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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. Depression is a psychiatric condition that affects approximately one in five U.S. adults in their lifetime. No study that we know of has examined depressive symptoms and health service deficits in rural compar...

    Authors: Krista L Huot, May Nawal Lutfiyya, Michael F Akers, Maria L Amaro, Michael T Swanoski and Sarah K Schweiss

    Citation: BMC Health Services Research 2013 13:160

    Content type: Research article

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  2. Bridges, brokers and boundary spanners facilitate transactions and the flow of information between people or groups who either have no physical or cognitive access to one another, or alternatively, who have no...

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

    Citation: BMC Health Services Research 2013 13:158

    Content type: Research article

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  3. Patient-centred care emerged in the late 1960s as a framework to guide providers and decision-makers towards the provision of more effective health care and better outcomes. An important body of literature has...

    Authors: Josée G Lavoie, Sabrina T Wong, Meck Chongo, Annette J Browne, Martha LP MacLeod and Cathy Ulrich

    Citation: BMC Health Services Research 2013 13:155

    Content type: Research article

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  4. Commitments to community participation are common in health policy, yet ways to maximise the input and impact of community representatives in health service delivery and care remain elusive, lack empirical evi...

    Authors: Sally Nathan, Jeffrey Braithwaite and Niamh Stephenson

    Citation: BMC Health Services Research 2013 13:154

    Content type: Research article

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  5. Referral rates of general practitioners (GPs) are an important determinant of secondary care utilization. The variation in these rates across GPs is considerable, and cannot be explained by patient morbidity a...

    Authors: Unni Ringberg, Nils Fleten, Trygve S Deraas, Toralf Hasvold and OlavHelge Førde

    Citation: BMC Health Services Research 2013 13:147

    Content type: Research article

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  6. To develop a healthcare environment that is congruent with diversity among care providers and care recipients and to eliminate ethnic discrimination, it’s important to map out and assess caregivers’ awareness ...

    Authors: Azita Emami and Jalal Safipour

    Citation: BMC Health Services Research 2013 13:145

    Content type: Research article

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  7. Depression in primary care is common, yet this costly and disabling condition remains underdiagnosed and undertreated. Persisting gaps in the primary care of depression are due in part to patients’ reluctance ...

    Authors: Daniel J Tancredi, Christina K Slee, Anthony Jerant, Peter Franks, Jasmine Nettiksimmons, Camille Cipri, Dustin Gottfeld, Julia Huerta, Mitchell D Feldman, Maja Jackson-Triche, Steven Kelly-Reif, Andrew Hudnut, Sarah Olson, Janie Shelton and Richard L Kravitz

    Citation: BMC Health Services Research 2013 13:141

    Content type: Study protocol

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  8. The increasing number of patients with chronic diseases represents a challenge for health care systems. The Chronic Care Model suggests a multi-component remodelling of chronic disease services to improve pati...

    Authors: Martin Fortin, Maud-Christine Chouinard, Tarek Bouhali, Marie-France Dubois, Cynthia Gagnon and Martin Bélanger

    Citation: BMC Health Services Research 2013 13:132

    Content type: Study protocol

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  9. Routine follow-up following uncomplicated surgery is being delivered by telephone in some settings. Telephone consultations may be preferable to patients and improve outpatient resource use. We aimed to compar...

    Authors: Jo Thompson-Coon, Abdul-Kareem Abdul-Rahman, Rebecca Whear, Alison Bethel, Bijay Vaidya, Christian A Gericke and Ken Stein

    Citation: BMC Health Services Research 2013 13:128

    Content type: Research article

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  10. Telephone or text-message reminders have been shown to significantly reduce the rate of missed appointments in different medical settings. Since text-messaging is less resource-demanding, we tested the hypothe...

    Authors: Noelle Junod Perron, Melissa Dominicé Dao, Nadia Camparini Righini, Jean-Paul Humair, Barbara Broers, Françoise Narring, Dagmar M Haller and Jean-Michel Gaspoz

    Citation: BMC Health Services Research 2013 13:125

    Content type: Research article

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  11. Miscarriage is common and often managed by specialists in the operating room despite evidence that office-based manual vacuum aspiration (MVA) is safe, effective, and saves time and money. Family Medicine resi...

    Authors: Blair G Darney, Marcia R Weaver, Deborah VanDerhei, Nancy G Stevens and Sarah W Prager

    Citation: BMC Health Services Research 2013 13:123

    Content type: Research article

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  12. Patient and provider-related factors affecting access to cardiac rehabilitation (CR) have been extensively studied, but health-system administration factors have not. The objectives of this study were to inves...

    Authors: Sherry L Grace, Sabrina Scarcello, Janet Newton, Blair O’Neill, Kori Kingsbury, Tiziana Rivera and Caroline Chessex

    Citation: BMC Health Services Research 2013 13:120

    Content type: Research article

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  13. Care coordination has increasingly been recognized as an important aspect of high-quality health care delivery. Robust measures of coordination processes will be essential tools to evaluate, guide and support ...

    Authors: Ellen M Schultz, Noelle Pineda, Julia Lonhart, Sheryl M Davies and Kathryn M McDonald

    Citation: BMC Health Services Research 2013 13:119

    Content type: Research article

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  14. The concept of organizational culture is important in understanding the behaviour of individuals in organizations as they manage external demands and internal social changes. Cyprus healthcare system is under ...

    Authors: Theodora Zachariadou, Savvas Zannetos and Andreas Pavlakis

    Citation: BMC Health Services Research 2013 13:112

    Content type: Research article

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  15. Information and communication technologies (ICTs) are often proposed as ‘technological fixes’ for problems facing healthcare. They promise to deliver services more quickly and cheaply. Yet research on the impl...

    Authors: Catherine Pope, Susan Halford, Joanne Turnbull, Jane Prichard, Melania Calestani and Carl May

    Citation: BMC Health Services Research 2013 13:111

    Content type: Research article

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  16. The Emergency Department (ED) is consistently described as a high-risk environment for patients and clinicians that demands colleagues quickly work together as a cohesive group. Communication between nurses, p...

    Authors: P Daniel Patterson, Anthony J Pfeiffer, Matthew D Weaver, David Krackhardt, Robert M Arnold, Donald M Yealy and Judith R Lave

    Citation: BMC Health Services Research 2013 13:109

    Content type: Research article

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  17. Screening, Brief Intervention, and Referral for Treatment (SBIRT) is an effective approach for managing alcohol and other drug misuse in primary care; however, uptake into routine care has been limited. Uptake...

    Authors: Ginetta Salvalaggio, Kathryn Dong, Christine Vandenberghe, Scott Kirkland, Kelsey Mramor, Taryn Brown, Marliss Taylor, Robert McKim, Greta G Cummings and T Cameron Wild

    Citation: BMC Health Services Research 2013 13:108

    Content type: Study protocol

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  18. Organised colorectal cancer screening is likely to be cost-effective, but cost-effectiveness results alone may not help policy makers to make decisions about programme feasibility or service providers to plan ...

    Authors: Linda Sharp, Lesley Tilson, Sophie Whyte, Alan O Ceilleachair, Cathal Walsh, Cara Usher, Paul Tappenden, James Chilcott, Anthony Staines, Michael Barry and Harry Comber

    Citation: BMC Health Services Research 2013 13:105

    Content type: Research article

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  19. Ensuring access to timely and appropriate primary healthcare for people living in poverty is an issue facing all countries, even those with universal healthcare systems. The transformation of healthcare practi...

    Authors: Christine Loignon, Catherine Hudon, Alexandrine Boudreault-Fournier, Sophie Dupéré, Ann C Macaulay, Pierre Pluye, Isabelle Gaboury, Jeannie L Haggerty, Martin Fortin, Émilie Goulet, Mireille Lambert, Luce Pelissier-Simard, Sophie Boyer, Marianne de Laat, Francine Lemire, Louise Champagne…

    Citation: BMC Health Services Research 2013 13:92

    Content type: Study protocol

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  20. Chronic leg ulcers cause long term ill-health for older adults and the condition places a significant burden on health service resources. Although evidence on effective management of the condition is available...

    Authors: Helen Edwards, Kathleen Finlayson, Mary Courtney, Nick Graves, Michelle Gibb and Christina Parker

    Citation: BMC Health Services Research 2013 13:86

    Content type: Research article

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  21. Oral anticoagulant therapy is used to prevent thrombosis in patients with atrial fibrillation (AF), venous thrombosis and prosthetic heart valves. The introduction of new therapies emphasizes the need to disce...

    Authors: Kerstin Arbring, Srinivas Uppugunduri and Tomas L Lindahl

    Citation: BMC Health Services Research 2013 13:85

    Content type: Research article

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  22. Chronic obstructive pulmonary disease (COPD) is a highly prevalent condition associated with a high health care resource consumption and health care expenditures, driven mainly by exacerbations-related hospita...

    Authors: Claudio Pedone, Domenica Chiurco, Simone Scarlata and Raffaele Antonelli Incalzi

    Citation: BMC Health Services Research 2013 13:82

    Content type: Research article

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  23. People living in rural and remote Australia experience increased mental health problems compared with metropolitan Australians. Moreover, Indigenous Australians are twice as likely as non Indigenous Australian...

    Authors: Timothy A Carey

    Citation: BMC Health Services Research 2013 13:80

    Content type: Research article

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  24. Limited evidence exists on the effectiveness of external diabetes support provided by diabetes specialists and community retail pharmacists to facilitate insulin-prescribing in family practice.

    Authors: Stewart B Harris, Hertzel C Gerstein, Jean-François Yale, Lori Berard, John Stewart, Susan Webster-Bogaert and Jordan W Tompkins

    Citation: BMC Health Services Research 2013 13:71

    Content type: Research article

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  25. There is emerging evidence that context is important for successful transfer of research knowledge into health care practice. The Alberta Context Tool (ACT) is a Canadian developed research-based instrument th...

    Authors: Ann Catrine Eldh, Anna Ehrenberg, Janet E Squires, Carole A Estabrooks and Lars Wallin

    Citation: BMC Health Services Research 2013 13:68

    Content type: Research article

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  26. The care of patients suffering from cancer and especially those facing the death trajectory appears to be complex and demanding not only for student nurses but for professional nurses as well. The educational ...

    Authors: Andreas Charalambous and Charis Kaite

    Citation: BMC Health Services Research 2013 13:63

    Content type: Research article

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  27. Lifestyle risk factors like smoking, nutrition, alcohol consumption, and physical inactivity (SNAP) are the main behavioural risk factors for chronic disease. Primary health care is an appropriate setting to a...

    Authors: Bibiana C Chan, Upali W Jayasinghe, Bettina Christl, Rachel A Laws, Neil Orr, Anna Williams, Kate Partington and Mark F Harris

    Citation: BMC Health Services Research 2013 13:54

    Content type: Research article

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  28. Chronic diseases represent a major challenge for health care and social services. A number of people with chronic diseases require more services due to characteristics that increase their vulnerability. Given ...

    Authors: Maud-Christine Chouinard, Catherine Hudon, Marie-France Dubois, Pasquale Roberge, Christine Loignon, Éric Tchouaket, Martin Fortin, Éva-Marjorie Couture and Maxime Sasseville

    Citation: BMC Health Services Research 2013 13:49

    Content type: Study protocol

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  29. Telemedicine technology can improve care to patients in rural and medically underserved communities yet adoption has been slow. The objective of this study was to study organizational readiness to participate ...

    Authors: Jane Zapka, Kit Simpson, Lara Hiott, Laura Langston, Samir Fakhry and Dee Ford

    Citation: BMC Health Services Research 2013 13:33

    Content type: Research article

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  30. Policy initiatives to improve retention of the rural health workforce have relied primarily on evidence for rural doctors, most of whom practice under a private business model. Much of the literature for rural...

    Authors: Sheila Keane, Michelle Lincoln, Margaret Rolfe and Tony Smith

    Citation: BMC Health Services Research 2013 13:32

    Content type: Research article

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  31. The Prevention and Reactivation Care Program (PReCaP) entails an innovative multidisciplinary, integrated and goal oriented approach aimed at reducing hospital related functional decline among elderly patients...

    Authors: Annemarie JBM de Vos, Ton JEM Bakker, Paul L de Vreede, Jeroen DH van Wijngaarden, Ewout W Steyerberg, Johan P Mackenbach and Anna P Nieboer

    Citation: BMC Health Services Research 2013 13:29

    Content type: Research article

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  32. An ageing population is seen as a threat to the quality of life and health in rural communities, and it is often assumed that e-Health services can address this issue. As successful e-Health implementation in ...

    Authors: Eveline Hage, John P Roo, Marjolein AG van Offenbeek and Albert Boonstra

    Citation: BMC Health Services Research 2013 13:19

    Content type: Research article

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  33. Various studies indicate that inter-hospital comparisons have to take case mix into account and that risk adjustment procedures are necessary to control for potential predictors of cesarean delivery (CD). Diff...

    Authors: Elisa Stivanello, Paola Rucci, Elisa Carretta, Giulia Pieri and Maria P Fantini

    Citation: BMC Health Services Research 2013 13:13

    Content type: Research article

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  34. At least two million Canadian children meet established criteria for weight management. Due to the adverse health consequences of obesity, most pediatric weight management research has examined the efficacy an...

    Authors: Geoff DC Ball, Arnaldo Perez Garcia, Jean-Pierre Chanoine, Katherine M Morrison, Laurent Legault, Arya M Sharma, Rebecca Gokiert and Nicholas L Holt

    Citation: BMC Health Services Research 2012 12:486

    Content type: Study protocol

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  35. In contrast to the acute hospital sector, there have been relatively few implementations of integrated electronic health record (EHR) systems into specialist mental health settings. The National Programme for ...

    Authors: Amirhossein Takian, Aziz Sheikh and Nicholas Barber

    Citation: BMC Health Services Research 2012 12:484

    Content type: Research article

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  36. The introduction of a new method of transmitting prescriptions from general practices to community pharmacies in England (Electronic Prescription Service Release 2 (EPS2)) has generated debate on how it will c...

    Authors: Jasmine Harvey, Anthony J Avery, Justin Waring and Nick Barber

    Citation: BMC Health Services Research 2012 12:471

    Content type: Research article

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  37. Today the availability of specialists is limited for psychiatric patients in rural areas, especially during psychiatric emergencies. To overcome this challenge, the University Hospital of North Norway has impl...

    Authors: Marianne V Trondsen, Stein Roald Bolle, Geir Øyvind Stensland and Aksel Tjora

    Citation: BMC Health Services Research 2012 12:470

    Content type: Study protocol

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  38. The high cost of training and the relatively long period of training for physicians make it beneficial to stimulate physicians to retire later. Therefore, a better understanding of the link between the factors...

    Authors: Malou Van Greuningen, Phil JM Heiligers and Lud FJ Van der Velden

    Citation: BMC Health Services Research 2012 12:467

    Content type: Research article

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  39. There is increasing evidence that psychological constructs, such as emotional intelligence and emotional labor, play an important role in various organizational outcomes in service sector. Recently, in the “em...

    Authors: Aristea Psilopanagioti, Fotios Anagnostopoulos, Efstratia Mourtou and Dimitris Niakas

    Citation: BMC Health Services Research 2012 12:463

    Content type: Research article

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  40. The MDT-Coordinators’ role is relatively new, and as such it is evolving. What is apparent is that the coordinator’s work is pivotal to the effectiveness and efficiency of an MDT. This study aimed to assess th...

    Authors: Rozh Jalil, Benjamin Lamb, Stephanie Russ, Nick Sevdalis and James SA Green

    Citation: BMC Health Services Research 2012 12:457

    Content type: Research article

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  41. An aging population poses significant challenges to health care in China. Health management has been implemented to reduce the costs of care, raise health service utilization, increase health knowledge and imp...

    Authors: Jianqian Chao, Yimin Wang, Hui Xu, Qing Yu, Lili Jiang, Lin Tian, Wenyuan Xie and Pei Liu

    Citation: BMC Health Services Research 2012 12:449

    Content type: Research article

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  42. Studies in General Internal Medicine [GIM] settings have shown that optimizing interprofessional communication is important, yet complex and challenging. While the physician is integral to interprofessional wo...

    Authors: Lesley Gotlib Conn, Scott Reeves, Katie Dainty, Chris Kenaszchuk and Merrick Zwarenstein

    Citation: BMC Health Services Research 2012 12:437

    Content type: Research article

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  43. Experiences from nations with population diversity show extensive evidence on the need for cultural and linguistic competence in health care. In Sweden, despite the increasing diversity, only few studies have ...

    Authors: Faustine Kyungu Nkulu Kalengayi, Anna-Karin Hurtig, Clas Ahlm and Beth Maina Ahlberg

    Citation: BMC Health Services Research 2012 12:433

    Content type: Research article

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  44. Improving the health of Indigenous Australians remains a major challenge. A chiropractic service was established to evaluate this treatment option for musculoskeletal illness in rural Indigenous communities, b...

    Authors: Barbara I Polus, Charlotte Paterson, Joan van Rotterdam and Dein Vindigni

    Citation: BMC Health Services Research 2012 12:429

    Content type: Research article

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  45. Two healthcare innovations were successfully implemented using different implementation strategies. First, a Short Stay Programme for breast cancer surgery (MaDO) was implemented in four early adopter hospital...

    Authors: Stephanie M C Ament, Freek Gillissen, José M C Maessen, Carmen D Dirksen, Trudy van der Weijden and Maarten F von Meyenfeldt

    Citation: BMC Health Services Research 2012 12:423

    Content type: Study protocol

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  46. Exploring barriers to the uptake of research based recommendations into practice is an important part of the development of implementation programmes. Techniques to identify barriers can include use of theory-...

    Authors: Andria Hanbury, Katherine Farley, Carl Thompson, Paul Wilson and Duncan Chambers

    Citation: BMC Health Services Research 2012 12:422

    Content type: Research article

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