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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. The indications for general anesthesia (GA) in obstetric settings, which are determined in consideration of maternal and fetal outcome, could be affected by local patterns of clinical practice grounded in uniq...

    Authors: Takamitsu Ikeda, Atsuko Kato, Masahiko Bougaki, Yuko Araki, Takuya Ohata, Seiichiro Kawashima, Yousuke Imai, Jun Ninagawa, Koji Oba, Kyungho Chang, Kanji Uchida and Yoshitsugu Yamada

    Citation: BMC Health Services Research 2020 20:421

    Content type: Research article

    Published on:

  2. The Improved assessment of chest pain trial (IMPACT) protocol is an accelerated strategy for the risk stratification and management of patients presenting to the emergency department (ED) with chest pain. This...

    Authors: Jaimi H. Greenslade, Ariel Ho, Tracey Hawkins, William Parsonage, Julia Crilly and Louise Cullen

    Citation: BMC Health Services Research 2020 20:419

    Content type: Research article

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  3. To improve the effectiveness of interventions targeting non-adherence in older adults, a systematic approach to intervention design is required. The content of complex interventions and design decisions are of...

    Authors: D. E. Patton, C. Ryan and C. M. Hughes

    Citation: BMC Health Services Research 2020 20:418

    Content type: Research article

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  4. The definition of community health outreach to promote the health of vulnerable populations depends heavily on the particulars of the given health project and community. There is no consistency in the definiti...

    Authors: Hye Young Shin, Ka Young Kim and Purum Kang

    Citation: BMC Health Services Research 2020 20:417

    Content type: Research article

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  5. Tuberculosis (TB) control programmes rely heavily on laboratories to support both clinical care and public health. Qualified personnel with adequate technical and managerial skills comprise an integral compone...

    Authors: Philomena Raftery, Csaba Ködmön, Marieke J. van der Werf and Vladyslav Nikolayevskyy

    Citation: BMC Health Services Research 2020 20:413

    Content type: Research article

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  6. Patients with low health literacy experience difficulty in understanding their medications leading to worse health outcomes. Pharmacists need to use formal assessment tools to be able to identify these patient...

    Authors: Sara Chan, Sean P. Spina, Dalyce M. Zuk and Karen Dahri

    Citation: BMC Health Services Research 2020 20:401

    Content type: Research article

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  7. Physician turnover is a concern in many health care systems globally. A better understanding of physicians’ reasons for leaving their job may inform organisational policies to retain key personnel. The aim of ...

    Authors: Pål E. Martinussen, Jon Magnussen, Karsten Vrangbæk and Jan C. Frich

    Citation: BMC Health Services Research 2020 20:400

    Content type: Research article

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  8. The increasing complexity and variability in radiology have significantly fueled the need for guidelines. There are many methods for disseminating and implementing guidelines however; and obtaining lasting cha...

    Authors: Ann Mari Gransjøen, Siri Wiig, Kristin Bakke Lysdahl and Bjørn Morten Hofmann

    Citation: BMC Health Services Research 2020 20:397

    Content type: Research article

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  9. Over the past several years, there has been more emphasis on integration within health care. Community pharmacy is often under-represented within integrated care models. This study explored stakeholder percept...

    Authors: Jennifer D. Lake, Zahava R. S. Rosenberg-Yunger, Katie N. Dainty, Teagan Rolf von den Baumen, Amanda C. Everall and Sara J. T. Guilcher

    Citation: BMC Health Services Research 2020 20:396

    Content type: Research article

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  10. The implementation of any technology in community health care is seen as a challenge. Similarly, the implementation of eHealth technology also has challenges, and many initiatives never fully reach their poten...

    Authors: Etty R. Nilsen, Karen Stendal and Monika K. Gullslett

    Citation: BMC Health Services Research 2020 20:395

    Content type: Research article

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  11. The NHS Health Check Programme is a risk-reduction programme offered to all adults in England aged 40–74 years. Previous studies mainly focused on patient perspectives and programme delivery; however, delivery...

    Authors: Lirije Hyseni, Maria Guzman-Castillo, Chris Kypridemos, Brendan Collins, Ellen Schwaller, Simon Capewell, Angela Boland, Rumona Dickson, Martin O’Flaherty, Kay Gallacher, Peter Hale and Ffion Lloyd-Williams

    Citation: BMC Health Services Research 2020 20:394

    Content type: Research article

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  12. The present challenge for patient involvement is the improvement of healthcare efficiency through a deeper consideration of the patient experience. In hospitals, numerous interventions promoting patient involv...

    Authors: Lucie Malloggi, Brice Leclère, Clément Le Glatin and Leïla Moret

    Citation: BMC Health Services Research 2020 20:391

    Content type: Research article

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  13. Patient feedback in the English NHS is now widespread and digital methods are increasingly used. Adoption of digital methods depends on socio-technical and contextual factors, alongside human agency and lived ...

    Authors: Bie Nio Ong, Damian Hodgson, Nicola Small, Papreen Nahar and Caroline Sanders

    Citation: BMC Health Services Research 2020 20:387

    Content type: Research article

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  14. To improve the uptake of research into practice, knowledge translation frameworks recommend tailoring implementation strategies to address practice barriers. This study reports our experience pairing the Theor...

    Authors: Elaine Yuen Ling Kwok, Sheila T. F. Moodie, Barbara Jane Cunningham and Janis E. Oram Cardy

    Citation: BMC Health Services Research 2020 20:385

    Content type: Research article

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  15. To review the international literature on community-based interventions aiming to improve the oral health of Indigenous adolescents and identify which demonstrate a positive impact.

    Authors: Josephine Gwynn, John Skinner, Yvonne Dimitropoulos, Angela Masoe, Boe Rambaldini, Vita Christie, Woosung Sohn and Kylie Gwynne

    Citation: BMC Health Services Research 2020 20:384

    Content type: Research article

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  16. Smoking exacerbates the complications of diabetes, but little is known about whether patients with diabetes who smoke have more unplanned medical visits than those who do not smoke. This study examines the ass...

    Authors: Arielle Selya, Eric L. Johnson, Tess L. Weber, Jaymi Russo, Cheryl Stansbury, Drake Anshutz, Emily Griese and Benson Hsu

    Citation: BMC Health Services Research 2020 20:383

    Content type: Research article

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  17. Breast cancer is the most common malignant disease in women. Compared with other cancer types, breast cancer has a higher survival rate. The majority of breast cancer patients are overstrained to implement can...

    Authors: Mercedes Rutsch, Nicole Jochems, Andreas Schrader, Iris Brandes, Lisa Weier and Ruth Deck

    Citation: BMC Health Services Research 2020 20:378

    Content type: Study protocol

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  18. Medication errors are a leading cause of mortality and morbidity. Clinical pharmacy services provided in hospital can reduce medication errors and medication related harm. However, few rural or remote hospital...

    Authors: Julaine Allan, Shannon Nott, Brett Chambers, Ged Hawthorn, Alice Munro, Chris Doran, Chris Oldmeadow, Clare Coleman and Teesta Saksena

    Citation: BMC Health Services Research 2020 20:373

    Content type: Study protocol

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  19. To meet the complex needs of healthcare delivery, the Ministry of Health and Long Term Care (MOHLTC) introduced Physician Assistants (PAs) into the Ontario health care system in 2006 with the goal of helping t...

    Authors: Kristen E. Burrows, Julia Abelson, Patricia A. Miller, Mitchell Levine and Meredith Vanstone

    Citation: BMC Health Services Research 2020 20:365

    Content type: Research article

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  20. Patient medicines helpline services (PMHS) have been established at some National Health Service (NHS) Trusts in England, with the aim of providing medicines-related support to patients after they have been di...

    Authors: Matt Williams, Abbie Jordan, Jenny Scott and Matthew D. Jones

    Citation: BMC Health Services Research 2020 20:364

    Content type: Research article

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  21. Missed healthcare appointments (no-shows) are costly and operationally inefficient for health systems. No-show rates are particularly high for vulnerable populations, even though these populations often requir...

    Authors: Kai Ruggeri, Tomas Folke, Amel Benzerga, Sanne Verra, Clara Büttner, Viktoria Steinbeck, Susan Yee and Krisda Chaiyachati

    Citation: BMC Health Services Research 2020 20:363

    Content type: Research article

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  22. Knowledge Translation evidence from health care practitioners and administrators implementing Enhanced Recovery After Surgery (ERAS) care has allowed for the spread and scale of the health care innovation. The...

    Authors: Leah Gramlich, Gregg Nelson, Alison Nelson, Laura Lagendyk, Loreen E. Gilmour and Tracy Wasylak

    Citation: BMC Health Services Research 2020 20:361

    Content type: Research article

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  23. The Oncology Care Model (OCM) was developed as a payment model to encourage participating practices to provide better-quality care for cancer patients at a lower cost. The risk-adjustment model used in OCM is ...

    Authors: Madhu Mazumdar, Jung-Yi Joyce Lin, Wei Zhang, Lihua Li, Mark Liu, Kavita Dharmarajan, Mark Sanderson, Luis Isola and Liangyuan Hu

    Citation: BMC Health Services Research 2020 20:350

    Content type: Research article

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  24. Frail older patients are at risk of experiencing a decline in physical and cognitive function unrelated to the reason for admission. The Elder-Friendly Care (EFC) program was designed to improve the care, expe...

    Authors: Mubashir Aslam Arain, Laura Graham, Armghan Ahmad and Mollie Cole

    Citation: BMC Health Services Research 2020 20:347

    Content type: Research article

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  25. to understand if patients seen at Centro Hospitalar Psiquiátrico de Lisboa (CHPL) live in geographical clusters or randomly throughout the city, as well as determine their access to the psychiatric hospital an...

    Authors: M. Nascimento, B. Lourenço, I. Coelho, J. Aguiar, M. Lázaro, M. Silva, C. Pereira, I. Neves-Caldas, F. Gomes, S. Garcia, S. Nascimento, G. Pereira, V. Nogueira, P. Costa and A. Nobre

    Citation: BMC Health Services Research 2020 20:344

    Content type: Research article

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  26. The End TB Strategy calls for global scale-up of preventive treatment for latent tuberculosis infection (LTBI), but little information is available about the associated human resource requirements. Our study a...

    Authors: H. Alsdurf, O. Oxlade, M. Adjobimey, F. Ahmad Khan, M. Bastos, N. Bedingfield, A. Benedetti, D. Boafo, T. N. Buu, L. Chiang, V. Cook, D. Fisher, G. J. Fox, F. Fregonese, P. Hadisoemarto, J. C. Johnston…

    Citation: BMC Health Services Research 2020 20:341

    Content type: Research article

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  27. Non-alcoholic fatty liver disease (NAFLD) is the most common type of chronic liver disease in Australia and its recent increase mirrors the obesity and type 2 diabetes epidemics. Currently, many patients who p...

    Authors: David Brain, James O’Beirne, Ingrid J. Hickman, Elizabeth E. Powell, Patricia C. Valery, Sanjeewa Kularatna, Ruth Tulleners, Alison Farrington, Leigh Horsfall and Adrian Barnett

    Citation: BMC Health Services Research 2020 20:335

    Content type: Study protocol

    Published on:

  28. We sought to analyze gender differences in General Practitioners’ (GP) preventive practices: variations according to the GP’s and the patient’s genders, separately and combined, and the homogeneity of GPs’ pra...

    Authors: Raphaëlle Delpech, Géraldine Bloy, Henri Panjo, Hector Falcoff, Virginie Ringa and Laurent Rigal

    Citation: BMC Health Services Research 2020 20:331

    Content type: Research article

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  29. Implementing digital technology in home care services challenges care arrangements built on face-to-face encounters. Digital welfare technology has been suggested as a solution to increasing demands on health ...

    Authors: Hanne H. Kleiven, Birgitte Ljunggren and Marit Solbjør

    Citation: BMC Health Services Research 2020 20:320

    Content type: Research article

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  30. While the participation of adults with visual and severe or profound intellectual disabilities (VSPID) in society and community life is important, evidence-based interventions to improve their participation ar...

    Authors: Gineke Hanzen, Ruth M. A. van Nispen, Carla Vlaskamp, Eliza L. Korevaar, Aly Waninge and Annette A. J. van der Putten

    Citation: BMC Health Services Research 2020 20:319

    Content type: Research article

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  31. In response to the rising burden of cardiovascular risk factors, the Malaysian government has implemented Enhanced Primary Healthcare (EnPHC) interventions in July 2017 at public clinic level to improve manage...

    Authors: Wen Jun Wong, Aisyah Mohd Norzi, Swee Hung Ang, Chee Lee Chan, Faeiz Syezri Adzmin Jaafar and Sheamini Sivasampu

    Citation: BMC Health Services Research 2020 20:311

    Content type: Research article

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  32. To describe the clinical activity patterns and nature of interventions of hospital-based liaison psychiatry services in England.

    Authors: Sonia Saraiva, Elspeth Guthrie, Andrew Walker, Peter Trigwell, Robert West, Farag Shuweidi, Mike Crawford, Matt Fossey, Jenny Hewison, Carolyn Czoski Murray, Claire Hulme and Allan House

    Citation: BMC Health Services Research 2020 20:308

    Content type: Research article

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  33. The National Health Service diabetes prevention programme in England, (NHS DPP) aims to identify people at high risk of type 2 diabetes (T2D) and offer them a face-to-face, group-based, behaviour change interv...

    Authors: Angela M. Rodrigues, Anna Haste, Linda Penn, Ruth Bell, Carolyn Summerbell, Martin White, Ashley J. Adamson and Falko F. Sniehotta

    Citation: BMC Health Services Research 2020 20:307

    Content type: Research article

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  34. Good quality midwifery care saves the lives of women and babies. Continuity of midwife carer (CMC), a key component of good quality midwifery care, results in better clinical outcomes, higher care satisfaction...

    Authors: Rhona J. McInnes, Alix Aitken-Arbuckle, Suzanne Lake, Caroline Hollins Martin and Juliet MacArthur

    Citation: BMC Health Services Research 2020 20:304

    Content type: Research article

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  35. Human resources play a critical role in encouraging efficient performance within organisations, especially for public healthcare organisations, where competences of staff are key aspects of the quality of serv...

    Authors: Simone Fanelli, Gianluca Lanza, Cristiana Enna and Antonello Zangrandi

    Citation: BMC Health Services Research 2020 20:303

    Content type: Research article

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  36. A reasonable allocation of health resources is often characterized by equity and high efficiency. This study aims to evaluate the equity and efficiency of maternal and child health (MCH) resources allocation i...

    Authors: Minyuan Huang, Dan Luo, Zhanghua Wang, Yongmei Cao, Hua Wang, Fengying Bi, Yunxiang Huang and Luxi Yi

    Citation: BMC Health Services Research 2020 20:300

    Content type: Research article

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  37. With demographic change, the number of noncommunicable diseases, chronic diseases and multimorbidity is increasing, and so is the demand for health services. This represents a further challenge for the healthc...

    Authors: Simone Richter, Ibrahim Demirer, Kyung-Eun Choi, Johannes Hartrampf, Holger Pfaff and Ute Karbach

    Citation: BMC Health Services Research 2020 20:296

    Content type: Study protocol

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  38. The Cypriot healthcare system has undergone a number of major transformations since the induction of the Republic of Cyprus in the European Union over 10 years ago. Currently Cyprus is undergoing a major refor...

    Authors: Elena Pallari, George Samoutis and Anthony Rudd

    Citation: BMC Health Services Research 2020 20:293

    Content type: Research article

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  39. Across the United States, sexually transmitted infections and unintended pregnancy rates are alarmingly high among youth. Schools, due to their proximity and access to youth, can increase student access to sex...

    Authors: Emily Leung, Kathryn J. Wanner, Lindsay Senter, Amanda Brown and Dawn Middleton

    Citation: BMC Health Services Research 2020 20:292

    Content type: Research article

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  40. Patient Centred Medical Homes (PCMHs), increasingly evidenced to provide high quality primary care, are new to Australia. To learn how this promising new healthcare model works in an Australian setting we expl...

    Authors: Christine Metusela, Tim Usherwood, Kenny Lawson, Lisa Angus, Walter Kmet, Shahana Ferdousi and Jennifer Reath

    Citation: BMC Health Services Research 2020 20:285

    Content type: Research article

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  41. A new movement towards improved postpartum care calls for restructuring how that care is provided. As professional guidelines evolve, understanding how providers prioritize and practice postpartum care can offer ...

    Authors: Tamar Krishnamurti, Hyagriv N. Simhan and Sonya Borrero

    Citation: BMC Health Services Research 2020 20:284

    Content type: Research article

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  42. As the gatekeepers of rural residents’ health, teams of village doctors play a vital role in improving rural residents’ health. However, the high turnover of village doctors, both individually and collectively...

    Authors: Xuewen Zhang, Liyan Bian, Xue Bai, Dezhong Kong, Li Liu, Qing Chen and Ningxiu Li

    Citation: BMC Health Services Research 2020 20:283

    Content type: Research article

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  43. To improve the effectiveness and efficiency of health service provision in China, the National Health Commission has emphasised that training of all health service managers is essential. However, the implement...

    Authors: Zhanming Liang, Peter Howard, Jian Wang, Min Xu and Mei Zhao

    Citation: BMC Health Services Research 2020 20:281

    Content type: Research article

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  44. Management, culture and systems for better quality and patient safety in hospitals have been widely studied in Norway. Nursing homes and home care, however have received much less attention. An increasing numb...

    Authors: Terese Johannessen, Eline Ree, Ingunn Aase, Roland Bal and Siri Wiig

    Citation: BMC Health Services Research 2020 20:277

    Content type: Research article

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  45. In highly segmented and complex healthcare organizations social capital is assumed to be of high relevance for the coordination of tasks in healthcare. So far, comprehensively validated instruments on social c...

    Authors: Lena Ansmann, Kira Isabel Hower, Markus Antonius Wirtz, Christoph Kowalski, Nicole Ernstmann, Lorna McKee and Holger Pfaff

    Citation: BMC Health Services Research 2020 20:272

    Content type: Research article

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  46. Due to demographic transition, multimorbidity and high numbers of medicinal products, polypharmacy rates will presumably further increase. This could lead to higher risks of potentially inappropriate medicatio...

    Authors: Christina Dornquast, Mirja Dombrowski, Markus Zabel, Stefan N. Willich and Thomas Reinhold

    Citation: BMC Health Services Research 2020 20:271

    Content type: Research article

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  47. There is accumulating evidence for the value of collective and shared approaches to leadership. However, relatively little research has explored collective leadership in healthcare and thus, there is a lack un...

    Authors: Aoife De Brún and Eilish McAuliffe

    Citation: BMC Health Services Research 2020 20:261

    Content type: Research article

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  48. Public health resources are limited and best used for effective programs. This study explores associations of mis-implementation in public health (ending effective programs or continuing ineffective programs) ...

    Authors: Peg Allen, Rebekah R. Jacob, Renee G. Parks, Stephanie Mazzucca, Hengrui Hu, Mackenzie Robinson, Maureen Dobbins, Debra Dekker, Margaret Padek and Ross C. Brownson

    Citation: BMC Health Services Research 2020 20:258

    Content type: Research article

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  49. Although some advances have been made in recent years, the lack of measures remains a major challenge in the field of implementation research. This results in frequent adaptation of implementation measures for...

    Authors: Justin D. Smith, Miriam R. Rafferty, Allen W. Heinemann, Mariah K. Meachum, Juan Villamar, Richard L. Lieber and C. Hendricks Brown

    Citation: BMC Health Services Research 2020 20:257

    Content type: Research article

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