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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. Hospitals are merging to become more cost-effective. Mergers are often complex and difficult processes with variable outcomes. The aim of this study was to analyze the effect of mergers on long-term sickness a...

    Authors: Lars Erik Kjekshus, Vilde Hoff Bernstrøm, Espen Dahl and Thomas Lorentzen

    Citation: BMC Health Services Research 2014 14:50

    Content type: Research article

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  2. The purpose of this study was to describe the interventions implemented in a quality improvement programme to improve transitional care and evaluate its effectiveness in reducing bottlenecks as perceived by pr...

    Authors: Anna P Nieboer, Jane M Cramm, Henk M Sonneveld, Marij E Roebroeck, AnneLoes van Staa and Mathilde MH Strating

    Citation: BMC Health Services Research 2014 14:47

    Content type: Research article

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  3. Practicing safe behavior regarding patients is an intrinsic part of a physician’s ethical and professional standards. Despite this, physicians practice behaviors that run counter to patient safety, including p...

    Authors: Erik Renkema, Manda Broekhuis and Kees Ahaus

    Citation: BMC Health Services Research 2014 14:38

    Content type: Research article

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  4. The geriatric nursing home population is vulnerable to acute and deteriorating illness due to advanced age, multiple chronic illnesses and high levels of dependency. Although the detriments of hospitalising th...

    Authors: Birgitte Graverholt, Louise Forsetlund and Gro Jamtvedt

    Citation: BMC Health Services Research 2014 14:36

    Content type: Research article

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  5. There is a need to reduce symptoms, exacerbations and improve quality of life for patients with respiratory diseases. Across the world, increasing numbers of nurses are adopting the prescribing role and can po...

    Authors: Nicola Carey, Karen Stenner and Molly Courtenay

    Citation: BMC Health Services Research 2014 14:27

    Content type: Research article

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  6. In Finland diabetologists have long been concerned about the level of diabetes care as the incidence of type 1 diabetes and complicated type 2 diabetes is exceeding the capacity of specialist clinics. We compa...

    Authors: Mikko T Honkasalo, Miika Linna, Timo Sane, Atte Honkasalo and Outi Elonheimo

    Citation: BMC Health Services Research 2014 14:26

    Content type: Research article

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  7. Health care professionals, including physicians, are at high risk of encountering workplace violence. At the same time physician turnover is an increasing problem that threatens the functioning of the health c...

    Authors: Tarja Heponiemi, Anne Kouvonen, Marianna Virtanen, Jukka Vänskä and Marko Elovainio

    Citation: BMC Health Services Research 2014 14:19

    Content type: Research article

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  8. Family caregivers provide invaluable support to stroke survivors during their recovery, rehabilitation, and community re-integration. Unfortunately, it is not standard clinical practice to prepare and support ...

    Authors: Jill I Cameron, Gary Naglie, Monique A M Gignac, Mark Bayley, Grace Warner, Theresa Green, Anna Czerwonka, Maria Huijbregts, Frank L Silver, Steve J Phillips and Angela M Cheung

    Citation: BMC Health Services Research 2014 14:18

    Content type: Study protocol

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  9. Case management interventions have been widely used in the care of frail older people. Such interventions often contain components that may act both independently of each other and interdependently, which make...

    Authors: Magnus Sandberg, Ulf Jakobsson, Patrik Midlöv and Jimmie Kristensson

    Citation: BMC Health Services Research 2014 14:14

    Content type: Research article

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  10. Understanding dentists’ capacity to supply dental services over time is a key element in the process of planning for the future. The aim was to identify time trends and estimate age, period and cohort effects ...

    Authors: Xiangqun Ju, David S Brennan and A John Spencer

    Citation: BMC Health Services Research 2014 14:13

    Content type: Research article

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  11. Over the last decade healthcare management and managers have increasingly been in focus in public debate. The purpose of the present study was to gain a deeper understanding of how prolonged, unfavorable media...

    Authors: Maria Wramsten Wilmar, Gunnar Ahlborg Jr, Christian Jacobsson and Lotta Dellve

    Citation: BMC Health Services Research 2014 14:8

    Content type: Research article

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  12. Continuity in the context of healthcare refers to the perception of the client that care has been connected and coherent over time. For over a decade professionals providing maternity and child and family heal...

    Authors: Kim Psaila, Virginia Schmied, Cathrine Fowler and Sue Kruske

    Citation: BMC Health Services Research 2014 14:4

    Content type: Research article

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  13. As health systems evolve, it is essential to evaluate their impact on the delivery of health services to socially disadvantaged populations. We evaluated the delivery of primary health services for different s...

    Authors: Simone Dahrouge, William Hogg, Natalie Ward, Meltem Tuna, Rose Anne Devlin, Elizabeth Kristjansson, Peter Tugwell and Kevin Pottie

    Citation: BMC Health Services Research 2013 13:517

    Content type: Research article

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  14. OPTIC is a mixed method Partnership for Health System Improvement (http://​www.​cihr-irsc.​gc.​ca/​e/​34348.​html) study focused on improving care for nursing...

    Authors: Robert Colin Reid, Garnet E Cummings, Sarah L Cooper, Stephanie L Abel, Laura J Bissell, Carole A Estabrooks, Brian H Rowe, Adrian Wagg, Peter G Norton, Mike Ertel and Greta G Cummings

    Citation: BMC Health Services Research 2013 13:515

    Content type: Research article

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  15. Timely and appropriate hospital treatment of acute cerebrovascular diseases (stroke and Transient Ischemic Attacks - TIA) improves patient outcomes. Emergency Medical Service (EMS) dispatchers who can identify...

    Authors: Assunta De Luca, Paolo Giorgi Rossi and Guido Francesco Villa

    Citation: BMC Health Services Research 2013 13:513

    Content type: Research article

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  16. Type 2 Diabetes (T2D) has reached epidemic levels in the Middle East region. Despite evidence that it improves health outcomes and saves health costs, dietary counseling for T2D remains grossly under-investiga...

    Authors: Mohamad Alameddine, Lara Nasreddine, Nahla Hwalla, Yara Mourad, Hikma Shoaib, Dana Mousa and Farah Naja

    Citation: BMC Health Services Research 2013 13:504

    Content type: Research article

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  17. Training is a critical part of health information technology implementations, but little emphasis is placed on post-implementation training to support day-to-day activities. The goal of this study was to evalu...

    Authors: Christine E Bredfeldt, Elias Bruce Awad, Kenneth Joseph and Mark H Snyder

    Citation: BMC Health Services Research 2013 13:503

    Content type: Research article

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  18. Although interprofessional practice (IPP) offers the potential to enhance rural health services and provide support to rural clinicians, IPP may itself be problematic due to workforce limitations and service f...

    Authors: Vicki Parker, Karen McNeil, Isabel Higgins, Rebecca Mitchell, Penelope Paliadelis, Michelle Giles and Glenda Parmenter

    Citation: BMC Health Services Research 2013 13:500

    Content type: Research article

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  19. Use of teams has shown to be an important factor for organizational performance. However, research has shown that a team has to meet certain criteria and operate in a certain way to realize the potential benef...

    Authors: Anders Kvale Havig, Anders Skogstad, Marijke Veenstra and Tor Inge Romøren

    Citation: BMC Health Services Research 2013 13:499

    Content type: Research article

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  20. Modern-day health systems are complex, making it difficult to assure continuity of care for older persons with multi-morbidity. One way of intervening in a health system that is leading to fragmented care is b...

    Authors: Markus Gustafsson, Jimmie Kristensson, Göran Holst, Ania Willman and Doris Bohman

    Citation: BMC Health Services Research 2013 13:496

    Content type: Research article

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  21. Poor interprofessional communication in hospital is deemed to cause significant patient harm. Although recognition of this issue is growing, protocols are being implemented to solve this problem without empiri...

    Authors: Merrick Zwarenstein, Kathleen Rice, Lesley Gotlib-Conn, Chris Kenaszchuk and Scott Reeves

    Citation: BMC Health Services Research 2013 13:494

    Content type: Research article

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  22. Despite a shift in diabetes care internationally from secondary to primary care, diabetes care in the Republic of Ireland remains very hospital-based. Significant variation in the facilities and resources avai...

    Authors: Máire O’Donnell, Anna de Siún, Monica O’Mullane, Diarmuid Smith, Colin Bradley, Francis M Finucane and Sean F Dinneen

    Citation: BMC Health Services Research 2013 13:493

    Content type: Research article

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  23. In 2007–2008, two UK-based organisations, the National Institute for Health and Clinical Excellence and the Royal College of Obstetricians and Gynaecologists, published guidelines for the management of care an...

    Authors: Suzanne M Cox, David Cromwell, Tahir Mahmood, Allan Templeton, Benedetta La Corte and Jan van der Meulen

    Citation: BMC Health Services Research 2013 13:491

    Content type: Research article

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  24. The move towards enhancing teamwork and interprofessional collaboration in health care raises issues regarding the management of professional boundaries and the relationship among health care providers. This q...

    Authors: Kate MacNaughton, Samia Chreim and Ivy Lynn Bourgeault

    Citation: BMC Health Services Research 2013 13:486

    Content type: Research article

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  25. Medication reconciliation at admission, transfer and discharge has been designated as a required hospital practice to reduce adverse drug events. However, implementation challenges have resulted in poor hospit...

    Authors: Ari N Meguerditchian, Stanimira Krotneva, Kristen Reidel, Allen Huang and Robyn Tamblyn

    Citation: BMC Health Services Research 2013 13:485

    Content type: Research article

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  26. This study describes the definitions of wait times and intake processes used by drug and problem gambling treatment agencies in Ontario, Canada, as well as the various strategies employed to ameliorate client ...

    Authors: Rachael V Pascoe, Brian Rush and Nooshin Khobzi Rotondi

    Citation: BMC Health Services Research 2013 13:483

    Content type: Research article

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  27. Understanding the relationship between organizational context and research utilization is key to reducing the research-practice gap in health care. This is particularly true in the residential long term care (...

    Authors: Matthias Hoben, Cornelia Mahler, Marion Bär, Sarah Berger, Janet E Squires, Carole A Estabrooks and Johann Behrens

    Citation: BMC Health Services Research 2013 13:478

    Content type: Research article

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  28. Although research interest in hospital process orientation (HPO) is growing, the development of a measurement tool to assess process orientation (PO) has not been very successful yet. To view a hospital as a s...

    Authors: Pedro D Gonçalves, Marie Louise Hagenbeek and Jan M H Vissers

    Citation: BMC Health Services Research 2013 13:475

    Content type: Research article

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  29. The decline of the traditional U.S. shopping mall and a focus on more consumer- centered care have created an opportunity for “medical malls”. Medical malls are defined as former retail spaces repurposed for h...

    Authors: Lori Uscher-Pines, Ateev Mehrotra and Ramya Chari

    Citation: BMC Health Services Research 2013 13:471

    Content type: Research article

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  30. Population-based funding formulae act as an important means of promoting equitable health funding structures. To evaluate how policy makers in different jurisdictions construct health funding formulae and buil...

    Authors: Erin Penno, Robin Gauld and Rick Audas

    Citation: BMC Health Services Research 2013 13:470

    Content type: Research article

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  31. Increased life expectancy and the accompanying prevalence of chronic conditions have led to the focus and delivery of health care migrating from the hospital and into people’s homes. While previous studies hav...

    Authors: Ross Thomson, Jennifer L Martin and Sarah Sharples

    Citation: BMC Health Services Research 2013 13:467

    Content type: Research article

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  32. Demographical changes have stimulated a coordination reform in the Norwegian health care sector, creating new working practices and extending coordination within and between primary and hospital care, increasi...

    Authors: Elisabeth Holen-Rabbersvik, Tom Roar Eikebrokk, Rune Werner Fensli, Elin Thygesen and Åshild Slettebø

    Citation: BMC Health Services Research 2013 13:451

    Content type: Research article

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  33. Colorectal cancer (CRC) is the third most commonly diagnosed cancer and second highest cause of cancer-related mortality in Canada. Despite the availability of screening services and establishment of guideline...

    Authors: Thomas J Charters, Erin C Strumpf and Maida J Sewitch

    Citation: BMC Health Services Research 2013 13:449

    Content type: Research article

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  34. Research on the quality of diabetes care provided to young adults with Type 1 diabetes is lacking. This study investigates perceptions of quality of care for young adults with Type 1 diabetes (23–30 years old)...

    Authors: Myles Balfe, Ruairi Brugha, Diarmuid Smith, Seamus Sreenan, Frank Doyle and Ronan Conroy

    Citation: BMC Health Services Research 2013 13:448

    Content type: Research article

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  35. Although we are observing a general move towards larger primary care practices, surprisingly little is known about the influence of key components of practice organization on primary care. We aimed to determin...

    Authors: Rose Anne Devlin, William Hogg, Jianwei Zhong, Michael Shortt, Simone Dahrouge and Grant Russell

    Citation: BMC Health Services Research 2013 13:446

    Content type: Research article

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  36. The appropriate care for people with cardiovascular risk factors can reduce morbidity and mortality. One strategy for improving the care for these patients involves the implementation of evidence-based guideli...

    Authors: Arritxu Etxeberria, Itziar Pérez, Idoia Alcorta, Jose Ignacio Emparanza, Elena Ruiz de Velasco, Maria Teresa Iglesias, Domingo Orozco-Beltrán and Rafael Rotaeche

    Citation: BMC Health Services Research 2013 13:438

    Content type: Study protocol

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  37. The Electronic Prescription Service Release 2 (EPS2) in England has been designed to provide electronic transmission of digitally-signed prescriptions between primary care providers, with the intent on removin...

    Authors: Sara Garfield, Ralph Hibberd and Nick Barber

    Citation: BMC Health Services Research 2013 13:435

    Content type: Research article

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  38. The implementation of clinical practice guidelines in rehabilitation practice is often troublesome and incomplete. An intervention to enhance the implementation of guidelines is the knowledge transfer program ...

    Authors: Mia Willems, Carin Schröder, Marcel Post, Trudy van der Weijden and Anne Visser-Meily

    Citation: BMC Health Services Research 2013 13:434

    Content type: Study protocol

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  39. The position of nurse consultant (NC) was introduced in Hong Kong by the Hospital Authority in January 2009. Seven NCs were appointed in five clinical specialties: diabetes, renal, wound and stoma care, psychi...

    Authors: Diana TF Lee, Kai Chow Choi, Carmen WH Chan, Sek Ying Chair, Dominic Chan, Sylvia YK Fung and Eric LS Chan

    Citation: BMC Health Services Research 2013 13:431

    Content type: Research article

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  40. Extant research suggests that there is a strong social component to Evidence-Based Medicine (EBM) adoption since professional networks amongst physicians are strongly associated with their attitudes towards EB...

    Authors: Daniele Mascia, Americo Cicchetti and Gianfranco Damiani

    Citation: BMC Health Services Research 2013 13:429

    Content type: Research article

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  41. Theory-based evaluation (TBE) approaches are heralded as supporting formative evaluation by facilitating increased use of evaluative findings to guide programme improvement. It is essential that learning from ...

    Authors: Jennifer Eaves and Wendy Gnich

    Citation: BMC Health Services Research 2013 13:425

    Content type: Research article

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  42. Difficulties with recruitment pose a major, increasingly recognised challenge to the viability of research. We sought to explore whether a register of volunteers interested in research participation, with data...

    Authors: Aileen Grant, Jenny Ure, Donald J Nicolson, Janet Hanley, Aziz Sheikh, Brian McKinstry and Frank Sullivan

    Citation: BMC Health Services Research 2013 13:422

    Content type: Research article

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  43. Adjusted clinical groups (ACG®) have been widely used to adjust resource distribution; however, the relationship with effectiveness has been questioned. The purpose of the study was to measure the relationship...

    Authors: Concepción Violán, Oleguer Plana-Ripoll, Quintí Foguet-Boreu, Bonaventura Bolíbar, Alba Aguado, Ruth Navarro-Artieda, Soledad Velasco-Velasco and Antoni Sicras-Mainar

    Citation: BMC Health Services Research 2013 13:421

    Content type: Research article

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  44. Medication errors are a common type of preventable errors in health care causing unnecessary patient harm, hospitalization, and even fatality. Improving communication between providers and between providers an...

    Authors: Nicole A Kitson, Morgan Price, Francis Y Lau and Grey Showler

    Citation: BMC Health Services Research 2013 13:418

    Content type: Research article

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  45. Rates of chronic disease are escalating around the world. To date health service evaluations have focused on interventions for single chronic diseases. However, evaluations of the effectiveness of new interven...

    Authors: Zephanie Tyack, Kerrie-Anne Frakes, Petrea Cornwell, Suzanne S Kuys, Adrian G Barnett and Steven M McPhail

    Citation: BMC Health Services Research 2013 13:410

    Content type: Study protocol

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  46. Telehealth is increasingly used in the care of people with long term conditions. Whilst many studies look at the impacts of the technology on hospital use, few look at how it changes contacts with primary care...

    Authors: Martin Bardsley, Adam Steventon and Helen Doll

    Citation: BMC Health Services Research 2013 13:395

    Content type: Research article

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  47. The growing population living with chronic conditions calls for efficient healthcare-planning and effective care. Implementing disease-management-programmes is one option for responding to this demand. Knowled...

    Authors: Margrethe Smidth, Morten Bondo Christensen, Morten Fenger-Grøn, Frede Olesen and Peter Vedsted

    Citation: BMC Health Services Research 2013 13:385

    Content type: Research article

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  48. In the intensive care unit (ICU), checklists can be used to support the delivery of quality and consistent clinical care. While studies have reported important benefits for clinical checklists in this context,...

    Authors: Karena M Conroy, Doug Elliott and Anthony R Burrell

    Citation: BMC Health Services Research 2013 13:380

    Content type: Research article

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  49. Effective patient-centred health care requires internal participation, which is defined as interprofessional patient-centred teamwork. Many scales are designed for measuring teamwork from the perspective of on...

    Authors: Mirjam Körner and Markus A Wirtz

    Citation: BMC Health Services Research 2013 13:374

    Content type: Research article

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