phu D. Tran, Hang M. Nguyen, Van T. Ha, Kathryn E. Lafond, Jane F. Seward, Jeffrey W. McFarland and Susan Y. Chu

    Citation: BMC Health Services Research 2020 20:785

    Content type: Research article

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  11. Improving health system value and efficiency are considered major policy priorities internationally. Ontario has undergone a primary care reform that included introduction of interprofessional teams. The purpo...

    Authors: Wissam Haj-Ali, Rahim Moineddin, Brian Hutchison, Walter P. Wodchis and Richard H. Glazier

    Citation: BMC Health Services Research 2020 20:782

    Content type: Research article

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  12. Migrant families’ transnational ties (i.e., connections to their countries of origin) may contribute to their hardships and/or may be a source of resiliency. A care approach that addresses these transnational ...

    Authors: Lisa Merry, Sarah Fredsted Villadsen, Veronik Sicard and Naomie Lewis-Hibbert

    Citation: BMC Health Services Research 2020 20:778

    Content type: Research article

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  13. A policy statement recommending that healthcare providers (HCPs) encourage cardiac patients to enroll in cardiac rehabilitation (CR) was recently endorsed by 23 medical societies. This study describes the deve...

    Authors: Carolina Santiago de Araújo Pio, Anna Gagliardi, Neville Suskin, Farah Ahmad and Sherry L. Grace

    Citation: BMC Health Services Research 2020 20:768

    Content type: Research article

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  14. For several years mobile X-ray equipment has been routinely used for imaging in patients too unwell within the hospital, when transportation to the radiology department was inadvisable. Now, mobile X-ray exami...

    Authors: Maria Dietz Toppenberg, Thomas Erik Møller Christiansen, Finn Rasmussen, Camilla Palmhøj Nielsen and Else Marie Damsgaard

    Citation: BMC Health Services Research 2020 20:767

    Content type: Research article

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  15. Globally there are growing multicultural and multilingual societies. As a result of extensive international migration, the number of elderly migrants has increased and will further increase in the future. This...

    Authors: Emina Hadziabdic and Katarina Hjelm

    Citation: BMC Health Services Research 2020 20:766

    Content type: Research article

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  16. The coverage for influenza vaccination among healthcare workers (HCWs) is inadequate in many countries despite strong recommendations; is there evidence that influenza vaccination is effective in preventing ab...

    Authors: Francesca Antinolfi, Claudio Battistella, Laura Brunelli, Francesca Malacarne, Francesco Giuseppe Bucci, Daniele Celotto, Roberto Cocconi and Silvio Brusaferro

    Citation: BMC Health Services Research 2020 20:763

    Content type: Research article

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  17. Failure to attend the clinic without prior intimation, known as “Did Not Attend” (DNA) is a significant global issue. There have been no published studies attempting to reduce DNA rates in breast clinics. We a...

    Authors: Pasupathy Kiruparan, Nanthesh Kiruparan and Debasish Debnath

    Citation: BMC Health Services Research 2020 20:757

    Content type: Research article

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  18. People with severe mental illness (SMI) are at greater risk of earlier mortality due to physical health problems including cardiovascular disease (CVD). There is limited work exploring whether physical health ...

    Authors: Suzan Hassan, Samira Heinkel, Alexandra Burton, Ruth Blackburn, Tayla McCloud, Jamie Ross, David Osborn and Kate Walters

    Citation: BMC Health Services Research 2020 20:753

    Content type: Research article

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  19. The Advanced Geriatric Nurse role recently has been introduced into Norway’s primary healthcare system, and our study’s purpose was to examine the implementation of models of care developed for Advanced Geriat...

    Authors: Konstantinos Antypas and Marit Kirkevold

    Citation: BMC Health Services Research 2020 20:749

    Content type: Research article

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  20. Research in lifestyle interventions focusing on nutrition and physical activity in people living with psychotic illness, highlights anthropometric and metabolic benefits of these interventions. However, little...

    Authors: Doreen Mucheru, Samantha Ashby, Mary-Claire Hanlon, Mark McEvoy and Lesley MacDonald-Wicks

    Citation: BMC Health Services Research 2020 20:743

    Content type: Research article

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  21. Diagnosis by computed tomography (CT) and magnetic resonance imaging (MRI) is important for patient care. However, the geographic distribution and utilisation of these machines in countries with limited resour...

    Authors: Moe Khaing, Yu Mon Saw, Thet Mon Than, Aye Myat Mon, Su Myat Cho, Thu Nandar Saw, Tetsuyoshi Kariya, Eiko Yamamoto and Nobuyuki Hamajima

    Citation: BMC Health Services Research 2020 20:742

    Content type: Research article

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  22. Early warning systems (EWS) are most effective when clinicians monitor patients’ vital signs and comply with the recommended escalation of care protocols once deterioration is recognised.

    Authors: Tracy Flenady, Trudy Dwyer, Agnieszka Sobolewska, Danielle Le Lagadec, Justine Connor, Julie Kahl, Tania Signal and Matthew Browne

    Citation: BMC Health Services Research 2020 20:736

    Content type: Research article

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  23. A recent nurse-led, telephone-administered 18-month intervention, Care Coordination for Health Promotion and Activities in Parkinson’s Disease (CHAPS), was tested in a randomized controlled trial and improved ...

    Authors: Karen I. Connor, Hilary C. Siebens, Brian S. Mittman, David A. Ganz, Frances Barry, E. J. Ernst, Lisa K. Edwards, Michael G. McGowan, Donna K. McNeese-Smith, Eric M. Cheng and Barbara G. Vickrey

    Citation: BMC Health Services Research 2020 20:732

    Content type: Research article

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  24. Insomnia is a common diagnosis among patients in psychiatric health care and effective treatments are highly demanded. Previous research suggests that internet-delivered cognitive behavioural therapy for insom...

    Authors: Josefin Kadesjö Banck and Susanne Bernhardsson

    Citation: BMC Health Services Research 2020 20:729

    Content type: Research article

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  25. Employee burnout and its associated consequences is a significant problem in the healthcare workforce. Workplace animal therapy programs offer a potential strategy for improving employee well-being; however, r...

    Authors: Bella Etingen, Rachael N. Martinez, Bridget M. Smith, Timothy P. Hogan, Laura Miller, Karen L. Saban, Dawn Irvin, Becky Jankowski and Frances M. Weaver

    Citation: BMC Health Services Research 2020 20:714

    Content type: Research article

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  26. There is both higher mortality and morbidity from cancer in low and medium income countries (LMICs) compared with high income countries (HICs). Clinical trial activities and development of more effective and l...

    Authors: Atara Ntekim, Abiola Ibraheem, Adenike Adeniyi-Sofoluwe, Toyosi Adepoju, Mojisola Oluwasanu, Toyin Aniagwu, Olutosin Awolude, Williams Balogun, Olayinka Kotila, Prisca Adejumo, Chinedum Peace Babalola, Ganiyu Arinola, Oladosu Ojengbede, Christopher O. Olopade and Olufunmilayo I. Olopade

    Citation: BMC Health Services Research 2020 20:713

    Content type: Research article

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  27. In response to a high number of incoming asylum seekers and refugees (AS&R) in Germany, initial reception centres were established to provide immediate shelter, food and health support. This study evaluates th...

    Authors: Annabelle J. Bockey, Aleš Janda, Cornelia Braun, Anne-Maria Müller, Katarina Stete, Winfried V. Kern, Siegbert R. Rieg and Berit Lange

    Citation: BMC Health Services Research 2020 20:709

    Content type: Research article

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  28. Detection of tuberculosis (TB) in children in Kenya is sub-optimal. Xpert MTB/RIF® assay (Xpert®) has the potential to improve speed of TB diagnosis due to its sensitivity and fast turnaround for results. Sign...

    Authors: Jacquie Narotso Oliwa, Sabina Adhiambo Odero, Jacinta Nzinga, Michaël Boele van Hensbroek, Caroline Jones, Mike English and Anja van’t Hoog

    Citation: BMC Health Services Research 2020 20:708

    Content type: Research article

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  29. In an effort to reduce the high rate of suicide among post-9/11 veterans, a collaborative team within the Department of Veterans Affairs (VA) has developed a holistic community-based health promotion program d...

    Authors: Sarah Shue, Jayme Brosmer and Marianne S. Matthias

    Citation: BMC Health Services Research 2020 20:707

    Content type: Research article

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  30. Strengthening HIV prevention is imperative given the continued high HIV incidence worldwide. The introduction of oral PrEP as a new biomedical HIV prevention tool can be a potential game changer because of its...

    Authors: Jef Vanhamel, Anke Rotsaert, Thijs Reyniers, Christiana Nöstlinger, Marie Laga, Ella Van Landeghem and Bea Vuylsteke

    Citation: BMC Health Services Research 2020 20:704

    Content type: Research article

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  31. This paper examines the relationship between selected motivation factors that affect the attitude to work among medical doctors at public hospitals and the organizational performance of hospitals.

    Authors: Malgorzata Chmielewska, Jakub Stokwiszewski, Justyna Filip and Tomasz Hermanowski

    Citation: BMC Health Services Research 2020 20:701

    Content type: Research article

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  32. The use of networks in healthcare has been steadily increasing over the past decade. Healthcare networks reduce fragmented care, support coordination amongst providers and patients, improve health system effic...

    Authors: Shannon Sibbald, Karen Schouten, Kimia Sedig, Rachelle Maskell and Christopher Licskai

    Citation: BMC Health Services Research 2020 20:700

    Content type: Research article

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  33. Practice facilitation is a promising strategy to enhance care processes and outcomes in primary care settings. It requires that practices and their facilitators engage as teams to drive improvement. In this an...

    Authors: Jacqueline R. Halladay, Bryan J. Weiner, Jung In Kim, Darren A. DeWalt, Stephanie Pierson, Jason Fine, Ann Lefebvre, Monique Mackey, Dawn Bergmire, Crystal Cené, Kamal Henderson and Samuel Cykert

    Citation: BMC Health Services Research 2020 20:695

    Content type: Research article

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  34. Cervical cancer screening is effective in reducing mortality due to uterine cervical cancer (UCC). However, inequalities in participation in UCC screening exist, especially according to age and social status. ...

    Authors: Thibaut Raginel, Guillaume Grandazzi, Guy Launoy, Mélanie Trocmé, Véronique Christophe, Célia Berchi and Lydia Guittet

    Citation: BMC Health Services Research 2020 20:693

    Content type: Research article

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  35. Medication adherence has been studied in different settings, with different approaches, and applying different methodologies. Nevertheless, our knowledge and efficacy are quite limited in terms of measuring an...

    Authors: Salvatore Pirri, Valentina Lorenzoni and Giuseppe Turchetti

    Citation: BMC Health Services Research 2020 20:688

    Content type: Research article

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  36. In spite of the mixed evidence for their impact, survivorship Care Plans (SCPs) are recommended to enhance quality of care for cancer survivors. Data on the feasibility of SCPs in bladder cancer (BC) is sparse...

    Authors: Cheryl T. Lee, Nihal E. Mohamed, Sailaja Pisipati, Qainat N. Shah, Piyush K. Agarwal, Tracy M. Downs, Michael Droller, Scott M. Gilbert, Heather H. Goltz, Simon J. Hall, Mohamed Hendawi, Jean Hoffman-Censits, Michael O’Donnell, Matthew Kaag, Lawrence I. Karsh, Wassim Kassouf…

    Citation: BMC Health Services Research 2020 20:686

    Content type: Research article

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  37. Surgical theater (ST) operations planning is a key subject in the healthcare management literature, particularly the scheduling of procedures in operating rooms (ORs). The OR scheduling problem is usually appr...

    Authors: Rafael Calegari, Flavio S. Fogliatto, Filipe R. Lucini, Michel J. Anzanello and Beatriz D. Schaan

    Citation: BMC Health Services Research 2020 20:684

    Content type: Research article

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  38. In 2015, Michigan implemented a rule requiring parents to attend an education session at a local health department (LHD) prior to waiving mandatory child vaccinations. This study utilizes Normalization Process...

    Authors: Denise F. Lillvis, Charley Willison and Katia Noyes

    Citation: BMC Health Services Research 2020 20:683

    Content type: Research article

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  39. Disparities in health persist even in high-income countries, and healthcare systems do not reach disadvantaged families as needed. A number of home-visiting interventions in high-income countries offering peer...

    Authors: Per Kåks and Mats Målqvist

    Citation: BMC Health Services Research 2020 20:682

    Content type: Review

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  40. High levels of opioid-related mortality, as well as morbidity, contribute to the excessive opioid-related disease burden in North America, induced by high availability of opioids. While correlations between op...

    Authors: Wayne Jones, Paul Kurdyak and Benedikt Fischer

    Citation: BMC Health Services Research 2020 20:677

    Content type: Research article

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  41. One of the main objectives of Electronic Health Records (EHRs) is to enhance collaboration among healthcare professionals. However, our knowledge of how EHRs actually affect collaborative practices is limited....

    Authors: Janita F. J. Vos, Albert Boonstra, Arjen Kooistra, Marc Seelen and Marjolein van Offenbeek

    Citation: BMC Health Services Research 2020 20:676

    Content type: Research article

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  42. Little is known about pharmacy owners’ commitment to public health and health policy goals in the strategic planning of their business. The aim of this study was to explore factors associated with health servi...

    Authors: Lenita Jokinen, Inka Puumalainen and Marja Airaksinen

    Citation: BMC Health Services Research 2020 20:667

    Content type: Research article

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  43. Organizational health care research focuses on describing structures and processes in organizations and investigating their impact on the quality of health care. In the setting of residential long-term care, t...

    Authors: Johannes Michael Bergmann, Armin Michael Ströbel, Bernhard Holle and Rebecca Palm

    Citation: BMC Health Services Research 2020 20:646

    Content type: Research article

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  44. It is known that the use of a Patient Decision Aid (PtDA), combined with advice for professionals on how and when to use it, can enhance the involvement of patients in the treatment decision. However, we need ...

    Authors: W. Savelberg, M. Smidt, L. J. Boersma and T. van der Weijden

    Citation: BMC Health Services Research 2020 20:635

    Content type: Research article

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  45. 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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  46. 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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  47. 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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  48. 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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  49. 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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