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Quality, performance, safety and outcomes

Section edited by Koustuv Dalal

This section aims to publish studies on healthcare quality practice and improving patient care and its safety. The section also accepts articles on changes in the health status of an individual, group or population resulting from interventions of the health care team.

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  1. We aimed to identify the risk factors associated with early, late and long-term readmissions in women diagnosed with breast cancer participating in screening programs.

    Authors: Carme Miret, Laia Domingo, Javier Louro, Teresa Barata, Marisa Baré, Joana Ferrer, Maria Carmen Carmona-García, Xavier Castells and Maria Sala

    Citation: BMC Health Services Research 2019 19:940

    Content type: Research article

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  2. Shared decision making (SDM) is at the core of policy measures for making healthcare person-centred. However, the context-sensitive nature of the challenges in integrated stroke care calls for research to faci...

    Authors: H. R. Voogdt-Pruis, T. Ras, L. van der Dussen, S. Benjaminsen, P. H. Goossens, I. Raats, G. Boss, E. F. M. van Hoef, M. Lindhout, M. R. S. Tjon-A-Tsien and H. J. M. Vrijhoef

    Citation: BMC Health Services Research 2019 19:936

    Content type: Research article

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  3. The Charlson comorbidity index (CCI) is commonly used to adjust for patient casemix. We reevaluated the CCI in an ischemic stroke (IS) cohort to determine whether the original seventeen comorbidities and their...

    Authors: Ruth E. Hall, Joan Porter, Hude Quan and Mathew J. Reeves

    Citation: BMC Health Services Research 2019 19:930

    Content type: Research article

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  4. There is a growing emphasis on understanding patient experience in order to inform efforts to support improvement. This paper reports findings from an implementation study of an evidence-based intervention cal...

    Authors: Richard Boulton and Annette Boaz

    Citation: BMC Health Services Research 2019 19:923

    Content type: Research article

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  5. The Hospital Value Based Purchasing Program (HVBP) in the United States, announced in 2010 and implemented since 2013 by the Centers for Medicare and Medicaid Services (CMS), introduced payment penalties and b...

    Authors: Souvik Banerjee, Danny McCormick, Michael K. Paasche-Orlow, Meng-Yun Lin and Amresh D. Hanchate

    Citation: BMC Health Services Research 2019 19:921

    Content type: Research article

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  6. In order to assure high quality of nutrition and dietetic care as well as research, the implementation of a standardized terminology, such as the World Health Organization (WHO) International Classification of...

    Authors: Gabriele Gäbler, Michaela Coenen, Katrin Fohringer, Michael Trauner and Tanja A. Stamm

    Citation: BMC Health Services Research 2019 19:920

    Content type: Research article

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  7. Primary care providers (PCPs) are typically the first to screen and evaluate patients for neurocognitive disorders (NCDs), including mild cognitive impairment and dementia. However, data on PCP attitudes and e...

    Authors: Alissa Bernstein, Kirsten M. Rogers, Katherine L. Possin, Natasha Z.R. Steele, Christine S. Ritchie, Joel H. Kramer, Michael Geschwind, Joseph J. Higgins, Jay Wohlgemuth, Rick Pesano, Bruce L. Miller and Katherine P. Rankin

    Citation: BMC Health Services Research 2019 19:919

    Content type: Research article

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  8. Nursing process quality care metrics and indicators are quantifiable measures of the nursing care delivered to clients. They can be used to identify and support nurses’ contribution to high quality, safe, clie...

    Authors: Owen Doody, Fiona Murphy, Rosemary Lyons, Anne Gallen, Judy Ryan, Johanna Downey and Duygu Sezgin

    Citation: BMC Health Services Research 2019 19:909

    Content type: Research article

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  9. Patient safety is a key target in public health, health services and medicine. Communication between all parties involved in gynecology and obstetrics (clinical staff/professionals, expectant mothers/patients ...

    Authors: Sonia Lippke, Julian Wienert, Franziska Maria Keller, Christina Derksen, Annalena Welp, Lukas Kötting, Kerstin Hofreuter-Gätgens, Hardy Müller, Frank Louwen, Marcel Weigand, Kristina Ernst, Katrina Kraft, Frank Reister, Arkadius Polasik, Beate Huener nee Seemann, Lukas Jennewein…

    Citation: BMC Health Services Research 2019 19:908

    Content type: Study protocol

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  10. Ethnic minority groups from Asia and Africa living in Western countries have a higher prevalence of type 2 diabetes (T2DM) than the general population. We aimed to assess ethnic differences in diabetes care by...

    Authors: Anh Thi Tran, Tore Julsrud Berg, Bjørn Gjelsvik, Ibrahimu Mdala, Geir Thue, John Graham Cooper, Kjersti Nøkleby, Tor Claudi, Åsne Bakke, Sverre Sandberg and Anne Karen Jenum

    Citation: BMC Health Services Research 2019 19:904

    Content type: Research article

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  11. Improving patient experience of care has gained enormous attention from policy makers and providers of healthcare services in Ghana. In spite of the supposed support for patient-centered care as the means for ...

    Authors: Jacqueline Nkrumah and Gordon Abekah-Nkrumah

    Citation: BMC Health Services Research 2019 19:900

    Content type: Research article

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  12. Provider recognition of level of functioning may be suboptimal in the dialysis setting, and this lack of recognition may lead to less patient-centered care. We aimed to assess whether delivery of an app-based,...

    Authors: Laura C. Plantinga, Brian Jones, Jeremy Johnson, Amelia Lambeth, Janice P. Lea, Leigh Nadel, Ann E. Vandenberg and C. Barrett Bowling

    Citation: BMC Health Services Research 2019 19:891

    Content type: Research article

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  13. Taiwan’s Diabetes Shared Care Program has been implemented since 2012, and the health information system plays a vital role in supporting most services of this program. However, little is known regarding the e...

    Authors: Yia-Wun Liang, Hsiao-Feng Chang and Yu-Hsiu Lin

    Citation: BMC Health Services Research 2019 19:890

    Content type: Research article

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  14. Healthcare workers, in the hospital and in community clinics, are frequently exposed to verbal and physical abuse that can lead to frustration and despair. This study’s objectives were to evaluate trends in vi...

    Authors: Tamar Nevo, Roni Peleg, Daniel M. Kaplan and Tamar Freud

    Citation: BMC Health Services Research 2019 19:888

    Content type: Research article

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  15. Resident satisfaction is an important aspect of nursing home quality. Despite this, few studies have systematically investigated what aspects of nursing home care are most strongly associated with satisfaction...

    Authors: Douglas Spangler, Paula Blomqvist, Ylva Lindberg and Ulrika Winblad

    Citation: BMC Health Services Research 2019 19:886

    Content type: Research article

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  16. When young adults transfer from pediatric to adult diabetes care they are at risk for deterioration of glycemic control, putting them at an increased risk of developing both acute and chronic complications. De...

    Authors: Rayzel Shulman, Ian Zenlea, Baiju R. Shah, Cheril Clarson, Jennifer Harrington, Alanna Landry, Zubin Punthakee, Mark R. Palmert, Geetha Mukerji, Peter C. Austin, Janet Parsons and Noah Ivers

    Citation: BMC Health Services Research 2019 19:885

    Content type: Study protocol

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  17. The transition from acute mental health inpatient to community care is often a vulnerable period in the pathway, where people can experience additional risks and anxiety. Researchers globally have developed an...

    Authors: Natasha Tyler, Nicola Wright and Justin Waring

    Citation: BMC Health Services Research 2019 19:883

    Content type: Research article

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  18. Seclusion is an invasive clinical intervention used in inpatient psychiatric wards as a continuation of milieu therapy with vast behavioural implications that raise many ethical challenges. Seclusion is in Nor...

    Authors: Espen W. Haugom, Torleif Ruud and Torfinn Hynnekleiv

    Citation: BMC Health Services Research 2019 19:879

    Content type: Research article

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  19. To evaluate the association between user experience and satisfaction with specialty consultations and surgical care at the Mexican Institute of Social Security (IMSS) secondary and tertiary level hospitals.

    Authors: Svetlana V. Doubova, Claudia Infante-Castañeda, Sanam Roder-DeWan and Ricardo Pérez-Cuevas

    Citation: BMC Health Services Research 2019 19:872

    Content type: Research article

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  20. Growing evidence indicates that improved nurse staffing in acute hospitals is associated with lower hospital mortality. Current research is limited to studies using hospital level data or without proper adjust...

    Authors: Filip Haegdorens, Peter Van Bogaert, Koen De Meester and Koenraad G. Monsieurs

    Citation: BMC Health Services Research 2019 19:864

    Content type: Research article

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  21. Pregnancy represents a complex challenge to clinicians treating women with chronic inflammatory disease. Many clinicians face a situation of heightened sensitivity to the potential risks and uncertainties asso...

    Authors: Catherine Nelson-Piercy, Ivo Vlaev, Katie Harris and Rebecca Fischer-Betz

    Citation: BMC Health Services Research 2019 19:863

    Content type: Research article

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  22. The American Society of Anesthesiologists Physical Status (ASA-PS) classification system was developed to categorize the fitness of patients before surgery. Increasingly, the ASA-PS has been applied to other u...

    Authors: Seshadri C. Mudumbai, Suzann Pershing, Thomas Bowe, Robin N. Kamal, Erika D. Sears, Andrea K. Finlay, Dan Eisenberg, Mary T. Hawn, Yingjie Weng, Amber W. Trickey, Edward R. Mariano and Alex H. S. Harris

    Citation: BMC Health Services Research 2019 19:859

    Content type: Research article

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  23. Successful application of Quality Improvement (QI) methods is challenging, and awareness of the role context plays has increased. Complexity science has been advocated as a way to inform change efforts. Howeve...

    Authors: Marie Höjriis Storkholm, Pamela Mazzocato and Carl Savage

    Citation: BMC Health Services Research 2019 19:842

    Content type: Research article

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  24. In the context of increasing availability of computed tomography (CT) scans, judicious use of ionising radiation is a priority to minimise the risk of future health problems. Hence, education of clinicians on ...

    Authors: Ben Young, Jo Cranwell, Andrew W. Fogarty, Rob Skelly, Nigel Sturrock, Mark Norwood, Dominick Shaw, Sarah Lewis, Tessa Langley and Peter Thurley

    Citation: BMC Health Services Research 2019 19:841

    Content type: Research article

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  25. The objectives of this study are to test the psychometric properties of the safety attitudes and safety climate questionnaire Chinese simplified version (SAQ-CS), to test the safety attitudes of health profess...

    Authors: Chuang Zhao, Qing Chang, Xi Zhang, Qijun Wu, Nan Wu, Jiao He and Yuhong Zhao

    Citation: BMC Health Services Research 2019 19:836

    Content type: Research article

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  26. Over-testing is a recognized problem, but clinicians usually lack information about their personal test ordering volumes. In the absence of data, clinicians rely on self-perception to inform their test orderin...

    Authors: Thomas Bodley, Janice L. Kwan, John Matelski, Patrick J. Darragh and Peter Cram

    Citation: BMC Health Services Research 2019 19:820

    Content type: Research article

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  27. Pharmaceutical compounding is an essential component in pharmacy practice allowing pharmacists to provide dosage forms or strengths that are commercially unavailable. Medications compounded for patient-specifi...

    Authors: Hatim S. AlKhatib, Sara Jalouqa, Nour Maraqa, Anna Ratka, Eman Elayeh and Suha Al Muhaissen

    Citation: BMC Health Services Research 2019 19:816

    Content type: Research article

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  28. General practice clinics are the main primary care institutions providing ambulatory care in the rural areas of Beijing, rational use of medicines is crucial for the rural primary care system. This study inves...

    Authors: Guanghui Jin, Chao Chen, Yanli Liu, Yali Zhao, Lifen Chen, Juan Du, Xiaoqin Lu and Jianjun Chen

    Citation: BMC Health Services Research 2019 19:807

    Content type: Research article

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  29. Studies aimed at improving the provision of evidence-based care (EBC) for the management of acute whiplash injuries have been largely successful. However, whether EBC is broadly provided and whether delivery o...

    Authors: Alexandra Griffin, Jagnoor Jagnoor, Mohit Arora, Ian D. Cameron, Annette Kifley, Michele Sterling, Justin Kenardy and Trudy Rebbeck

    Citation: BMC Health Services Research 2019 19:806

    Content type: Research article

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  30. Since December 2010, a nationwide real-time medication surveillance program has been implemented in Korea to prevent potential adverse drug reactions. Our goal was to evaluate physicians’ and pharmacists’ sati...

    Authors: Sun Mi Shin, Hong-Ah Kim, Inmyung Song, Ha-Lim Jeon and Ju-Young Shin

    Citation: BMC Health Services Research 2019 19:805

    Content type: Research article

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  31. Although not an inevitable part of ageing, frailty is an increasingly common condition in older people. Frail older patients are particularly vulnerable to the adverse effects of hospitalisation, including dec...

    Authors: Deirdre O’Donnell, Éidín Ní Shé, Mary McCarthy, Shirley Thornton, Thelma Doran, Freda Smith, Barry O’Brien, Jim Milton, Bibiana Savin, Anne Donnellan, Eugene Callan, Eilish McAuliffe, Simone Gray, Therese Carey, Nicola Boyle, Michelle O’Brien…

    Citation: BMC Health Services Research 2019 19:797

    Content type: Research article

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  32. There is little published data on brain imaging and intracranial haemorrhage after hospital inpatient falls. Imaging protocols for inpatient falls have been adopted from head injury guidelines developed from d...

    Authors: Shiny Stephen, Elena W. W. Wong, Adam M. Idris and Andy K. H. Lim

    Citation: BMC Health Services Research 2019 19:792

    Content type: Research article

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  33. Some medications carry increased risk of patient harm when they are given in error. In incident reports, names of the medications that are involved in errors could be found written both in a specific medicatio...

    Authors: Marja Härkänen, Jussi Paananen, Trevor Murrells, Anne Marie Rafferty and Bryony Dean Franklin

    Citation: BMC Health Services Research 2019 19:791

    Content type: Research article

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  34. Psychosocial interventions offer opportunities to improve care for people with dementia in care homes. However, implementation is often led by staff who are not well prepared for the role. Some interventions u...

    Authors: Claire A. Surr, Emily Shoesmith, Alys W. Griffiths, Rachael Kelley, Joanne McDermid and Jane Fossey

    Citation: BMC Health Services Research 2019 19:790

    Content type: Research article

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  35. The Appraisal of Guidelines for Research & Evaluation (AGREE) II has been widely used to evaluate the quality of clinical practice guidelines (CPGs). While the relationship between the overall assessment of CP...

    Authors: Yosuke Hatakeyama, Kanako Seto, Rebeka Amin, Takefumi Kitazawa, Shigeru Fujita, Kunichika Matsumoto and Tomonori Hasegawa

    Citation: BMC Health Services Research 2019 19:788

    Content type: Research article

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  36. Patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) are tools for assessing outcomes of and experiences with health care from the patient’s perspective. In Germany, PROMs...

    Authors: Christiane Rudolph, Gitte Stentebjerg Petersen, Ron Pritzkuleit, Hans Storm and Alexander Katalinic

    Citation: BMC Health Services Research 2019 19:786

    Content type: Research article

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  37. In order to address the opioid crisis in North America, many regions have adopted preventative strategies, such as prescription drug monitoring programs (PDMPs). PDMPs aim to increase patient safety by certify...

    Authors: Emily Rhodes, Maria Wilson, Alysia Robinson, Jill A. Hayden and Mark Asbridge

    Citation: BMC Health Services Research 2019 19:784

    Content type: Research article

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  38. Systemic lupus erythematosus (SLE) is a heterogeneous autoimmune disease with significant potential morbidity and mortality. Substantial gaps have been documented between the development and dissemination of c...

    Authors: María M. Trujillo-Martín, Yolanda Ramallo-Fariña, Tasmania del Pino-Sedeño, Íñigo Rúa-Figueroa, Elisa Trujillo-Martín, Laura Vallejo-Torres, Iñaki Imaz-Iglesia, Ricardo Sánchez-de-Madariaga, Ana M. de Pascual-Medina and Pedro Serrano-Aguilar

    Citation: BMC Health Services Research 2019 19:783

    Content type: Study protocol

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  39. Generic drugs and generic substitution belong to the tools by which healthcare costs may be reduced. However, low awareness and reluctance among healthcare professionals towards generic drugs may negatively af...

    Authors: J. Maly, E. Zimcikova, J. Babica, A. A. Kubena, J. Kostriba and K. Mala-Ladova

    Citation: BMC Health Services Research 2019 19:777

    Content type: Research article

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  40. This study aims to estimate the direct and indirect effects of the unit environment alongside individual and nursing care variables on eating dependence among residents who are cognitively impaired and living ...

    Authors: Alvisa Palese, Luca Grassetti, Valentina Bressan, Alessandro Decaro, Tea Kasa, Melania Longobardi, Mark Hayter and Roger Watson

    Citation: BMC Health Services Research 2019 19:775

    Content type: Research article

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  41. Aboriginal and Torres Strait Islander Australians have poorer cancer outcomes than other Australians. Comparatively little is known of the type and amount of cancer treatment provided to Aboriginal and Torres ...

    Authors: David Banham, David Roder, Marion Eckert, Natasha J. Howard, Karla Canuto and Alex Brown

    Citation: BMC Health Services Research 2019 19:771

    Content type: Research article

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  42. During recent years, Quality of Life (QoL) is a significant assessment factor in clinical trials and epidemiological researches due to the advent of Antiretroviral Therapy (ART), Human Immunodeficiency Virus (...

    Authors: Hesam Ghiasvand, Katherine M. Waye, Mehdi Noroozi, Gholamreza Ghaedamini Harouni, Bahram Armoon and Azadeh Bayani

    Citation: BMC Health Services Research 2019 19:768

    Content type: Research article

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  43. No studies using a valid, standardized method to measure post-donation satisfaction levels among living kidney donors (LKDs) have been published.

    Authors: Sayaka Kobayashi, Rie Akaho, Kazuya Omoto, Hiroki Shirakawa, Tomokazu Shimizu, Hideki Ishida, Kazunari Tanabe and Katsuji Nishimura

    Citation: BMC Health Services Research 2019 19:755

    Content type: Research article

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  44. Cancer patients experience psychological and social distress due to their medical treatment and social issues. However, continuous and specialized social support is still lacking. In Germany, a group of compan...

    Authors: Johann Frick, Daniel Schindel, Pimrapat Gebert, Ulrike Grittner and Liane Schenk

    Citation: BMC Health Services Research 2019 19:754

    Content type: Study protocol

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  45. Although healthcare providers are well placed to help smokers quit, implementation of smoking cessation care is still suboptimal. The Ask-Advise-Refer tasks are important aspects of smoking cessation care. We ...

    Authors: E. Meijer, R. M. J. J. Van der Kleij and N. H. Chavannes

    Citation: BMC Health Services Research 2019 19:750

    Content type: Research article

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  46. Safety climate is an important marker of patient safety attitudes within health care units, but the significance of intra-unit variation of safety climate perceptions (safety climate strength) is poorly unders...

    Authors: Daniel S. Tawfik, Eric J. Thomas, Timothy J. Vogus, Jessica B. Liu, Paul J. Sharek, Courtney C. Nisbet, Henry C. Lee, J. Bryan Sexton and Jochen Profit

    Citation: BMC Health Services Research 2019 19:738

    Content type: Research article

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  47. Veterans who access both the Veterans Health Administration (VA) and non-VA health care systems require effective care coordination to avoid adverse health care outcomes. These dual-use Veterans have diverse a...

    Authors: Lindsay B. Miller, Heidi Sjoberg, Ashlea Mayberry, Marina S. McCreight, Roman A. Ayele and Catherine Battaglia

    Citation: BMC Health Services Research 2019 19:734

    Content type: Study protocol

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  48. Due to increasing international migration, Sweden has become a multicultural and multilingual society, with about 19% of the population born abroad, which imposes high demands on the healthcare sector and inte...

    Authors: Emina Hadziabdic and Katarina Hjelm

    Citation: BMC Health Services Research 2019 19:727

    Content type: Research article

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  49. To facilitate access to evidence-based care for back pain, a German private medical insurance offered a health program proactively to their members. Feasibility and long-term efficacy of this approach were eva...

    Authors: A. Hüppe, C. Zeuner, S. Karstens, M. Hochheim, M. Wunderlich and H. Raspe

    Citation: BMC Health Services Research 2019 19:714

    Content type: Research article

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