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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. Critical shortages of health human resources (HHR), associated with high turnover rates, have been a concern in many countries around the globe. Of particular interest is the effect of such a trend on the prim...

    Authors: Mohamad Alameddine, Shadi Saleh, Fadi El-Jardali, Hani Dimassi and Yara Mourad

    Citation: BMC Health Services Research 2012 12:419

    Content type: Research article

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  2. The transition between acute care and community care represents a vulnerable period in health care delivery. The vulnerability of this period has been attributed to changes to patients’ medication regimens dur...

    Authors: Barbara M Okoniewska, Maria J Santana, Jayna Holroyd-Leduc, Ward Flemons, Maeve O’Beirne, Deborah White, Fiona Clement, Alan Forster and William A Ghali

    Citation: BMC Health Services Research 2012 12:414

    Content type: Study protocol

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  3. To investigate organisational factors influencing the implementation challenges of redesigning services for people with long term conditions in three locations in England, using remote care (telehealth and tel...

    Authors: Jane Hendy, Theopisti Chrysanthaki, James Barlow, Martin Knapp, Anne Rogers, Caroline Sanders, Peter Bower, Robert Bowen, Ray Fitzpatrick, Martin Bardsley and Stanton Newman

    Citation: BMC Health Services Research 2012 12:403

    Content type: Research article

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  4. Despite numerous studies evaluating the benefits of Helicopter Emergency Medical Services (HEMS) in primary scene responses, little information exists on the scope of HEMS activities in Australia. We describe ...

    Authors: Colman B Taylor, Bette Liu, Eleanor Bruce, Brian Burns, Stephen Jan and John Myburgh

    Citation: BMC Health Services Research 2012 12:402

    Content type: Research article

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  5. The optimal setting and content of primary health care rehabilitation of older people is not known. Our aim was to study independence, institutionalization, death and treatment costs 18 months after primary ca...

    Authors: Inger Johansen, Morten Lindbak, Johan K Stanghelle and Mette Brekke

    Citation: BMC Health Services Research 2012 12:400

    Content type: Research article

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  6. To reduce avoidable hospital readmissions, effective discharge planning and appropriate post discharge support care are key requirements. This study is a 3-staged process to develop, pretest and pilot a framew...

    Authors: Carrie HK Yam, Eliza LY Wong, Annie WL Cheung, Frank WK Chan, Fiona YY Wong and Eng-kiong Yeoh

    Citation: BMC Health Services Research 2012 12:396

    Content type: Research article

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  7. Over the past few decades, in OECD countries there has been a general growing trend in the prevalence of out-of-hospital healthcare services, but there is a general lack of data on the use of these services.

    Authors: Francesco Longo, Domenico Salvatore and Stefano Tasselli

    Citation: BMC Health Services Research 2012 12:393

    Content type: Research article

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  8. Primary care records from the UK have frequently been used to identify episodes of upper gastrointestinal bleeding in studies of drug toxicity because of their comprehensive population coverage and longitudina...

    Authors: Colin John Crooks, Timothy Richard Card and Joe West

    Citation: BMC Health Services Research 2012 12:392

    Content type: Research article

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  9. Although oral hypoglycemic agents (OHAs) are an essential element of therapy for the management of type 2 diabetes, OHA adherence is often suboptimal. Pharmacists are increasingly being integrated into primary...

    Authors: Beverly Mielke Kocarnik, Chuan-Fen Liu, Edwin S Wong, Mark Perkins, Matthew L Maciejewski, Elizabeth M Yano, David H Au, John D Piette and Chris L Bryson

    Citation: BMC Health Services Research 2012 12:391

    Content type: Research article

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  10. Monitoring treatment patterns is crucial to improving cancer patient care. Our aim was to determine the accuracy of linked routinely collected administrative health data for monitoring colorectal and lung canc...

    Authors: David E Goldsbury, Katie Armstrong, Leonardo Simonella, Bruce K Armstrong and Dianne L O’Connell

    Citation: BMC Health Services Research 2012 12:387

    Content type: Research article

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  11. Liver cancer is a complex and burdensome disease, with Asia accounting for 75% of known cases. Comprehensive cancer control requires the use of multiple strategies, but various stakeholders may have different ...

    Authors: John FP Bridges, Liming Dong, Gisselle Gallego, Barri M Blauvelt, Susan M Joy and Timothy M Pawlik

    Citation: BMC Health Services Research 2012 12:376

    Content type: Research article

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  12. Australian federal and jurisdictional governments are implementing ambitious policy initiatives intended to improve health care access and outcomes for Aboriginal and Torres Strait Islander people. In this qua...

    Authors: David Peiris, Alex Brown, Michael Howard, Bernadette A Rickards, Andrew Tonkin, Ian Ring, Noel Hayman and Alan Cass

    Citation: BMC Health Services Research 2012 12:369

    Content type: Research article

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  13. Primary care medical homes may improve health outcomes for children with special healthcare needs (CSHCN), by improving care coordination. However, community-based primary care practices may be challenged to d...

    Authors: Eyal Cohen, Ashley Lacombe-Duncan, Karen Spalding, Jennifer MacInnis, David Nicholas, Unni G Narayanan, Michelle Gordon, Ivor Margolis and Jeremy N Friedman

    Citation: BMC Health Services Research 2012 12:366

    Content type: Research article

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  14. Mortality is a widely used, but often criticised, quality indicator for hospitals. In many countries, mortality is calculated from in-hospital deaths, due to limited access to follow-up data on patients transf...

    Authors: Doris T Kristoffersen, Jon Helgeland, Jocelyne Clench-Aas, Petter Laake and Marit B Veierød

    Citation: BMC Health Services Research 2012 12:364

    Content type: Research article

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  15. The AGnES-concept (AGnES: GP-supporting, community-based, e-health-assisted, systemic intervention) was developed to support general practitioners (GPs) in undersupplied regions. The project aims to delegate G...

    Authors: Neeltje van den Berg, Romy Heymann, Claudia Meinke, Sebastian E Baumeister, Steffen Fleßa and Wolfgang Hoffmann

    Citation: BMC Health Services Research 2012 12:355

    Content type: Research article

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  16. There is a need for an adherence measure, to monitor adherence services in clinical practice, which can distinguish between different types of non-adherence and measure changes over time. In order to be inclus...

    Authors: Sara Garfield, Lina Eliasson, Sarah Clifford, Alan Willson and Nick Barber

    Citation: BMC Health Services Research 2012 12:350

    Content type: Research article

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  17. Health information technology, particularly electronic decision support systems, can reduce the existing gap between evidence-based knowledge and health care practice but professionals have to accept and use t...

    Authors: Tiina Kortteisto, Jorma Komulainen, Marjukka Mäkelä, Ilkka Kunnamo and Minna Kaila

    Citation: BMC Health Services Research 2012 12:349

    Content type: Research article

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  18. Older adults receive most of their end-of-life care in the community, but there are few published data to guide researchers on recruitment to studies in primary care. The aim of this study was to compare recru...

    Authors: Barbara Hanratty, Elizabeth Lowson, Louise Holmes, Julia Addington-Hall, Antony Arthur, Gunn Grande, Sheila Payne and Jane Seymour

    Citation: BMC Health Services Research 2012 12:342

    Content type: Research article

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  19. Primary care medical staffs’ knowledge, attitude and behavior about health emergency and the response capacity are directly related to the control and prevention of public health emergencies. Therefore, it is ...

    Authors: Zhou Zhiheng, Wang Caixia, Wang Jiaji, Yang Huajie, Wang Chao and Liang Wannian

    Citation: BMC Health Services Research 2012 12:338

    Content type: Research article

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  20. Co-located, collaborative care (CCC) is one component of VA’s model of Integrated Primary Care that embeds behavioral health providers (BHPs) into primary care clinics to treat commonly occurring mental health...

    Authors: Gregory P Beehler and Laura O Wray

    Citation: BMC Health Services Research 2012 12:337

    Content type: Research article

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  21. Healthcare accreditation standards are advocated as an important means of improving clinical practice and organisational performance. Standard development agencies have documented methodologies to promote open...

    Authors: David Greenfield, Marjorie Pawsey, Reece Hinchcliff, Max Moldovan and Jeffrey Braithwaite

    Citation: BMC Health Services Research 2012 12:329

    Content type: Research article

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  22. In Australia, whether to provide free influenza vaccine to health care workers (HCWs) is a policy decision for each hospital or jurisdiction, and is therefore not uniform across the country. This study explore...

    Authors: Holly Seale, Rajneesh Kaur and C Raina MacIntyre

    Citation: BMC Health Services Research 2012 12:325

    Content type: Research article

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  23. Community Pharmacists and General Practitioners (GPs) are increasingly being encouraged to adopt more collaborative approaches to health care delivery as collaboration in primary care has been shown to be effe...

    Authors: Connie Van, Daniel Costa, Penny Abbott, Bernadette Mitchell and Ines Krass

    Citation: BMC Health Services Research 2012 12:320

    Content type: Research article

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  24. Greater understanding of the variance in the number of consultations per dietetic treatment will increase the transparency of dietetic healthcare. Substantial inter-practitioner variation may suggest a potenti...

    Authors: Jacqueline Tol, Ilse C Swinkels, Peter M Spreeuwenberg, Chantal J Leemrijse, Dinny H de Bakker and Cindy Veenhof

    Citation: BMC Health Services Research 2012 12:317

    Content type: Research article

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  25. Guided by the evidence that delaying coronary revascularization may lead to symptom worsening and poorer clinical outcomes, expansion in cardiac surgery capacity has been recommended in Canada. Provincial gove...

    Authors: Boris G Sobolev, Guy Fradet, Lisa Kuramoto, Rita Sobolyeva, Basia Rogula and Adrian R Levy

    Citation: BMC Health Services Research 2012 12:311

    Content type: Research article

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  26. The aim of the study is to describe the work pattern of personal care workers (PCWs) in nursing homes. This knowledge is important for staff performance appraisal, task allocation and scheduling. It will also ...

    Authors: Si-Yu Qian, Ping Yu, Zhen-Yu Zhang, David M Hailey, Pamela J Davy and Mark I Nelson

    Citation: BMC Health Services Research 2012 12:305

    Content type: Research article

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  27. We studied the prevalence of common mental disorders among Dutch hospital physicians and investigated whether the presence of a mental disorder was associated with insufficient self-reported work ability.

    Authors: Martijn M Ruitenburg, Monique HW Frings-Dresen and Judith K Sluiter

    Citation: BMC Health Services Research 2012 12:292

    Content type: Research article

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  28. This study examines the psychometric properties of 9 items on the Patient Activation component of the Medicare Current Beneficiary Survey (MCBS) that assess how patients approach and communicate with their phy...

    Authors: Derjung M Tarn, Henry N Young and Benjamin M Craig

    Citation: BMC Health Services Research 2012 12:289

    Content type: Research article

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  29. Over the last decades, converging forces in hospital care, including cost-containment policies, rising healthcare demands and nursing shortages, have driven the search for new operational models of nursing car...

    Authors: Carl-Ardy Dubois, Danielle D’Amour, Eric Tchouaket, Michèle Rivard, Sean Clarke and Régis Blais

    Citation: BMC Health Services Research 2012 12:286

    Content type: Research article

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  30. In health services research, there is a growing view that partnerships between researchers and decision-makers (i.e., collaborative research teams) will enhance the effective translation and use of research re...

    Authors: Anne Hofmeyer, Catherine Scott and Laura Lagendyk

    Citation: BMC Health Services Research 2012 12:280

    Content type: Correspondence

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  31. Evidence-based practice aims to achieve better health outcomes in the community. It relies on high quality research to inform policy and practice; however research in primary health care continues to lag behin...

    Authors: Xanthe Golenko, Susan Pager and Libby Holden

    Citation: BMC Health Services Research 2012 12:276

    Content type: Research article

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  32. Many patients have uncontrolled blood pressure (BP) because they are not taking medications as prescribed. Providers may have difficulty accurately assessing adherence. Providers need to assess medication adhe...

    Authors: Jennifer Meddings, Eve A Kerr, Michele Heisler and Timothy P Hofer

    Citation: BMC Health Services Research 2012 12:270

    Content type: Research article

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  33. Due to fragmentation of care, continuity of care is often limited in the care provided to frail older people. Further, frail older people are not always enabled to become involved in their own care. Therefore,...

    Authors: Sarah HM Robben, Marieke Perry, Mirjam Huisjes, Leontien van Nieuwenhuijzen, Henk J Schers, Chris van Weel, Marcel GM Olde Rikkert, Theo van Achterberg, Maud M Heinen and René JF Melis

    Citation: BMC Health Services Research 2012 12:251

    Content type: Research article

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  34. Healthcare professional response rates to postal questionnaires are declining and this may threaten the validity and generalisability of their findings. Methods to improve response rates do incur costs (resour...

    Authors: Liz Glidewell, Ruth Thomas, Graeme MacLennan, Debbie Bonetti, Marie Johnston, Martin P Eccles, Richard Edlin, Nigel B Pitts, Jan Clarkson, Nick Steen and Jeremy M Grimshaw

    Citation: BMC Health Services Research 2012 12:250

    Content type: Research article

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  35. Medication-related problems are a serious concern in Australian primary care. Pharmacist interventions have been shown to be effective in identifying and resolving these problems. Collaborative general practit...

    Authors: Edwin Tan, Kay Stewart, Rohan A Elliott and Johnson George

    Citation: BMC Health Services Research 2012 12:246

    Content type: Study protocol

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  36. Multi-disciplinary heart failure (HF) clinics have been shown to improve outcomes for HF patients in randomized clinical trials. However, it is unclear how widely available specialized HF clinics are in Ontari...

    Authors: Harindra C Wijeysundera, Gina Trubiani, Lusine Abrahamyan, Nicholas Mitsakakis, William Witteman, Mike Paulden, Gabrielle van der Velde, Kori Kingsbury and Murray Krahn

    Citation: BMC Health Services Research 2012 12:236

    Content type: Research article

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  37. Changes that improve the quality of health care should be sustained. Falling back to old, unsatisfactory ways of working is a waste of resources and can in the worst case increase resistance to later initiativ...

    Authors: Einar Hovlid, Oddbjørn Bukve, Kjell Haug, Aslak Bjarne Aslaksen and Christian von Plessen

    Citation: BMC Health Services Research 2012 12:235

    Content type: Research article

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  38. Cardiovascular disease accounts for a large burden of disease, but is amenable to prevention through lifestyle modification. This paper examines patient and practice predictors of referral to a lifestyle modif...

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

    Citation: BMC Health Services Research 2012 12:234

    Content type: Research article

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  39. Primary health care (PHC) encompasses an array of health and social services that focus on preventative, diagnostic, and basic care measures to maintain wellbeing and address illnesses. In Canada, PHC involves...

    Authors: Valorie A Crooks and Nadine Schuurman

    Citation: BMC Health Services Research 2012 12:230

    Content type: Research article

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  40. Mental health problems are disproportionately higher amongst homeless people. Many barriers exist for homeless people with mental health problems in accessing treatment yet little research has been done on ser...

    Authors: Réamonn Canavan, Margaret M Barry, Aleksandra Matanov, Henrique Barros, Edina Gabor, Tim Greacen, Petra Holcnerová, Ulrike Kluge, Pablo Nicaise, Jacek Moskalewicz, José Manuel Díaz-Olalla, Christa Straßmayr, Aart H Schene, Joaquim J F Soares, Andrea Gaddini and Stefan Priebe

    Citation: BMC Health Services Research 2012 12:222

    Content type: Research article

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  41. Diabetes self-management education (DSME) can be delivered in many forms. Group based DSME is widespread due to being a cheaper method and the added advantages of having patient meet and discuss with each othe...

    Authors: Aslak Steinsbekk, LisbethØ Rygg, Monde Lisulo, Marit B Rise and Atle Fretheim

    Citation: BMC Health Services Research 2012 12:213

    Content type: Research article

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  42. The British Household Panel Survey (BHPS) is the first long-running UK longitudinal survey with a non-medical focus and a sample covering the whole age range to have asked for permission to link to a range of ...

    Authors: Gundi Knies, Jonathan Burton and Emanuela Sala

    Citation: BMC Health Services Research 2012 12:52

    Content type: Research article

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  43. Care for schizophrenia in low and middle income countries is predominantly facility based and led by specialists, with limited use of non-pharmacological treatments. Although community based psychosocial inter...

    Authors: Madhumitha Balaji, Sudipto Chatterjee, Mirja Koschorke, Thara Rangaswamy, Animish Chavan, Hamid Dabholkar, Lilly Dakshin, Pratheesh Kumar, Sujit John, Graham Thornicroft and Vikram Patel

    Citation: BMC Health Services Research 2012 12:42

    Content type: Correspondence

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  44. Job satisfaction among physicians may be of importance to their individual careers and their work with patients. We lack prospective studies on whether a change in a doctor's job position influences their job ...

    Authors: Ingunn Bjarnadottir Solberg, Karin Isaksson Rø, Olaf Aasland, Tore Gude, Torbjørn Moum, Per Vaglum and Reidar Tyssen

    Citation: BMC Health Services Research 2012 12:41

    Content type: Research article

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  45. The appropriateness and cost-effectiveness of screening mammography (SM) for women younger than 50 and older than 74 years is debated in the clinical research community, among health care providers, and by the...

    Authors: Shagufta Yasmeen, Patrick S Romano, Daniel J Tancredi, Naomi H Saito, Julie Rainwater and Richard L Kravitz

    Citation: BMC Health Services Research 2012 12:32

    Content type: Research article

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  46. Since the rapid scale-up of antiretroviral therapy (ART) programs in sub-Saharan Africa, electronic patient tracking systems (EPTS) have been deployed to respond to the growing demand for program monitoring, e...

    Authors: Barrot H Lambdin, Mark A Micek, Thomas D Koepsell, James P Hughes, Kenneth Sherr, James Pfeiffer, Marina Karagianis, Joseph Lara, Stephen S Gloyd and Andy Stergachis

    Citation: BMC Health Services Research 2012 12:30

    Content type: Research article

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  47. In the majority of China, the Centre for Disease Control (CDC) at the county level provides both clinical and public health care for TB cases, with hospitals and other health facilities referring suspected TB ...

    Authors: Guanyang Zou, Xiaolin Wei, John D Walley, Jia Yin and Qiang Sun

    Citation: BMC Health Services Research 2012 12:21

    Content type: Research article

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  48. Global coronary heart disease (CHD) risk assessment is recommended to guide primary preventive pharmacotherapy. However, little is known about physicians' understanding and use of global CHD risk assessment. O...

    Authors: Benjamin Shillinglaw, Anthony J Viera, Teresa Edwards, Ross Simpson and Stacey L Sheridan

    Citation: BMC Health Services Research 2012 12:20

    Content type: Research article

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