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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. Achievement of the elimination target for mother-to-child transmission (MTCT) of HIV in selected countries has increased hope to end the HIV epidemic in children across the world. However, MTCT rates remain we...

    Authors: Reuben Musarandega, Joanna Robinson, Priti Dave Sen, Anna Hakobyan, Angela Mushavi, Agnes Mahomva and Godfrey Woelk

    Citation: BMC Health Services Research 2020 20:1042

    Content type: Research article

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  2. A large proportion of admissions to psychiatric hospitals happen as emergency admissions and many of them occur out of core working hours (during the weekends, on public holidays and during night time). Howeve...

    Authors: Peter M. Kreuzer, Stefan Günther, Jorge Simoes, Michael Ziereis and Berthold Langguth

    Citation: BMC Health Services Research 2020 20:1041

    Content type: Research article

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  3. Providing care to cancer patients is associated with a substantial psychological and emotional load on oncology workers. The purpose of this project is to co-construct, implement and assess multidimensional in...

    Authors: Carl-Ardy Dubois, Roxane Borgès Da Silva, Mélanie Lavoie-Tremblay, Bernard Lespérance, Kathleen Bentein, Alain Marchand, Sara Soldera, Christine Maheu, Sébastien Grenier and Marie-Andrée Fortin

    Citation: BMC Health Services Research 2020 20:1039

    Content type: Study protocol

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  4. To explore the perceptions of health workers on the risks of contracting tuberculosis at Namwala District Hospital. Tuberculosis literature indicates that health workers are at risk of contracting tuberculosis...

    Authors: Shadreck Mwenya and Salley Stapley

    Citation: BMC Health Services Research 2020 20:1037

    Content type: Research article

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  5. To cope with shortages of equipment during the COVID-19 pandemic, we established a nonprofit end-to-end system to identify, validate, regulate, manufacture, and distribute 3D-printed medical equipment. Here we...

    Authors: Ferran Fillat-Gomà, Sergi Coderch-Navarro, Laia Martínez-Carreres, Núria Monill-Raya, Toni Nadal-Mir, Cristina Lalmolda, Manel Luján, Candelaria de Haro and Lluís Blanch

    Citation: BMC Health Services Research 2020 20:1035

    Content type: Research article

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  6. Extensive measures to reduce person-to-person transmission of COVID-19 are required to control the current outbreak. Special attention is directed at healthcare professionals as reducing the risk of infection ...

    Authors: Malene Missel, Camilla Bernild, Ilkay Dagyaran, Signe Westh Christensen and Selina Kikkenborg Berg

    Citation: BMC Health Services Research 2020 20:1031

    Content type: Research article

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  7. Colorectal cancer (CRC) is the 3rd leading cancer killer among men and women in the US. The Strategies and Opportunities to STOP Colon Cancer in Priority Populations (STOP CRC) project aimed to increase CRC sc...

    Authors: Amanda F. Petrik, Erin Keast, Eric S. Johnson, David H. Smith and Gloria D. Coronado

    Citation: BMC Health Services Research 2020 20:1028

    Content type: Research article

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  8. Chronic obstructive pulmonary disease (COPD) is one of the most common and deadliest chronic diseases worldwide. Since COPD is a chronic and progressive disease, treatment is necessary throughout life. For peo...

    Authors: Sara Lundell, Ulla-Maija Pesola, André Nyberg and Karin Wadell

    Citation: BMC Health Services Research 2020 20:1025

    Content type: Research article

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  9. In the Netherlands, the for-profit sector has gained a substantial share of nursing home care within just a few years. The ethical question that arises from the growth of for-profit care is whether the market ...

    Authors: Florien M. Kruse, Wieke M. R. Ligtenberg, Anke J. M. Oerlemans, Stef Groenewoud and Patrick P. T. Jeurissen

    Citation: BMC Health Services Research 2020 20:1024

    Content type: Research article

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  10. Despite a strong evidence base and policy recommendation supporting the implementation of psychoeducation interventions within the mental health system, equitable access for many service users and family membe...

    Authors: Agnes Higgins, Rebecca Murphy, Carmel Downes, Jennifer Barry, Mark Monahan, David Hevey, Thilo Kroll, Louise Doyle and Patrick Gibbons

    Citation: BMC Health Services Research 2020 20:1023

    Content type: Research article

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  11. Risk assessment is a precision medicine technique that can be used to enhance population health when applied to prevention. Several barriers limit the uptake of risk assessment in health care systems; and litt...

    Authors: Lori A. Orlando, R. Ryanne Wu, Rachel A. Myers, Joan Neuner, Catherine McCarty, Irina V. Haller, Melissa Harry, Kimberly G. Fulda, David Dimmock, Teji Rakhra-Burris, Adam Buchanan and Geoffrey S. Ginsburg

    Citation: BMC Health Services Research 2020 20:1015

    Content type: Research article

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  12. HIV continuum of care has been used as a strategy to reduce HIV transmission rates, with timely engagement in HIV testing being the first and most critical step. This study examines interprofessional-collabora...

    Authors: Liliane Cambraia Windsor, Rogério Meireles Pinto and Carol Ann Lee

    Citation: BMC Health Services Research 2020 20:1014

    Content type: Research article

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  13. ‘Older People’s Shoes’ is a training intervention designed for healthcare assistants (HCAs) to improve the relational care of older people in hospital. The intervention formed part of a broader evaluation, in ...

    Authors: Heather Wharrad, Sophie Sarre, Justine Schneider, Jill Maben, Clare Aldus, Elaine Argyle and Anthony Arthur

    Citation: BMC Health Services Research 2020 20:1010

    Content type: Research article

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  14. Acute 24-h detoxification services (detox) are necessary but insufficient for many individuals working towards long-term recovery from opiate, alcohol or other drug addiction. Longer engagement in substance us...

    Authors: Maria E. Torres, Mary Brolin, Lee Panas, Grant Ritter, Dominic Hodgkin, Margaret Lee, Elizabeth Merrick, Constance Horgan, Jonna C. Hopwood, Andrea Gewirtz, Natasha De Marco and Nancy Lane

    Citation: BMC Health Services Research 2020 20:1004

    Content type: Research article

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  15. During discharge from hospital, older patients and physicians discuss the plan for managing patients’ health at home. If not followed at home, it can result in poor medication management, readmissions, or othe...

    Authors: Tahreem Ghazal Siddiqui, Socheat Cheng, Marte Mellingsæter, Ramune Grambaite, Pål Gulbrandsen, Christofer Lundqvist and Jennifer Gerwing

    Citation: BMC Health Services Research 2020 20:1002

    Content type: Research article

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  16. Whilst treatment for mental health issues has traditionally been conducted in-person, advances in technology has seen a recent growth in the use of online video therapy services to help overcome access-to-care...

    Authors: Samuel D. Muir, Kathleen de Boer, Maja Nedeljkovic and Denny Meyer

    Citation: BMC Health Services Research 2020 20:999

    Content type: Research article

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  17. Intimate partner violence (IPV) is highly prevalent in the United States and impacts the physical and mental health and social well-being of those who experience it. Healthcare settings are important intervent...

    Authors: Emma C. Jackson, Lynette M. Renner, Nyla I. Flowers, Mary E. Logeais and Cari Jo Clark

    Citation: BMC Health Services Research 2020 20:996

    Content type: Research article

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  18. Healthy Homes and Neighbourhoods (HHAN) Integrated Care Initiative was established to improve the care of families with complex health and social needs who reside in Sydney Local Health District. HHAN seeks to...

    Authors: E. Tennant, E. Miller, K. Costantino, D. De Souza, H. Coupland, P. Fotheringham and J. Eastwood

    Citation: BMC Health Services Research 2020 20:995

    Content type: Research article

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  19. Millions of older adults in the United States experience hearing, vision, and dual sensory impairment (concurring hearing and vision impairment) yet little research exists on their needs in interactions with t...

    Authors: Nicholas S. Reed, Lama Assi, Emily Pedersen, Yasmeen Alshabasy, Ashley Deemer, Jennifer A. Deal, Amber Willink and Bonnielin K. Swenor

    Citation: BMC Health Services Research 2020 20:990

    Content type: Research article

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  20. Falls and fall-related injuries are a major public health problem and an international priority for health services. Despite research showing that evidence-based fall prevention is effective, its translation i...

    Authors: Hilde Worum, Daniela Lillekroken, Birgitte Ahlsen, Kirsti Skavberg Roaldsen and Astrid Bergland

    Citation: BMC Health Services Research 2020 20:985

    Content type: Research article

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  21. While there is a growing body of literature supporting clinical decision-making for rehabilitation professionals, suboptimal use of evidence-based practices in that field persists. A strategic initiative that ...

    Authors: Katherine Montpetit-Tourangeau, Dahlia Kairy, Sara Ahmed, Dana Anaby, André Bussières, Marie-Ève Lamontagne, Annie Rochette, Keiko Shikako-Thomas and Aliki Thomas

    Citation: BMC Health Services Research 2020 20:973

    Content type: Research article

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  22. Despite many studies evaluating the effectiveness of integrated care, evidence remains inconsistent. There is increasing commentary pointing out the mismatch between the ability to capture the somewhat ‘illusi...

    Authors: Jenny Billings, Simone R. de Bruin, Caroline Baan and Giel Nijpels

    Citation: BMC Health Services Research 2020 20:971

    Content type: Research article

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  23. Early diagnosis is crucial for the treatment of childhood cancer as it in some cases can prevent progression of disease and improve prognoses. However, childhood cancer can be difficult to diagnose and barrier...

    Authors: Line Hjøllund Pedersen, Ayo Wahlberg, Marie Cordt, Kjeld Schmiegelow, Susanne Oksbjerg Dalton and Hanne Bækgaard Larsen

    Citation: BMC Health Services Research 2020 20:969

    Content type: Research article

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  24. Timely access is a challenge for providers of outpatient and community-based health services, as seen by the often lengthy waiting lists to manage demand. The Specific Timely Appointments for Triage (STAT) mod...

    Authors: Katherine E. Harding, David A. Snowdon, Luke Prendergast, Annie K. Lewis, Bridie Kent, Sandy F. Leggat and Nicholas F. Taylor

    Citation: BMC Health Services Research 2020 20:968

    Content type: Research article

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  25. As an alternative to acute hospitalisations, all communities in Norway are required to provide inpatient care in municipal acute bed units (MAUs) for patients who can be treated at the primary care level. Pati...

    Authors: Synnøve Karin Hernes, Valborg Baste, Kurt Arild Krokmyrdal, Silje Longva Todnem, Sabine Ruths and Ingrid Hjulstad Johansen

    Citation: BMC Health Services Research 2020 20:963

    Content type: Research article

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  26. Healthcare systems implement change at different rates because of differences in incentives, organizational processes, key influencers, and management styles. A comparable set of forces may play out at the nat...

    Authors: Kamran Badizadegan, David M. Vanlandingham, Wesley Hampton and Kimberly M. Thompson

    Citation: BMC Health Services Research 2020 20:962

    Content type: Research article

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  27. Implementation of person-centred care (PCC) is a challenging undertaking. Thus, a call has been issued for a robust and generic instrument to measure and enable evaluation of PCC across settings and patient gr...

    Authors: Helena Fridberg, Lars Wallin, Catarina Wallengren, Anders Kottorp, Henrietta Forsman and Malin Tistad

    Citation: BMC Health Services Research 2020 20:960

    Content type: Research article

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  28. Embedding patient accommodation need in the electronic health record (EHR) has been proposed as one means to improve health care delivery to patients with disabilities. Accommodation need is not a standard fie...

    Authors: Nancy R. Mudrick, Mary Lou Breslin, Kyrian A. Nielsen and LeeAnn C. Swager

    Citation: BMC Health Services Research 2020 20:958

    Content type: Research article

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  29. Healthcare organisations differ in performance even if they are located in the same country or region. Suitable managerial practices and organisational processes can lead to better health outcomes. As a result...

    Authors: Simone Fanelli, Roberto Bellù, Antonello Zangrandi, Luigi Gagliardi and Rinaldo Zanini

    Citation: BMC Health Services Research 2020 20:957

    Content type: Research article

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  30. Among all women who experienced an abortion in Sweden 2017, 45% had previously underwent at least one abortion. This phenomenon of increasing rates of repeat abortions stimulated efforts to improve contracepti...

    Authors: Helena Kilander, Jan Brynhildsen, Siw Alehagen and Johan Thor

    Citation: BMC Health Services Research 2020 20:948

    Content type: Research article

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  31. Health care services internationally are refocussing care delivery towards patient centred, integrated care that utilises effective, efficient and innovative models of care to optimise patient outcomes and sys...

    Authors: Maha Pervaz Iqbal, Elizabeth Manias, Laurel Mimmo, Stephen Mears, Briony Jack, Liz Hay and Reema Harrison

    Citation: BMC Health Services Research 2020 20:952

    Content type: Research article

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  32. HIV-positive children have lagged adults on retention in HIV care and viral suppression. To address this gap, Eswatini’s Ministry of Health started a pilot family-centered HIV care model (FCCM) targeting HIV-p...

    Authors: Philisiwe N. Khumalo, Leila Katirayi, Kim Ashburn, Caspian Chouraya, Lydia Mpango, Nobuhle Mthethwa and Lynne M. Mofenson

    Citation: BMC Health Services Research 2020 20:951

    Content type: Research article

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  33. Repeated studies of working hours among Norwegian regular general practitioners (RGPs) have shown that the average total number of weekly working hours has remained unchanged since 1994 and up until 2014. For ...

    Authors: Ingrid Keilegavlen Rebnord, Tone Morken, Kjell Maartmann-Moe and Steinar Hunskaar

    Citation: BMC Health Services Research 2020 20:944

    Content type: Research article

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  34. Competing demands for operative resources may affect time to hip fracture surgery. We sought to determine the time to hip fracture surgery by variation in demand in Canadian hospitals.

    Authors: Katie J. Sheehan, Boris Sobolev, Pierre Guy, Jason D. Kim, Lisa Kuramoto, Lauren Beaupre, Adrian R. Levy, Suzanne N. Morin, Jason M. Sutherland and Edward J. Harvey

    Citation: BMC Health Services Research 2020 20:935

    Content type: Research article

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  35. Improved medical care access for rural populations continues to be a major concern. There remains little published evidence about postgraduate rural pathways of junior doctors, which may have strong implicatio...

    Authors: Matthew R. McGrail, Belinda G. O’Sullivan, Deborah J. Russell and Muntasirur Rahman

    Citation: BMC Health Services Research 2020 20:930

    Content type: Research article

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  36. Substance use disorders are prevalent among youth involved with the criminal justice system, however, evidence-based substance use disorder treatment is often unavailable to this population. The goal of this s...

    Authors: A. Johnson-Kwochka, A. Dir, M. P. Salyers and M. C. Aalsma

    Citation: BMC Health Services Research 2020 20:929

    Content type: Research article

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  37. The aim of this study was to explore expert professionals’ opinions on service provision to children under six with life-limiting neurodevelopmental disabilities (LLNDD), including the goals of care and the in...

    Authors: Suzanne Guerin, Gemma Kiernan, Eileen Courtney, Regina McQuillan and Karen Ryan

    Citation: BMC Health Services Research 2020 20:927

    Content type: Research article

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  38. In Australia and other developed countries, chronic illness prevalence is increasing, as are costs of healthcare, particularly hospital-based care. Integrating healthcare and supporting illness management in t...

    Authors: Steven A. Trankle, Tim Usherwood, Penelope Abbott, Mary Roberts, Michael Crampton, Christian M. Girgis, John Riskallah, Yashu Chang, Jaspreet Saini and Jennifer Reath

    Citation: BMC Health Services Research 2020 20:925

    Content type: Research article

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  39. New technology implementation in healthcare must address important challenges such as interdisciplinary approaches. In oncology, molecular tumorboard (MTB) settings require biomedical researchers and clinical ...

    Authors: Nathalie Bot and Mathias Waelli

    Citation: BMC Health Services Research 2020 20:922

    Content type: Research article

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  40. Breast cancer (BC) clinical guidelines offer evidence-based recommendations to improve quality of healthcare for patients with or at risk of BC. Suboptimal adherence to recommendations has the potential to neg...

    Authors: Ignacio Ricci-Cabello, Adrián Vásquez-Mejía, Carlos Canelo-Aybar, Ena Niño de Guzman, Javier Pérez-Bracchiglione, Montserrat Rabassa, David Rigau, Ivan Solà, Yang Song, Luciana Neamtiu, Elena Parmelli, Zuleika Saz-Parkinson and Pablo Alonso-Coello

    Citation: BMC Health Services Research 2020 20:920

    Content type: Research article

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  41. Group antenatal care has been successfully implemented around the world with suggestions of improved outcomes, including for disadvantaged groups, but it has not been formally tested in the UK in the context o...

    Authors: Meg Wiggins, Mary Sawtell, Octavia Wiseman, Christine McCourt, Sandra Eldridge, Rachael Hunter, Ekaterina Bordea, Connor Mustard, Ainul Hanafiah, Bethan Hatherall, Vivian Holmes, Anita Mehay, Helliner Robinson, Cathryn Salisbury, Lorna Sweeney, Kade Mondeh…

    Citation: BMC Health Services Research 2020 20:919

    Content type: Study protocol

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  42. Chronic diseases are the leading contributor to the excess morbidity and mortality burden experienced by Aboriginal and Torres Strait Islander (hereafter, respectfully, Indigenous) people, compared to their no...

    Authors: Deborah A. Askew, Samantha J. Togni, Sonya Egert, Lynne Rogers, Nichola Potter, Noel E. Hayman, Alan Cass, Alex D. H. Brown and Philip J. Schluter

    Citation: BMC Health Services Research 2020 20:917

    Content type: Research article

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  43. In Australia, as in many high income countries, there has been a movement to improve out-of-hospital care. If primary care improvements can yield appropriately lower hospital use, this would improve productive...

    Authors: Rachael E. Moorin, David Youens, David B. Preen and Cameron M. Wright

    Citation: BMC Health Services Research 2020 20:915

    Content type: Research article

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  44. In 2017, ostomy patients gained access to ostomy products in community pharmacies that are fully reimbursed by the Portuguese National Health Service. This impacted the daily lives of people with ostomy and op...

    Authors: Mariana Romão, Débora Figueira, Heloísa Galante, José Guerreiro and Sónia Romano

    Citation: BMC Health Services Research 2020 20:914

    Content type: Research article

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  45. Pelvic Floor Muscle Training (PFMT) has been shown to be effective for pelvic organ prolapse in women, but its implementation in routine practice is challenging due to lack of adequate specialist staff. It is ...

    Authors: Purva Abhyankar, Joyce Wilkinson, Karen Berry, Sarah Wane, Isabelle Uny, Patricia Aitchison, Edward Duncan, Eileen Calveley, Helen Mason, Karen Guerrero, Douglas Tincello, Doreen McClurg, Andrew Elders, Suzanne Hagen and Margaret Maxwell

    Citation: BMC Health Services Research 2020 20:910

    Content type: Research article

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  46. The desire to increase the role of home care in Finland has created problems in home care work. Working conditions have deteriorated, the quality of care experienced is low, and staff members suffer from time ...

    Authors: Salla Ruotsalainen, Sami Jantunen and Timo Sinervo

    Citation: BMC Health Services Research 2020 20:896

    Content type: Research article

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  47. The transition period between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) has been identified as an especially critical time for patients with anorexia nervosa. ...

    Authors: Veronica Lockertsen, Liv Nilsen, Lill Ann Wellhaven Holm, Øyvind Rø, Linn May Burger and Jan Ivar Røssberg

    Citation: BMC Health Services Research 2020 20:891

    Content type: Research article

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  48. Improving the health of women before pregnancy and throughout a woman’s lifespan could mitigate disparities and improve the health and wellbeing of women, infants and children. The preconception period is impo...

    Authors: Angela Wangari Walter, Clevanne Julce, Nireesha Sidduri, Leanne Yinusa-Nyahkoon, Jessica Howard, Matthew Reichert, Timothy Bickmore and Brian W. Jack

    Citation: BMC Health Services Research 2020 20:889

    Content type: Study protocol

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  49. The value of digital health technologies in delivering vital health care interventions, especially in low resource settings is increasingly appreciated. We co-developed and tested a decision support mobile hea...

    Authors: Pauline Bakibinga, Eva Kamande, Lyagamula Kisia, Milka Omuya, Dennis J. Matanda and Catherine Kyobutungi

    Citation: BMC Health Services Research 2020 20:888

    Content type: Research article

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