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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

    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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. 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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  11. 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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  12. 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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  13. Content type: Debate

    This is the final paper in a thematic series reporting a program of Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. The SHARE Program was established to...

    Authors: Claire Harris, Kelly Allen, Wayne Ramsey, Richard King and Sally Green

    Citation: BMC Health Services Research 2018 18:386

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  14. Content type: Research article

    The chronic care model (CCM) is an established framework for the management of patients with chronic illness at the individual and population level. Its application has been previously shown to improve clinica...

    Authors: Piercarlo Ballo, Francesco Profili, Laura Policardo, Lorenzo Roti, Paolo Francesconi and Alfredo Zuppiroli

    Citation: BMC Health Services Research 2018 18:388

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  15. 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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  16. 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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  17. Content type: Study protocol

    Prenatal education is a core component of perinatal care and services provided by health institutions. Whereas group prenatal education is the most common educational model, some health institutions have opted...

    Authors: Geneviève Roch, Roxane Borgès Da Silva, Francine de Montigny, Holly O. Witteman, Tamarha Pierce, Sonia Semenic, Julie Poissant, André-Anne Parent, Deena White, Nils Chaillet, Carl-Ardy Dubois, Mathieu Ouimet, Geneviève Lapointe, Stéphane Turcotte, Alexandre Prud’homme, Geneviève Painchaud Guérard…

    Citation: BMC Health Services Research 2018 18:382

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  18. Content type: Research article

    Military Veterans in the United States are more likely than the general population to live in rural areas, and often have limited geographic access to Veterans Health Administration (VHA) facilities. In an eff...

    Authors: Michael E. Ohl, Margaret Carrell, Andrew Thurman, Mark Vander Weg, Teresa Hudson Pharm, Michelle Mengeling and Mary Vaughan-Sarrazin

    Citation: BMC Health Services Research 2018 18:315

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  19. Content type: Research article

    The South Eastern Health Region in Norway serves approximately 2.8 million people, which is more than half of Norway’s population. Physical medicine and rehabilitation services are provided by 9 public hospita...

    Authors: Jennifer L. Moore, Svein Friis, Ian D. Graham, Elisabeth Troøyen Gundersen and Jan E. Nordvik

    Citation: BMC Health Services Research 2018 18:379

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  20. Content type: Study protocol

    Significant health inequities exist around maternal and infant health for Māori, the indigenous people of Aotearoa New Zealand – and in particular around a premature (preterm) delivery. Māori babies are more l...

    Authors: Sara Filoche, Fiona Cram, Angela Beard, Dalice Sim, Stacie Geller, Liza Edmonds, Bridget Robson and Beverley Lawton

    Citation: BMC Health Services Research 2018 18:374

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  21. Content type: Research article

    Type 2 diabetes presents a major morbidity and mortality burden in the United States. Diabetes self-management education (DSME) is an intervention associated with improved hemoglobin A1c(HbA1c) and quality of ...

    Authors: Amy T. Cunningham, Denine R. Crittendon, Neva White, Geoffrey D. Mills, Victor Diaz and Marianna D. LaNoue

    Citation: BMC Health Services Research 2018 18:367

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  22. Content type: Research article

    Accelerating the implementation of new technology in healthcare is typically complex and multi-faceted. One strategy is to charge a national agency with the responsibility for facilitating implementation. This...

    Authors: Gill Harvey, Sue Llewellyn, Gregory Maniatopoulos, Alan Boyd and Rob Procter

    Citation: BMC Health Services Research 2018 18:347

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    The Correction to this article has been published in BMC Health Services Research 2018 18:438

  23. Content type: Research article

    In 2003 the Uganda Ministry of Health (MoH) introduced the District League Table (DLT) to track district performance. This review of the DLT is intended to add to the evidence base on Health Systems Performanc...

    Authors: Christine KirungaTashobya, Freddie Ssengooba, Juliet Nabyonga-Orem, Juliet Bataringaya, Jean Macq, Bruno Marchal, Timothy Musila and Bart Criel

    Citation: BMC Health Services Research 2018 18:355

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  24. Content type: Research article

    Physician migration has been gaining attention worldwide. In Germany, physician migration became a topic of interest in the context of the discussion about a shortage of physicians, for which one contributing ...

    Authors: Birte Pantenburg, Katharina Kitze, Melanie Luppa, Hans-Helmut König and Steffi G. Riedel-Heller

    Citation: BMC Health Services Research 2018 18:341

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  25. Content type: Research article

    Poor retention in care and suboptimal adherence to antiretroviral treatment (ART) undermine its successful rollout in South Africa. The adherence club intervention was designed as an adherence-enhancing interv...

    Authors: Ferdinand C. Mukumbang, Bruno Marchal, Sara Van Belle and Brian van Wyk

    Citation: BMC Health Services Research 2018 18:343

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  26. Content type: Research article

    Shenzhen has rapidly grown into a megacity in the recent decades. It is a challenging task for the Shenzhen government to provide sufficient healthcare services. The spatial configuration of healthcare service...

    Authors: Zhuolin Tao, Zaoxing Yao, Hui Kong, Fei Duan and Guicai Li

    Citation: BMC Health Services Research 2018 18:345

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  27. Content type: Research article

    Despite an extensive body of knowledge exists on network outcomes and on how hospital network structures may contribute to the creation of outcomes at different levels of analysis, less attention has been paid...

    Authors: Fausto Di Vincenzo

    Citation: BMC Health Services Research 2018 18:334

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  28. Content type: Research article

    We describe the way psychiatric issues are addressed by inpatient medical teams through analysis of discussions of patients with behavioral health concerns and examination of teams’ subsequent consultation pra...

    Authors: Carla Pezzia, Jacqueline A. Pugh, Holly J. Lanham and Luci K. Leykum

    Citation: BMC Health Services Research 2018 18:336

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  29. Content type: Study protocol

    There is wide variation in the overall one-year relative cancer survival rates across Europe, and this is thought to indicate national variations in stage of disease at diagnosis. However, there is little evid...

    Authors: Michael Harris and Gordon Taylor

    Citation: BMC Health Services Research 2018 18:338

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  30. Content type: Research article

    Evidence-based treatment for co-occurring disorders is needed within programs that serve homeless Veterans to assist with increasing engagement in care and to prevent future housing loss. A specialized co-occu...

    Authors: David A. Smelson, Matthew Chinman, Gordon Hannah, Thomas Byrne and Sharon McCarthy

    Citation: BMC Health Services Research 2018 18:332

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  31. Content type: Research article

    Hospitals are confronted with increasing safety demands from a diverse set of stakeholders, including governmental organisations, professional associations, health insurance companies, patient associations and...

    Authors: Carien W. Alingh, Jeroen D. H. van Wijngaarden, Robbert Huijsman and Jaap Paauwe

    Citation: BMC Health Services Research 2018 18:313

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  32. Content type: Research article

    Recently, New Zealand has taken a system wide approach providing the biggest reform to New Zealand community pharmacy for 70 years with the aim of providing more clinically orientated patient centred services ...

    Authors: Alesha J. Smith, Shane L. Scahill, Jeff Harrison, Tilley Carroll and Natalie J. Medlicott

    Citation: BMC Health Services Research 2018 18:307

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  33. Content type: Research article

    The value of neuraminidase inhibitors (NAIs) in reducing severe clinical outcomes from influenza is debated. A clinical trial to generate better evidence is desirable. However, it is unknown whether UK clinici...

    Authors: Naomi Bradbury, Jonathan Nguyen-Van-Tam and Wei Shen Lim

    Citation: BMC Health Services Research 2018 18:311

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  34. Content type: Research article

    Accurate TNM stage information is essential for cancer health services research, but is often impractical and expensive to collect at the population-level. We evaluated algorithms using administrative healthca...

    Authors: Alyson L. Mahar, Yunni Jeong, Brandon Zagorski and Natalie Coburn

    Citation: BMC Health Services Research 2018 18:309

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  35. Content type: Research article

    The perspectives of nursing professionals might differ from those of older adults when it comes to care for older people. This cross-sectional study compares the views of older adults with the views of nursing...

    Authors: Lisanne Marlieke Verweij, Rik Wehrens, Lieke Oldenhof, Roland Bal and Anneke L. Francke

    Citation: BMC Health Services Research 2018 18:321

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  36. Content type: Research article

    Facilitating return to work can be challenging due to the complexity of work disability. Few studies have examined rehabilitation programs based on Acceptance and Commitment Therapy that intend to support retu...

    Authors: Nina E. Klevanger, Marius S. Fimland, Roar Johnsen and Marit B. Rise

    Citation: BMC Health Services Research 2018 18:303

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  37. Content type: Research article

    In order to meet the future challenges posed by ageing populations, new technology, telemedicine and a more personalized healthcare system are needed. Earlier research has shown mobile radiography services to ...

    Authors: Elin Kjelle, Kristin Bakke Lysdahl, Hilde Merete Olerud and Aud Mette Myklebust

    Citation: BMC Health Services Research 2018 18:301

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  38. Content type: Research article

    Based on a growing body of epidemiological and biomedical studies, physical activity (PA) is considered a cornerstone in type 2 diabetes treatment. However, it is also a practice embedded in daily life and, as...

    Authors: Mirjam Stuij

    Citation: BMC Health Services Research 2018 18:297

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  39. Content type: Research article

    Community engagement is increasingly seen as crucial to achieving high quality, efficient and collaborative care. However, organisations are still searching for the best and most effective ways to engage citiz...

    Authors: E. De Weger, N. Van Vooren, K. G. Luijkx, C. A. Baan and H. W. Drewes

    Citation: BMC Health Services Research 2018 18:285

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  40. Content type: Research article

    Among the important stress factors for physicians nowadays are poorly functioning, time consuming and inadequate information systems. The present study examined the predictors of physicians’ stress related to ...

    Authors: Tarja Heponiemi, Hannele Hyppönen, Sari Kujala, Anna-Mari Aalto, Tuulikki Vehko, Jukka Vänskä and Marko Elovainio

    Citation: BMC Health Services Research 2018 18:284

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  41. Content type: Research article

    To improve care, planners require accurate information about nursing home (NH) residents and their healthcare use. We evaluated how accurately measures of resident user status and healthcare use were captured ...

    Authors: Malcolm B. Doupe, Jeff Poss, Peter G. Norton, Allan Garland, Natalia Dik, Shauna Zinnick and Lisa M. Lix

    Citation: BMC Health Services Research 2018 18:279

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  42. Content type: Research article

    In the current context of increasingly fragmented healthcare systems where patients are seen by multiple doctors in different settings, patients’ relational continuity with one doctor is regaining relevance; h...

    Authors: Sina Waibel, Ingrid Vargas, Jordi Coderch and María-Luisa Vázquez

    Citation: BMC Health Services Research 2018 18:257

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    The Correction to this article has been published in BMC Health Services Research 2018 18:436

  43. Content type: Research article

    Severe acute malnutrition (SAM) in children is the most serious form of malnutrition and is associated with very high rates of morbidity and mortality. For sustainable SAM management, United Nations recommends...

    Authors: Santhia Ireen, Mohammad Jyoti Raihan, Nuzhat Choudhury, M. Munirul Islam, Md Iqbal Hossain, Ziaul Islam, S. M. Mustafizur Rahman and Tahmeed Ahmed

    Citation: BMC Health Services Research 2018 18:256

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  44. Content type: Research article

    This paper explores Norwegian doctors’ use of and experiences with a national tool for sharing core patient health information. The summary care record (SCR; the Kjernejournal in Norwegian) is the first national ...

    Authors: Kari Dyb and Line Lundvoll Warth

    Citation: BMC Health Services Research 2018 18:252

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  45. Content type: Research article

    Involuntary psychiatric care remains controversial. Geographic disparities in its use can challenge the appropriateness of the care provided when they do not result from different health needs of the populatio...

    Authors: Coralie Gandré, Jeanne Gervaix, Julien Thillard, Jean-Marc Macé, Jean-Luc Roelandt and Karine Chevreul

    Citation: BMC Health Services Research 2018 18:253

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  46. Content type: Research article

    Case review and discussion at multidisciplinary team meetings (MDTMs) have evolved into standard practice in cancer care with the aim to provide evidence-based treatment recommendations. As a basis for work to...

    Authors: Linn Rosell, Nathalie Alexandersson, Oskar Hagberg and Mef Nilbert

    Citation: BMC Health Services Research 2018 18:249

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  47. Content type: Research article

    During the process of implementation of clinical pharmacy services, internal and external factors may favor or hinder the incorporation of care into the hospital routine. This study aimed to understand the per...

    Authors: Thaciana dos S. Alcântara, Thelma Onozato, Fernando de C. Araújo Neto, Aline S. Dosea, Luiza C. Cunha, Dyego C. S. A. de Araújo, Déborah Pimentel and Divaldo P. Lyra Junior

    Citation: BMC Health Services Research 2018 18:242

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