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  1. Patient activation refers to patients’ knowledge, skills, and confidence in self-managing health conditions. In large cross-sectional studies, individuals with higher patient activation are observed to have be...

    Authors: Jie Gao, Madelynne Arden, Zhe Hui Hoo and Martin Wildman
    Citation: BMC Health Services Research 2019 19:420
  2. The use of clinical performance feedback to support quality improvement (QI) activities is based on the sound rationale that measurement is necessary to improve quality of care. However, concerns persist about...

    Authors: Daniel J. Wagner, Janet Durbin, Jan Barnsley and Noah M. Ivers
    Citation: BMC Health Services Research 2019 19:419
  3. Recent decades have seen increased attention to patient safety in health care. This is often in the form of programmes aiming to change professional behaviours. Health professionals in hospitals have tradition...

    Authors: Frode Heldal, Trond Kongsvik and Erna HÃ¥land
    Citation: BMC Health Services Research 2019 19:418
  4. Nurse managers encounter a wide range of ethical problems related to patients, staff, the organisation and themselves. However, little is known about the methods they use to try to solve these problems. In thi...

    Authors: Elina Aitamaa, Riitta Suhonen, Pauli Puukka and Helena Leino-Kilpi
    Citation: BMC Health Services Research 2019 19:417
  5. Optimizing the organization of care for community-dwelling frail older people is an important issue in many Western countries. In Belgium, a series of complex, innovative, bottom-up interventions was recently ...

    Authors: Anne-Sophie Lambert, Sophie Ces, Espoir Bwenge Malembaka, Thérèse Van Durme, Anja Declercq and Jean Macq
    Citation: BMC Health Services Research 2019 19:416
  6. Globally, local and frontline HIV service delivery units have been deployed to halt the HIV epidemic. However, with the limited resources, there is a need to understand how these units can deliver their optimu...

    Authors: Xerxes T. Seposo, Ichiro Okubo and Masahide Kondo
    Citation: BMC Health Services Research 2019 19:415
  7. Wales introduced a soft opt-out organ donation system on 1st December 2015 with the aim of improving consent rates. In the first 18 months consent rates improved but the difference could not solely be attribut...

    Authors: Jane Noyes, Leah Mclaughlin, Karen Morgan, Abigail Roberts, Bethan Moss, Michael Stephens and Phillip Walton
    Citation: BMC Health Services Research 2019 19:414
  8. Non-compliance with prescribed treatment is an important cause of preventable mortality and economic burden. Recognition of the factors for non-compliance with the therapeutic orders of specialists from the pe...

    Authors: Soheila Naghavi, Mohammad Hossein Mehrolhassani, Nouzar Nakhaee and Vahid Yazdi-Feyzabadi
    Citation: BMC Health Services Research 2019 19:413
  9. Nigeria has one of the highest rates of maternal mortality in the world (576/100,000 births), with a significant proportion of death attributed to hypertensive disorders in pregnancy (HDPs). High quality anten...

    Authors: Angela Salomon, Salisu Ishaku, Karen R. Kirk and Charlotte E. Warren
    Citation: BMC Health Services Research 2019 19:411
  10. Due to rapidly growing number of old adults and diminishing supportive functions of family in China, the issue of willingness to use institutional care is of high priority, especially for disabled seniors. The...

    Authors: Na Chen, Xin Li, Ni Yuan, Cheng-chao Zhou and Chang-qing Wang
    Citation: BMC Health Services Research 2019 19:410
  11. The role of a pharmacist in primary health care settings of Pakistan is still obscure. Thus, we aimed to demonstrate the pharmacist-led improvements in glycemic, blood pressure and lipid controls in type 2 dia...

    Authors: Zaida Javaid, Unaiza Imtiaz, Imtiaz Khalid, Hamid Saeed, Rehana Qadir Khan, Muhammad Islam, Zikria Saleem, Muhammad Farhan Sohail, Zeeshan Danish, Farah Batool and Naveed Anwer
    Citation: BMC Health Services Research 2019 19:409
  12. A complete enumeration study was conducted to evaluate trends in national practice patterns and direct medical costs for prostate cancer (PCa) in Korea over a 10-year retrospective period using data from the K...

    Authors: Ho Won Kang, Seok-Joong Yun, Jae Il Chung, Hoon Choi, Jae Heon Kim, Ho Song Yu, Yun-Sok Ha, In-Chang Cho, Hyung Joon Kim, Hyun Chul Chung, Jun Sung Koh, Wun-Jae Kim, Jong-Hyock Park, Ji Youl Lee and So-Young Kim
    Citation: BMC Health Services Research 2019 19:408
  13. Studies have noted variations in the cost-effectiveness of school-located influenza vaccination (SLIV), but little is known about how SLIV’s cost-effectiveness may vary by targeted age group (e.g., elementary ...

    Authors: Byung-Kwang Yoo, Stanley J. Schaffer, Sharon G. Humiston, Cynthia M. Rand, Nicolas P. N. Goldstein, Christina S. Albertin, Cathleen Concannon and Peter G. Szilagyi
    Citation: BMC Health Services Research 2019 19:407
  14. There is limited research on the economic burden of low back-related leg pain, including sciatica. The aim of this study was to describe healthcare resource utilisation and factors associated with cost and hea...

    Authors: Jesse Kigozi, Kika Konstantinou, Reuben Ogollah, Kate Dunn, Lewis Martyn and Susan Jowett
    Citation: BMC Health Services Research 2019 19:406
  15. Clinical practice guidelines recommend further testing for people with tetraplegia and signs and symptoms of obstructive sleep apnoea (OSA), followed by treatment with positive airway pressure therapy. Little ...

    Authors: Marnie Graco, David J. Berlowitz and Sally E. Green
    Citation: BMC Health Services Research 2019 19:405
  16. Non-prescription medicines are increasingly used in Germany, aided by prescription-to-non-prescription reclassification (or switch). This study aimed to examine the barriers and enablers to reclassification of...

    Authors: Natalie J. Gauld
    Citation: BMC Health Services Research 2019 19:404
  17. Virtual communities of practice (vCoPs) facilitate online learning via the exchange of experiences and knowledge between interested participants. Compared to other communities, vCoPs need to overcome technolog...

    Authors: Carlos Jesús Bermejo-Caja, Débora Koatz, Carola Orrego, Lilisbeth Perestelo-Pérez, Ana Isabel González-González, Marta Ballester, Valeria Pacheco-Huergo, Yolanda del Rey-Granado, Marcos Muñoz-Balsa, Ana Belén Ramírez-Puerta, Yolanda Canellas-Criado, Francisco Javier Pérez-Rivas, Ana Toledo-Chávarri and Mercedes Martínez-Marcos
    Citation: BMC Health Services Research 2019 19:403
  18. The majority of perinatal deaths occurring in low- and middle- income countries are preventable. South Africa is a middle-income country with consistently high perinatal mortality rates and most factors contri...

    Authors: Ntombifikile Maureen Nkwanyana, Anna Silvia Voce, Sthandwa Octavia Mnqayi, Benn Sartorius and Helen Schneider
    Citation: BMC Health Services Research 2019 19:402
  19. Population segmentation of patients into parsimonious and relatively homogenous subgroups or segments based on healthcare requirements can aid healthcare resource planning and the development of targeted inter...

    Authors: Lian Leng Low, Yu Heng Kwan, Cheryl Ann Ma, Shi Yan, Elian Hui San Chia and Julian Thumboo
    Citation: BMC Health Services Research 2019 19:401
  20. The existence, usage and benefits of digital technologies in nursing care are relevant topics in the light of the current discussion on technologies as possible solutions to problems such as the shortage of sk...

    Authors: Tobias Krick, Kai Huter, Dominik Domhoff, Annika Schmidt, Heinz Rothgang and Karin Wolf-Ostermann
    Citation: BMC Health Services Research 2019 19:400
  21. While several studies have tracked the care paths of patients in the early phases of stroke recovery, studies examining the transition from inpatient to outpatient rehabilitation are lacking. Examining this tr...

    Authors: Shannon Janzen, Magdalena Mirkowski, Amanda McIntyre, Swati Mehta, Jerome Iruthayarajah and Robert Teasell
    Citation: BMC Health Services Research 2019 19:399
  22. A training opportunity in which ongoing education is encouraged is one of the determinants in recruiting and retaining nurses in home-visit nursing care agencies. We investigated the association between ensuri...

    Authors: Noriko Morioka, Suguru Okubo, Yoshie Yumoto and Yasuko Ogata
    Citation: BMC Health Services Research 2019 19:398
  23. Medication charting errors occur often and can be harmful for patients. Interventions to improve charting errors have demonstrated some success particularly if the intervention uses multiple approaches includi...

    Authors: Tony Floyd, Siri MÃ¥rtensson, Jannine Bailey, Derek Kay, Bruce McGarity and Bronwyn K. Brew
    Citation: BMC Health Services Research 2019 19:397
  24. Australia is one of many nations struggling with the challenges of delivering quality primary health care (PHC) to increasing numbers of refugees. The OPTIMISE project represents a collaboration between 12 org...

    Authors: Grant Russell, Nilakshi Gunatillaka, Virginia Lewis, I-Hao Cheng, Joanne Enticott, Geraldine Marsh, Shiva Vasi, Jenny Advocat, Hyun Song, Shoko Saito, Sue Casey, Mitchell Smith and Mark Harris
    Citation: BMC Health Services Research 2019 19:396
  25. Hospital boards have the responsibility to ensure compliance of hospital staff with guidelines and other norms, but they have struggled to do so. The current study aims to identify possible solutions that addr...

    Authors: Louise H. K. Blume, Jamiu O. Busari, Nico J. H. W. van Weert and Diana M. J. Delnoij
    Citation: BMC Health Services Research 2019 19:395
  26. Traditionally, the care of infants in neonatal care units has been professionally centered, paying less attention to family support. In recent years, many interventions have been developed to improve family-ce...

    Authors: Mirka Toivonen, Liisa Lehtonen, Sari Ahlqvist-Björkroth and Anna Axelin
    Citation: BMC Health Services Research 2019 19:394
  27. Environmental impact assessments of pharmaceuticals typically consider only a part of the pharmaceutical supply chain, e.g. tablet formulation. While the environmental impact can be expressed in environmental ...

    Authors: Sam Debaveye, Delphine De Smedt, Bert Heirman, Shane Kavanagh and Jo Dewulf
    Citation: BMC Health Services Research 2019 19:393
  28. Fall prevention is a priority in Canadian tertiary rehabilitation hospitals. We aimed to understand the perspectives of hospital administrators on the challenges experienced when implementing fall prevention p...

    Authors: H. Singh, B. C. Craven, H. M. Flett, C. Kerry, S. B. Jaglal, M. P. Silver and K. E. Musselman
    Citation: BMC Health Services Research 2019 19:391
  29. Transition to adult care represents a vulnerable period for young people with special health care needs as they navigate multiple life transitions and developmental issues. Patient navigators are a promising i...

    Authors: Gina Dimitropoulos, Elizabeth Morgan-Maver, Brooke Allemang, Kyleigh Schraeder, Shannon D. Scott, Jorge Pinzon, Gail Andrew, Gregory Guilcher, Lorraine Hamiwka, Eddy Lang, Kerry McBrien, Alberto Nettel-Aguirre, Daniele Pacaud, Lonnie Zwaigenbaum, Andrew Mackie and Susan Samuel
    Citation: BMC Health Services Research 2019 19:390
  30. The quality of the care relationship between a client and a professional is important in long-term care, as most clients depend on support for a lengthy period. The three largest client groups who receive long...

    Authors: Aukelien Scheffelaar, Michelle Hendriks, Nanne Bos, Katrien Luijkx and Sandra van Dulmen
    Citation: BMC Health Services Research 2019 19:389
  31. There is an increasing number of pediatric urgent care centers that are largely staffed by pediatric residency graduates. It is unclear if pediatric residency adequately prepares a physician to fully and succe...

    Authors: Xian Zhao, Ioannis Koutroulis, Joanna Cohen and Deena Berkowitz
    Citation: BMC Health Services Research 2019 19:388
  32. Australia’s Aboriginal and Torres Strait Islander women have poorer survival and twice the disease burden from breast cancer compared to other Australian women. These disparities are influenced, but not fully ...

    Authors: David Banham, David Roder, Dorothy Keefe, Gelareh Farshid, Marion Eckert, Natasha Howard, Karla Canuto and Alex Brown
    Citation: BMC Health Services Research 2019 19:387
  33. Failure to keep medical appointments results in inefficiencies and, potentially, in poor outcomes for patients. The aim of this study is to describe non-attendance rate and to investigate predictors of non-att...

    Authors: Donna Lykke Wolff, Frans Boch Waldorff, Christian von Plessen, Christian Backer Mogensen, Thomas Lund Sørensen, Kim Christian Houlind, Søren Bie Bogh and Katrine Hass Rubin
    Citation: BMC Health Services Research 2019 19:386
  34. As lower-income countries look to develop a mature healthcare workforce and to improve quality and reduce costs, they are increasingly turning to quality improvement (QI), a widely-used strategy in higher-inco...

    Authors: Jordan A. Albritton, Bruce Fried, Kavita Singh, Bryan J. Weiner, Bryce Reeve and Jeffrey R. Edwards
    Citation: BMC Health Services Research 2019 19:385
  35. When doctors have honest conversations with patients about their illness and involve them in decisions about their care, patients express greater satisfaction with care and lowered anxiety and depression. The ...

    Authors: Tamsin McGlinchey, Stephen Mason, Alison Coackley, Anita Roberts, Maria Maguire, Justin Sanders, Francine Maloney, Susan Block, John Ellershaw and Peter Kirkbride
    Citation: BMC Health Services Research 2019 19:384
  36. Previous studies have shown limited availability of medicines in health facilities in Bangladesh. While medicines are dispensed for free in public facilities, they are paid out-of-pocket in private pharmacies....

    Authors: Lombe Kasonde, David Tordrup, Aliya Naheed, Wu Zeng, Shyfuddin Ahmed and Zaheer-Ud-Din Babar
    Citation: BMC Health Services Research 2019 19:383
  37. In the last years, patients’ empowerment has been increasingly recognized as a crucial dimension of patient-centered healthcare and patient safety. Nevertheless, little work has been done so far in the field o...

    Authors: M. Rimondini, I. M. Busch, M. A. Mazzi, V. Donisi, A. Poli, E. Bovolenta and F. Moretti
    Citation: BMC Health Services Research 2019 19:382
  38. Infection in healthcare facilities is a major public health problem in most developing countries like Ethiopia. Currently the overall incidence of health care associated infection has been increased and burden...

    Authors: Abera Beyamo, Terefe Dodicho and Wolde Facha
    Citation: BMC Health Services Research 2019 19:381
  39. Some health practitioners pose substantial threats to patient safety, yet early identification of them is notoriously difficult. We aimed to develop an algorithm for use by regulators in prospectively identify...

    Authors: Matthew J. Spittal, Marie M. Bismark and David M. Studdert
    Citation: BMC Health Services Research 2019 19:380
  40. Initiating parenteral nutrition (PN) within 24 h in critically ill children is inferior to withholding PN during the first week, as was found in the PEPaNIC study. The aims of this study were to investigate de...

    Authors: Esther van Puffelen, An Jacobs, Charlotte J. M. Verdoorn, Koen F. M. Joosten, Greet van den Berghe, Erwin Ista and Sascha C. A. T. Verbruggen
    Citation: BMC Health Services Research 2019 19:379
  41. To explore the inadequacies of health service and its impact on clinical outcomes of patients with systemic lupus erythematosus (SLE) in China.

    Authors: Le Zhang, Wei Luan, Shikai Geng, Shuang Ye, Xiaodong Wang, Liping Qian, Yang Ding, Ting Li and Anli Jiang
    Citation: BMC Health Services Research 2019 19:378
  42. Past studies have identified that inconvenient access to health clinics is one of the important barriers to health service utilization and health outcomes. However, establishing the link between the lack of ac...

    Authors: Ryoko Sato
    Citation: BMC Health Services Research 2019 19:377
  43. The Patient Enablement Instrument (PEI) is an established patient-reported outcome measure (PROM) that reflects the quality of appointments with general practitioners (GPs). It is a six-item questionnaire admi...

    Authors: Elina Tolvanen, Tuomas H. Koskela and Elise Kosunen
    Citation: BMC Health Services Research 2019 19:376
  44. The levels of knowledge, attitude and practice among primary physicians concerning both diabetic retinopathy screening and treatment of sight threatening diabetic retinopathy have been studied by different gro...

    Authors: Talal Bassam Abu-Amara, Waleed Abdulaziz Al Rashed, Rajiv Khandekar, Hamad Mohammed Qabha, Faris Mohammad Alosaimi, Abdulrahman Abdullah Alshuwayrikh, Mansour Khalid Almadi and Alanoud Alfaris
    Citation: BMC Health Services Research 2019 19:375
  45. Switzerland recently introduced Acute and Transitional Care (ATC) as a new financing option and a preventive measure to mitigate potential side effects of Swiss Diagnosis Related Group (SwissDRG). The goal of ...

    Authors: Tenzin Wangmo, Yvonne Padrutt, Insa Koné, Thomas Gächter, Bernice S. Elger and Agnes Leu
    Citation: BMC Health Services Research 2019 19:374
  46. Hypertension remains one of the leading causes of death in Nigeria. Appropriate and cost-effective treatment of the disease is necessary to reduce mortality. This study evaluates (i) the prescription patterns ...

    Authors: Onyinye Onyeka Akunne and Aduragbenro Deborah A. Adedapo
    Citation: BMC Health Services Research 2019 19:373
  47. Hospital accreditation is widely adopted as a visible measure of an organisation’s quality and safety management standards compliance. There is still inconsistent evidence regarding the influence of hospital a...

    Authors: Viera Wardhani, Jitse Pieter van Dijk and Adi Utarini
    Citation: BMC Health Services Research 2019 19:372
  48. The aim of this study was to assess the accuracy and quality of immunization data on the pentavalent (diphtheria, pertussis, tetanus, hepatitis B and Haemophilus influenzae type B (Hib)) and MMR vaccines as the a...

    Authors: Manoochehr Karami, Salman Khazaei, Abbas Babaei, Fatemeh Abdoli Yaghini, Mohammad Mehdi Gouya and Seyed Mohsen Zahraei
    Citation: BMC Health Services Research 2019 19:371
  49. Waiting times for elective treatments, including elective surgery, are a source of public concern and therefore are on policy makers’ agenda. The long waiting times have often been tackled through the allocati...

    Authors: Daniel Adrian Lungu, Tommaso Grillo Ruggieri and Sabina Nuti
    Citation: BMC Health Services Research 2019 19:369