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  1. Global calls for renewed efforts to address stillbirth burden highlighted areas for policy and implementation resulting in national level translations. Information regarding adapted strategies to effect policy...

    Authors: Eric Ssegujja, Isaac Ddumba and Michelle Andipartin
    Citation: BMC Health Services Research 2021 21:53
  2. Maternal deaths reviews are proposed as one strategy to address high maternal mortality in low and middle-income countries, including Tanzania. Review of maternal deaths relies on comprehensive documentation o...

    Authors: Ali Said, Andrea B. Pembe, Siriel Massawe, Claudia Hanson and Mats Malqvist
    Citation: BMC Health Services Research 2021 21:52
  3. To better understand the distribution and consumption patterns of resources in different ethnic groups and at different levels of economic development, this paper chose to describe the healthcare seeking behav...

    Authors: Xuechen Xiong, Xiaolin Cao and Li Luo
    Citation: BMC Health Services Research 2021 21:51
  4. Qualitative synthesis approaches are increasingly used in healthcare research. One of the most commonly utilised approaches is meta-ethnography. This is a systematic approach which synthesises data from multip...

    Authors: Raabia Sattar, Rebecca Lawton, Maria Panagioti and Judith Johnson
    Citation: BMC Health Services Research 2021 21:50
  5. Cardiovascular diseases (CVD) are commonly comorbid with mental health disorders, portending poorer cardiac prognosis. Despite the high prevalence of depression and anxiety, and guidelines recommending routine...

    Authors: C. M. Collopy, S. M. Cosh and P. J. Tully
    Citation: BMC Health Services Research 2021 21:49
  6. Safety culture can be described and understood through its manifestations in the organization as artefacts, espoused values and basic underlying assumptions and is strongly related to leadership-yet it remains...

    Authors: Mats Hedsköld, Magna Andreen Sachs, Torleif Rosander, Mia von Knorring and Karin Pukk Härenstam
    Citation: BMC Health Services Research 2021 21:48
  7. Despite an official policy of exemption from health care costs, pregnant women in Niger still face some out-of-pocket costs (OPC) in addition to time costs when they attend antenatal care (ANC) services. We ai...

    Authors: Césaire T. Ouédraogo, Stephen A. Vosti, K. Ryan Wessells, Charles D. Arnold, M. Thierno Faye and Sonja Y. Hess
    Citation: BMC Health Services Research 2021 21:47
  8. Accredited Social Health Activists (ASHA) are community health workers responsible for improving the health status of people by facilitating their access to healthcare services. The life skills of ASHA are kno...

    Authors: Shantanu Sharma, Kanishtha Arora, Chandrashekhar, Rajesh Kumar Sinha, Faiyaz Akhtar and Sunil Mehra
    Citation: BMC Health Services Research 2021 21:46
  9. To access the influence of insurance status on time of diagnosis, quality of treatment and survival in head and neck squamous cell carcinoma (HNSCC).

    Authors: Andreas Knopf, Simon Teutsch and Henning Bier
    Citation: BMC Health Services Research 2021 21:45
  10. Screening programs for colorectal cancer (CRC) exist in many countries, and with varying participation rates. The present study aimed at identifying socio-demographic factors for accepting a cost-free screenin...

    Authors: Jesper Bo Nielsen, Gabriele Berg-Beckhoff and Anja Leppin
    Citation: BMC Health Services Research 2021 21:43
  11. Implementing community-based innovations for older adults with serious illness, who are appropriate for a palliative approach to care, requires developing partnerships between health and community. Nav-CARE is...

    Authors: Grace Warner, Emily Kervin, Barb Pesut, Robin Urquhart, Wendy Duggleby and Taylor Hill
    Citation: BMC Health Services Research 2021 21:42
  12. The acute treatment for stroke takes place in hospitals and in Norway follow-up of stroke survivors residing in the communities largely takes place in general practice. In order to provide continuous post stro...

    Authors: Rune Aakvik Pedersen, Halfdan Petursson, Irene Hetlevik and Henriette Thune
    Citation: BMC Health Services Research 2021 21:41
  13. Inequalities in the use of postnatal care services (PNC) in Ghana have been linked to poor maternal and neonatal health outcomes. This has ignited a genuine concern that PNC interventions with a focus on influ...

    Authors: Emmanuel Dankwah, Cindy Feng, Shelley Kirychuck, Wu Zeng, Rein Lepnurm and Marwa Farag
    Citation: BMC Health Services Research 2021 21:40
  14. Burnout resulting from long-term and unmanaged workplace stress is high among healthcare professionals, especially surgeons, and affects both individuals and the quality of patient care. The objective of this ...

    Authors: Suleyman Utku Celik, Alperen Aslan, Eylul Coskun, Beyza Nur Coban, Zeynep Haner, Selin Kart, Mahmoud N. I. Skaik, Merve Didem Kocer, Bahar Busra Ozkan and Cihangir Akyol
    Citation: BMC Health Services Research 2021 21:39
  15. Increasing patient numbers, complexity of patient management, and healthcare resource limitations have resulted in prolonged patient wait times, decreased quality of service, and decreased patient satisfaction...

    Authors: Andrew W. Kam, Scott Collins, Tae Park, Michael Mihail, Fiona F. Stanaway, Noni L. Lewis, Daniel Polya, Samantha Fraser-Bell, Timothy V. Roberts and James E.H. Smith
    Citation: BMC Health Services Research 2021 21:38
  16. The Cardiovascular Health Awareness Program (CHAP) is as a community-based cardiovascular disease prevention program recently adapted to target older adults living in 14 social housing buildings in Ontario (7)...

    Authors: Nadia Deville-Stoetzel, Janusz Kaczorowski, Gina Agarwal, Marie-Thérèse Lussier and Magali Girard
    Citation: BMC Health Services Research 2021 21:37
  17. Mental health professionals usually decide patients’ access to inpatient care to ensure care based on need and potential benefit. The purpose of the current study is to investigate how patients evaluate admiss...

    Authors: Olav Nyttingnes, JÅ«ratÄ— Å altytÄ— Benth and Torleif Ruud
    Citation: BMC Health Services Research 2021 21:36
  18. As health systems transition to value-based care, improving transitional care (TC) remains a priority. Hospitals implementing evidence-based TC models often adapt them to local contexts. However, limited resea...

    Authors: Jing Li, Gaixin Du, Jessica Miller Clouser, Arnold Stromberg, Glen Mays, Joann Sorra, Jane Brock, Terry Davis, Suzanne Mitchell, Huong Q. Nguyen and Mark V. Williams
    Citation: BMC Health Services Research 2021 21:35
  19. Sustainability capacity (SC), which is an organization’s ability to implement and maintain change, is influenced by internal attributes, environmental contextual influencers, and intervention attributes. Tempo...

    Authors: James H. Ford II and Aaron Gilson
    Citation: BMC Health Services Research 2021 21:34
  20. A systems-level approach to smoking cessation treatment may optimize healthcare provider adherence to guidelines. Institutions such as the Veterans Health Administration (VHA) are unique in their systematic ap...

    Authors: Jennifer A. Lewis, Nicole Senft, Heidi Chen, Kathryn E. Weaver, Lucy B. Spalluto, Kim L. Sandler, Leora Horn, Pierre P. Massion, Robert S. Dittus, Christianne L. Roumie and Hilary A. Tindle
    Citation: BMC Health Services Research 2021 21:33
  21. The Person-centred Practice Inventory-Staff (PCPI-S) instrument was developed to measure healthcare providers’ perception towards their person-centred practice. The study aimed to explore the influence of cult...

    Authors: Nur Zahirah Balqis-Ali, Pui San Saw, Anis Syakira Jailani, Weng Hong Fun, Noridah Mohd Saleh, Tengku Putri Zaharah Tengku Bahanuddin, Sondi Sararaks and Shaun Wen Huey Lee
    Citation: BMC Health Services Research 2021 21:32
  22. When there is a gap in professionals’ adherence to safe practices during cancer treatment, the consequences can be serious. Identifying these gaps in order to enable improvements in patient safety can be a cha...

    Authors: Isabel Rodrigo Rincón, Isabel Irigoyen Aristorena, Belén Tirapu León, Nicolás Zaballos Barcala, Maite Sarobe Carricas, Joaquín Lobo Palanco, María Luisa Antelo Caamaño, Marta Patricia Martin Vizcaíno and Susan Burnett
    Citation: BMC Health Services Research 2021 21:31
  23. The study aimed to estimate the comparative costs per positive diagnosis of previously undetected HIV in three testing regimes: conventional; parallel and point of care (POC) testing. The regimes are analysed ...

    Authors: Owain D. Williams, Judith A. Dean, Anna Crothers, Charles F. Gilks and Jeff Gow
    Citation: BMC Health Services Research 2021 21:30
  24. Healthcare systems are overloaded and changing. In response to growing demands on the healthcare systems, new models of healthcare delivery are emerging. Community paramedicine is a novel approach in which par...

    Authors: Julia van Vuuren, Brodie Thomas, Gina Agarwal, Sean MacDermott, Leigh Kinsman, Peter O’Meara and Evelien Spelten
    Citation: BMC Health Services Research 2021 21:29
  25. Several factors might contribute to the delay to get cancer care including poor cancer awareness and having barriers to seeking help. This study described these barriers in Gaza and their association with reca...

    Authors: Mohamedraed Elshami, Bettina Bottcher, Mohammed Alkhatib, Iyad Ismail, Khitam Abu-Nemer, Mustafa Hana, Ahmed Qandeel, Ahmed Abdelwahed, Hamza Yazji, Hisham Abuamro, Ghadeer Matar, Ahmed Alsahhar, Ahmed Abolamzi, Obay Baraka, Mahmood Elblbessy, Tahani Samra…
    Citation: BMC Health Services Research 2021 21:28
  26. Contemporary perioperative fasting guidelines aim to alleviate patient discomfort before surgery and enhance postoperative recovery whilst seeking to reduce the risk of pulmonary aspiration during anesthesia. ...

    Authors: Faizan Zia, Luka Cosic, Angela Wong, Adam Levin, Patrick Lu, Craig Mitchell, Michael Shaw, Fred Rosewarne and Laurence Weinberg
    Citation: BMC Health Services Research 2021 21:27
  27. Group model building (GMB) is a method to facilitate shared understanding of structures and relationships that determine system behaviors. This project aimed to determine the feasibility of GMB in a resource-l...

    Authors: Fiona Muttalib, Ellis Ballard, Josephine Langton, Sara Malone, Yudy Fonseca, Andreas Hansmann, Kenneth Remy, Peter Hovmand and Allan Doctor
    Citation: BMC Health Services Research 2021 21:26
  28. Relationships between dietitians and other healthcare providers can impact the degree to which patient care is collaborative; inefficient communication can lead to suboptimal care. It takes time for multidisci...

    Authors: Sarah Hewko, Amirah Oyesegun, Samantha Clow and Charlene VanLeeuwen
    Citation: BMC Health Services Research 2021 21:25
  29. Recent evidence suggests the need to reframe healthcare delivery for patients with chronic conditions, with emphasis on minimizing healthcare footprint/workload on patients, caregivers, clinicians and health s...

    Authors: Abd Moain Abu Dabrh, Kasey R. Boehmer, Nathan Shippee, Stacey A. Rizza, Adam I. Perlman, Sara R. Dick, Emma M. Behnken and Victor M. Montori
    Citation: BMC Health Services Research 2021 21:24
  30. Electronic Medical Records (EMRs) are one of a range of digital health solutions that are key enablers of the data revolution transforming the health sector. They offer a wide range of benefits to health profe...

    Authors: Anna Janssen, Candice Donnelly, Elisabeth Elder, Nirmala Pathmanathan and Tim Shaw
    Citation: BMC Health Services Research 2021 21:23
  31. In sub-Saharan Africa, there is dearth of trained laboratorians and strengthened laboratory systems to provide adequate and quality laboratory services for enhanced HIV control. In response to this challenge, ...

    Authors: Ritu Shrivastava, Richard Poxon, Erin Rottinghaus, Leyya Essop, Victoria Sanon, Zawadi Chipeta, Elsie van-Schalkwyk, Phuti Sekwadi, Pelagia Murangandi, Shon Nguyen, Josh Devos, Shanna Nesby-Odell, Thomas Stevens, Farouk Umaru, Alex Cox, Andrea Kim…
    Citation: BMC Health Services Research 2021 21:22
  32. Emergency department (ED) overcrowding is a health services issue worldwide. Modern health policy emphasizes appropriate health services utilization. However, the relationship between accessibility, capability...

    Authors: Chih-Yuan Lin and Yue-Chune Lee
    Citation: BMC Health Services Research 2021 21:21
  33. The choices that policymakers make are shaped by how their problems are framed. At last, non-communicable diseases (NCDs) have risen high on the global policy agenda, but there are many disputed issues. First,...

    Authors: Melisa Mei Jin Tan, Emeline Han, Pami Shrestha, Shishi Wu, Farah Shiraz, Gerald Choon-Huat Koh, Martin McKee and Helena Legido-Quigley
    Citation: BMC Health Services Research 2021 21:20
  34. Rising healthcare costs, an increasing general practitioner shortage and an aging population have made healthcare organization transformation a priority. To meet these challenges, traditional roles of non-medi...

    Authors: Ferdinand Bastiaens, Di-Janne Barten and Cindy Veenhof
    Citation: BMC Health Services Research 2021 21:19

    The Correction to this article has been published in BMC Health Services Research 2021 21:102

  35. Although school oral health programmes have been ongoing for years, there is little evidence to show how their policy elements are governed or translated into tangible implementation activities and population ...

    Authors: Mpho Molete, Aimee Stewart, Aneesa Moolla and Jude Ofuzinim Igumbor
    Citation: BMC Health Services Research 2021 21:18
  36. The uptake and adherence of daily oral PrEP has been poor in high-risk populations in South Africa including young people. We used qualitative research methods to explore user preferences for daily and on-dema...

    Authors: Janan J. Dietrich, Millicent Atujuna, Gugulethu Tshabalala, Stefanie Hornschuh, Mamakiri Mulaudzi, Michelle Koh, Nadia Ahmed, Richard Muhumuza, Andrew S. Ssemata, Kennedy Otwombe, Linda-Gail Bekker, Janet Seeley, Neil A. Martinson, Fern Terris-Prestholt and Julie Fox
    Citation: BMC Health Services Research 2021 21:17
  37. Physiotherapy services are an important part of the primary health care services for children, serving a broad spectrum of children referred from different sources and for a variety of reasons. There is limite...

    Authors: Kari Anne I. Evensen, Siw Sellæg, Anne-Cath Stræte, Anne E. Hansen and Ingebrigt Meisingset
    Citation: BMC Health Services Research 2021 21:16

    The Correction to this article has been published in BMC Health Services Research 2021 21:118

  38. Most existing research on medical clowns in health care services has investigated their usefulness mainly among child health consumers. In this research we examined multiple viewpoints of medical staff, clowns...

    Authors: Dorit Efrat-Triester, Daniel Altman, Enav Friedmann, Dalit Lev-Arai Margalit and Kinneret Teodorescu
    Citation: BMC Health Services Research 2021 21:15
  39. The purpose of this descriptive study is to outline the Roseman University of Health Sciences (RUHS) College of Dental Medicines’ Patient Assistance Fund development, organization and outcomes. The description...

    Authors: Burke W. Soffe, Justine E. Miranda, Jenny Fang, Daniel G. Epperson, Roberto A. Lara, Hazel L. Williamson and Martin S. Lipsky
    Citation: BMC Health Services Research 2021 21:14
  40. Understanding how comorbidity measures contribute to patient mortality is essential both to describe patient health status and to adjust for risks and potential confounding. The Charlson and Elixhauser comorbi...

    Authors: Narayan Sharma, René Schwendimann, Olga Endrich, Dietmar Ausserhofer and Michael Simon
    Citation: BMC Health Services Research 2021 21:13
  41. Specific factors that facilitate or prevent the implementation of enhanced recovery protocols for colorectal cancer surgery have been described in previous qualitative studies. This study aims to perform a con...

    Authors: R. van Zelm, E. Coeckelberghs, W. Sermeus, A. Wolthuis, L. Bruyneel, M. Panella and K. Vanhaecht
    Citation: BMC Health Services Research 2021 21:11
  42. Quebec is one of the Canadian provinces with the highest rates of cancer incidence and prevalence. A study by the Rossy Cancer Network (RCN) of McGill university assessed six aspects of the patient experience ...

    Authors: M. P. Pomey, M. de Guise, M. Desforges, K. Bouchard, C. Vialaron, L. Normandin, M. Iliescu-Nelea, I. Fortin, I. Ganache, C. Régis, Z. Rosberger, D. Charpentier, L. Bélanger, M. Dorval, D. P. Ghadiri, M. Lavoie-Tremblay…
    Citation: BMC Health Services Research 2021 21:10

    The Correction to this article has been published in BMC Health Services Research 2021 21:67

  43. Rural-urban health care disparities are an important topic in health services research. Hence, developing valid and reliable tools to measure rurality is needed to support high quality research. However, Japan...

    Authors: Makoto Kaneko, Ryuichi Ohta, Evelyn Vingilis, Maria Mathews and Thomas Robert Freeman
    Citation: BMC Health Services Research 2021 21:9
  44. Patients’ participation in decision making regarding their treatment is defined in ethical, legal and human rights standards in the provision of care that concerns health providers and the entire community. Th...

    Authors: Osward Vedasto, Baraka Morris and Francis F. Furia
    Citation: BMC Health Services Research 2021 21:8
  45. Severely and multiply disadvantaged members of the homeless population are disproportionately vulnerable to exceptionally high levels of multi-morbidity and premature death. Given widespread calls for the deve...

    Authors: Sarah Johnsen, Fiona Cuthill and Janice Blenkinsopp
    Citation: BMC Health Services Research 2021 21:7
  46. The HOSPITAL Risk Score (HRS) predicts 30-day hospital readmissions and is internationally validated. Social determinants of health (SDOH) such as low socioeconomic status (SES) affect health outcomes and have...

    Authors: Shirlene Obuobi, Rhys F. M. Chua, Stephanie A. Besser and Corey E. Tabit
    Citation: BMC Health Services Research 2021 21:5
  47. The Astana Declaration on Primary Health Care reiterated that PHC is a cornerstone of a sustainable health system for universal health coverage (UHC) and health-related Sustainable Development Goals. It called...

    Authors: Nasrin Joudyian, Leila Doshmangir, Mahdi Mahdavi, Jafar Sadegh Tabrizi and Vladimir Sergeevich Gordeev
    Citation: BMC Health Services Research 2021 21:4
  48. Norwegian law and regulations regarding patient autonomy and the use of coercion are in conflict with the Convention on the Rights of Persons with Disabilities (CRPD) and the Oviedo Convention on several point...

    Authors: David Wikstøl, Reidar Pedersen and Morten Magelssen
    Citation: BMC Health Services Research 2021 21:3