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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. Since operating rooms are a major bottleneck resource and an important revenue driver in hospitals, it is important to use these resources efficiently. Studies estimate that between 60 and 70% of hospital admi...

    Authors: Jan Schoenfelder, Sebastian Kohl, Manuel Glaser, Sebastian McRae, Jens O. Brunner and Thomas Koperna

    Citation: BMC Health Services Research 2021 21:271

    Content type: Research article

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  2. Globally, interprofessional teamwork is described as a key method to promote health and prevent illness in children, namely, to achieve the goals of Child Healthcare Services (CHS). However, how teamwork shoul...

    Authors: Ulrika Svea Nygren, Ylva Tindberg, Leif Eriksson, Ulf Larsson, Håkan Sandberg and Lena Nordgren

    Citation: BMC Health Services Research 2021 21:265

    Content type: Research article

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  3. Patients, providers and health care organisations benefit from an increased understanding and implementation of patient-centred care (PCC) by general practitioners (GPs). This study aimed to evaluate and advan...

    Authors: Bryce Brickley, Lauren T. Williams, Mark Morgan, Alyson Ross, Kellie Trigger and Lauren Ball

    Citation: BMC Health Services Research 2021 21:261

    Content type: Research article

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  4. The implementation of strategic health system change is often complicated by informal ‘politics’ in healthcare organisations. Leadership development programmes increasingly call for the development and use of ...

    Authors: Jenelle M. Clarke, Justin Waring, Simon Bishop, Jean Hartley, Mark Exworthy, Naomi J. Fulop, Angus Ramsay and Bridget Roe

    Citation: BMC Health Services Research 2021 21:260

    Content type: Research article

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  5. The support of people with profound intellectual and multiple disabilities (PIMD) rarely focused on motor activity, which might have negative consequences for the quality of life of these people. Evidence-base...

    Authors: Helena J. M. van Alphen, Aly Waninge, Alexander E. M. G. Minnaert and Annette A. J. van der Putten

    Citation: BMC Health Services Research 2021 21:259

    Content type: Research article

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  6. Long-acting injectable antiretroviral therapy (LA ART) has been shown to be non-inferior to daily oral ART, with high patient satisfaction and preference to oral standard of care in research to date, and has r...

    Authors: Andrea Mantsios, Miranda Murray, Tahilin S. Karver, Wendy Davis, Noya Galai, Princy Kumar, Susan Swindells, U. Fritz Bredeek, Rafael Rubio García, Antonio Antela, Santiago Cenoz Gomis, Miguel Pascual Bernáldez, Maggie Czarnogorski, Krischan Hudson, Nicki Walters and Deanna Kerrigan

    Citation: BMC Health Services Research 2021 21:255

    Content type: Research article

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  7. Overweight and obesity are problems that are increasing globally in both children as well as adults, and may be prevented by adopting a healthier lifestyle. Lifestyle coaches counsel overweight and obese child...

    Authors: Celeste E. van Rinsum, Sanne M. P. L. Gerards, Geert M. Rutten, Ien A. M. van de Goor, Stef P. J. Kremers and Liesbeth Mercken

    Citation: BMC Health Services Research 2021 21:247

    Content type: Research article

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  8. Elder abuse is a public health problem that is gaining attention due to its serious impacts on people’s health and well-being, and it is predicted to increase along with the world’s rapidly ageing population. ...

    Authors: Anja Botngård, Arne Henning Eide, Laura Mosqueda, Lene Blekken and Wenche Malmedal

    Citation: BMC Health Services Research 2021 21:244

    Content type: Research article

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  9. Many studies suggest that patient satisfaction is significantly negatively correlated with the waiting time. A well-designed healthcare system should not keep patients waiting too long for an appointment and c...

    Authors: Xiaoqing Li, Dan Tian, Weihua Li, Bin Dong, Hansong Wang, Jiajun Yuan, Biru Li, Lei Shi, Xulin Lin, Liebin Zhao and Shijian Liu

    Citation: BMC Health Services Research 2021 21:237

    Content type: Research article

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  10. Healthcare rationing can be defined as withholding beneficial care for cost reasons. One form in particular, hidden bedside rationing, is problematic because it may result in conflicting loyalties for physicia...

    Authors: Ursula W. de Ruijter, Hester F. Lingsma, Willem A. Bax and Johan Legemaate

    Citation: BMC Health Services Research 2021 21:233

    Content type: Research article

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  11. Family Presence during Cardiopulmonary Resuscitation has been studied both to identify the opinions of health professionals, patients, and family members, and to identify benefits and barriers, as well as to d...

    Authors: Eva de Mingo-Fernández, Ángel Belzunegui-Eraso and María Jiménez-Herrera

    Citation: BMC Health Services Research 2021 21:221

    Content type: Research article

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  12. Scaling-up and sustaining healthcare interventions can be challenging. Our objective was to describe how the 3 Wishes Project (3WP), a personalized end-of-life intervention, was scaled-up and sustained in an i...

    Authors: Alyson Takaoka, Benjamin Tam, Meredith Vanstone, France J. Clarke, Neala Hoad, Marilyn Swinton, Feli Toledo, Anne Boyle, Anne Woods, Erick H. Duan, Diane Heels-Ansdell, Lily Waugh, Mark Soth, Jill Rudkowski, Waleed Alhazzani, Dan Perri…

    Citation: BMC Health Services Research 2021 21:218

    Content type: Research article

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  13. Within the Dutch health care system the focus is shifting from a disease oriented approach to a more population based approach. Since every inhabitant in the Netherlands is registered with one general practice...

    Authors: Shelley-Ann M. Girwar, Marta Fiocco, Stephen P. Sutch, Mattijs E. Numans and Marc A. Bruijnzeels

    Citation: BMC Health Services Research 2021 21:217

    Content type: Research article

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  14. Medications for opioid use disorder (MOUD) are recommended with adjuvant behavioral therapies, counseling, and other services for comprehensive treatment of maternal opioid use disorder. Inadequate access to t...

    Authors: Doris Titus-Glover, Fadia T. Shaya, Christopher Welsh, Danya M. Qato, Savyasachi Shah, Laura E. Gresssler and Rebecca Vivrette

    Citation: BMC Health Services Research 2021 21:215

    Content type: Research article

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  15. National standards are commonly used as an improvement strategy in healthcare, but organisations may respond in diverse and sometimes negative ways to external quality demands. This paper describes how a sampl...

    Authors: Elizabeth Sutton, Julian Bion, Russell Mannion, Janet Willars, Elizabeth Shaw and Carolyn Tarrant

    Citation: BMC Health Services Research 2021 21:205

    Content type: Research article

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  16. There is a growing number of older adults with cognitive impairment (CI) that require inpatient rehabilitation, and as such patient centred rehabilitation models have been developed. However, implementing evid...

    Authors: Katherine S. McGilton, Alexia Cumal, Dana Corsi, Shaen Gingrich, Nancy Zheng and Astrid Escrig-Pinol

    Citation: BMC Health Services Research 2021 21:204

    Content type: Research article

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  17. Frequent healthcare users place a significant burden on health systems. Factors such as multimorbidity and low socioeconomic status have been associated with high use of ambulatory care services (emergency roo...

    Authors: Cynthia MBUYA-BIENGE, Marc SIMARD, Myles GAULIN, Bernard CANDAS and Caroline SIROIS

    Citation: BMC Health Services Research 2021 21:202

    Content type: Research article

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  18. Accountable care has profoundly changed the organizational models adopted by health care organizations and, consequently, the skill set required for doctor-managers who have become middle managers and must dea...

    Authors: Fausto Di Vincenzo, Daria Angelozzi and Federica Morandi

    Citation: BMC Health Services Research 2021 21:199

    Content type: Research article

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  19. The World Health Organization recommends vaccination rates of 75% against seasonal influenza for patients over 65 years old. In the 2013/2014 season, the German vaccination rates ranged between 14 and 65%. Thi...

    Authors: Jonathan Arlt, Kristina Flaegel, Katja Goetz and Jost Steinhaeuser

    Citation: BMC Health Services Research 2021 21:197

    Content type: Research article

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  20. Diabetes mellitus is highly prevalent and associated with huge economic burden globally. The conventional care and management of diabetes mellitus is highly fragmented and complex, warranting the need for a co...

    Authors: Sara Abdulrhim, Sowndramalingam Sankaralingam, Mohamed Izham Mohamed Ibrahim, Mohammed Issam Diab, Mohamed Abdelazim Mohamed Hussain, Hend Al Raey, Mohammed Thahir Ismail and Ahmed Awaisu

    Citation: BMC Health Services Research 2021 21:192

    Content type: Research article

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  21. 30-day hospital readmissions are an indicator of quality of care; hospitals are financially penalized by Medicare for high rates. Numerous care transition processes reduce readmissions in clinical trials. The ...

    Authors: Jacqueline Pugh, Lauren S. Penney, Polly H. Noël, Sean Neller, Michael Mader, Erin P. Finley, Holly J. Lanham and Luci Leykum

    Citation: BMC Health Services Research 2021 21:189

    Content type: Research article

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  22. This study aimed to reflect on scientific experts’ and executive stakeholders’ opinions on how charitable organizations can participate in the health care system properly and cope with problems, challenges, st...

    Authors: Raana Gholamzadeh Nikjoo, Yegane Partovi and Nasrin Joudyian

    Citation: BMC Health Services Research 2021 21:181

    Content type: Research article

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  23. Intermediate care (IC) bridges the clinical pathway of older patients transitioning from the hospital to home. Currently, there is a strong consensus that the practice environment is an important factor in hel...

    Authors: Linda Aimée Hartford Kvæl and Astrid Bergland

    Citation: BMC Health Services Research 2021 21:180

    Content type: Research article

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  24. Despite the success of stroke rehabilitation services, differences in service utilization exist. Some patients with stroke may travel across regions to receive necessary care prescribed by their physician. It ...

    Authors: Julianna M. Dean, Kimberly Hreha, Ickpyo Hong, Chih-Ying Li, Daniel Jupiter, John Prochaska and Timothy Reistetter

    Citation: BMC Health Services Research 2021 21:176

    Content type: Research article

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  25. There is increasing evidence that integrated care improves child related quality of life and reduces health service use. However, there is limited evidence on family perspectives about the quality of integrate...

    Authors: Rose-Marie Satherley, Raghu Lingam, Judith Green and Ingrid Wolfe

    Citation: BMC Health Services Research 2021 21:167

    Content type: Research article

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  26. Extensive waiting times before receiving services is a major barrier to adequate pain management. Waiting times may have a detrimental impact on patients’ conditions and quality of life. However, there remains...

    Authors: Simon Deslauriers, Jean-Sébastien Roy, Sasha Bernatsky, Nathan Blanchard, Debbie E. Feldman, Anne Marie Pinard, Mary-Ann Fitzcharles, François Desmeules and Kadija Perreault

    Citation: BMC Health Services Research 2021 21:160

    Content type: Research article

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  27. Early identification of patients with chronic conditions and complex health needs in emergency departments (ED) would enable the provision of services better suited to their needs, such as case management. A c...

    Authors: Catherine Hudon, Mathieu Bisson, Marie-France Dubois, Yohann Chiu, Maud-Christine Chouinard, Nicole Dubuc, Nicolas Elazhary, Véronique Sabourin and Alain Vanasse

    Citation: BMC Health Services Research 2021 21:157

    Content type: Research article

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    The Correction to this article has been published in BMC Health Services Research 2021 21:321

  28. More fragmented ambulatory care (i.e., care spread across many providers without a dominant provider) has been associated with more subsequent healthcare utilization (such as more tests, procedures, emergency ...

    Authors: Lisa M. Kern, Mangala Rajan, Lisandro D. Colantonio, Evgeniya Reshetnyak, Joanna Bryan Ringel, Paul M. Muntner, Lawrence P. Casalino, Laura C. Pinheiro and Monika M. Safford

    Citation: BMC Health Services Research 2021 21:154

    Content type: Research article

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  29. The COVID-19 pandemic halted non-emergency surgery across Scotland. Measures to mitigate the risks of transmitting COVID-19 are creating significant challenges to restarting all surgical services safely. We de...

    Authors: Kelvin KW Cheng, Martin J Anderson, Stavros Velissaris, Robert Moreton, Ahmed Al-Mansour, Roshini Sanders, Shona Sutherland, Peter Wilson and Andrew Blaikie

    Citation: BMC Health Services Research 2021 21:153

    Content type: Research article

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  30. Little is known about the nature of patients’ transitions between healthcare settings in the last year of life (LYOL) in Germany. Patients often experience transitions between different healthcare settings, su...

    Authors: Alina Kasdorf, Gloria Dust, Vera Vennedey, Christian Rietz, Maria C. Polidori, Raymond Voltz and Julia Strupp

    Citation: BMC Health Services Research 2021 21:147

    Content type: Research article

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  31. In the context of the volume of mixed- and multi-methods studies in health services research, the present study sought to develop an appraisal tool to determine the methodological and reporting quality of such...

    Authors: Reema Harrison, Benjamin Jones, Peter Gardner and Rebecca Lawton

    Citation: BMC Health Services Research 2021 21:144

    Content type: Research article

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    The Correction to this article has been published in BMC Health Services Research 2021 21:231

  32. Technology is increasingly transforming the way we interact with others and undertake activities in our daily lives. The healthcare setting has, however, not yet realised the potential of technology solutions ...

    Authors: Kim E. Alexander, Theodora Ogle, Hana Hoberg, Libbie Linley and Natalie Bradford

    Citation: BMC Health Services Research 2021 21:141

    Content type: Research article

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  33. Patient medicines helpline services (PMHS) have been established at some National Health Service (NHS) hospitals, to provide patients with post-discharge medicines-related support. However, findings suggest th...

    Authors: Matt Williams, Abbie Jordan, Jenny Scott and Matthew D. Jones

    Citation: BMC Health Services Research 2021 21:137

    Content type: Research article

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  34. This study was a retrospective evaluation of an unsuccessfully implemented team-based, chronic disease management program, with an aim to understand more about implementation barriers. The program, the Chronic...

    Authors: Shannon L. Sibbald, Rachelle Van Asseldonk, Peiwen L. Cao and Benson Law

    Citation: BMC Health Services Research 2021 21:134

    Content type: Research article

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  35. Women developing Gestational Diabetes Mellitus (GDM) are subsequently at a higher risk of developing Type 2 Diabetes later in life. Screening and effective management of women with GDM are essential in prevent...

    Authors: Biswamitra Sahu, Giridhara R. Babu, Kaveri Siddappa Gurav, Maithili Karthik, Deepa Ravi, Eunice Lobo, Daisy Abu John, Laura Oakley, Eugene Oteng-Ntim, Iliatha Papachristou Nadal and Sanjay Kinra

    Citation: BMC Health Services Research 2021 21:133

    Content type: Research article

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  36. The paper aims to understand the main antecedents related to the blood donation propensity related to both donors and non-donors. With our research, we will analyse the two perspectives to identify similaritie...

    Authors: Roberta Guglielmetti Mugion, Maria Giovina Pasca, Laura Di Di Pietro and Maria Francesca Renzi

    Citation: BMC Health Services Research 2021 21:127

    Content type: Research article

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  37. As telemedicine adoption increases, so does the importance of building cohesion among physicians in telemedicine teams. For example, in acute telestroke services, stroke specialists provide rapid remote stroke...

    Authors: Himalaya Patel, Teresa M. Damush, Edward J. Miech, Nicholas A. Rattray, Holly A. Martin, April Savoy, Laurie Plue, Jane Anderson, Sharyl Martini, Glenn D. Graham and Linda S. Williams

    Citation: BMC Health Services Research 2021 21:124

    Content type: Research article

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  38. The purpose of this study is to increase understanding of physicians’ attitudes towards disability pension applicants, and the impact of diagnosis. We hypothesize that physicians are more likely to think that ...

    Authors: Ashley McAllister, Allison Milner, Monika Engblom, Patrick Corrigan and Bo Burström

    Citation: BMC Health Services Research 2021 21:122

    Content type: Research article

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  39. Interventions in which individual older patients with multi-morbidity participate in formulating goals for their own care are being implemented in several countries. Successful service delivery requires normat...

    Authors: Jannike Dyb Oksavik, Turid Aarseth, Marit Solbjør and Ralf Kirchhoff

    Citation: BMC Health Services Research 2021 21:117

    Content type: Research article

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  40. Health services have a clear role in the treatment of obesity and diseases linked to obesity but a less well-established role in prevention, particularly in hospital and community-based health services.

    Authors: Claire Pearce, Lucie Rychetnik and Andrew Wilson

    Citation: BMC Health Services Research 2021 21:111

    Content type: Research article

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  41. In settings with high prevalence of female genital mutilation (FGM), the health sector could play a bigger role in its prevention and care of women and girls who have undergone this harmful practice. However, ...

    Authors: Wisal Ahmed, Vernon Mochache, Karin Stein, Patrick Ndavi, Tammary Esho, Mamadou Dioulde Balde, Anne-Marie Soumah, Ahmed Diriye, Muna Abdi Ahmed, Max Petzold and Christina Pallitto

    Citation: BMC Health Services Research 2021 21:109

    Content type: Study protocol

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  42. Primary care is the first point of care, also for people with disabilities. The accessibility of primary care facilities is therefore very important. In this study we analysed comparative data on physical acce...

    Authors: Peter P. Groenewegen, Madelon Kroneman and Peter Spreeuwenberg

    Citation: BMC Health Services Research 2021 21:107

    Content type: Research article

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  43. Caregiving is a demanding role that can negatively impact a person’s health and well-being. As such, adequate access to health care is important for maintaining the family caregiver’s own personal health. The ...

    Authors: Jill C. Slaboda, Sandahl H. Nelson, Zia Agha and Gregory J. Norman

    Citation: BMC Health Services Research 2021 21:101

    Content type: Research article

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  44. The importance of the therapeutic relationship is widely recognised across healthcare professions. Despite the importance of therapeutic relationships, there are significant gaps in the knowledge base on how t...

    Authors: Ayana Horton, Gail Hebson and David Holman

    Citation: BMC Health Services Research 2021 21:97

    Content type: Research article

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  45. The indication for prescribing a particular medication, or its reason for use (RFU) is a crucial piece of information for all those involved in the circle of care. Research has shown that sharing RFU informati...

    Authors: Colin Whaley, Ashley Bancsi, Joanne Man-Wai Ho, Catherine M. Burns and Kelly Grindrod

    Citation: BMC Health Services Research 2021 21:89

    Content type: Research article

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  46. An increased and/or stable proportion of the child and adolescent population reports symptoms of impaired health, and the symptoms can be identified early. Therefore, structured child- and parent-reported outc...

    Authors: Thomas Westergren, Eirin Mølland, Kristin Haraldstad, Åshild Tellefsen Håland, Unni Mette Stamnes Köpp, Liv Fegran and Eirik Abildsnes

    Citation: BMC Health Services Research 2021 21:86

    Content type: Research article

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  47. Due to regional, professional, and resource limitations, access to mental health care for Canada’s Indigenous peoples can be difficult. Telemental health (TMH) offers the opportunity to provide care across vas...

    Authors: Zhida Shang, Antonia Arnaert, Yvonne Hindle, Zoumanan Debe, Geneviève Côté-Leblanc and Amine Saadi

    Citation: BMC Health Services Research 2021 21:85

    Content type: Research article

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  48. Community pharmacies provide an appropriate setting to deliver minor ailment services (MASs). Many community pharmacy services have been developed previously without stakeholder involvement. As a result, imple...

    Authors: Sarah Dineen-Griffin, Shalom I. Benrimoj, Kylie A. Williams and Victoria Garcia-Cardenas

    Citation: BMC Health Services Research 2021 21:80

    Content type: Research article

    Published on: