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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. Breast cancer (BC) and related treatment are associated with the risk of developing a wide range of persistent disabling impairments. Despite extensive research in the field and an enhanced focus on BC rehabil...

    Authors: Ulrika Olsson Möller, Ing-Marie Olsson, Katarina Sjövall, Ingela Beck, Lisa Rydén and Marlene Malmström

    Citation: BMC Health Services Research 2020 20:252

    Content type: Research article

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  2. The first aim of this research was to investigate the current prevalence of musculoskeletal ultrasound in Dutch physiotherapy practices. The second aim was to explore experiences of physiotherapists with muscu...

    Authors: Margit K. Kooijman, Ilse C. S. Swinkels, Bart W. Koes, Dinny de Bakker and Cindy Veenhof

    Citation: BMC Health Services Research 2020 20:246

    Content type: Research article

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  3. As of 2015, second opinions are legally implemented in Germany. However, empirical results from German second opinion programs are lacking. The aim of this study was to examine several aspects within a populat...

    Authors: Jan Weyerstraß, Barbara Prediger, Edmund Neugebauer and Dawid Pieper

    Citation: BMC Health Services Research 2020 20:237

    Content type: Research article

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  4. As diabetes prevalence rises world-wide, the arrangement of clinics and care packages is increasingly debated by health care professionals (HCPs), health service researchers, patient groups and policy makers. ...

    Authors: Christopher Bunn, Elissa Harwood, Kalsoom Akhter and David Simmons

    Citation: BMC Health Services Research 2020 20:235

    Content type: Research article

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  5. Mental health professionals usually decide patients’ access to inpatient care to ensure the rational and fair distribution of care based on need and prognosis. The purpose of the current study is to investigat...

    Authors: Olav Nyttingnes and Torleif Ruud

    Citation: BMC Health Services Research 2020 20:229

    Content type: Research article

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  6. Several approaches to medication optimisation by identifying drug-related problems in older people have been described. Although some interventions have shown reductions in drug-related problems (DRPs), eviden...

    Authors: Erin K. Crowley, Bastiaan T. G. M. Sallevelt, Corlina J. A. Huibers, Kevin D. Murphy, Marco Spruit, Zhengru Shen, Benoît Boland, Anne Spinewine, Olivia Dalleur, Elisavet Moutzouri, Axel Löwe, Martin Feller, Nathalie Schwab, Luise Adam, Ingeborg Wilting, Wilma Knol…

    Citation: BMC Health Services Research 2020 20:220

    Content type: Study protocol

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  7. Despite the potential of digital health interventions to improve the delivery of psychoeducation to people with mental health problems and their relatives, and substantial investment in their development, ther...

    Authors: Fiona Lobban, Duncan Appelbe, Victoria Appleton, Julie Billsborough, Naomi Ruth Fisher, Sheena Foster, Bethany Gill, David Glentworth, Chris Harrop, Sonia Johnson, Steven H. Jones, Tibor Zoltan Kovacs, Elizabeth Lewis, Barbara Mezes, Charlotte Morton, Elizabeth Murray…

    Citation: BMC Health Services Research 2020 20:219

    Content type: Research article

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  8. Infrastructure development and upgrading to support safe surgical services in primary health care facilities is an important step in the journey towards achieving Universal Health Coverage (UHC). Quality healt...

    Authors: Ntuli A. Kapologwe, John G. Meara, James T. Kengia, Yusuph Sonda, Dorothy Gwajima, Shehnaz Alidina and Albino Kalolo

    Citation: BMC Health Services Research 2020 20:218

    Content type: Research article

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  9. The “AOK-Junior” care program of the AOK Nordost (a German statutory health insurance) completes the primary care for children and adolescents (C&A) in the federal states of Berlin, Brandenburg and Mecklenburg...

    Authors: Sebastian Liersch, Kathrin Krüger, Carina Oedingen, Andrea Spreenberg, Torben Bergemann and Christian Krauth

    Citation: BMC Health Services Research 2020 20:217

    Content type: Study protocol

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  10. For studying the effectiveness of treatment, it is important to check whether a new treatment is performed as originally described in the study-protocol.

    Authors: C. Dekker, J. C. M. van Haastregt, J. A. M. C. F. Verbunt, J. R. de Jong, T. van Meulenbroek, H. F. M. Pernot, A. D. van Velzen, C. H. G. Bastiaenen and M. E. J. B. Goossens

    Citation: BMC Health Services Research 2020 20:213

    Content type: Research article

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  11. Documented rates of dementia and cognitive impairment not dementia (CIND) in older Aboriginal and Torres Strait Islander Peoples is 3–5 times higher than the rest of the population, and current evidence sugges...

    Authors: Kate Bradley, Robyn Smith, Jo-anne Hughson, David Atkinson, Dawn Bessarab, Leon Flicker, Kylie Radford, Kate Smith, Edward Strivens, Sandra Thompson, Irene Blackberry and Dina LoGiudice

    Citation: BMC Health Services Research 2020 20:208

    Content type: Study protocol

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  12. DOLCE (Improving Decision making On Location of Care with the frail Elderly and their caregivers) was a post-intervention clustered randomised trial (cRT) to assess the effect of training home care teams on in...

    Authors: Rhéda Adekpedjou, Julie Haesebaert, Dawn Stacey, Nathalie Brière, Adriana Freitas, Louis-Paul Rivest and France Légaré

    Citation: BMC Health Services Research 2020 20:203

    Content type: Research article

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  13. Involving family members in disease management is vital to people with type 2 diabetes. New innovations that support family members’ involvement can help both the person with type 2 diabetes and the relatives ...

    Authors: Tue Helms Andersen and Dan Grabowski

    Citation: BMC Health Services Research 2020 20:198

    Content type: Research article

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  14. Unrecognised and untreated parental mental illness is a major adverse childhood experience with potentially life-long consequences for health and wellbeing. In the United Kingdom (UK) health visitors provide a...

    Authors: Louise Condon, Timothy Driscoll, Joy Merrell, Mel Storey, Amanda Thomas, Beryl Mansel and Sherrill Snelgrove

    Citation: BMC Health Services Research 2020 20:195

    Content type: Research article

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  15. The main objectives of this study were as follows: (1) evaluate the prevalence of burnout syndrome among doctors, (2) establish associations with demographic factors in China, and (3) examine the mediating rol...

    Authors: Shu’e Zhang, Jinghui Wang, Fengzhe Xie, Dong Yin, Yu Shi, Min Zhang, Hongyan Yin, Fujun Li, Libin Yang, Depin Cao and Tao Sun

    Citation: BMC Health Services Research 2020 20:193

    Content type: Research article

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  16. People with young-onset dementia (YOD) can often struggle getting the right treatment. This is because of their frequently different characteristics and needs compared to people with late-onset dementia. The a...

    Authors: Clarissa Giebel, Cassie Eastham, Jacqueline Cannon, John Wilson, Janet Wilson and Anna Pearson

    Citation: BMC Health Services Research 2020 20:187

    Content type: Research article

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  17. Determining the optimal number of hospital beds is a complex and challenging endeavor and requires models and techniques which are sensitive to the multi-level, uncertain, and dynamic variables involved. This ...

    Authors: Hamid Ravaghi, Saeide Alidoost, Russell Mannion and Victoria D. Bélorgeot

    Citation: BMC Health Services Research 2020 20:186

    Content type: Research article

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  18. The objectives of the study reported in this paper were: (a) to score the coverage of core NCD population-based interventions and individual services in Mauritius; (b) to analyse and score the presence of 15 c...

    Authors: Laurent Musango, Maryam Timol, Premduth Burhoo, Faisal Shaikh, Philippe Donnen and Joses Muthuri Kirigia

    Citation: BMC Health Services Research 2020 20:184

    Content type: Research article

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  19. Patients’ understanding of the hemoglobin A1c (HbA1c) has been linked to better diabetes care outcomes (glycemic control, self-care). This is concerning given low documented rates of HbA1c understanding. In this ...

    Authors: Anjali Gopalan, Leah Suttner, Andrea B. Troxel, Kevin McDonough and Marilyn M. Schapira

    Citation: BMC Health Services Research 2020 20:178

    Content type: Research article

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  20. Cancer control programs have added patient navigation to improve effectiveness in underserved populations, but research has yielded mixed results about their impact on patient satisfaction. This study focuses ...

    Authors: Russell K. Schutt and Mary Lou Woodford

    Citation: BMC Health Services Research 2020 20:175

    Content type: Research article

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  21. The UK has experienced significant immigration from Eastern Europe following European Union (EU) expansion in 2004, which raises the importance of equity and equality for the recent immigrants. Previous resear...

    Authors: Viet-Hai Phung, Zahid Asghar, Milika Matiti and A. Niroshan Siriwardena

    Citation: BMC Health Services Research 2020 20:173

    Content type: Research article

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  22. This study presents a way for health services to improve service access for hardly reached people through an exploration of how staff can find and collaborate with citizens (referred to as connectors) who span...

    Authors: Carolyn Wallace, Jane Farmer, Carolynne White and Anthony McCosker

    Citation: BMC Health Services Research 2020 20:172

    Content type: Research article

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  23. The objective of this paper is to identify the key conditions that positively affect the use of e-health services in Central Eastern Europe (CEE) countries. CEE countries after the political and economic trans...

    Authors: Marek Ćwiklicki, Francesco Schiavone, Jacek Klich and Kamila Pilch

    Citation: BMC Health Services Research 2020 20:171

    Content type: Research article

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  24. Bridging involves improving knowledge sharing and collaboration across different fields, such as aging and disability. The objectives of this review were to describe: 1) the contexts where bridging has occurre...

    Authors: Emily Joan Nalder, Tyler M. Saumur, Zinnia Batliwalla, Luis Salvador-Carulla, Michelle Putnam, Andria Spindel, Erica Lenton and Hamdi Hussein

    Citation: BMC Health Services Research 2020 20:170

    Content type: Research article

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  25. The look-back period is needed to define baseline population for estimating incidence. However, short look-back period is known to overestimate incidence of diseases misclassifying prevalent cases to incident ...

    Authors: Mira Kim, Kyung-Hee Chae, Youn-Jee Chung, HyeJin Hwang, MinKyung Lee, Hyun-Kyung Kim, Hyun-Hee Cho, Mee-Ran Kim, Chai-Young Jung and Sukil Kim

    Citation: BMC Health Services Research 2020 20:166

    Content type: Research article

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  26. Facilitation is a key strategy that may contribute to successful implementation of healthcare innovations. In blended facilitation, external facilitators (EFs) guide and support internal facilitators (IFs) in ...

    Authors: Samantha L. Connolly, Jennifer L. Sullivan, Mona J. Ritchie, Bo Kim, Christopher J. Miller and Mark S. Bauer

    Citation: BMC Health Services Research 2020 20:165

    Content type: Research article

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  27. While interdisciplinary, cross-sectoral collaboration promotes the effectiveness of rehabilitation programmes for persons with low back pain, challenges remain for this process. Few studies have explored chall...

    Authors: Lisbeth Petersen, Regner Birkelund and Berit Schiøttz-Christensen

    Citation: BMC Health Services Research 2020 20:164

    Content type: Research article

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  28. Residents have to learn to provide high value, cost-conscious care (HVCCC) to counter the trend of excessive healthcare costs. Their learning is impacted by individuals from different stakeholder groups within...

    Authors: Serge B. R. Mordang, Karen D. Könings, Andrea N. Leep Hunderfund, Aggie T. G. Paulus, Frank W. J. M. Smeenk and Laurents P. S. Stassen

    Citation: BMC Health Services Research 2020 20:156

    Content type: Research article

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  29. Undernutrition in surgical patients leads to a higher risk of postoperative complications like infections and delayed recovery of gastrointestinal functions, often resulting in a longer hospital stay and lower...

    Authors: Harm H. J. van Noort, Maud Heinen, Monique van Asseldonk, Roelof G. A. Ettema, Hester Vermeulen and Getty Huisman-de Waal

    Citation: BMC Health Services Research 2020 20:152

    Content type: Research article

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  30. The social gradient in chronic disease (CD) is well-documented, and the ability to effectively self-manage is crucial to reducing morbidity and mortality from CD. This systematic review aimed to assess the mod...

    Authors: Ruth Hardman, Stephen Begg and Evelien Spelten

    Citation: BMC Health Services Research 2020 20:150

    Content type: Research article

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  31. Antibiotics are over-prescribed for lower respiratory tract infections (LRTI) in nursing home residents due to diagnostic uncertainty. Inappropriate antibiotic use is undesirable both on patient level, conside...

    Authors: Tjarda M. Boere, Laura W. van Buul, Rogier M. Hopstaken, Ruth B. Veenhuizen, Maurits W. van Tulder, Jochen W. L. Cals, Theo J. M. Verheij and Cees M. P. M. Hertogh

    Citation: BMC Health Services Research 2020 20:149

    Content type: Study protocol

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  32. Health care organizations are constantly changing as a result of technological advancements, ageing populations, changing disease patterns, new discoveries for the treatment of diseases and political reforms a...

    Authors: Per Nilsen, Ida Seing, Carin Ericsson, Sarah A. Birken and Kristina Schildmeijer

    Citation: BMC Health Services Research 2020 20:147

    Content type: Research article

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  33. In Western countries, patients with acute illness or injury out-of-hours (OOH) can call either emergency medical services (EMS) for emergencies or primary care services (OOH-PC) in less urgent situations. Call...

    Authors: Morten Breinholt Søvsø, Linda Huibers, Bodil Hammer Bech, Helle Collatz Christensen, Morten Bondo Christensen and Erika Frischknecht Christensen

    Citation: BMC Health Services Research 2020 20:146

    Content type: Research article

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  34. Recent health policy promoting integrated care emphasizes to increase patients’ health, experience of quality of care and reduce care utilization. Thus, health service delivery should be co-produced by health ...

    Authors: Jannike Dyb Oksavik, Ralf Kirchhoff, Maren Kristine Raknes Sogstad and Marit Solbjør

    Citation: BMC Health Services Research 2020 20:141

    Content type: Research article

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  35. Reablement has potential for enhancing function and independence in people with dementia. In order to enhance the use of evidence-based reablement in this population, this study sought to understand the curren...

    Authors: Claire M. C. O’Connor, Meredith Gresham, Roslyn G. Poulos, Lindy Clemson, Katherine S. McGilton, Ian D. Cameron, Wendy Hudson, Helen Radoslovich, Joan Jackman and Christopher J. Poulos

    Citation: BMC Health Services Research 2020 20:140

    Content type: Research article

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  36. Targeting perinatal depressive symptoms among women can reduce premature mortality. However, public health professionals (PHPs) in primary healthcare settings often have low self-efficacy for detection and man...

    Authors: Nitikorn Phoosuwan, Pranee C. Lundberg, Sadiporn Phuthomdee and Leif Eriksson

    Citation: BMC Health Services Research 2020 20:138

    Content type: Research article

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  37. Recognition that coordination among healthcare providers is associated with better quality of care and lower costs has increased interest in interventions designed to improve care coordination. One interventio...

    Authors: Ingrid M. Nembhard, Eugenia Buta, Yuna S. H. Lee, Daren Anderson, Ianita Zlateva and Paul D. Cleary

    Citation: BMC Health Services Research 2020 20:137

    Content type: Research article

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  38. Preventing the onset of poor mental health in adolescence is an international public health priority. Universal, whole school preventative approaches are valued for their reach, and anti-stigmatising and resil...

    Authors: Kristian G. Hudson, Rebecca Lawton and Siobhan Hugh-Jones

    Citation: BMC Health Services Research 2020 20:133

    Content type: Research article

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  39. Colorectal cancer screening rates remain low, especially among certain racial and ethnic groups and the uninsured and Medicaid insured. Clinics and health care systems have adopted population-based mailed feca...

    Authors: Laura-Mae Baldwin, Jennifer L. Schneider, Malaika Schwartz, Jennifer S. Rivelli, Beverly B. Green, Amanda F. Petrik and Gloria D. Coronado

    Citation: BMC Health Services Research 2020 20:132

    Content type: Research article

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  40. Health services are often the first point of professional contact for people who have experienced domestic violence and abuse. We report on the evaluation of a multi-site, hospital-based advocacy intervention ...

    Authors: Sandi Dheensa, Gemma Halliwell, Jennifer Daw, Sue K. Jones and Gene Feder

    Citation: BMC Health Services Research 2020 20:129

    Content type: Research article

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  41. Most studies on the physician code creep (i.e., changes in case mix record-keeping practices to improve reimbursement) have focused on episodes (inpatient hospitalizations or outpatient procedures). Little is ...

    Authors: Fu-Wen Liang, Liang-Yi Wang, Lin-Yi Liu, Chung Yi Li and Tsung-Hsueh Lu

    Citation: BMC Health Services Research 2020 20:127

    Content type: Research article

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  42. To reduce hospitalization costs, it is necessary to prevent avoidable hospitalization as well as avoidable readmission. This study aimed to examine the relationship between clinic physician workforce and unpla...

    Authors: Yoshito Hirota, Susumu Kunisawa, Kiyohide Fushimi and Yuichi Imanaka

    Citation: BMC Health Services Research 2020 20:125

    Content type: Research article

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  43. People with dementia (PwD) face unique challenges with medicines management, yet little is known about these challenges from the perspectives of primary healthcare professionals, particularly general practitio...

    Authors: Heather E. Barry, Laura E. Bedford, Máiréad McGrattan, Cristín Ryan, A. Peter Passmore, A. Louise Robinson, Gerard J. Molloy, Carmel M. Darcy, Hilary Buchanan and Carmel M. Hughes

    Citation: BMC Health Services Research 2020 20:120

    Content type: Research article

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  44. The demand for a large Norwegian hospital’s post-term pregnancy outpatient clinic has increased substantially over the last 10 years due to changes in the hospital’s catchment area and to clinical guidelines. ...

    Authors: Joe Viana, Tone Breines Simonsen, Hildegunn E. Faraas, Nina Schmidt, Fredrik A. Dahl and Kari Flo

    Citation: BMC Health Services Research 2020 20:117

    Content type: Research article

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  45. Pharmacists play a key role in ensuring the safe use of injectable antineoplastics, which are considered as high-alert medications. Pharmaceutical analysis of injectable antineoplastic prescriptions aims to de...

    Authors: Céline Zecchini, Thi-Ha Vo, Sébastien Chanoine, Marion Lepelley, Mathieu Laramas, Aude Lemoigne, Benoît Allenet, Isabelle Federspiel and Pierrick Bedouch

    Citation: BMC Health Services Research 2020 20:113

    Content type: Research article

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  46. Inter-facility transfer is an important strategy for improving access to specialized health services, but transfers are complicated by over-triage, under-triage, travel burdens, and costs. The purpose of this ...

    Authors: Nicholas M. Mohr, Chaorong Wu, Michael J. Ward, Candace D. McNaughton, Kelly Richardson and Peter J. Kaboli

    Citation: BMC Health Services Research 2020 20:110

    Content type: Research article

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  47. Organizational readiness assessments have a history of being developed as important support tools for successful implementation. However, it remains unclear how best to operationalize readiness across varied p...

    Authors: Isomi M. Miake-Lye, Deborah M. Delevan, David A. Ganz, Brian S. Mittman and Erin P. Finley

    Citation: BMC Health Services Research 2020 20:106

    Content type: Research article

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