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  1. To determine if requiring Dual Eligible Special Need Plans (D-SNPs) to receive approval from the National Committee of Quality Assurance and contract with state Medicaid agencies impacts healthcare utilization.

    Authors: Kimberly Danae Cauley Narain, Jessica Harwood, Carol Mangione, O. Kenrik Duru and Susan Ettner
    Citation: BMC Health Services Research 2021 21:206
  2. National standards are commonly used as an improvement strategy in healthcare, but organisations may respond in diverse and sometimes negative ways to external quality demands. This paper describes how a sampl...

    Authors: Elizabeth Sutton, Julian Bion, Russell Mannion, Janet Willars, Elizabeth Shaw and Carolyn Tarrant
    Citation: BMC Health Services Research 2021 21:205
  3. There is a growing number of older adults with cognitive impairment (CI) that require inpatient rehabilitation, and as such patient centred rehabilitation models have been developed. However, implementing evid...

    Authors: Katherine S. McGilton, Alexia Cumal, Dana Corsi, Shaen Gingrich, Nancy Zheng and Astrid Escrig-Pinol
    Citation: BMC Health Services Research 2021 21:204
  4. While multidisciplinary teams (MDTs) are now considered an essential part of cancer care decision-making, how they perform varies widely. The authors hypothesised that a comprehensive, multipronged improvement...

    Authors: Lynleigh Evans, Yiren Liu, Brendan Donovan, Terence Kwan, Karen Byth and Paul Harnett
    Citation: BMC Health Services Research 2021 21:203
  5. Frequent healthcare users place a significant burden on health systems. Factors such as multimorbidity and low socioeconomic status have been associated with high use of ambulatory care services (emergency roo...

    Authors: Cynthia MBUYA-BIENGE, Marc SIMARD, Myles GAULIN, Bernard CANDAS and Caroline SIROIS
    Citation: BMC Health Services Research 2021 21:202
  6. Systematic approaches to the inclusion of economic evaluation in national healthcare decision-making are usual. It is less common for economic evaluation to be routinely undertaken at the ‘local-level’ (e.g. i...

    Authors: Andrew Searles, Donella Piper, Christine Jorm, Penny Reeves, Maree Gleeson, Jonathan Karnon, Nicholas Goodwin, Kenny Lawson, Rick Iedema and Jane Gray
    Citation: BMC Health Services Research 2021 21:201
  7. The transition to electronic health records offers the potential for big data to drive the next frontier in healthcare improvement. Yet there are multiple barriers to harnessing the power of data. The Learning...

    Authors: Joanne Enticott, Alison Johnson and Helena Teede
    Citation: BMC Health Services Research 2021 21:200
  8. Accountable care has profoundly changed the organizational models adopted by health care organizations and, consequently, the skill set required for doctor-managers who have become middle managers and must dea...

    Authors: Fausto Di Vincenzo, Daria Angelozzi and Federica Morandi
    Citation: BMC Health Services Research 2021 21:199
  9. Poor reproductive, maternal, newborn, child, and adolescent health outcomes in Nigeria can be attributed to several factors, not limited to low health service coverage, a lack of quality care, and gender inequ...

    Authors: Chioma Oduenyi, Joya Banerjee, Oniyire Adetiloye, Barbara Rawlins, Ugo Okoli, Bright Orji, Emmanuel Ugwa, Gbenga Ishola and Myra Betron
    Citation: BMC Health Services Research 2021 21:198
  10. The World Health Organization recommends vaccination rates of 75% against seasonal influenza for patients over 65 years old. In the 2013/2014 season, the German vaccination rates ranged between 14 and 65%. Thi...

    Authors: Jonathan Arlt, Kristina Flaegel, Katja Goetz and Jost Steinhaeuser
    Citation: BMC Health Services Research 2021 21:197
  11. Acute otitis media (AOM) is among the most common paediatric conditions managed in primary care. Most recent estimates of the cost of AOM date from a decade ago and lack a full societal perspective. We therefo...

    Authors: Rick T. van Uum, Roderick P. Venekamp, Clémence T. B. Pasmans, G. Ardine de Wit, Alies Sjoukes, Alma C. van der Pol, Roger A. M. J. Damoiseaux and Anne G. M. Schilder
    Citation: BMC Health Services Research 2021 21:193
  12. Diabetes mellitus is highly prevalent and associated with huge economic burden globally. The conventional care and management of diabetes mellitus is highly fragmented and complex, warranting the need for a co...

    Authors: Sara Abdulrhim, Sowndramalingam Sankaralingam, Mohamed Izham Mohamed Ibrahim, Mohammed Issam Diab, Mohamed Abdelazim Mohamed Hussain, Hend Al Raey, Mohammed Thahir Ismail and Ahmed Awaisu
    Citation: BMC Health Services Research 2021 21:192
  13. Cancer remains one of the primary causes of death in Bangladesh. The success of cancer control in rural areas depends on the ability of the health care system and workforce to identify and manage cases properl...

    Authors: Nazirum Mubin, Redwan Bin Abdul Baten, Sayeeda Jahan, Fatema Tuz Zohora, Naim Mahmud Chowdhury and Golam Mohiuddin Faruque
    Citation: BMC Health Services Research 2021 21:191
  14. People prefer to age in place and not move into a nursing home as long as possible. The prevention of cognitive and functional impairments is feasible to support this goal. Health services play a key role in p...

    Authors: Dominik Domhoff, Kathrin Seibert, Susanne Stiefler, Karin Wolf-Ostermann and Dirk Peschke
    Citation: BMC Health Services Research 2021 21:190
  15. 30-day hospital readmissions are an indicator of quality of care; hospitals are financially penalized by Medicare for high rates. Numerous care transition processes reduce readmissions in clinical trials. The ...

    Authors: Jacqueline Pugh, Lauren S. Penney, Polly H. Noël, Sean Neller, Michael Mader, Erin P. Finley, Holly J. Lanham and Luci Leykum
    Citation: BMC Health Services Research 2021 21:189
  16. Quantitative evidence suggests that Brexit has had a severe and negative impact on European doctors, with many medical staff leaving the UK. This study provides a detailed examination of European doctors’ feel...

    Authors: Adrienne Milner, Rebecca Nielsen and Emma Norris
    Citation: BMC Health Services Research 2021 21:188
  17. Smoking exerts substantial medical burdens on society. Precise estimation of the smoking-attributable medical expenditures (SAME) helps to inform tobacco control policy makers. Based on the epidemiological app...

    Authors: Shiyao Huang, Han Wei, Tingting Yao, Zhengzhong Mao, Qun Sun and Lian Yang
    Citation: BMC Health Services Research 2021 21:187
  18. The Patient Protection and Affordable Care Act increased funding for integrated care to improve access to quality health care among underserved populations. There is evidence that integrated care decreases ine...

    Authors: Robert Rosales and Rocío Calvo
    Citation: BMC Health Services Research 2021 21:186
  19. The medical home (MH) model has been promoted by both the federal and state governments in the United States in recent years. To ascertain American children’s MH status, many studies have relied on a large set...

    Authors: Bing Han, Peggy Guey-Chi Chen and Hao Yu
    Citation: BMC Health Services Research 2021 21:185
  20. The communication between health providers and patients influences the quality of medical care. The Communication Skills Assessment (CAT) is a reliable, validated tool, which was developed to assess interperso...

    Authors: Andra Rodica Balanescu, Violeta Claudia Bojinca, Ana-Maria Schweitzer, Bogdan Joca, Denise Ani Mardale, Denisa Badea and Mihai Bojinca
    Citation: BMC Health Services Research 2021 21:184
  21. Midwifery job retention is an ongoing global issue. Prior research has recognised that considering an individual’s attributes in relation to their work environment may assist in improving job satisfaction amon...

    Authors: Dianne Bloxsome, Courtney Glass and Sara Bayes
    Citation: BMC Health Services Research 2021 21:183
  22. Traditional medicine has been widely used to address relatively common illnesses. In this regard, Chinese government has been continually topping up its investments on public Traditional Chinese Medicine hospi...

    Authors: Weicun Ren, Xiaoli Fu, Clifford Silver Tarimo, Maisa Kasanga, Yanqing Wang and Jian Wu
    Citation: BMC Health Services Research 2021 21:182
  23. This study aimed to reflect on scientific experts’ and executive stakeholders’ opinions on how charitable organizations can participate in the health care system properly and cope with problems, challenges, st...

    Authors: Raana Gholamzadeh Nikjoo, Yegane Partovi and Nasrin Joudyian
    Citation: BMC Health Services Research 2021 21:181
  24. Intermediate care (IC) bridges the clinical pathway of older patients transitioning from the hospital to home. Currently, there is a strong consensus that the practice environment is an important factor in hel...

    Authors: Linda Aimée Hartford Kvæl and Astrid Bergland
    Citation: BMC Health Services Research 2021 21:180
  25. Patient engagement (PE) in planning or improving hospital facilities or services is one approach for improving healthcare delivery and outcomes. To provide evidence on hospital capacity needed to support PE, w...

    Authors: Anna R. Gagliardi, Juan Pablo Diaz Martinez, G. Ross Baker, Lesley Moody, Kerseri Scane, Robin Urquhart and Walter P. Wodchis
    Citation: BMC Health Services Research 2021 21:179
  26. As low- and middle-income countries progress toward Universal Health Coverage, there is an increasing focus on measuring out-of-pocket (OOP) expenditure and health services utilization within countries. While ...

    Authors: Faraz Khalid, Wajeeha Raza, David R. Hotchkiss and Rieza H. Soelaeman
    Citation: BMC Health Services Research 2021 21:178

    The Correction to this article has been published in BMC Health Services Research 2021 21:570

  27. People living with diabetes have an increased risk of developing mental health issues. Mexico has observed a high prevalence of people living with diabetes suffering from mental health issues, such as anxiety ...

    Authors: Benjamín Aceves, Manuel Ruiz, Maia Ingram, Catalina Denman, David O. Garcia, Purnima Madhivanan and Cecilia Rosales
    Citation: BMC Health Services Research 2021 21:177
  28. Despite the success of stroke rehabilitation services, differences in service utilization exist. Some patients with stroke may travel across regions to receive necessary care prescribed by their physician. It ...

    Authors: Julianna M. Dean, Kimberly Hreha, Ickpyo Hong, Chih-Ying Li, Daniel Jupiter, John Prochaska and Timothy Reistetter
    Citation: BMC Health Services Research 2021 21:176
  29. This study investigated if the evidence on the success of the Pay for Performance (P4P) schemes in healthcare is changing as the schemes continue to evolve by updating a previous systematic review.

    Authors: Arezou Zaresani and Anthony Scott
    Citation: BMC Health Services Research 2021 21:175
  30. The COVID-19 pandemic has posed unprecedented challenges and threats to the health care system, particularly affecting the effective delivery of essential health services in resource-poor countries such as Nep...

    Authors: Devendra Raj Singh, Dev Ram Sunuwar, Sunil Kumar Shah, Kshitij Karki, Lalita Kumari Sah, Bipin Adhikari and Rajeeb Kumar Sah
    Citation: BMC Health Services Research 2021 21:174
  31. In 2017, the European Commission’s Joint Research Centre (JRC) started developing a methodological framework for a guideline-based quality assurance (QA) scheme to improve cancer quality of care. During the fi...

    Authors: Elena Parmelli, Miranda Langendam, Thomas Piggott, Jan Adolfsson, Elie A. Akl, David Armstrong, Jeffrey Braithwaite, Romina Brignardello-Petersen, Markus Follmann, Zbigniew LeÅ›, Joerg J. Meerpohl, Luciana Neamtiu, Amir Qaseem, Paolo Giorgi Rossi, Zuleika Saz-Parkinson, Philip J. van der Wees…
    Citation: BMC Health Services Research 2021 21:173
  32. Although quality indicators are frequently derived from guidelines, there is a substantial gap in collaboration between the corresponding parties. To optimise workflow, guideline recommendations and quality as...

    Authors: Thomas Piggott, Miranda Langendam, Elena Parmelli, Jan Adolfsson, Elie A. Akl, David Armstrong, Jeffrey Braithwaite, Romina Brignardello-Petersen, Jan Brozek, Jolanta Gore-Booth, Markus Follmann, Zbigniew LeÅ›, Joerg J Meerpohl, Luciana NeamÅ£iu, Monika Nothacker, Amir Qaseem…
    Citation: BMC Health Services Research 2021 21:172
  33. Recently, there has been an increasing focus among healthcare organisations on implementing patient portals. Previous studies have mainly focussed on the experiences of patient portal use. Few have investigate...

    Authors: Torunn Hatlen Nøst, Arild Faxvaag and Aslak Steinsbekk
    Citation: BMC Health Services Research 2021 21:171
  34. Cardiologists play a key role in multidisciplinary care by guiding heart failure (HF) management in the hospital and in the community. Regional implementation of multidisciplinary health care interventions dep...

    Authors: Willem Raat, Miek Smeets, Isolde Vandewal, Lien Broekx, Sanne Peters, Stefan Janssens, Bert Vaes and Bert Aertgeerts
    Citation: BMC Health Services Research 2021 21:170
  35. While the nexus of migration and health outcomes is well acknowledged, the effect of rural–urban migration on the use of sexual and reproductive health (SRH) services has received less attention. We assessed t...

    Authors: Mulekya F. Bwambale, Paul Bukuluki, Cheryl A. Moyer and Bart H. W. Van den Borne
    Citation: BMC Health Services Research 2021 21:169
  36. Globally, Pediatric Intensive Care Unit (PICU) admissions are amongst the most expensive. In low middle-income countries, out of pocket expenditure (OOP) constitutes a major portion of the total expenditure. T...

    Authors: Amrit Kaur, Muralidharan Jayashree, Shankar Prinja, Ranjana Singh and Arun K. Baranwal
    Citation: BMC Health Services Research 2021 21:168
  37. There is increasing evidence that integrated care improves child related quality of life and reduces health service use. However, there is limited evidence on family perspectives about the quality of integrate...

    Authors: Rose-Marie Satherley, Raghu Lingam, Judith Green and Ingrid Wolfe
    Citation: BMC Health Services Research 2021 21:167
  38. Quality of care is gaining increasing attention in research, clinical practice, and health care planning. Methods for quality assessment and monitoring, such as quality indicators (QIs), are needed to ensure h...

    Authors: Anne-Lene Sand-Svartrud, Gunnhild Berdal, Maryam Azimi, Ingvild Bø, Turid Nygaard Dager, Siv Grødal Eppeland, Guro Ohldieck Fredheim, Anne Sirnes Hagland, Åse Klokkeide, Anita Dyb Linge, Kjetil Tennebø, Helene Lindtvedt Valaas, Ann Margret Aasvold, Hanne Dagfinrud and Ingvild Kjeken
    Citation: BMC Health Services Research 2021 21:164
  39. Surgical Tray Rationalization (STR) consists of a systematic reduction in the number of surgical instruments to perform specific procedures without compromising patient safety while reducing losses in the ster...

    Authors: Bruno Miranda dos Santos, Flavio Sanson Fogliatto, Carolina Melecardi Zani and Fernanda Araujo Pimentel Peres
    Citation: BMC Health Services Research 2021 21:163
  40. Several countries including Tanzania, have established voluntary non-profit insurance schemes, commonly known as community-based health insurance schemes (CBHIs), that typically target rural populations and th...

    Authors: Alphoncina Kagaigai, Amani Anaeli, Amani Thomas Mori and Sverre Grepperud
    Citation: BMC Health Services Research 2021 21:162
  41. Reliable benchmarking in Lean healthcare requires widely relevant and applicable domains for outcome metrics and careful attention to contextual levels. These levels have been poorly defined and no framework t...

    Authors: Elina Reponen, Thomas G. Rundall, Stephen M. Shortell, Janet C. Blodgett, Angelica Juarez, Ritva Jokela, Markku Mäkijärvi and Paulus Torkki
    Citation: BMC Health Services Research 2021 21:161
  42. Extensive waiting times before receiving services is a major barrier to adequate pain management. Waiting times may have a detrimental impact on patients’ conditions and quality of life. However, there remains...

    Authors: Simon Deslauriers, Jean-Sébastien Roy, Sasha Bernatsky, Nathan Blanchard, Debbie E. Feldman, Anne Marie Pinard, Mary-Ann Fitzcharles, François Desmeules and Kadija Perreault
    Citation: BMC Health Services Research 2021 21:160
  43. In the low- and middle-income countries, most patients with esophageal cancer present with advanced stage disease and experience poor survival. There is inadequate understanding of the factors that influence d...

    Authors: Nakimuli Esther, Ssentongo Julius and Mwaka Amos Deogratius
    Citation: BMC Health Services Research 2021 21:159
  44. Early identification of patients with chronic conditions and complex health needs in emergency departments (ED) would enable the provision of services better suited to their needs, such as case management. A c...

    Authors: Catherine Hudon, Mathieu Bisson, Marie-France Dubois, Yohann Chiu, Maud-Christine Chouinard, Nicole Dubuc, Nicolas Elazhary, Véronique Sabourin and Alain Vanasse
    Citation: BMC Health Services Research 2021 21:157

    The Correction to this article has been published in BMC Health Services Research 2021 21:321

  45. Implementation of Professional Pharmacy Services (PPSs) requires a demonstration of the service’s impact (efficacy) and its effectiveness. Several systematic reviews and randomised controlled trials (RCT) have...

    Authors: R. Varas-Doval, L. Saéz-Benito, M. A. Gastelurrutia, S. I. Benrimoj, V. Garcia-Cardenas and F. Martinez-Martínez
    Citation: BMC Health Services Research 2021 21:156
  46. Long waiting times for elective surgery are common to many publicly funded health systems. Inefficiencies in referral systems in high-income countries are more pronounced than lower and middle-income countries...

    Authors: Dimuthu Rathnayake and Mike Clarke
    Citation: BMC Health Services Research 2021 21:155
  47. The COVID-19 pandemic halted non-emergency surgery across Scotland. Measures to mitigate the risks of transmitting COVID-19 are creating significant challenges to restarting all surgical services safely. We de...

    Authors: Kelvin KW Cheng, Martin J Anderson, Stavros Velissaris, Robert Moreton, Ahmed Al-Mansour, Roshini Sanders, Shona Sutherland, Peter Wilson and Andrew Blaikie
    Citation: BMC Health Services Research 2021 21:153