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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. Content type: Research article

    Leadership has been identified as an influential factor in implementation processes in healthcare organizations. However, the processes through which leaders affect implementation outcomes are largely unknown....

    Authors: Håkan Uvhagen, Henna Hasson, Johan Hansson and Mia von Knorring

    Citation: BMC Health Services Research 2018 18:562

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  2. Content type: Research article

    Investments in settings-based health interventions can include workplaces, however, engaging with businesses and convincing them to take a role can be difficult. Our research investigated the potential for tra...

    Authors: Geraldine Marsh, Virginia Lewis, Jenny Macmillan and Su Gruszin

    Citation: BMC Health Services Research 2018 18:565

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  3. Content type: Research article

    Person-centred health care has widespread recognition, but there are few instruments aimed at measuring the provision of person-centred practice among health care professionals across a range of settings. The ...

    Authors: Pia Cecilie Bing-Jonsson, Paul Slater, Brendan McCormack and Lisbeth Fagerström

    Citation: BMC Health Services Research 2018 18:555

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  4. Content type: Research article

    The effective adoption and use of digital and computerized systems and records in hospitals are crucial for increasing the overall quality, safety and outcomes of any national health community. Prior research ...

    Authors: Luigi Lepore, Concetta Metallo, Francesco Schiavone and Loris Landriani

    Citation: BMC Health Services Research 2018 18:554

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  5. Content type: Research article

    Emergency departments handle a large proportion of acute patients. In 2007, it was recommended centralizing the Danish healthcare system and establishing emergency departments as the main common entrance for e...

    Authors: Morten Breinholt Søvsø, Sabina Bay Hermansen, Emil Færk, Tim Alex Lindskou, Marc Ludwig, Jørn Munkhof Møller, Jelena Jonciauskiene and Erika Frischknecht Christensen

    Citation: BMC Health Services Research 2018 18:548

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  6. Content type: Research article

    There is a growing body of evidence that supports the uses of telehealth to monitor and manage people with diabetes at a distance. Despite this, the uptake of telehealth has been low. The objective of this stu...

    Authors: Puikwan A. Lee, Geva Greenfield and Yannis Pappas

    Citation: BMC Health Services Research 2018 18:549

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  7. Content type: Research article

    Patient-reported outcome (PRO)-based follow-up is a new model of service delivery, where PRO measures are used as the very basis for demand-driven outpatient follow-up in patients with chronic diseases. Adopti...

    Authors: Caroline Trillingsgaard Mejdahl, Liv Marit Valen Schougaard, Niels Henrik Hjollund, Erik Riiskjær and Kirsten Lomborg

    Citation: BMC Health Services Research 2018 18:546

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  8. Content type: Research article

    The standard 11-days IMCI (Integrated Management of Childhood Illness) training course (standard IMCI) has faced barriers such as high cost to scale up. Distance learning IMCI training program was developed as...

    Authors: Lulu M. Muhe, Nemes Iriya, Felixambrose Bundala, Mary Azayo, Maryam Juma Bakari, Asia Hussein and Theopista John

    Citation: BMC Health Services Research 2018 18:547

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  9. Content type: Research article

    Tobacco smoking is extremely prevalent in people with severe mental illness (SMI) and has been recognised as the main contributor to widening health inequalities in this population. Historically, smoking has b...

    Authors: Lisa Huddlestone, Harpreet Sohal, Claire Paul and Elena Ratschen

    Citation: BMC Health Services Research 2018 18:542

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  10. Content type: Research article

    Research on team effectiveness in healthcare has focussed on whether effective teams yield positive outcomes for patients and on the effectiveness of team interventions to improve performance. Limited understa...

    Authors: U. Cunningham, M. E. Ward, A. De Brún and E. McAuliffe

    Citation: BMC Health Services Research 2018 18:536

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  11. Content type: Research article

    Nutrition has been integrated within the health services in Bangladesh as it is an important issue for health and development. High penetration of mobile phones in the community and favourable policy and polit...

    Authors: Nazib Uz Zaman Khan, Sabrina Rasheed, Tamanna Sharmin, A. K. Siddique, Micheal Dibley and Ashraful Alam

    Citation: BMC Health Services Research 2018 18:530

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  12. Content type: Research article

    Studies in the intensive care unit (ICU) suggest that better communication between families of critically ill patients and healthcare providers is needed; however, most randomized trials targeting intervention...

    Authors: Csilla Kalocsai, Andre Amaral, Dominique Piquette, Grace Walter, Shelly P. Dev, Paul Taylor, James Downar and Lesley Gotlib Conn

    Citation: BMC Health Services Research 2018 18:533

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  13. Content type: Research article

    To investigate the association between the structural quality of care and patient satisfaction with care in individuals with disorders/ differences of sex development (DSD).

    Authors: Ute Thyen, Till Ittermann, Steffen Flessa, Holger Muehlan, Wiebke Birnbaum, Marion Rapp, Louise Marshall, Maria Szarras-Capnik, Claire Bouvattier, Baudewijntje P. C. Kreukels, Anna Nordenstroem, Robert Roehle and Birgit Koehler

    Citation: BMC Health Services Research 2018 18:527

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  14. Content type: Research article

    People in residential aged care facilities (RACF) are at very high risk of developing complex oral diseases and dental problems. A multidisciplinary approach incorporating oral health professionals and RACF st...

    Authors: Anna Tynan, Lisa Deeth and Debra McKenzie

    Citation: BMC Health Services Research 2018 18:515

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  15. Content type: Research article

    In accordance the WHO framework of health system functions and by using the indicators collected within the EURO-HEALTHY project, this work aims to contribute to the discussion on the classification of EU heal...

    Authors: Pedro Lopes Ferreira, Aida Isabel Tavares, Carlota Quintal and Paula Santana

    Citation: BMC Health Services Research 2018 18:511

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  16. Content type: Study protocol

    In 2013 vocational rehabilitation programmes (VRP) were given official and legal approval under Danish law to assist occupationally marginalized citizens in gaining general life skills, building their work abi...

    Authors: Lotte Nygaard Andersen, Mette Jensen Stochkendahl and Kirsten Kaya Roessler

    Citation: BMC Health Services Research 2018 18:517

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  17. Content type: Research article

    Greater interest is being shown in participatory approaches, especially in research on interventions that concern children and young people’s health and well-being. Although participatory approaches have user ...

    Authors: Ingrid Larsson, Carin Staland-Nyman, Petra Svedberg, Jens M. Nygren and Ing-Marie Carlsson

    Citation: BMC Health Services Research 2018 18:507

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  18. Content type: Research article

    With the increasing burden of mental illness globally, it is becoming common for hospitalised patients with chronic medical conditions to have a comorbidity of mental illness. This combination could prolong le...

    Authors: Nazlee Siddiqui, Mitchell Dwyer, Jim Stankovich, Gregory Peterson, David Greenfield, Lei Si and Leigh Kinsman

    Citation: BMC Health Services Research 2018 18:498

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  19. Content type: Study protocol

    Sickle cell disease (SCD) is an inherited blood disorder that results in a lifetime of anemia, severe pain, and end-organ damage that can lead to premature mortality. While the SCD field has made major medical...

    Authors: Ana A. Baumann, Steven H. Belle, Aimee James and Allison A. King

    Citation: BMC Health Services Research 2018 18:500

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  20. Content type: Study protocol

    School health services provide an excellent opportunity for the detection and treatment of children at risk of later health problems. However, the optimal use of school doctors’ skills and expertise remains un...

    Authors: Kirsi Nikander, Silja Kosola, Minna Kaila and Elina Hermanson

    Citation: BMC Health Services Research 2018 18:501

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  21. Content type: Research article

    The literature suggests that although adult hospitals are establishing population health programs around the country, there is considerable definitional ambiguity regarding whether interventions are aimed at t...

    Authors: Daniel Skinner, Berkeley Franz, Matthew Taylor, Chantelle Shaw and Kelly J. Kelleher

    Citation: BMC Health Services Research 2018 18:494

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  22. Content type: Research article

    In 2015, Germany recorded the highest rates of refugees since the early 1990s. Access to medical care is a legally regulated fundamental element of aid for refugees. In practice, there are several hurdles such...

    Authors: Hannah S. Borgschulte, Gerhard A. Wiesmüller, Anne Bunte and Florian Neuhann

    Citation: BMC Health Services Research 2018 18:488

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  23. Content type: Study protocol

    The completion of an implementation research project typically signals the end of research. In contrast, the Ghana Health Service has embraced a continuous process of evidence-based programming, wherein each r...

    Authors: James F. Phillips, John Koku Awoonor-Williams, Ayaga A. Bawah, Belinda Afriyie Nimako, Nicholas S. Kanlisi, Mallory C. Sheff, Patrick O. Asuming, Pearl E. Kyei, Adriana Biney and Elizabeth F. Jackson

    Citation: BMC Health Services Research 2018 18:484

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  24. Content type: Research article

    Patients may decide to undertake shared care with a general practitioner (GP) during follow-up after treatment for localised melanoma. Routine imaging tests for surveillance may be commonly used despite no evi...

    Authors: Wei-Yin Lim, Robin M. Turner, Rachael L. Morton, Marisa C. Jenkins, Les Irwig, Angela C. Webster, Mbathio Dieng, Robyn P. M. Saw, Pascale Guitera, Donald Low, Cynthia Low and Katy J. L. Bell

    Citation: BMC Health Services Research 2018 18:477

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  25. Content type: Research article

    With the rise in pre-mature mortality rate from non-communicable disease (NCD), there is a need for evidence-based interventions. We evaluated existing systematic reviews on effectiveness of integration of hea...

    Authors: Kristy C Yiu, Anke Rohwer and Taryn Young

    Citation: BMC Health Services Research 2018 18:481

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  26. Content type: Research article

    Older adults with multiple chronic conditions typically have more complex care needs that require multiple transitions between healthcare settings. Poor care transitions often lead to fragmentation in care, de...

    Authors: Chantal Backman, Dawn Stacey, Michelle Crick, Danielle Cho-Young and Patricia B. Marck

    Citation: BMC Health Services Research 2018 18:482

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  27. Content type: Research article

    Although Germany’s acute care for stroke patients already has a good reputation, continuous follow-up care is still not widely available, a problem originating in the strict separation of inpatient and outpati...

    Authors: Isabelle Hempler, Kathrin Woitha, Ulrike Thielhorn and Erik Farin

    Citation: BMC Health Services Research 2018 18:468

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  28. Content type: Study protocol

    Non-medical prescribing (NMP) is acknowledged as an expanding area of clinical practice across the world. The physiotherapy profession is currently investigating the introduction of physiotherapist prescribing...

    Authors: T. Noblet, J. Marriot, T. Jones, C. Dean and A. Rushton

    Citation: BMC Health Services Research 2018 18:472

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  29. Content type: Research article

    Visiting services address the problem of workforce deficit and access to effective primary health care services in isolated remote and rural locations. Little is known about their impact or effectiveness and t...

    Authors: Timothy A. Carey, David Sirett, Deborah Russell, John S. Humphreys and John Wakerman

    Citation: BMC Health Services Research 2018 18:476

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  30. Content type: Study protocol

    Therapeutic patient education (TPE) improves quality of life and reduces health care utilization among patients with chronic obstructive pulmonary disease (COPD). However, benefits from TPE might depend on the...

    Authors: Myriam Gagné, Jocelyne Moisan, Sophie Lauzier, Christine Hamel, Patricia Côté, Jean Bourbeau and Louis-Philippe Boulet

    Citation: BMC Health Services Research 2018 18:460

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  31. Content type: Study protocol

    Musculoskeletal shoulder problems are common after breast cancer treatment. There is some evidence to suggest that early postoperative exercise is safe and may improve shoulder function. We describe the develo...

    Authors: Helen Richmond, Clare Lait, Cynthia Srikesavan, Esther Williamson, Jane Moser, Meredith Newman, Lauren Betteley, Beth Fordham, Sophie Rees, Sarah E. Lamb and Julie Bruce

    Citation: BMC Health Services Research 2018 18:463

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  32. Content type: Research article

    In 2013, Health Quality Ontario introduced stroke quality-based procedures (QBPs) to promote use of evidence-based practices for patients with stroke in Ontario hospitals. The study purpose was to: (a) describ...

    Authors: Julia E. Moore, Christine Marquez, Kristen Dufresne, Charmalee Harris, Jamie Park, Radha Sayal, Monika Kastner, Linda Kelloway, Sarah E. P. Munce, Mark Bayley, Matthew Meyer and Sharon E. Straus

    Citation: BMC Health Services Research 2018 18:466

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  33. Content type: Research article

    Cancelation of same-day surgery is a common global problem, wasting valuable hospitals’ operating room (OR) times and imposing significant economic costs. There is limited evidence to support the association b...

    Authors: Omar B. Da’ar and Talal Al-Mutairi

    Citation: BMC Health Services Research 2018 18:454

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  34. Content type: Research article

    A Personal Health Record (PHR) is an electronic record that individuals use to manage and share their health information, e.g. data from their medical records and data collected by apps. However, engagement wi...

    Authors: Fiona Fylan, Lauren Caveney, Alastair Cartwright and Beth Fylan

    Citation: BMC Health Services Research 2018 18:445

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  35. Content type: Research article

    Access to multidisciplinary health care services for First Nation children with a chronic condition is critical for the child’s health and well-being, but disparities and inequality in health care systems have...

    Authors: Julieann Coombes, Kate Hunter, Tamara Mackean, Andrew J. A. Holland, Elizabeth Sullivan and Rebecca Ivers

    Citation: BMC Health Services Research 2018 18:448

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  36. Content type: Research article

    Multidisciplinary teams (MDTs) are an integral component in the delivery of health care. This is particularly evident in the delivery of cancer care, where multidisciplinary teams are internationally recognize...

    Authors: Anna Janssen, Tracy Robinson, Melissa Brunner, Paul Harnett, Kylie E. Museth and Tim Shaw

    Citation: BMC Health Services Research 2018 18:444

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  37. Content type: Research article

    Healthcare middle managers (HMMs) have, as the leaders closest to clinical practice, a crucial position in healthcare today. There is broad knowledge about the demands on HMMs’ capacity, their situation in gen...

    Authors: Trude Anita Hartviksen, Berit Mosseng Sjolie, Jessica Aspfors and Lisbeth Uhrenfeldt

    Citation: BMC Health Services Research 2018 18:433

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  38. Content type: Research article

    Public health and primary care are distinct sectors within western health care systems. Within each sector, work is carried out in the context of organizations, for example, public health units and primary car...

    Authors: Ruta Valaitis, Donna Meagher-Stewart, Ruth Martin-Misener, Sabrina T. Wong, Marjorie MacDonald and Linda O’Mara

    Citation: BMC Health Services Research 2018 18:420

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  39. Content type: Research article

    Research has shown high rates of stress and dissatisfaction among allied health professionals, including physiotherapists, having an adverse impact on workforce retention rates. This study aimed to examine the...

    Authors: Othman Y. Alkassabi, Hana Al-Sobayel, Einas S. Al-Eisa, Syamala Buragadda, Ahmad H. Alghadir and Amir Iqbal

    Citation: BMC Health Services Research 2018 18:422

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  40. Content type: Research article

    Foreign-born physicians fill in the shortage of physicians in many developed countries. Labour market theory and previous studies suggest that foreign-born physicians may be a disadvantaged group with a higher...

    Authors: Tarja Heponiemi, Laura Hietapakka, Salla Lehtoaro and Anna-Mari Aalto

    Citation: BMC Health Services Research 2018 18:418

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  41. Content type: Study protocol

    Pediatric obesity is a serious, but clinically neglected, chronic health problem. Despite the high prevalence, excess weight problems are rarely managed when children attend clinical services. It is recommende...

    Authors: Jennifer Cohen, Shirley Alexander, Michelle Critekos, Sarah P. Garnett, Alison J. Hayes, Tim Shaw, Kyra A. Sim and Louise A. Baur

    Citation: BMC Health Services Research 2018 18:417

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  42. Content type: Research article

    Transition between care settings is a time of high risk for preventable medication errors. Poor communication about medication changes on discharge from hospital can result in adverse drug events and medicines...

    Authors: Jane Ferguson, Liz Seston and Darren M. Ashcroft

    Citation: BMC Health Services Research 2018 18:424

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  43. Content type: Research article

    The need for organisational development in primary care has increased as it is accepted as a means of curbing rising costs and responding to demographic transitions. It is only within such inter-organisational...

    Authors: Sanneke Schepman, Pim Valentijn, Marc Bruijnzeels, Marlies Maaijen, Dinny de Bakker, Ronald Batenburg and Antoinette de Bont

    Citation: BMC Health Services Research 2018 18:427

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  44. Content type: Study protocol

    Concepts for the nursing and care of cancer patients through a “navigation service” have attracted much interest. However, there is still room for improvement in terms of their funding and coverage. The Saxon ...

    Authors: Ralf Porzig, Sina Neugebauer, Thomas Heckmann, Daniela Adolf, Peter Kaskel and Ursula G. Froster

    Citation: BMC Health Services Research 2018 18:413

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  45. Content type: Research article

    The Government of Turkey has initiated a series of major health reforms in 2003 with an objective of increasing access to health care services and improving efficiency of public and private hospitals. This stu...

    Authors: Mustafa S. Yildiz, Vahé Heboyan and M. Mahmud Khan

    Citation: BMC Health Services Research 2018 18:401

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  46. Content type: Research article

    Change initiatives face many challenges, and only a few lead to long-term sustainability. One area in which the challenge of achieving long-term sustainability is particularly noticeable is integrated health a...

    Authors: Charlotte Klinga, Henna Hasson, Magna Andreen Sachs and Johan Hansson

    Citation: BMC Health Services Research 2018 18:400

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  47. Content type: Research article

    Extant literature suggested that positive organizational climate leads to higher levels of organizational commitment, which is an important concept in terms of employee attitudes, likewise, the concept of perc...

    Authors: Aysen Berberoglu

    Citation: BMC Health Services Research 2018 18:399

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  48. Content type: Study protocol

    A common approach to enhance patient-centered care is training care professionals. Additional training of patients has been shown to significantly improve patient-centeredness of care. In this participatory de...

    Authors: Thomas W. Vijn, Hub Wollersheim, Marjan J. Faber, Cornelia R. M. G. Fluit and Jan A. M. Kremer

    Citation: BMC Health Services Research 2018 18:387

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  49. Content type: Research article

    The management of medical devices is crucial to safe, high-quality surgical care, but has received little attention in the medical literature. This study explored the effect of a sub-specialties management mod...

    Authors: Li Wang, Xuejiao Cai and Ping Cheng

    Citation: BMC Health Services Research 2018 18:385

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