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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. Governments in several countries attempt to strengthen user participation through instructing health care organisations to plan and implement activities such as user representation in administrational boards, ...

    Authors: Marit By Rise, Hilde Grimstad, Marit Solbjør and Aslak Steinsbekk

    Citation: BMC Health Services Research 2011 11:296

    Content type: Research article

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  2. Genetic testing is increasingly used as a tool throughout the health care system. In 2011 the number of clinically available genetic tests is approaching 2,000, and wide variation exists between these tests in...

    Authors: Diana C Darcy, Eleanor T Lewis, Kelly E Ormond, David J Clark and Jodie A Trafton

    Citation: BMC Health Services Research 2011 11:294

    Content type: Debate

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  3. Despite major policy initiatives in the United Kingdom to enhance women's experiences of maternity care, improving in-patient postnatal care remains a low priority, although it is an aspect of care consistentl...

    Authors: Debra E Bick, Val Rose, Annette Weavers, Julie Wray and Sarah Beake

    Citation: BMC Health Services Research 2011 11:293

    Content type: Research article

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  4. Diagnosis Related Group (DRG) payment is preferred by healthcare reform in various countries but its implementation in resource-limited countries has not been fully explored.

    Authors: Krit Pongpirul, Damian G Walker, Hafizur Rahman and Courtland Robinson

    Citation: BMC Health Services Research 2011 11:290

    Content type: Research article

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  5. Delay in diagnosis of cancer may worsen prognosis. The aim of this study is to explore patient-, general practitioner (GP)- and system-related delay in the interval from first cancer symptom to diagnosis and t...

    Authors: Rikke P Hansen, Peter Vedsted, Ineta Sokolowski, Jens Søndergaard and Frede Olesen

    Citation: BMC Health Services Research 2011 11:284

    Content type: Research article

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  6. As low- and middle-income countries experience economic development, ensuring quality of health care delivery is a central component of health reform. Nevertheless, health reforms in low- and middle-income cou...

    Authors: Emily J Cherlin, Adel A Allam, Erika L Linnander, Rex Wong, Essam El-Toukhy, Heather Sipsma, Harlan M Krumholz, Leslie A Curry and Elizabeth H Bradley

    Citation: BMC Health Services Research 2011 11:282

    Content type: Research article

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  7. The massive scale-up of antiretroviral treatment (ART) access worldwide has brought tremendous benefit to populations affected by HIV/AIDS. Optimising HIV care in countries with diverse medical systems is crit...

    Authors: Anita Shet, Ayesha DeCosta, Elsa Heylen, Suresh Shastri, Sara Chandy and Maria Ekstrand

    Citation: BMC Health Services Research 2011 11:277

    Content type: Research article

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  8. Communities of Practice (CoPs) are promoted in the healthcare sector as a means of generating and sharing knowledge and improving organisational performance. However CoPs vary considerably in the way they are ...

    Authors: Geetha Ranmuthugala, Jennifer J Plumb, Frances C Cunningham, Andrew Georgiou, Johanna I Westbrook and Jeffrey Braithwaite

    Citation: BMC Health Services Research 2011 11:273

    Content type: Research article

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  9. Qualitative research has the potential to inform and improve health care decisions but a study based on one year of publications suggests that it is not published in prominent health care journals. A more deta...

    Authors: Anna R Gagliardi and Mark J Dobrow

    Citation: BMC Health Services Research 2011 11:268

    Content type: Research article

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  10. The relative shortage of physicians in Japan's rural areas is an important issue in health policy. In the 1970s, the Japanese government began a policy to increase the number of medical students and to achieve...

    Authors: Shinichi Tanihara, Yasuki Kobayashi, Hiroshi Une and Ichiro Kawachi

    Citation: BMC Health Services Research 2011 11:260

    Content type: Research article

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  11. Various countries are currently implementing a national electronic patient record (n-EPR). Despite the assumed positive effects of n-EPRs, their overall adoption remains low and meets resistance from health ca...

    Authors: Marieke Zwaanswijk, Robert A Verheij, Floris J Wiesman and Roland D Friele

    Citation: BMC Health Services Research 2011 11:256

    Content type: Research article

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  12. Population-based patterns of care studies are important for monitoring cancer care but conducting them is expensive and resource-intensive. Linkage of routinely collected administrative health data may provide...

    Authors: David E Goldsbury, David P Smith, Bruce K Armstrong and Dianne L O'Connell

    Citation: BMC Health Services Research 2011 11:253

    Content type: Research article

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  13. This study aims to identify the statistical software applications most commonly employed for data analysis in health services research (HSR) studies in the U.S. The study also examines the extent to which info...

    Authors: Allard E Dembe, Jamie S Partridge and Laurel C Geist

    Citation: BMC Health Services Research 2011 11:252

    Content type: Research article

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  14. To describe implementation and first-year screening results of the first Chinese telehealth system for diabetic retinopathy (DR) - the Beixinjing Community Diabetic Retinopathy Telehealth system (BCDRT).

    Authors: Jinjuan Peng, Haidong Zou, Weiwei Wang, Jiong Fu, Bingjie Shen, Xuelin Bai, Xun Xu and Xi Zhang

    Citation: BMC Health Services Research 2011 11:250

    Content type: Research article

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  15. In January 2006, Veterans Affairs (VA) disseminated the MOVE!® Weight Management Program to VA medical centers to address the high prevalence of overweight/obesity. In its second year, MOVE! implementation varied...

    Authors: Laura J Damschroder, David E Goodrich, Claire H Robinson, Carol E Fletcher and Julie C Lowery

    Citation: BMC Health Services Research 2011 11:248

    Content type: Research article

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  16. Audit and feedback is an established strategy for improving maternal, neonatal and child health. The Perinatal Problem Identification Programme (PPIP), implemented in South African public hospitals in the late...

    Authors: María Belizán, Anne-Marie Bergh, Carolé Cilliers, Robert C Pattinson and Anna Voce

    Citation: BMC Health Services Research 2011 11:243

    Content type: Research article

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  17. Studies have shown that effective discharge planning is one of the key factors related to the quality of inpatient care and unnecessary hospital readmission. The perception and understanding of hospital discha...

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

    Citation: BMC Health Services Research 2011 11:242

    Content type: Research article

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  18. While it is recommended that records are kept between primary care providers (PCPs) and specialists during patient transitions from hospital to community care, this communication is not currently standardized....

    Authors: Jonathan Yee, Karen Unsworth, Neville Suskin, Robert D Reid, Veronica Jamnik and Sherry L Grace

    Citation: BMC Health Services Research 2011 11:231

    Content type: Research article

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  19. Almost all studies of pathologic fractures have been conducted based on patients with tumours and hospital-based data; however, in the present study, a nationwide epidemiological survey of pathologic fractures...

    Authors: Yi-Hui Lee, Yuan-Nian Hsu, I-Liang Yu, Dinh-Van Phan, Pesus Chou, Chien-Lung Chan and Nan-Ping Yang

    Citation: BMC Health Services Research 2011 11:230

    Content type: Research article

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  20. Community participation has been emphasized internationally as a way of enhancing accountability, as well as a means to enhance health goals in terms of coverage, access and effective utilization. In rural hea...

    Authors: Catherine Goodman, Antony Opwora, Margaret Kabare and Sassy Molyneux

    Citation: BMC Health Services Research 2011 11:229

    Content type: Research article

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  21. In England and Wales, the Department of Health introduced a primary prevention programme, NHS Health Checks, to provide screening for cardiovascular risk amongst people aged 40-74. The aim of this programme is...

    Authors: Rebekah J McNaughton, Nigel TA Oswald, Janet S Shucksmith, Peter J Heywood and Pat S Watson

    Citation: BMC Health Services Research 2011 11:222

    Content type: Research article

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  22. Unintended pregnancies lead to unsafe abortions, which are a leading cause of preventable maternal mortality among young women in Uganda. There is a discrepancy between the desire to prevent pregnancy and actu...

    Authors: Gorrette Nalwadda, Florence Mirembe, Nazarius M Tumwesigye, Josaphat Byamugisha and Elisabeth Faxelid

    Citation: BMC Health Services Research 2011 11:220

    Content type: Research article

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  23. To evaluate the value of a pre-ordering process for the pro-active scheduling and completion of appropriate preventive and chronic disease monitoring tests prior to a periodic health examination (PHE).

    Authors: Vicki L Hunt, Rajeev Chaudhry, Robert J Stroebel and Frederick North

    Citation: BMC Health Services Research 2011 11:216

    Content type: Research article

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  24. Current measures of antenatal care use are limited to initiation of care and number of visits. This study aimed to describe the development and application of a tool to assess the adequacy of the content and t...

    Authors: Katrien Beeckman, Fred Louckx, Godelieve Masuy-Stroobant, Soo Downe and Koen Putman

    Citation: BMC Health Services Research 2011 11:213

    Content type: Research article

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  25. The Baby Friendly Hospital (Health) Initiative (BFHI) is a global initiative aimed at protecting, promoting and supporting breastfeeding and is based on the ten steps to successful breastfeeding. Worldwide, ov...

    Authors: Virginia Schmied, Karleen Gribble, Athena Sheehan, Christine Taylor and Fiona C Dykes

    Citation: BMC Health Services Research 2011 11:208

    Content type: Research article

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  26. Health and social services provided at home are becoming increasingly important. Hence, there is a need for information on home care in Europe. The objective of this literature review was to respond to this ne...

    Authors: Nadine Genet, Wienke GW Boerma, Dionne S Kringos, Ans Bouman, Anneke L Francke, Cecilia Fagerström, Maria Gabriella Melchiorre, Cosetta Greco and Walter Devillé

    Citation: BMC Health Services Research 2011 11:207

    Content type: Research article

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  27. With the use of medicines being a broad and extensive part of health management, mechanisms to ensure quality use of medicines are essential. Drug usage evaluation (DUE) is an evidence-based quality improvemen...

    Authors: Lisa K Pulver, Angela Wai, David J Maxwell, Marion B Robertson and Steven Riddell

    Citation: BMC Health Services Research 2011 11:206

    Content type: Research article

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  28. Recruiting, retaining and meeting increasing demand for experienced, qualified nurses is an issue of concern for all health care systems. The UK has been creating clinical career structures for nurses that inc...

    Authors: Vari M Drennan and Claire Goodman

    Citation: BMC Health Services Research 2011 11:200

    Content type: Research article

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  29. Medication errors have been reported to be a leading cause of death in hospitalized patients. In this study we focused on identifying and quantifying errors in the handwritten drug ordering and dispensing docu...

    Authors: Maximilian J Hartel, Lukas P Staub, Christoph Röder and Stefan Eggli

    Citation: BMC Health Services Research 2011 11:199

    Content type: Research article

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  30. All sectors in health care are being asked to focus on the knowledge-to-practice gap, or knowledge translation, to increase service effectiveness. A social interaction approach to knowledge translation assumes...

    Authors: Anita R Kothari, Julia J Bickford, Nancy Edwards, Maureen J Dobbins and Mechthild Meyer

    Citation: BMC Health Services Research 2011 11:198

    Content type: Research article

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  31. In recent years there has been increasing interest in transferring new knowledge into health care practices, a process often referred to as implementation. The various subcultures that exist among health care ...

    Authors: Siw Carlfjord, Agneta Andersson and Malou Lindberg

    Citation: BMC Health Services Research 2011 11:195

    Content type: Research article

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  32. Co-morbidity information derived from administrative data needs to be validated to allow its regular use. We assessed evolution in the accuracy of coding for Charlson and Elixhauser co-morbidities at three tim...

    Authors: Jean-Marie Januel, Jean-Christophe Luthi, Hude Quan, François Borst, Patrick Taffé, William A Ghali and Bernard Burnand

    Citation: BMC Health Services Research 2011 11:194

    Content type: Research article

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  33. Overweight and obesity are associated with many conditions treated in primary care. Our objectives were: 1) to determine the frequency of weight-related conditions in a national sample of outpatient visits in ...

    Authors: Adam G Tsai, Elmer D Abbo and Lorraine G Ogden

    Citation: BMC Health Services Research 2011 11:191

    Content type: Research article

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  34. The role of patient race in medical decision-making is heavily debated. While some evidence suggests that patient race can be used by physicians to predict disease risk and determine drug therapy, other studie...

    Authors: Shedra Amy Snipes, Sherrill L Sellers, Adebola Odunlami Tafawa, Lisa A Cooper, Julie C Fields and Vence L Bonham

    Citation: BMC Health Services Research 2011 11:183

    Content type: Research article

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  35. The co-occurance of multiple medical conditions has a negative impact on health related quality of life (HRQoL) for patients with type 2 diabetes. These patients demand for intensified care programs. Participa...

    Authors: Dominik Ose, Antje Miksch, Elisabeth Urban, Iris Natanzon, Joachim Szecsenyi, Cornelia Ursula Kunz and Tobias Freund

    Citation: BMC Health Services Research 2011 11:179

    Content type: Research article

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  36. Research regarding the decision to adopt and implement technological innovations in radiation oncology is lacking. This is particularly problematic since these technologies are often complex and rapidly evolvi...

    Authors: Kate Bak, Mark J Dobrow, David Hodgson and Anthony Whitton

    Citation: BMC Health Services Research 2011 11:178

    Content type: Research article

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  37. Integrated care is considered as a strategy to improve the delivery, efficiency, client outcomes and satisfaction rates of health care. To integrate the care from multiple providers into a coherent client-focu...

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

    Citation: BMC Health Services Research 2011 11:177

    Content type: Research article

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  38. The healthcare management literature states that physicians often coordinate their activities within and between organizations through social networks. Previous studies have also documented the relationship be...

    Authors: Daniele Mascia, Americo Cicchetti, Maria Pia Fantini, Gianfranco Damiani and Walter Ricciardi

    Citation: BMC Health Services Research 2011 11:172

    Content type: Research article

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  39. The behaviour of individuals is affected by the social networks in which they are embedded. Networks are also important for the diffusion of information and the influence of employees in organisations. Yet, at...

    Authors: Adriana PA van Beek, Cordula Wagner, Peter PM Spreeuwenberg, Dinnus HM Frijters, Miel W Ribbe and Peter P Groenewegen

    Citation: BMC Health Services Research 2011 11:140

    Content type: Research article

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  40. Telecare could greatly facilitate chronic disease management in the community, but despite government promotion and positive demonstrations its implementation has been limited. This study aimed to identify fac...

    Authors: Carl R May, Tracy L Finch, James Cornford, Catherine Exley, Claire Gately, Sue Kirk, K Neil Jenkings, Janice Osbourne, A Louise Robinson, Anne Rogers, Robert Wilson and Frances S Mair

    Citation: BMC Health Services Research 2011 11:131

    Content type: Research article

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  41. A growing number of countries are introducing some form of nurse prescribing. However, international reviews concerning nurse prescribing are scarce and lack a systematic and theoretical approach. The aim of t...

    Authors: Marieke Kroezen, Liset van Dijk, Peter P Groenewegen and Anneke L Francke

    Citation: BMC Health Services Research 2011 11:127

    Content type: Research article

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  42. Nursing home residents are prone to acute illness due to their high age, underlying illnesses and immobility. We examined the incidence of acute hospital admissions among nursing home residents versus the age-...

    Authors: Birgitte Graverholt, Trond Riise, Gro Jamtvedt, Anette H Ranhoff, Kjell Krüger and Monica W Nortvedt

    Citation: BMC Health Services Research 2011 11:126

    Content type: Research article

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  43. Health systems are expected to serve the population needs in an effective, efficient and equitable manner. Therefore, the importance of strengthening of public, private and community health systems has been em...

    Authors: Iram Ejaz, Babar T Shaikh and Narjis Rizvi

    Citation: BMC Health Services Research 2011 11:122

    Content type: Research article

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  44. Patient self-management is a key approach to manage non-communicable diseases. A pharmacist-led approach in patient self-management means collaborative care between pharmacists and patients. However, the devel...

    Authors: Fiona YY Wong, Frank WK Chan, Joyce HS You, Eliza LY Wong and EK Yeoh

    Citation: BMC Health Services Research 2011 11:121

    Content type: Research article

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  45. Children with tracheotomy receive health care from an array of providers within various hospital and community health system sectors. Previous studies have highlighted substandard health information exchange b...

    Authors: Jay G Berry, Donald A Goldmann, Kenneth D Mandl, Heather Putney, David Helm, Jane O'Brien, Richard Antonelli and Robin M Weinick

    Citation: BMC Health Services Research 2011 11:117

    Content type: Research article

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  46. Care for patients with chronic diseases is challenging and requires multifaceted interventions to appropriately coordinate the entire treatment process. The effect of such interventions on clinical outcomes ha...

    Authors: Andrea S Fokkens, P Auke Wiegersma, Klaas van der Meer and Sijmen A Reijneveld

    Citation: BMC Health Services Research 2011 11:113

    Content type: Research article

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