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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

    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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. 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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  11. 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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  12. 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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  13. 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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  14. 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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  15. 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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  16. Content type: Research article

    Home-based primary care (HBPC) is a multidisciplinary, ongoing care strategy that can provide cost-effective, in-home treatment to meet the needs of the approximately four million homebound, medically complex ...

    Authors: Gregory J. Norman, Kristann Orton, Amy Wade, Andrea M. Morris and Jill C. Slaboda

    Citation: BMC Health Services Research 2018 18:45

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  17. Content type: Research article

    External change agents can play an essential role in healthcare organizational change efforts. This systematic review examines the role that external change agents have played within the context of multifacete...

    Authors: Esra Alagoz, Ming-Yuan Chih, Mary Hitchcock, Randall Brown and Andrew Quanbeck

    Citation: BMC Health Services Research 2018 18:42

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  18. Content type: Research article

    Previous studies have disagreed on whether patients who receive primary care from federally qualified health centers (FQHCs) have different utilization patterns than patients who receive care elsewhere. Our ob...

    Authors: Tara A. Lavelle, Adam J. Rose, Justin W. Timbie, Claude M. Setodji, Suzanne G. Wensky, Katherine D. Giuriceo, Mark W. Friedberg, Rosalie Malsberger and Katherine L. Kahn

    Citation: BMC Health Services Research 2018 18:41

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  19. Content type: Research article

    There is an increased interest in improving the physical health of people with mental illness. Little is known about implementing health promotion interventions in adult mental health organisations where many ...

    Authors: Viola Burau, Kathrine Carstensen, Mia Fredens and Marius Brostrøm Kousgaard

    Citation: BMC Health Services Research 2018 18:36

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  20. Content type: Study protocol

    The treatment of somatosensory loss in the upper limb after stroke has been historically overshadowed by therapy focused on motor recovery. A double-blind randomized controlled trial has demonstrated the effec...

    Authors: Liana S. Cahill, Natasha A. Lannin, Yvonne Y. K. Mak-Yuen, Megan L. Turville and Leeanne M. Carey

    Citation: BMC Health Services Research 2018 18:34

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  21. Content type: Research article

    Participation in regular physical activity holds key benefits for cancer survivors, yet few cancer survivors meet physical activity recommendations. This study aimed to develop and pilot test a mHealth app ref...

    Authors: Camille E. Short, Amy Finlay, Ilea Sanders and Carol Maher

    Citation: BMC Health Services Research 2018 18:27

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  22. Content type: Research article

    Although digital technologies can mitigate the burdens of home healthcare services caused by an ageing population that lives at home longer with complex health problems, research on the impacts and consequence...

    Authors: Sigrid Nakrem, Marit Solbjør, Ida Nilstad Pettersen and Hanne Hestvik Kleiven

    Citation: BMC Health Services Research 2018 18:26

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  23. Content type: Research article

    In childcare centres, temporary exclusion of ill children, if their illness poses a risk of spread of harmful diseases to others, is a central approach to fight disease transmission. However, not all ill child...

    Authors: Benjamin Sticher, Julia Bielicki and Christoph Berger

    Citation: BMC Health Services Research 2018 18:25

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  24. Content type: Research article

    The amount of time spent living with disease greatly influences elderly people’s wellbeing, disability and healthcare costs, but differs by disease, age and sex.

    Authors: Riaan Botes, Karin M. Vermeulen, Janine Correia, Erik Buskens and Fanny Janssen

    Citation: BMC Health Services Research 2018 18:24

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  25. Content type: Research article

    The length of stay (LOS) strongly influences anorexia nervosa (AN) inpatient weight outcomes. Hence, understanding the predictors of LOS is highly relevant. However, the existing evidence is inconsistent and t...

    Authors: D. Kästner, B. Löwe, A. Weigel, B. Osen, U. Voderholzer and A. Gumz

    Citation: BMC Health Services Research 2018 18:22

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  26. Content type: Research article

    Training health professionals in culturally sensitive medical interviewing has been widely promoted as a strategy for improving intercultural communication and for helping clinicians to consider patients’ soci...

    Authors: Melissa Dominicé Dao, Sophie Inglin, Sarah Vilpert and Patricia Hudelson

    Citation: BMC Health Services Research 2018 18:19

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  27. Content type: Research article

    To reduce unnecessary ambulatory gastroenterology (GI) visits and increase access to GI care, San Francisco Health Network gastroenterologists and primary care providers implemented guidelines in 2013 that dis...

    Authors: Daniel Selvig, Justin L. Sewell, Delphine S. Tuot and Lukejohn W. Day

    Citation: BMC Health Services Research 2018 18:16

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  28. Content type: Research article

    Drug markets are very complex and, while many new drugs are registered each year, little is known about what drives the prescription of these new drugs. This study attempts to lift the veil from this important...

    Authors: Anne Decollogny, Romain Piaget-Rossel, Patrick Taffé and Yves Eggli

    Citation: BMC Health Services Research 2018 18:9

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  29. Content type: Research article

    Organizational context plays a critical role in the implementation of evidence-based interventions. Implementation research to date has focused largely on internal, rather than external, context. This paper pr...

    Authors: Alison B. Hamilton, Brian S. Mittman, Danielle Campbell, Craig Hutchinson, Honghu Liu, Nicholas J. Moss and Gail E. Wyatt

    Citation: BMC Health Services Research 2018 18:11

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  30. Content type: Research article

    Patients with prolonged length of hospital stay (LOS) not only increase their risks of nosocomial infections but also deny other patients access to inpatient care. Hepatobiliary (HPB) malignancies have some of...

    Authors: Siu Yin Lee, Soo-Hoon Lee, Jenny H. H. Tan, Howard S. L. Foo, Phillip H. Phan, Alfred W. C. Kow, Sein Lwin, Penelope M. Y. Seah and Siti Zubaidah Mordiffi

    Citation: BMC Health Services Research 2018 18:5

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  31. Content type: Research article

    To investigate the relationship between hospital volume activities and the survival for Epithelial Ovarian Carcinoma (EOC) patients in France.

    Authors: Marius Huguet, Lionel Perrier, Olivia Bally, David Benayoun, Pierre De Saint Hilaire, Dominique Beal Ardisson, Magali Morelle, Nathalie Havet, Xavier Joutard, Pierre Meeus, Philippe Gabelle, Jocelyne Provençal, Céline Chauleur, Olivier Glehen, Amandine Charreton, Fadila Farsi…

    Citation: BMC Health Services Research 2018 18:3

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  32. Content type: Research article

    Partnerships in public health form an important component of commissioning and implementing services, in England and internationally. In this research, we examine the views of staff involved in a City-wide hea...

    Authors: Rebecca Johnson, Amy Grove and Aileen Clarke

    Citation: BMC Health Services Research 2018 18:1

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  33. Content type: Research article

    Indigenous Australians experience high rates of chronic conditions. It is often asserted Indigenous Australians have low adherence to medication; however there has not been a comprehensive examination of the e...

    Authors: Jessica Langloh de Dassel, Anna P. Ralph and Alan Cass

    Citation: BMC Health Services Research 2017 17:845

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  34. Content type: Study protocol

    Pelvic Organ Prolapse (POP) is estimated to affect 41%–50% of women aged over 40. Findings from the multi-centre randomised controlled “Pelvic Organ Prolapse PhysiotherapY” (POPPY) trial showed that individual...

    Authors: Margaret Maxwell, Karen Semple, Sarah Wane, Andrew Elders, Edward Duncan, Purva Abhyankar, Joyce Wilkinson, Douglas Tincello, Eileen Calveley, Mary MacFarlane, Doreen McClurg, Karen Guerrero, Helen Mason and Suzanne Hagen

    Citation: BMC Health Services Research 2017 17:843

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  35. Content type: Research article

    International evidence suggests that a key to improving health and attaining more equitable health outcomes for disadvantaged populations is a health system with a strong primary care sector. Longstanding prob...

    Authors: Yuejen Zhao, Deborah J. Russell, Steven Guthridge, Mark Ramjan, Michael P. Jones, John S. Humphreys, Timothy A. Carey and John Wakerman

    Citation: BMC Health Services Research 2017 17:836

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  36. Content type: Research article

    Social prescribing is targeted at isolated and lonely patients. Practitioners and patients jointly develop bespoke well-being plans to promote social integration and or social reactivation. Our aim was to inve...

    Authors: Dawn Carnes, Ratna Sohanpal, Caroline Frostick, Sally Hull, Rohini Mathur, Gopalakrishnan Netuveli, Jin Tong, Patrick Hutt and Marcello Bertotti

    Citation: BMC Health Services Research 2017 17:835

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  37. Content type: Research article

    The discharge process from hospital to home for patients with severe mental illness (SMI) is often complex, and most are in need of tailored and coordinated community services at home. One solution is to disch...

    Authors: Eirik Roos, Ottar Bjerkeset, Margrét Hrönn Svavarsdóttir and Aslak Steinsbekk

    Citation: BMC Health Services Research 2017 17:832

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  38. Content type: Study protocol

    Cancer is now viewed as a chronic disease, presenting challenges to follow-up and survivorship care. Models to shift from haphazard, suboptimal and fragmented episodes of care to an integrated cancer care cont...

    Authors: Dominique Tremblay, Catherine Prady, Karine Bilodeau, Nassera Touati, Maud-Christine Chouinard, Martin Fortin, Isabelle Gaboury, Jean Rodrigue and Marie-France L’Italien

    Citation: BMC Health Services Research 2017 17:834

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  39. Content type: Research article

    Nurses leaving their jobs and the profession are an issue of international concern, with supply-demand gaps for nurses reported to be widening. There is a large body of existing literature, much of which is al...

    Authors: Mary Halter, Olga Boiko, Ferruccio Pelone, Carole Beighton, Ruth Harris, Julia Gale, Stephen Gourlay and Vari Drennan

    Citation: BMC Health Services Research 2017 17:824

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  40. Content type: Study protocol

    Primary care is the principal clinical setting for the management of depression. However, significant shortcomings have been detected in its diagnosis and clinical management, as well as in patient outcomes. W...

    Authors: Enric Aragonès, Diego Palao, Germán López-Cortacans, Antonia Caballero, Narcís Cardoner, Pilar Casaus, Myriam Cavero, José Antonio Monreal, Víctor Pérez-Sola, Miquel Cirera, Maite Loren, Eva Bellerino, Catarina Tomé-Pires and Laura Palacios

    Citation: BMC Health Services Research 2017 17:821

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  41. Content type: Study protocol

    The Million Hearts® initiative aims to prevent heart disease and stroke in the United States by mobilizing public and private sectors around a core set of objectives, with particular attention on improving blo...

    Authors: Priscilla M. Lopez, Jennifer Zanowiak, Keith Goldfeld, Katarzyna Wyka, Ahmad Masoud, Susan Beane, Rashi Kumar, Phoebe Laughlin, Chau Trinh-Shevrin, Lorna Thorpe and Nadia Islam

    Citation: BMC Health Services Research 2017 17:810

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  42. Content type: Research article

    Purposefully building stronger collaborations between primary care (PC) and public health (PH) is one approach to strengthening primary health care. The purpose of this paper is to report: 1) what systemic fac...

    Authors: Sabrina T. Wong, Marjorie MacDonald, Ruth Martin-Misener, Donna Meagher-Stewart, Linda O’Mara and Ruta K. Valaitis

    Citation: BMC Health Services Research 2017 17:796

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  43. Content type: Research article

    Despite several countrywide attempts to strengthen and standardise the primary healthcare (PHC) system, Greece is still lacking a sustainable, policy-based model of integrated services. The aim of our study wa...

    Authors: Dimitra Sifaki-Pistolla, Vasiliki-Eirini Chatzea, Adelais Markaki, Kyriakos Kritikos, Elena Petelos and Christos Lionis

    Citation: BMC Health Services Research 2017 17:788

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  44. Content type: Research article

    Care integration has been the focus of recent health system reforms. Given their functions at all levels of the care continuum, nurses have a substantial and primordial role to play in such integration process...

    Authors: Caroline Longpré and Carl-Ardy Dubois

    Citation: BMC Health Services Research 2017 17:790

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  45. Content type: Research article

    The Swiss health system is customer-driven with fee-for-service paiement scheme and universal coverage. It is highly performing but expensive and health information systems are scarcely implemented. The Swiss ...

    Authors: Sonja T. Ebert, Valérie Pittet, Jacques Cornuz and Nicolas Senn

    Citation: BMC Health Services Research 2017 17:789

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  46. Content type: Review

    Rheumatic heart disease (RHD) is a chronic cardiac condition with an infectious aetiology, causing high disease burden in low-income settings. Affected individuals are young and associated morbidity is high. H...

    Authors: Judith M Katzenellenbogen, Anna P Ralph, Rosemary Wyber and Jonathan R Carapetis

    Citation: BMC Health Services Research 2017 17:793

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