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Quality, performance, safety and outcomes

Section edited by Koustuv Dalal and Howard Degenholtz

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. Content type: Research article

    Inadequate non-technical skills (NTSs) among employees in the Norwegian prehospital emergency medical services (EMSs) are a risk for patient and operational safety. Simulation-based training and assessment is ...

    Authors: Henrik Langdalen, Eirik B. Abrahamsen, Stephen J. M. Sollid, Leif Inge K. Sørskår and Håkon B. Abrahamsen

    Citation: BMC Health Services Research 2018 18:509

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  2. Content type: Research article

    Several bone-targeted agents (BTAs) are available for preventing skeletal-related events (SREs), but they vary in terms of efficacy, safety and mode of administration. This study assessed data on European phys...

    Authors: Yi Qian, Jorge Arellano, Francesca Gatta, Guy Hechmati, A. Brett Hauber, Ateesha F. Mohamed, Amit Bahl, Roger von Moos and Jean-Jacques Body

    Citation: BMC Health Services Research 2018 18:518

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  3. Content type: Research article

    Primary caesarean section (PCS) rate is one of the main indicators of quality of care suggested by the Italian Government. Hospital rankings are usually based on it, therefore lower rates reflect more appropri...

    Authors: Pamela Di Giovanni, Tonia Garzarella, Giuseppe Di Martino, Francesco Saverio Schioppa, Ferdinando Romano and Tommaso Staniscia

    Citation: BMC Health Services Research 2018 18:514

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  4. Content type: Research article

    Individuals with severe disability often require personal assistance and help from informal caregivers, in addition to conventional health care. The utilization of assistance dogs may decrease the need for hea...

    Authors: Martina Lundqvist, Lars-Åke Levin, Kerstin Roback and Jenny Alwin

    Citation: BMC Health Services Research 2018 18:497

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  5. Content type: Research article

    Knowledge translation (KT) is the broad range of activities aimed at supporting the use of research findings leading to evidence-based practice (EBP) and policy. Recommendations have been made that capacity bu...

    Authors: Anastasia A. Mallidou, Pat Atherton, Liza Chan, Noreen Frisch, Stephanie Glegg and Gayle Scarrow

    Citation: BMC Health Services Research 2018 18:502

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  6. Content type: Research article

    Depression constitutes a significant part of the global burden of diseases. General practice plays a central role in diagnosing and monitoring depression. A telemedicine solution comprising a web-based psychom...

    Authors: Mette Daugbjerg Krog, Marie Germund Nielsen, Jette Videbæk Le, Flemming Bro, Kaj Sparle Christensen and Anna Mygind

    Citation: BMC Health Services Research 2018 18:503

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  7. Content type: Research article

    Job satisfaction is a predictor of intention to stay and turnover among allied healthcare providers. However, there is limited research examining job satisfaction among allied health professionals, specificall...

    Authors: Laura D. Aloisio, Wendy A. Gifford, Katherine S. McGilton, Michelle Lalonde, Carole A. Estabrooks and Janet E. Squires

    Citation: BMC Health Services Research 2018 18:491

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  8. Content type: Study protocol

    Neonatal mortality is a major health burden in Bungoma County with the rate estimated at 31 per 1000 live births and is above the national average of 22 per 1000. Nonetheless, out of the nine sub county hospit...

    Authors: Jesse Gitaka, Alice Natecho, Humphrey M. Mwambeo, Daniel Maina Gatungu, David Githanga and Timothy Abuya

    Citation: BMC Health Services Research 2018 18:493

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  9. Content type: Technical advance

    A discrete choice experiment (DCE) is a method used to elicit participants’ preferences and the relative importance of different attributes and levels within a decision-making process. DCEs have become popular...

    Authors: Aoife De Brún, Darren Flynn, Laura Ternent, Christopher I. Price, Helen Rodgers, Gary A. Ford, Matthew Rudd, Emily Lancsar, Stephen Simpson, John Teah and Richard G. Thomson

    Citation: BMC Health Services Research 2018 18:483

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  10. Content type: Research article

    Despite continued policy and research emphasis to deliver culturally competent mental healthcare, there is: (1) limited evidence about what frontline practitioners consider to be culturally competent care and;...

    Authors: Tooba Noor Mollah, Josefine Antoniades, Fathima Ijaza Lafeer and Bianca Brijnath

    Citation: BMC Health Services Research 2018 18:480

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  11. Content type: Research article

    Person-Centered Integrated Care (PC-IC) is believed to improve outcomes and experience for persons with multiple long-term and complex conditions. No broad consensus exists regarding how to capture the patient...

    Authors: Gro Berntsen, Audhild Høyem, Idar Lettrem, Cornelia Ruland, Markus Rumpsfeld and Deede Gammon

    Citation: BMC Health Services Research 2018 18:479

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  12. Content type: Research article

    Although death certificates (DCs) provide valuable health information which may help to guide local health policies and priorities, there is little information concerning their validity in Thailand. First-year...

    Authors: Chaiwat Washirasaksiri, Prateep Raksasagulwong, Charoen Chouriyagune, Pochamana Phisalprapa and Weerachai Srivanichakorn

    Citation: BMC Health Services Research 2018 18:478

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  13. Content type: Research article

    In the past decade, the Republic of Ireland has undertaken significant reconfiguration programmes to improve emergency services. During this time the public healthcare system experienced a large real decrease ...

    Authors: Brenda Lynch, Anthony P. Fitzgerald, Paul Corcoran, Orla Healy, Claire Buckley, Conor Foley and John Browne

    Citation: BMC Health Services Research 2018 18:474

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  14. Content type: Research article

    The patient experience is a crucial part of the measurement of service quality. However, instruments to evaluate experiential quality in the community mental health care of older adults are lacking. Before des...

    Authors: Mark Wilberforce, Eric Batten, David Challis, Linda Davies, Michael P. Kelly and Chris Roberts

    Citation: BMC Health Services Research 2018 18:461

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  15. Content type: Study protocol

    Capacity development of health volunteers and text messaging to pregnant women through mobile phones have shown improved maternal and child health (MCH) outcomes and is associated with increased utilisation of...

    Authors: Jitendra Kumar Singh, Rajendra Kadel, Dilaram Acharya, Daniel Lombard, Saval Khanal and Shri Prakash Singh

    Citation: BMC Health Services Research 2018 18:447

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  16. Content type: Research article

    Interventions to improve patient-centered care for persons with multimorbidity are in constant growth. To date, the emphasis has been on two separate kinds of interventions, those based on a patient-centered c...

    Authors: Marie-Eve Poitras, Marie-Eve Maltais, Louisa Bestard-Denommé, Moira Stewart and Martin Fortin

    Citation: BMC Health Services Research 2018 18:446

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  17. Content type: Research article

    Psychosocial rehabilitation is a service that supports recovery from mental illness by providing opportunities for skill development, self-determination, and social interaction. One type of psychosocial rehabi...

    Authors: Christina Mutschler, Jen Rouse, Kelly McShane and Criss Habal-Brosek

    Citation: BMC Health Services Research 2018 18:442

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  18. Content type: Study protocol

    Access to integrated services for individuals with co-occurring substance use and mental health disorders is a long-standing public health issue. Receiving integrated treatment services are both more effective...

    Authors: James H. Ford II, Eric L Osborne, Mehret T. Assefa, Amy M McIlvaine, Ahney M King, Kevin Campbell and Mark P McGovern

    Citation: BMC Health Services Research 2018 18:431

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  19. Content type: Research article

    The objective of this systematic review was to summarize and evaluate evidence about the effectiveness of knowledge translation (KT) interventions to improve the uptake and application of clinical practice gui...

    Authors: Fadi M. AL Zoubi, Anita Menon, Nancy E. Mayo and André E. Bussières

    Citation: BMC Health Services Research 2018 18:435

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  20. Content type: Research article

    Children born in families with non-medical risk factors, such as deprivation, have higher odds of preterm birth (< 37 weeks of gestation) or being born small for gestational age (birth weight < 10th percentile...

    Authors: M. R. C. van Minde, S. M. Hulst, H. Raat, E. A. P. Steegers and M. L. A. de Kroon

    Citation: BMC Health Services Research 2018 18:432

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  21. Content type: Research article

    Inadequate identification and treatment of substance use (SU) and mental health (MH) disorders hinders retention in HIV care. The objective of this study was to elicit stakeholder input on integration of SU/MH...

    Authors: Anne K. Monroe, Sarah M. Jabour, Sebastian Peña, Jeanne C. Keruly, Richard D. Moore, Geetanjali Chander and Kristin A. Riekert

    Citation: BMC Health Services Research 2018 18:419

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  22. Content type: Study protocol

    People with serious mental illness (SMI) die many years prematurely, with rates of premature mortality two to three times greater than the general population. Most premature deaths are due to “natural causes,”...

    Authors: Alexander S. Young, Amy N. Cohen, Evelyn T. Chang, Anthony W. P. Flynn, Alison B. Hamilton, Rebecca Oberman and Merlyn Vinzon

    Citation: BMC Health Services Research 2018 18:428

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  23. Content type: Study protocol

    Systematic implementation of guidelines for opioid therapy management in chronic non-cancer pain can reduce opioid-related harms. However, implementation of guideline-recommended practices in routine care is s...

    Authors: Aleksandra E. Zgierska, Regina M. Vidaver, Paul Smith, Mary W. Ales, Kate Nisbet, Deanne Boss, Wen-Jan Tuan and David L. Hahn

    Citation: BMC Health Services Research 2018 18:415

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  24. Content type: Research article

    Many outcome studies capture the presence of mental health, drug and alcohol comorbidities from administrative datasets and medical records. How these sources compare as predictors of patient outcomes has not ...

    Authors: Tu Q. Nguyen, Pamela M. Simpson, Sandra C. Braaf, Peter A. Cameron, Rodney Judson and Belinda J. Gabbe

    Citation: BMC Health Services Research 2018 18:408

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  25. Content type: Research article

    It has been shown that a recently defined stressor, ‘illegitimate tasks’, has negative effects on employees’ work motivation and health. Better understanding of the illegitimate tasks undertaken by physicians ...

    Authors: Sylvi Thun, Vidar Halsteinli and Lise Løvseth

    Citation: BMC Health Services Research 2018 18:407

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  26. Content type: Research article

    To meet the challenges of the rising prevalence of chronic diseases, such as type 2 diabetes, new approaches to healthcare delivery have been initiated; among these the influential Chronic Care Model (CCM). Va...

    Authors: Nina Simonsen, Anne M. Koponen and Sakari Suominen

    Citation: BMC Health Services Research 2018 18:412

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  27. Content type: Study protocol

    Participatory health approaches are increasingly drawing attention among the scientific community, and could be used for health promotion programmes on diabetes through social media. The main aim of this proje...

    Authors: E. Gabarron, M. Bradway, L. Fernandez-Luque, T. Chomutare, A. H. Hansen, R. Wynn and E. Årsand

    Citation: BMC Health Services Research 2018 18:414

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  28. Content type: Study protocol

    Cardiovascular disease (CVD) is the leading cause of death in the US and incurs high health care costs. While many initiatives promote the implementation of ABCS (aspirin therapy, blood pressure control, chole...

    Authors: Ann F. Chou, Juell B. Homco, Zsolt Nagykaldi, James W. Mold, F. Daniel Duffy, Steven Crawford and Julie A. Stoner

    Citation: BMC Health Services Research 2018 18:404

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  29. Content type: Research article

    Post-market surveillance of medical devices is reliant on physician reporting of adverse medical device events (AMDEs). Few studies have examined factors that influence whether and how physicians report AMDEs,...

    Authors: Laura Desveaux and Anna R. Gagliardi

    Citation: BMC Health Services Research 2018 18:402

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  30. Content type: Research article

    Involuntary care and coercive measures are frequently present in mental healthcare for adolescents. The purpose of this study was to examine to what extent adolescents perceive or experience coercion during in...

    Authors: Olav Nyttingnes, Torleif Ruud, Reidun Norvoll, Jorun Rugkåsa and Ketil Hanssen-Bauer

    Citation: BMC Health Services Research 2018 18:389

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  31. Content type: Research article

    Eldercare and care of people with functional impairments is organized by the municipalities in Sweden. Improving care in these areas is complex, with multiple stakeholders and organizations. Appropriate strate...

    Authors: M. E. Nyström, E. Höög, R. Garvare, M. Andersson Bäck, D. D. Terris and J. Hansson

    Citation: BMC Health Services Research 2018 18:376

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  32. Content type: Study protocol

    The shortage of organs for kidney transplantation for patients with end-stage renal disease (ESRD) is magnified in Hispanics/Latin Americans in the United States. Living donor kidney transplantation (LDKT) is ...

    Authors: Elisa J. Gordon, Jungwha Lee, Raymond H. Kang, Juan Carlos Caicedo, Jane L. Holl, Daniela P. Ladner and Michelle D. Shumate

    Citation: BMC Health Services Research 2018 18:368

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  33. Content type: Research article

    Acute myocardial infarction (AMI) is a common high-risk disease with inpatient mortality of 5% nationally. But little is known about this outcome among Asian Americans (Asians), a fast growing racial/ethnic mi...

    Authors: Eun Ji Kim, Nancy R. Kressin, Michael K. Paasche-Orlow, Lenny Lopez, Jennifer E. Rosen, Mengyun Lin and Amresh D. Hanchate

    Citation: BMC Health Services Research 2018 18:370

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  34. Content type: Study protocol

    There are many descriptive studies regarding the needs of the family, as well as those regarding nursing care aimed directly at family members. However, there is no widespread application of such evidence in c...

    Authors: Laura de-la-Cueva-Ariza, Pilar Delgado-Hito, Gemma Martínez-Estalella, Gemma Via-Clavero, Teresa Lluch-Canut and Marta Romero-García

    Citation: BMC Health Services Research 2018 18:357

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  35. Content type: Research article

    Healthcare systems around the world have been responding to the demand for better integrated models of service delivery. However, there is a need for further clarity regarding the effects of these new models o...

    Authors: Susan Baxter, Maxine Johnson, Duncan Chambers, Anthea Sutton, Elizabeth Goyder and Andrew Booth

    Citation: BMC Health Services Research 2018 18:350

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  36. Content type: Research article

    Self-administration of medicines by patients whilst in hospital is being increasingly promoted despite little evidence to show the risks and benefits. Pain control after total knee replacement (TKR) is known t...

    Authors: Katherine H. O. Deane, Richard Gray, Paula Balls, Clare Darrah, Louise Swift, Alan B. Clark, Garry R. Barton, Sophie Morris, Sue Butters, Angela Bullough, Helen Flaherty, Barbara Talbot, Mark Sanders and Simon T. Donell

    Citation: BMC Health Services Research 2018 18:346

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  37. Content type: Research article

    The perceived importance of safety culture in improving patient safety and its impact on patient outcomes has led to a growing interest in the assessment of safety climate in healthcare organizations; however,...

    Authors: Gheed Alsalem, Paul Bowie and Jillian Morrison

    Citation: BMC Health Services Research 2018 18:353

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  38. Content type: Research article

    For young people with long-term conditions, transition from child to adult-oriented health services is a critical period which, if not managed well, may lead to poor outcomes. There are features of transition ...

    Authors: A. Colver, R. Pearse, R. M. Watson, M. Fay, T. Rapley, K. D. Mann, A. Le Couteur, J. R. Parr and H. McConachie

    Citation: BMC Health Services Research 2018 18:337

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  39. Content type: Research article

    In contrast to other countries, the appearance of locum physicians as independent contractors constitutes a rather new phenomenon in the German health care system and emerged out of a growing economization and...

    Authors: Sabine Salloch, Birgit Apitzsch, Maximiliane Wilkesmann and Caroline Ruiner

    Citation: BMC Health Services Research 2018 18:333

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  40. Content type: Research article

    A multitude of different rehabilitation interventions and other specific health care services are offered for individuals with disorders of consciousness in long-term care settings. To investigate the associat...

    Authors: Hanna Klingshirn, Rene Mittrach, Kathrin Braitmayer, Ralf Strobl, Andreas Bender, Eva Grill and Martin Müller

    Citation: BMC Health Services Research 2018 18:329

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  41. Content type: Research article

    Next-of-kin are an extension of healthcare professionals in all stages of cancer care. They offer care activities such as interpretations of symptoms, and reporting of negative or adverse effects of treatment,...

    Authors: Inger Johanne Bergerød, Bjørnar Gilje, Geir S. Braut and Siri Wiig

    Citation: BMC Health Services Research 2018 18:324

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  42. Content type: Research article

    Several malaria endemic countries have implemented community health worker (CHW) programmes to increase access to populations underserved by health care. There is considerable evidence on CHW adherence to case...

    Authors: Sham Lal, Richard Ndyomugenyi, Lucy Paintain, Neal D. Alexander, Kristian S. Hansen, Pascal Magnussen, Daniel Chandramohan and Siân E. Clarke

    Citation: BMC Health Services Research 2018 18:317

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  43. Content type: Research article

    Health care data allow for the study and surveillance of chronic diseases such as diabetes. The objective of this study was to identify and validate optimal algorithms for diabetes cases within health care adm...

    Authors: Lorraine L. Lipscombe, Jeremiah Hwee, Lauren Webster, Baiju R. Shah, Gillian L. Booth and Karen Tu

    Citation: BMC Health Services Research 2018 18:316

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  44. Content type: Research article

    Every year, 14 % of patients in Norwegian hospitals experience adverse events, which often have health-damaging consequences. The government, hospital management and health personnel attempt to minimize such e...

    Authors: Gunn Hågensen, Gudrun Nilsen, Grete Mehus and Nils Henriksen

    Citation: BMC Health Services Research 2018 18:302

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  45. Content type: Study protocol

    In Ontario, Canada, approximately $2.5 billion is spent yearly on occupational injuries in the healthcare sector. The healthcare sector has been ranked second highest for lost-time injury rates among 16 Ontari...

    Authors: Joan M Almost, Elizabeth G VanDenKerkhof, Peter Strahlendorf, Louise Caicco Tett, Joanna Noonan, Thomas Hayes, Henrietta Van hulle, Ryan Adam, Jeremy Holden, Tracy Kent-Hillis, Mike McDonald, Geneviève C. Paré, Karanjit Lachhar and Vanessa Silva e Silva

    Citation: BMC Health Services Research 2018 18:296

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  46. Content type: Research article

    Patients with severe mental illness may be subjected to Community Treatment Orders (CTOs) in order to secure that the patients adhere to treatment. Few studies have investigated the use of CTOs within an Asser...

    Authors: Hanne Kilen Stuen, Anne Landheim, Jorun Rugkåsa and Rolf Wynn

    Citation: BMC Health Services Research 2018 18:290

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  47. Content type: Research article

    Tuberculosis (TB) is the leading cause of mortality among people living with HIV (PLHIV), despite the availability of effective preventive therapy. The TEKO trial is assessing the impact of using a blood test,...

    Authors: Deanna Kerrigan, Carrie Tudor, Katlego Motlhaoleng, Limakatso Lebina, Cokiswa Qomfu, Ebrahim Variava, Sandy Chon, Neil Martinson and Jonathan E. Golub

    Citation: BMC Health Services Research 2018 18:288

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