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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. Hospital-at-home is an accepted alternative for usual hospital treatment for patients with a Chronic Obstructive Pulmonary Disease (COPD) exacerbation. The introduction of hospital-at-home may lead to changes ...

    Authors: Cecile MA Utens, Lucas MA Goossens, Onno CP van Schayck, Maureen PHM Rutten-vanMölken, Maria W Braken, Loes MGA van Eijsden and Frank WJM Smeenk

    Citation: BMC Health Services Research 2013 13:363

    Content type: Research article

    Published on:

  2. An increasing number of falls result in an emergency call and the subsequent dispatch of paramedics. In the absence of physical injury, abnormal physiological parameters or change in usual functional status, i...

    Authors: A Stefanie Mikolaizak, Paul M Simpson, Anne Tiedemann, Stephen R Lord, Gideon A Caplan, Jason C Bendall, Kirsten Howard and Jacqueline CT Close

    Citation: BMC Health Services Research 2013 13:360

    Content type: Study protocol

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  3. Despite well-articulated benefits, the introduction of Nurse Practitioners (NPs) in Australia has been slow. Poorly defined nomenclature relating to advanced practice roles in nursing and variations in such ro...

    Authors: Julie Li, Johanna Westbrook, Joanne Callen, Andrew Georgiou and Jeffrey Braithwaite

    Citation: BMC Health Services Research 2013 13:356

    Content type: Research article

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  4. Maintaining dignity is an important element of end-of-life care and also of the care given in nursing homes. Factors influencing personal dignity have been studied from both nursing home residents’ and staff’s...

    Authors: Mariska G Oosterveld-Vlug, H Roeline W Pasman, Isis E van Gennip, Dick L Willems and Bregje D Onwuteaka-Philipsen

    Citation: BMC Health Services Research 2013 13:353

    Content type: Research article

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  5. Organizational context is recognized as an important influence on the successful implementation of research by healthcare professionals. However, there is relatively little empirical evidence to support this w...

    Authors: Janet E Squires, Carole A Estabrooks, Shannon D Scott, Greta G Cummings, Leslie Hayduk, Sung Hyun Kang and Bonnie Stevens

    Citation: BMC Health Services Research 2013 13:351

    Content type: Research article

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  6. Worldwide, there has been a marked increase in the number of inguinal and femoral hernia repairs performed as day surgery procedures. This study aimed to outline the epidemiology of the procedures for repairin...

    Authors: Mario Saia, Domenico Mantoan, Alessandra Buja, Chiara Bertoncello, Tatjana Baldovin, Chiara Zanardo, Giampietro Callegaro and Vincenzo Baldo

    Citation: BMC Health Services Research 2013 13:349

    Content type: Research article

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  7. Heart failure (HF) is a frequent condition in the elderly and mortality is high. This study sought to describe the profile of those providing care in the community and their needs.

    Authors: Patricia M Davidson, Amy P Abernethy, Phillip J Newton, Katherine Clark and David C Currow

    Citation: BMC Health Services Research 2013 13:342

    Content type: Research article

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  8. Increasing incidences of cancer combined with prolonged survival have raised the need for developing community based rehabilitation. The objectives of the analysis were to describe and interpret the key issues...

    Authors: Karen la Cour and Malcolm P Cutchin

    Citation: BMC Health Services Research 2013 13:339

    Content type: Research article

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  9. Professional networks are used increasingly in health care to bring together members from different sites and professions to work collaboratively. Key players within these networks are known to affect network ...

    Authors: Janet C Long, Frances C Cunningham, Peter Carswell and Jeffrey Braithwaite

    Citation: BMC Health Services Research 2013 13:338

    Content type: Research article

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  10. In most Western countries, the referral letter forms the basis for establishing the priority of patients for specialised health care and for the coordination of care between the services. To be able to define ...

    Authors: Miriam Hartveit, Olav Thorsen, Eva Biringer, Kris Vanhaecht, Benedicte Carlsen and Aslak Aslaksen

    Citation: BMC Health Services Research 2013 13:329

    Content type: Research article

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  11. Registered Nurses (RNs) play an important role in caring for patients suffering from cancer pain. A lack of knowledge regarding pain management and the RNs’ own perception of cancer pain could act as barriers ...

    Authors: Markus Gustafsson and Gunilla Borglin

    Citation: BMC Health Services Research 2013 13:328

    Content type: Research article

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  12. Despite a high prevalence of disability, Aboriginal Australians access disability services in Australia less than non-Aboriginal Australians with a disability. The needs of Aboriginal children with disability ...

    Authors: Michelle DiGiacomo, Patricia Delaney, Penelope Abbott, Patricia M Davidson, Joanne Delaney and Frank Vincent

    Citation: BMC Health Services Research 2013 13:326

    Content type: Research article

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  13. Patient safety can be increased by improving the organization of care. A tool that evaluates the actual organization of care, as perceived by multidisciplinary teams, is the Care Process Self-Evaluation Tool (...

    Authors: Deborah Seys, Svin Deneckere, Walter Sermeus, Eva Van Gerven, Massimiliano Panella, Luk Bruyneel, Timothy Mutsvari, Rafaela Camacho Bejarano, Seval Kul and Kris Vanhaecht

    Citation: BMC Health Services Research 2013 13:325

    Content type: Research article

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  14. In Canada, demand for multidisciplinary bariatric (obesity) care far outstrips capacity. Consequently, prolonged wait times exist and contribute to substantial health impairments.

    Authors: Raj S Padwal, Arya M Sharma, Miriam Fradette, Susan Jelinski, Scott Klarenbach, Alun Edwards and Sumit R Majumdar

    Citation: BMC Health Services Research 2013 13:321

    Content type: Study protocol

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  15. Low literacy is a significant problem across the developed world. A considerable body of research has reported associations between low literacy and less appropriate access to healthcare services, lower likeli...

    Authors: Phyllis Easton, Vikki A Entwistle and Brian Williams

    Citation: BMC Health Services Research 2013 13:319

    Content type: Research article

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  16. Although there is a global movement toward health system integration and collaboration, little is known about values, beliefs, and attitudes towards collaboration between stakeholders in public health (i.e. pr...

    Authors: Noori Akhtar-Danesh, Ruta Valaitis, Linda O’Mara, Patricia Austin and Val Munroe

    Citation: BMC Health Services Research 2013 13:311

    Content type: Research article

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  17. Continuity is an important aspect of quality of care, especially for complex patients in the community. We explored provider perceptions of continuity through a system’s lens. The circle of care was used as th...

    Authors: Morgan Price and Francis Y Lau

    Citation: BMC Health Services Research 2013 13:309

    Content type: Research article

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  18. Strong evidence exists to support preoperative pelvic floor muscle training (PFMT) to reduce the severity and duration of urinary incontinence after radical prostatectomy. Receipt of preoperative PFMT amongst ...

    Authors: Andrew D Hirschhorn, Gregory S Kolt and Andrew J Brooks

    Citation: BMC Health Services Research 2013 13:305

    Content type: Research article

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  19. Continuity of care is essential for good quality diabetes management. We recently found that 46% of patients defaulted from care (had no contact with the clinic for 18 months after a follow-up appointment was ...

    Authors: Janine C Malcolm, Julie Maranger, Monica Taljaard, Baiju Shah, Chetna Tailor, Clare Liddy, Erin Keely and Teik Chye Ooi

    Citation: BMC Health Services Research 2013 13:303

    Content type: Research article

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  20. Patient-centered diabetes care requires shared decision making (SDM). Decision aids promote SDM, but their efficacy in nonacademic and rural primary care clinics is unclear.

    Authors: Megan E Branda, Annie LeBlanc, Nilay D Shah, Kristina Tiedje, Kari Ruud, Holly Van Houten, Laurie Pencille, Marge Kurland, Barbara Yawn and Victor M Montori

    Citation: BMC Health Services Research 2013 13:301

    Content type: Research article

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  21. Care pathways are widely used in hospitals for a structured and detailed planning of the care process. There is a growing interest in extending care pathways into primary care to improve quality of care by inc...

    Authors: Sabine Van Houdt, Jan Heyrman, Kris Vanhaecht, Walter Sermeus and Jan De Lepeleire

    Citation: BMC Health Services Research 2013 13:296

    Content type: Research article

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  22. Health care providers play a significant role in large scale health emergency planning, detection, response, recovery and communication with the public. The effectiveness of health care providers in emergency ...

    Authors: Janet G Baseman, Debra Revere, Ian Painter, Mariko Toyoji, Hanne Thiede and Jeffrey Duchin

    Citation: BMC Health Services Research 2013 13:295

    Content type: Research article

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  23. Non-adherence to HIV-treatment can have a negative impact on patients’ treatment success rates, quality of life, infectiousness, and life expectancy. Few adherence interventions have shown positive effects on ...

    Authors: Edwin Oberjé, Marijn de Bruin, Silvia Evers, Wolfgang Viechtbauer, Hans-Erik Nobel, Herman Schaalma, Jim McCambridge, Luuk Gras, Eric Tousset and Jan Prins

    Citation: BMC Health Services Research 2013 13:274

    Content type: Study protocol

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  24. Location of practice, such as working in a rural or urban clinic, may influence how physicians communicate with their patients. This exploratory pilot study examines the communication styles used during doctor...

    Authors: Kristen Desjarlais-deKlerk and Jean E Wallace

    Citation: BMC Health Services Research 2013 13:261

    Content type: Research article

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  25. Indigenous adults suffer six times more blindness than other Australians but 94% of this vision loss is unnecessary being preventable or treatable. We have explored the barriers and solutions to improve Indige...

    Authors: Mitchell D Anjou, Andrea I Boudville and Hugh R Taylor

    Citation: BMC Health Services Research 2013 13:255

    Content type: Research article

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  26. Organizational culture is manifest in patterns of behaviour underpinned by beliefs, values, attitudes and assumptions, which can influence working practices. Cultural factors and working practices have been su...

    Authors: Susan McLaren, Ruth Belling, Moli Paul, Tamsin Ford, Tami Kramer, Tim Weaver, Kimberly Hovish, Zoebia Islam, Sarah White and Swaran P Singh

    Citation: BMC Health Services Research 2013 13:254

    Content type: Research article

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  27. Thousands of health-related online discussion groups are active world-wide however, very little is known about the purpose and usefulness of such groups. In 2003 an online discussion group called ‘forensic occ...

    Authors: Crystal Dieleman and Edward AS Duncan

    Citation: BMC Health Services Research 2013 13:253

    Content type: Research article

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  28. Admission to a nursing home is generally regarded as a stressful time for older people and their carers. Although the choice of home is significant in facilitating a more positive transition, few studies have ...

    Authors: Assumpta Ryan and Hugh McKenna

    Citation: BMC Health Services Research 2013 13:252

    Content type: Research article

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  29. Remote dwelling Aboriginal infants from northern Australia have a high burden of disease and frequently use health services. Little is known about the quality of infant care provided by remote health services....

    Authors: Sarah J Bar-Zeev, Sue G Kruske, Lesley M Barclay, Naor Bar-Zeev and Sue V Kildea

    Citation: BMC Health Services Research 2013 13:250

    Content type: Research article

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  30. Resource allocation is a key challenge for healthcare decision makers. While several case studies of organizational practice exist, there have been few large-scale cross-organization comparisons.

    Authors: Neale Smith, Craig Mitton, Stirling Bryan, Alan Davidson, Bonnie Urquhart, Jennifer L Gibson, Stuart Peacock and Cam Donaldson

    Citation: BMC Health Services Research 2013 13:247

    Content type: Research article

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  31. Hospital governance increasingly combines management and professional self-governance. This article maps the new emergent modes of control in a comparative perspective and aims to better understand the relatio...

    Authors: Ellen Kuhlmann, Viola Burau, Tiago Correia, Roman Lewandowski, Christos Lionis, Mirko Noordegraaf and Jose Repullo

    Citation: BMC Health Services Research 2013 13:246

    Content type: Research article

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  32. Most patients with pulmonary embolism (PE) spend 5–7 days in hospital even though only 4.5% will develop serious complications during this time. In particular, the group of patients with incidentally diagnosed...

    Authors: June Palmer, George Bozas, Andrew Stephens, Miriam Johnson, Ged Avery, Lorcan O’Toole and Anthony Maraveyas

    Citation: BMC Health Services Research 2013 13:235

    Content type: Technical advance

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  33. Physician collaboration, which evolves among physicians during the course of providing healthcare services to hospitalised patients, has been seen crucial to effective patient outcomes in healthcare organisati...

    Authors: Shahadat Uddin, Liaquat Hossain, Jafar Hamra and Ashraful Alam

    Citation: BMC Health Services Research 2013 13:234

    Content type: Research article

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  34. Tools to support clinical or patient decision-making in the treatment/management of a health condition are used in a range of clinical settings for numerous preference-sensitive healthcare decisions. Their imp...

    Authors: Darren Flynn, Gary A Ford, Lynne Stobbart, Helen Rodgers, Madeleine J Murtagh and Richard G Thomson

    Citation: BMC Health Services Research 2013 13:225

    Content type: Research article

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  35. Primary care provision is important in the delivery of health care but many countries face primary care workforce challenges. Increasing demand, enlarged workloads, and current and anticipated physician shorta...

    Authors: Mary Halter, Vari Drennan, Kaushik Chattopadhyay, Wilfred Carneiro, Jennifer Yiallouros, Simon de Lusignan, Heather Gage, Jonathan Gabe and Robert Grant

    Citation: BMC Health Services Research 2013 13:223

    Content type: Research article

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  36. The majority of curative health care is organized in hospitals. As in most other countries, the current 94 hospital locations in the Netherlands offer almost all treatments, ranging from rather basic to very c...

    Authors: David Ikkersheim, Marit Tanke, Gwendy van Schooten, Niels de Bresser and Hein Fleuren

    Citation: BMC Health Services Research 2013 13:220

    Content type: Research article

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  37. The harmonization of European health systems brings with it a need for tools to allow the standardized collection of information about medical care. A common coding system and standards for the description of ...

    Authors: Luis Salvador-Carulla, Javier Alvarez-Galvez, Cristina Romero, Mencia R Gutiérrez-Colosía, Germain Weber, David McDaid, Hristo Dimitrov, Lilijana Sprah, Birgitte Kalseth, Giuseppe Tibaldi, Jose A Salinas-Perez, Carolina Lagares-Franco, Maria Teresa Romá-Ferri and Sonia Johnson

    Citation: BMC Health Services Research 2013 13:218

    Content type: Research article

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  38. Patient self-report allows collecting comprehensive data for the purpose of performing economic evaluations. The aim of the current study was to assess the feasibility, reliability and a part of the construct ...

    Authors: Clazien Bouwmans, Kim De Jong, Reinier Timman, Moniek Zijlstra-Vlasveld, Christina Van der Feltz-Cornelis, Siok Swan Tan and Leona Hakkaart-van Roijen

    Citation: BMC Health Services Research 2013 13:217

    Content type: Research article

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  39. The development of integrated care is a complex and long term process. Previous research shows that this development process can be characterised by four phases: the initiative and design phase; the experiment...

    Authors: Mirella MN Minkman, Robbert P Vermeulen, Kees TB Ahaus and Robbert Huijsman

    Citation: BMC Health Services Research 2013 13:214

    Content type: Research article

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  40. Previous research suggests that lifestyle intervention for the prevention of diabetes and cardiovascular disease (CVD) are effective, however little is known about factors affecting participation in such progr...

    Authors: Rachel A Laws, Mahnaz Fanaian, Upali W Jayasinghe, Suzanne McKenzie, Megan Passey, Gawaine Powell Davies, David Lyle and Mark F Harris

    Citation: BMC Health Services Research 2013 13:201

    Content type: Research article

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  41. Goal setting is considered ‘best practice’ in stroke rehabilitation; however, there is no consensus regarding the key components of goal setting interventions or how they should be optimally delivered in pract...

    Authors: Lesley Scobbie, Donald McLean, Diane Dixon, Edward Duncan and Sally Wyke

    Citation: BMC Health Services Research 2013 13:190

    Content type: Research article

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  42. The provision of peer support as a component of mental health care, including the employment of Peer Workers (consumer-providers) by mental health service organisations, is increasingly common internationally....

    Authors: Steve G Gillard, Christine Edwards, Sarah L Gibson, Katherine Owen and Christine Wright

    Citation: BMC Health Services Research 2013 13:188

    Content type: Research article

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  43. There are significant health status inequalities in Australia between those people living in rural and remote locations and people living in metropolitan centres. Since almost ninety percent of the population ...

    Authors: Timothy A Carey, John Wakerman, John S Humphreys, Penny Buykx and Melissa Lindeman

    Citation: BMC Health Services Research 2013 13:178

    Content type: Research article

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  44. Workarounds circumvent or temporarily ‘fix’ perceived workflow hindrances to meet a goal or to achieve it more readily. Behaviours fitting the definition of workarounds often include violations, deviations, pr...

    Authors: Deborah S Debono, David Greenfield, Joanne F Travaglia, Janet C Long, Deborah Black, Julie Johnson and Jeffrey Braithwaite

    Citation: BMC Health Services Research 2013 13:175

    Content type: Research article

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  45. Smoking, poor nutrition, risky alcohol use, and physical inactivity are the primary behavioral risks for common causes of mortality and morbidity. Evidence and guidelines support routine clinician delivery of ...

    Authors: Kathleen M McElwaine, Megan Freund, Elizabeth M Campbell, Jenny Knight, Jennifer A Bowman, Emma L Doherty, Paula M Wye, Luke Wolfenden, Christophe Lecathelinais, Scott McLachlan and John H Wiggers

    Citation: BMC Health Services Research 2013 13:167

    Content type: Research article

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  46. Chronic illness is a significant driver of the global burden of disease and associated health care costs. People living with severe chronic illness are heavy users of acute hospital services; better coordinati...

    Authors: Natalie Plant, Kylie-Ann Mallitt, Patrick J Kelly, Tim Usherwood, James Gillespie, Steven Boyages, Stephen Jan, Justin McNab, Beverley M Essue, Kathy Gradidge, Nereus Maranan, David Ralphs, Clive Aspin and Stephen Leeder

    Citation: BMC Health Services Research 2013 13:164

    Content type: Study protocol

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  47. Specialist health services are often organised on a regionalised basis whereby clinical resources and expertise are concentrated in areas of high population. Through a high volume caseload, regionalised facili...

    Authors: Lauren M Thompson, Nigel R Armfield, Anthony Slater, Christian Mattke, Michele Foster and Anthony C Smith

    Citation: BMC Health Services Research 2013 13:163

    Content type: Study protocol

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  48. Autoimmune Hepatitis is a chronic liver disease which affects young people and can result in liver failure leading to death or transplantation yet there is a lack of information on the incidence and prevalence...

    Authors: Fumi Varyani, Timothy Card, Philip Kaye, Guru P Aithal and Joe West

    Citation: BMC Health Services Research 2013 13:161

    Content type: Research article

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