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Organization, structure and delivery of healthcare

Section edited by  Stefano Bonacina, Marie Pierre Gagnon and Holly Lanham

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. Content type: Research article

    In special circumstances, establishing public private partnerships for malaria elimination may achieve targets faster than the state sector acting by itself. Following the end of the separatist war in Sri Lank...

    Authors: Deepika Fernando, Pandu Wijeyaratne, Rajitha Wickremasinghe, Rabindra R. Abeyasinghe, Gawrie N. L. Galappaththy, Renu Wickremasinghe, M. Hapugoda, W. A. Abeywickrema and Chaturaka Rodrigo

    Citation: BMC Health Services Research 2018 18:202

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  2. Content type: Research article

    Children and young people (CYP) with learning disabilities (LD) are a vulnerable population with increased risk of abuse and accidental injury and whose parents have reported concerns about the quality, safety...

    Authors: Kate Oulton, Faith Gibson, Lucinda Carr, Angela Hassiotis, Carey Jewitt, Charlotte Kenten, Jessica Russell, Mark Whiting, Irene Tuffrey-Wijne and Jo Wray

    Citation: BMC Health Services Research 2018 18:203

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  3. Content type: Research article

    A growing number of Local Authorities (LAs) have introduced integrated wellness services as part of efforts to deliver cost effective, preventive services that address the social determinants of health. This s...

    Authors: M. Cheetham, P. Van der Graaf, B. Khazaeli, E. Gibson, A. Wiseman and R. Rushmer

    Citation: BMC Health Services Research 2018 18:200

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  4. Content type: Research article

    Research investigating interprofessional practice (IPP) frameworks has predominately focused on the service delivery of IPP or educating practitioners through interprofessional education. Minimal research has ...

    Authors: G. A. O’Sullivan, Clare Hanlon, T. Dentry, T. Morris and L. Banting

    Citation: BMC Health Services Research 2018 18:195

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  5. Content type: Debate

    Complexity thinking is increasingly being embraced in healthcare, which is often described as a complex adaptive system (CAS). Applying CAS to healthcare as an explanatory model for understanding the nature of...

    Authors: Sobia Khan, Ashley Vandermorris, John Shepherd, James W. Begun, Holly Jordan Lanham, Mary Uhl-Bien and Whitney Berta

    Citation: BMC Health Services Research 2018 18:192

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  6. Content type: Research article

    Waiting times for an outpatient appointment in Germany differ between insurants of the statutory and private health insurance schemes, especially for specialised care. The aim of this study was to uncover poss...

    Authors: Andres Luque Ramos, Falk Hoffmann and Ove Spreckelsen

    Citation: BMC Health Services Research 2018 18:191

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  7. Content type: Research article

    Workforce planning in the British healthcare system (NHS) is associated with significant costs of agency staff employment. The introduction of a novel software (ABG) as a ‘people to people economy’ (P2PE) plat...

    Authors: Iakovos Theodoulou, Akshaya Mohan Reddy and Jeremy Wong

    Citation: BMC Health Services Research 2018 18:188

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  8. Content type: Research article

    Physician and nursing shortages in acute and critical care settings require research on factors which might drive their commitment, an important predictor of absenteeism and turnover. However, the degree to wh...

    Authors: Felix Miedaner, Ludwig Kuntz, Christian Enke, Bernhard Roth and Anika Nitzsche

    Citation: BMC Health Services Research 2018 18:180

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  9. Content type: Research article

    In almost all healthcare systems, no-shows (scheduled appointments missed without any notice from patients) have a negative impact on waiting lists, costs and resource utilization, impairing the quality and qu...

    Authors: Chiara Anna Parente, Domenico Salvatore, Giampiero Maria Gallo and Fabrizio Cipollini

    Citation: BMC Health Services Research 2018 18:185

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  10. Content type: Research article

    Recently, patient engagement has been identified as a promising strategy for supporting healthcare planning. However, the context and structure of universalistic, “one-size-fits-all” approaches often used for ...

    Authors: M. Elizabeth Snow, Katherine Tweedie and Ann Pederson

    Citation: BMC Health Services Research 2018 18:181

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  11. Content type: Research article

    Providing equal access to health care is an important objective in most health care systems. It is especially pertinent in systems like the Swedish primary care market, where private providers are free to esta...

    Authors: Anders Anell, Margareta Dackehag and Jens Dietrichson

    Citation: BMC Health Services Research 2018 18:179

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  12. Content type: Research article

    Generalists such as general practitioners and district nurses have been the main actors in community palliative care in Norway. Specialised oncology nurses with postgraduate palliative training are increasingl...

    Authors: May-Lill Johansen and Bente Ervik

    Citation: BMC Health Services Research 2018 18:159

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  13. Content type: Research article

    Over the past decades, reorganizations and structural changes in Swedish primary care have affected time utilization among health care professionals. Consequently, increases in administrative tasks have substa...

    Authors: Eva Anskär, Malou Lindberg, Magnus Falk and Agneta Andersson

    Citation: BMC Health Services Research 2018 18:166

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  14. Content type: Research article

    Telehealth professionals require advanced communication skills, in part to compensate for lack of visual cues. Teach-Back is a best practice communication technique that has been recommended but not previously...

    Authors: Suzanne Morony, Kristie Weir, Gregory Duncan, Janice Biggs, Don Nutbeam and Kirsten J. Mccaffery

    Citation: BMC Health Services Research 2018 18:162

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  15. Content type: Research article

    Healthcare organizations increasingly are focused on providing care which is patient-centered rather than disease-focused. Yet little is known about how best to transform the culture of care in these organizat...

    Authors: Barbara G. Bokhour, Gemmae M. Fix, Nora M. Mueller, Anna M. Barker, Sherri L. Lavela, Jennifer N. Hill, Jeffrey L. Solomon and Carol VanDeusen Lukas

    Citation: BMC Health Services Research 2018 18:168

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  16. Content type: Research article

    Online interventions have the advantages of being widely available, accessible, comfortable, cost effective, and they can provide tailored information and support. Despite these benefits, the effects of specif...

    Authors: Hee Sun Kang, Hyun-Kyung Kim, Seong Man Park and Jung-Hee Kim

    Citation: BMC Health Services Research 2018 18:167

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  17. Content type: Research article

    The decision to obtain a computed tomography CT scan in the emergency department (ED) is complex, including a consideration of the risk posed by the test itself weighed against the importance of obtaining the ...

    Authors: M. Fernanda Bellolio, Shawna D. Bellew, Lindsey R. Sangaralingham, Ronna L. Campbell, Daniel Cabrera, Molly M. Jeffery, Nilay D. Shah and Erik P. Hess

    Citation: BMC Health Services Research 2018 18:154

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  18. Content type: Research article

    This is the eighth in a series of papers reporting Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. The SHARE Program was a systematic, integrated, evide...

    Authors: Claire Harris, Marie Garrubba, Angela Melder, Catherine Voutier, Cara Waller, Richard King and Wayne Ramsey

    Citation: BMC Health Services Research 2018 18:151

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  19. Content type: Research article

    Data are scarce regarding real-world health care resource use (HCRU) for non-small cell lung cancer (NSCLC). An understanding of current clinical practices and HCRU is needed to provide a benchmark for rapidly...

    Authors: Dae Ho Lee, Hiroshi Isobe, Hubert Wirtz, Sabina Bandeira Aleixo, Phillip Parente, Filippo de Marinis, Min Huang, Ashwini Arunachalam, Smita Kothari, Xiting Cao, Nello Donnini, Ann-Marie Woodgate and Javier de Castro

    Citation: BMC Health Services Research 2018 18:147

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  20. Content type: Research article

    Healthcare is increasingly delivered in a team-based format emphasizing interdisciplinary coordination. While recent reviews have investigated team-building interventions primarily in acute healthcare settings...

    Authors: Christopher J. Miller, Bo Kim, Allie Silverman and Mark S. Bauer

    Citation: BMC Health Services Research 2018 18:146

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  21. Content type: Research article

    Community pharmacies provide a suitable setting to promote self-screening programs aimed at enhancing the early detection of atrial fibrillation (AF). Developing and implementing novel community pharmacy servi...

    Authors: Daniel Sabater-Hernández, Jacqueline Tudball, Caleb Ferguson, Lucía Franco-Trigo, Lutfun N. Hossain and Shalom I. Benrimoj

    Citation: BMC Health Services Research 2018 18:145

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  22. Content type: Research article

    The failure of high-income countries, such as Ireland, to achieve a self-sufficient medical workforce has global implications, particularly for low-income, source countries. In the past decade, Ireland has dou...

    Authors: Niamh Humphries, Sophie Crowe and Ruairí Brugha

    Citation: BMC Health Services Research 2018 18:144

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  23. Content type: Research article

    As inter-hospital alliances have become increasingly popular in the healthcare sector, it is important to understand the challenges and benefits that the interaction between representatives of different hospit...

    Authors: Julika Loss, Johannes Weigl, Antonio Ernstberger, Michael Nerlich, Michael Koller and Janina Curbach

    Citation: BMC Health Services Research 2018 18:137

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  24. Content type: Research article

    Intra-arterial thrombectomy is the gold standard treatment for large artery occlusive stroke. However, the evidence of its benefits is almost entirely based on trials delivered by experienced neurointervention...

    Authors: Kristoffer Halvorsrud, Darren Flynn, Gary A. Ford, Peter McMeekin, Ajay Bhalla, Joyce Balami, Dawn Craig and Phil White

    Citation: BMC Health Services Research 2018 18:135

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  25. Content type: Research article

    There is no clear evidence as to whether the co-location of primary care professionals in the same facility positively influences their way of working and the quality of healthcare as perceived by patients. Th...

    Authors: M. Bonciani, W. Schäfer, S. Barsanti, S. Heinemann and P. P. Groenewegen

    Citation: BMC Health Services Research 2018 18:132

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  26. Content type: Technical advance

    Measuring the working hours of general practitioners (GPs) is an important but complex task due to the effects of bias related to self-reporting, recall, and stress. In this paper we describe the deployment, f...

    Authors: Daniël van Hassel, Lud van der Velden, Dinny de Bakker and Ronald Batenburg

    Citation: BMC Health Services Research 2018 18:131

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  27. Content type: Research article

    The present study examines the introduction of an innovation in intrapartum foetal monitoring practice in Australia. ST-Analysis (STan) is a technology that adds information to conventional fetal monitoring (c...

    Authors: M. E. Mayes, C. Wilkinson, S. Kuah, G. Matthews and D. Turnbull

    Citation: BMC Health Services Research 2018 18:119

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  28. Content type: Research article

    The evidence on the extent to which stakeholders in different European countries agree with availability and importance of tobacco-control interventions is limited. This study assessed and compared stakeholder...

    Authors: Puttarin Kulchaitanaroaj, Zoltán Kaló, Robert West, Kei Long Cheung, Silvia Evers, Zoltán Vokó, Mickael Hiligsmann, Hein de Vries, Lesley Owen, Marta Trapero-Bertran, Reiner Leidl and Subhash Pokhrel

    Citation: BMC Health Services Research 2018 18:115

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  29. Content type: Research article

    Tinnitus service provision in the United Kingdom has been investigated from the healthcare provider’s perspective demonstrating considerable regional variation particularly regarding availability of psychologi...

    Authors: Don McFerran, Derek J. Hoare, Simon Carr, Jaydip Ray and David Stockdale

    Citation: BMC Health Services Research 2018 18:110

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  30. Content type: Research article

    Most organizations invest in people for training to improve human capital and maximize profitability. Yet it is reported in industry and nursing as well that training effectiveness is constrained because of in...

    Authors: Yangjing Bai, Jiping Li, Yangjuan Bai, Weiguang Ma, Xiangyu Yang and Fang Ma

    Citation: BMC Health Services Research 2018 18:107

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  31. Content type: Research article

    Whilst there is recognition that the global burden of disease associated with mental health disorders is significant, the economic resources available, especially in Low and Middle Income Countries, are partic...

    Authors: Lela Sulaberidze, Stuart Green, Ivdity Chikovani, Maia Uchaneishvili and George Gotsadze

    Citation: BMC Health Services Research 2018 18:108

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  32. Content type: Research article

    Systems navigation provided by individuals or teams is emerging as a strategy to reduce barriers to care. Complex clients with health and social support needs in primary care experience fragmentation and gaps ...

    Authors: Nancy Carter, Ruta K. Valaitis, Annie Lam, Janice Feather, Jennifer Nicholl and Laura Cleghorn

    Citation: BMC Health Services Research 2018 18:96

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  33. Content type: Research article

    Social Prescribing is a service in primary care that involves the referral of patients with non-clinical needs to local services and activities provided by the third sector (community, voluntary, and social en...

    Authors: Julia Vera Pescheny, Yannis Pappas and Gurch Randhawa

    Citation: BMC Health Services Research 2018 18:86

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  34. Content type: Research article

    In general, patients with a cancer suspicion visit the hospital multiple times before diagnosis is completed. Using various “operations management” techniques a few fast track diagnostic services were implemen...

    Authors: W. H. van Harten, N. Goedbloed, A. H. Boekhout and S. Heintzbergen

    Citation: BMC Health Services Research 2018 18:85

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  35. Content type: Research article

    Organizational change is inevitable in any workplace. Previous research has shown that leadership and a number of organizational climate and contextual variables can affect the adoption of change initiatives. ...

    Authors: Kathryn von Treuer, Gery Karantzas, Marita McCabe, David Mellor, Anastasia Konis, Tanya E. Davison and Daniel O’Connor

    Citation: BMC Health Services Research 2018 18:77

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  36. Content type: Research article

    Children with medical complexity (CMC) have a wide range of long term health problems and disabilities that have an adverse impact on their quality of life. They have high levels of family identified health ca...

    Authors: Lisa Altman, Yvonne Zurynski, Christie Breen, Tim Hoffmann and Susan Woolfenden

    Citation: BMC Health Services Research 2018 18:70

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  37. Content type: Research article

    Implementation of evidence-based programs (EBPs) for disease self-management and prevention is a policy priority. It is challenging to implement EBPs offered in community settings and to integrate them with he...

    Authors: Aaron L. Leppin, Karen Schaepe, Jason Egginton, Sara Dick, Megan Branda, Lori Christiansen, Nicole M. Burow, Charlene Gaw and Victor M. Montori

    Citation: BMC Health Services Research 2018 18:72

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  38. Content type: Research article

    Partner notification services (PNS) are recommended by the Centers for Disease Control and Prevention as a public health intervention for addressing the spread of HIV and other sexually transmitted diseases (S...

    Authors: Sarah Magaziner, Madeline C. Montgomery, Thomas Bertrand, Daniel Daltry, Heidi Jenkins, Brenda Kendall, Lauren Molotnikov, Lindsay Pierce, Emer Smith, Lynn Sosa, Jacob J. van den Berg, Theodore Marak, Don Operario and Philip A. Chan

    Citation: BMC Health Services Research 2018 18:75

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  39. Content type: Research article

    Online health services are a rapidly growing aspect of public health provision, including testing for sexually transmitted and other blood-borne infections (STBBI). Generally, healthcare providers, policymaker...

    Authors: Cathy Chabot, Mark Gilbert, Devon Haag, Gina Ogilvie, Penelope Hawe, Vicky Bungay and Jean A. Shoveller

    Citation: BMC Health Services Research 2018 18:57

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  40. Content type: Research article

    Evidence supporting the effectiveness of care management programs for complex patients has been inconclusive. However, past reviews have not focused on complexity primarily defined by multimorbidity and health...

    Authors: Jennifer M. Baker, Richard W. Grant and Anjali Gopalan

    Citation: BMC Health Services Research 2018 18:65

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  41. Content type: Research article

    In 2013–14, the evidence based care model Hospital-based Home Care for children newly diagnosed with diabetes was implemented at a large paediatric diabetes care facility in the south of Sweden. The first step...

    Authors: Gabriella Nilsson, Kristofer Hansson, Irén Tiberg and Inger Hallström

    Citation: BMC Health Services Research 2018 18:61

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  42. Content type: Research article

    Pediatric providers are key players in the treatment of childhood obesity, yet rates of obesity management in the primary care setting are low. The goal of this study was to examine the views of pediatric prov...

    Authors: Kyung E. Rhee, Stephanie Kessl, Sarah Lindback, Marshall Littman and Robert E. El-Kareh

    Citation: BMC Health Services Research 2018 18:55

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  43. Content type: Research article

    Cardiovascular disease (CVD), a leading cause of morbidity and mortality, has similar incidence in metropolitan and rural areas but poorer cardiovascular outcomes for residents living in rural and remote Austr...

    Authors: Sandra Hamilton, Belynda Mills, Shelley McRae and Sandra Thompson

    Citation: BMC Health Services Research 2018 18:64

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  44. Content type: Research article

    Newborn hearing screening programs aim to lower the ages at audiological intervention among hearing-impaired children. In Wallonia and Brussels (Belgium), audiological intervention data are not collected in th...

    Authors: Bénédicte Vos, Christelle Senterre, Michel Boutsen, Raphaël Lagasse and Alain Levêque

    Citation: BMC Health Services Research 2018 18:56

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  45. Content type: Research article

    Implementing an accredited quality and patient safety management system is inevitable for hospitals. Even in the case of an obligatory rule system, different approaches to implement such a system can be used: ...

    Authors: Ulrike Weske, Paul Boselie, Elizabeth L. J. van Rensen and Margriet M. E. Schneider

    Citation: BMC Health Services Research 2018 18:62

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  46. Content type: Research article

    Obesity is a worldwide epidemic, and its prevalence is higher among Veterans in the United States. Based on our prior research, primary care teams at a Veterans Affairs (VA) hospital do not feel well-equipped ...

    Authors: Katrina F. Mateo, Natalie B. Berner, Natalie L. Ricci, Pich Seekaew, Sandeep Sikerwar, Craig Tenner, Joanna Dognin, Scott E. Sherman, Adina Kalet and Melanie Jay

    Citation: BMC Health Services Research 2018 18:47

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