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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. Composite measures combine data to provide a comprehensive view of patient outcomes. Despite composite measures being a valuable tool to assess post-intervention outcomes, the patient perspective is often miss...

    Authors: Darshini Ayton, Sze-Ee Soh, Renata Morello, Susannah Ahern, Arul Earnest, Angela Brennan, Jeffrey Lefkovits, Susan Evans, Christopher Reid, Rasa Ruseckaite and John McNeil

    Citation: BMC Health Services Research 2020 20:44

    Content type: Research article

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  2. Patients’ involvement in patient safety has increased in healthcare. Use of checklists may improve patient outcome in surgery, though few have attempted to engage patients’ use of surgical checklist. To identi...

    Authors: Kristin Harris, Eirik Søfteland, Asgjerd Litleré Moi, Stig Harthug, Anette Storesund, Sebastius Jesuthasan, Nick Sevdalis and Arvid Steinar Haugen

    Citation: BMC Health Services Research 2020 20:43

    Content type: Research article

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  3. Assessment of clinical variation has attracted increasing interest in health systems internationally due to growing awareness about better value and appropriate health care as a mechanism for enhancing efficie...

    Authors: Reema Harrison, Reece Amr Hinchcliff, Elizabeth Manias, Steven Mears, David Heslop, Victoria Walton and Ru Kwedza

    Citation: BMC Health Services Research 2020 20:40

    Content type: Research article

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  4. Workplace violence in emergency primary health care is prevalent, but longitudinal studies using validated assessment scales to describe the characteristics of workplace violence in these settings are lacking....

    Authors: Grethe E. Johnsen, Tone Morken, Valborg Baste, Knut Rypdal, Tom Palmstierna and Ingrid Hjulstad Johansen

    Citation: BMC Health Services Research 2020 20:33

    Content type: Research article

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  5. Pesticides are responsible for a significant percentage of deaths globally with majority occurring in sub-Saharan Africa. Deaths due to pesticide poisoning can be reduced if poisoning cases are managed optimal...

    Authors: Charles Ssemugabo, Sarah Nalinya, Abdullah Ali Halage, Ruth Mubeezi Neebye, David Musoke and Erik Jørs

    Citation: BMC Health Services Research 2020 20:30

    Content type: Research article

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  6. The science of measuring and reporting on the performance of healthcare systems is rapidly evolving. In the past decade, across many jurisdictions, organisations tasked with monitoring progress towards reform ...

    Authors: Jean-Frederic Levesque and Kim Sutherland

    Citation: BMC Health Services Research 2020 20:23

    Content type: Research article

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  7. Trauma registries are essential to trauma systems, to enable collection of the data needed to enhance clinical knowledge and monitor system performance. The King Saud Medical City (KSMC) in Riyadh, Kingdom of ...

    Authors: Jane E. FORD, Abdulrahman S. ALQAHTANI, Shatha A. A. ABUZINADA, Peter A. CAMERON, Mark C. FITZGERALD, Ahmed S. ALENIZI and Dina FARJOU

    Citation: BMC Health Services Research 2020 20:18

    Content type: Research article

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  8. Medication-related adverse events, or adverse drug reactions (ADRs) are harmful events caused by medication. ADRs could have profound effects on the patients’ quality of life, as well as creating an increased ...

    Authors: H. Khalil and C. Huang

    Citation: BMC Health Services Research 2020 20:5

    Content type: Research article

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  9. Knowing customers’ level of satisfaction is relevant to improve and provide quality health care services. In the clinical laboratory, monitoring customers’ satisfaction is an important indicator of the quality...

    Authors: Hiwot Amare Hailu, Adinew Desale, Anteneh Yalew, Habtamu Asrat, Sisay Kebede, Daniel Dejene, Hiwot Abebe, Andargachew Gashu, Dereje Yenealem, Birhan Moges, Nebiyou Yemanebrhane, Daniel Melese, Ashebir Gurmessa, Awad Mohammed, Zekaryas Getu, Gonfa Ayana…

    Citation: BMC Health Services Research 2020 20:13

    Content type: Research article

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  10. Clinical services evaluation with specific indicators are very helpful to identify improvable points. This study was conducted to analyze the factors affecting the quality of clinical nursing services and offe...

    Authors: Sarieh Poortaghi, Abbas Ebadi, Mahvash Salsali, Afsaneh Raiesifar, Nayyereh Davoudi and Nima Pourgholamamiji

    Citation: BMC Health Services Research 2019 20:3

    Content type: Research article

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  11. Clinical supervision is recommended for allied health professionals for the purpose of supporting them in their professional role, continued professional development and ensuring patient safety and high qualit...

    Authors: David A. Snowdon, Michelle Sargent, Cylie M. Williams, Stephen Maloney, Kirsten Caspers and Nicholas F. Taylor

    Citation: BMC Health Services Research 2019 20:2

    Content type: Research article

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  12. In 2014, 16 women died following female sterilization operations in Bilaspur, a district in central India. In addition to those 16 deaths, 70 women were hospitalized for critical conditions (Sharma, Lancet 384...

    Authors: Abhishek Kumar, Abhishek Gautam, Arnab Dey, Ruhi Saith, Uttamacharya, Pranita Achyut, Vandana Gautam, Dinesh Agarwal, Amit Chakraverty, Arupendra Mozumdar, Kumudha Aruldas, Ravi Verma, Priya Nanda, Suneeta Krishnan and Niranjan Saggurti

    Citation: BMC Health Services Research 2019 20:1

    Content type: Research article

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  13. Cancer is the leading cause of death in the United States, with the burden expected to rise in the coming decades, increasing the need for effective cancer prevention and screening options. The United States P...

    Authors: Daniel M. Saman, Kayla M. Walton, Melissa L. Harry, Stephen E. Asche, Anjali R. Truitt, Hillary A. Henzler-Buckingham, Clayton I. Allen, Heidi L. Ekstrom, Patrick J. O’Connor, JoAnn M. Sperl-Hillen, Jeanette Y. Ziegenfuss, Joseph A. Bianco and Thomas E. Elliott

    Citation: BMC Health Services Research 2019 19:1019

    Content type: Research article

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  14. The recognition of chronic pain as a biopsychosocial phenomenon has led to the establishment of multidisciplinary pain treatment facilities, such as pain centres. Previous studies have focussed on inpatient, g...

    Authors: Torunn Hatlen Nøst and Aslak Steinsbekk

    Citation: BMC Health Services Research 2019 19:1015

    Content type: Research article

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  15. Prescribing errors may, influenced by some risk factors, cause adverse drug events. Most studies in this field focus on errors in prescriptions for hospital inpatients, with only a few on those for outpatients...

    Authors: Jian-hui Yang, Yu-fang Liao, Wu-bin Lin and Wen Wu

    Citation: BMC Health Services Research 2019 19:1013

    Content type: Research article

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  16. This study aims at gathering evidence about the relation between 30-day mortality and 30-day unplanned readmission and patient and hospital factors. By definition, we refer to 30-day mortality and 30-day unpla...

    Authors: Afsaneh Roshanghalb, Cristina Mazzali and Emanuele Lettieri

    Citation: BMC Health Services Research 2019 19:1012

    Content type: Research article

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  17. Patient safety culture is one of the main components of the quality of health services and is one of the main priorities of health studies. Accordingly, this study aimed to determine and compare the views of h...

    Authors: Amir Hossein Khoshakhlagh, Elham Khatooni, Isa Akbarzadeh, Saeid Yazdanirad and Ali Sheidaei

    Citation: BMC Health Services Research 2019 19:1009

    Content type: Research article

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  18. Limited information is available regarding the patient safety culture in Chinese hospitals. This study aims to assess the patient safety culture in Peking University Cancer Hospital and to identify opportuniti...

    Authors: Xiyao Zhong, Yuqin Song, Christine Dennis, Donna J. Slovensky, Lim Yee Wei, Jie Chen and Jiafu Ji

    Citation: BMC Health Services Research 2019 19:1008

    Content type: Research article

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  19. Primary health care and its strengthening through performance measurement is essential for sustainably working towards universal health coverage. Existing performance frameworks and indicators to measure prima...

    Authors: Erica Barbazza, Dionne Kringos, Ioana Kruse, Niek S. Klazinga and Juan E. Tello

    Citation: BMC Health Services Research 2019 19:1006

    Content type: Research article

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  20. Ontario’s birth Registry (BORN) was established in 2009 to collect, interpret, and share critical data about pregnancy, birth and the early childhood period to facilitate and improve the provision of healthcar...

    Authors: Sandra Dunn, Andrea Lanes, Ann E. Sprague, Deshayne B. Fell, Deborah Weiss, Jessica Reszel, Monica Taljaard, Elizabeth K. Darling, Ian D. Graham, Jeremy M. Grimshaw, JoAnn Harrold, Graeme N. Smith, Wendy Peterson and Mark Walker

    Citation: BMC Health Services Research 2019 19:1001

    Content type: Research article

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  21. The United Kingdom aortic aneurysms (AA) services have undergone reconfiguration to improve outcomes. The National Health Service collects data on all hospital admissions in England. The complex administrative...

    Authors: Ahmed Aber, Thaison Tong, Jim Chilcott, Ravi Maheswaran, Steven M. Thomas, Shah Nawaz and Jonathan Michaels

    Citation: BMC Health Services Research 2019 19:988

    Content type: Research article

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  22. Data from countries that have implemented a complete phase out of dental amalgam following the Minamata agreement suggest increased costs and time related to the placement of alternatives with consumers absorb...

    Authors: V. R. Aggarwal, S. Pavitt, J. Wu, B. Nattress, P. Franklin, J. Owen, D. Wood and K. Vinall-Collier

    Citation: BMC Health Services Research 2019 19:985

    Content type: Research article

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  23. Better quality of care around the time of childbirth can significantly improve maternal and newborn survival. In countries like India, where the private sector contributes to a considerable proportion of insti...

    Authors: Sanjay Tripathi, Ashish Srivastava, Parvez Memon, Tapas Sadasivan Nair, Parag Bhamare, Dinesh Singh and Vineet Srivastava

    Citation: BMC Health Services Research 2019 19:971

    Content type: Research article

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  24. To our knowledge, no instrument has been developed and tested for measuring unfinished care in Norwegian nursing home settings. The Basel Extent of Rationing of Nursing Care for Nursing Homes instrument (BERNC...

    Authors: Rebecka Maria Norman and Ingeborg Strømseng Sjetne

    Citation: BMC Health Services Research 2019 19:969

    Content type: Research article

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  25. Coverage is an important indicator to assess both the performance and effectiveness of public health programs. Recommended methods for coverage estimation for the treatment of severe acute malnutrition (SAM) c...

    Authors: Sheila Isanaka, Bethany L. Hedt-Gauthier, Halidou Salou, Fatou Berthé, Rebecca F. Grais and Ben G. S. Allen

    Citation: BMC Health Services Research 2019 19:967

    Content type: Research article

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  26. Low back pain (LBP) is a multifactorial condition with individual and societal impact that affects populations globally. Current guidelines for the treatment of LBP recommend pharmacological and non-pharmacolo...

    Authors: Romina Raczy Mas, Tomàs López-Jiménez, Enriqueta Pujol-Ribera, María Isabel Fernández-San Martín, Jenny Moix-Queraltó, Elena Montiel-Morillo, Teresa Rodríguez-Blanco, Marc Casajuana-Closas, M. J. González-Moneo, Ester Núñez Juárez, Montse Núñez Juárez, Mercè Roura-Olivan, Raquel Martin-Peñacoba, Magda Pie-Oncins, Montse Balagué-Corbella, Miguel-Ángel Muñoz…

    Citation: BMC Health Services Research 2019 19:962

    Content type: Research article

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  27. Norway, like other European countries, has a growing refugee population. Upon arrival to Norway, refugees and asylum seekers need to learn about Norwegian society and social services such as healthcare. Despit...

    Authors: Yvette Louise Schein, Brita Askeland Winje, Sonja Lynn Myhre, Ingunn Nordstoga and Melanie Lindsay Straiton

    Citation: BMC Health Services Research 2019 19:958

    Content type: Research article

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  28. 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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  29. 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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  30. 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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  31. 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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  32. 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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  33. 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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  34. 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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  35. 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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  36. 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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  37. 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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  38. 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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  39. 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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  40. 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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  41. 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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  42. 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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  43. 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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  44. 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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  45. 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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  46. 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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  47. 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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