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  1. Rural communities have unique economic and social structures, different disease burdens, and a more patchworked healthcare delivery system compared to urban counterparts. Yet research into addressing social de...

    Authors: Kim Nichols Dauner and Lacey Loomer
    Citation: BMC Health Services Research 2021 21:867
  2. Timely diagnosis and early initiation of life-saving antiretroviral therapy are critical factors in preventing mortality among HIV-infected infants. However, resource-limited settings experience numerous chall...

    Authors: Win Lei Yee, Hla Htay, Yasmin Mohamed, Claire E. Nightingale, Htay Htay Tin, Win Thein, Latt Latt Kyaw, Win Win Yee, Moe Myat Aye, Steven G. Badman, Andrew J. Vallely, David Anderson, Angela Kelly-Hanku and Stanley Luchters
    Citation: BMC Health Services Research 2021 21:863
  3. Leadership, management, and governance (LMG) interventions play a significant role in improving management systems, enhancing the work climate, and creating responsive health systems. Hence, the Ethiopian Mini...

    Authors: Mesele Damte Argaw, Binyam Fekadu Desta, Sualiha Abdlkader Muktar, Wondwosen Shiferaw Abera, Ismael Ali Beshir, Israel Ataro Otoro, Asegid Samuel, Deirdre Rogers and Kristin Eifler
    Citation: BMC Health Services Research 2021 21:862
  4. Over the past decade, global health policy has increased its focus on measures to halt further increase in tuberculosis (TB) incidence and management of diabetes mellitus (DM). However, the vertical management...

    Authors: Rita Suhuyini Salifu and Khumbulani W. Hlongwana
    Citation: BMC Health Services Research 2021 21:861
  5. The Covid-19 pandemic has so far infected more than 30 million people in the world, having major impact on global health with collateral damage. In Mozambique, a public state of emergency was declared at the e...

    Authors: Paulo Henrique das Neves Martins Pires, Cynthia Macaringue, Ahmed Abdirazak, Jaibo Rassul Mucufo, Martins Abudo Mupueleque, David Zakus, Ronald Siemens and Celso Fernando Belo
    Citation: BMC Health Services Research 2021 21:860
  6. The pharmacist’s role shifts from dispensing to bedside care, resulting in better patient health outcomes. Pharmacists in developed countries ensure rational drug use, improve clinical outcomes, and promote he...

    Authors: Ali Ahmed, Muhammad Saqlain, Maria Tanveer, Ali Qais Blebil, Juman Abdulelah Dujaili and Syed Shahzad Hasan
    Citation: BMC Health Services Research 2021 21:859
  7. All evidence-based knowledge and improvement strategies for quality care must be implemented so patients can benefit from them. In Germany, national expert standards (NES) contribute to quality care in nursing...

    Authors: Anja Siegle, Friederike Zu Sayn-Wittgenstein and Martina Roes
    Citation: BMC Health Services Research 2021 21:858
  8. A good understanding of the demand for malaria rapid diagnostic test (MRDT), malaria health care-seeking behavior, and drug use among community members is crucial to malaria control efforts. The aim of this st...

    Authors: Ugwu I. Omale, Onyinyechukwu U. Oka, Ifeyinwa M. Okeke, Benedict N. Azuogu, Chihurumnanya Alo, Ugochukwu C. Madubueze, Irene I. Eze, Kingsley C. Okeke, Rowland Utulu, Uduak E. Akpan, Chijioke V. Iloke, Anthonia O. Nnubia, Desi O. Ibemesi, Chukwuka R. Nnabu and Ogechukwu C. Anene
    Citation: BMC Health Services Research 2021 21:857
  9. China started to cover novel medicines for the treatment of major cancers, such as trastuzumab for breast cancer by the government health insurance programs since 2016. Limited data have been published on the ...

    Authors: Yifan Diao, Mengbo Lin, Kai Xu, Ji Huang, Xiongwei Wu, Mingshuang Li, Jing Sun and Hong Li
    Citation: BMC Health Services Research 2021 21:856
  10. COVID-19 pandemic has resulted in global health and economic crisis. We investigated the experiences of frontline health care workers recovering from COVID-19 in Lagos State Nigeria.

    Authors: Ayi Vandi Kwaghe, Olayinka Stephen Ilesanmi, Peter Okpeh Amede, James Olatunde Okediran, Rowland Utulu and Muhammad Shakir Balogun
    Citation: BMC Health Services Research 2021 21:855
  11. A significant concern for rural patients is the cost of travel outside of their community for specialist and diagnostic care. Often, these costs are transferred to patients and their families, who also experie...

    Authors: Jude Kornelsen, Asif Raza Khowaja, Gal Av-Gay, Eva Sullivan, Anshu Parajulee, Marjorie Dunnebacke, Dorothy Egan, Mickey Balas and Peggy Williamson
    Citation: BMC Health Services Research 2021 21:854
  12. The need for interprofessional collaboration has been emphasized by health organizations. This study was part of a mixed-methods evaluation of interprofessional teamwork modules implementation in an emergency ...

    Authors: Jenny Liu, Sari Ponzer, Nasim Farrokhnia and Italo Masiello
    Citation: BMC Health Services Research 2021 21:853
  13. The aim of this study is to describe the adherence to the Bedside Pediatric Early Warning System (BedsidePEWS) escalation protocol in children admitted to hospital wards in a large tertiary care children’s hos...

    Authors: Orsola Gawronski, Federico Ferro, Corrado Cecchetti, Marta Ciofi Degli Atti, Immacolata Dall’Oglio, Emanuela Tiozzo and Massimiliano Raponi
    Citation: BMC Health Services Research 2021 21:852
  14. The aim was to investigate attitudes and stressors related to the SARS-CoV-2 outbreak among emergency medical services (EMS) workers in Germany. We further aimed to detect possible changes within a 5-week peri...

    Authors: Annegret Dreher, Frank Flake, Reinhard Pietrowsky and Adrian Loerbroks
    Citation: BMC Health Services Research 2021 21:851
  15. Understanding how socioeconomic factors influence maternal health services utilization is crucial to reducing preventable maternal deaths in the DRC. Maternal education is considered an important associate of ...

    Authors: Hanyu Wang, Eric Frasco, Rie Takesue and Kun Tang
    Citation: BMC Health Services Research 2021 21:850
  16. Primary health care is subject to regional variation, which may be due to unequal and inefficient distribution of services. One key measure of such variation are potentially avoidable hospitalisations, i.e., h...

    Authors: Niklaus Gygli, Franziska Zúñiga and Michael Simon
    Citation: BMC Health Services Research 2021 21:849
  17. In Saskatchewan, Canada, Indigenous cancer care services at the municipal, provincial, and federal levels are intended to improve quality care but can result in a complex, fragmented, and multi-jurisdictional ...

    Authors: Jennifer R. Sedgewick, Anum Ali, Andreea Badea, Tracey Carr and Gary Groot
    Citation: BMC Health Services Research 2021 21:848
  18. First studies indicate that up to 6 months after hospital discharge, coronavirus disease 2019 (COVID-19) causes severe physical, cognitive, and psychological impairments, which may affect participation and hea...

    Authors: L. Martine Bek, Julia C. Berentschot, Merel E. Hellemons, Susanne M. Huijts, Joachim G. J. V. Aerts, Jasper van Bommel, Michel E. van Genderen, Diederik A. M. P. J. Gommers, Gerard M. Ribbers, Majanka H. Heijenbrok-Kal and Rita J. G. van den Berg-Emons
    Citation: BMC Health Services Research 2021 21:847
  19. The PAGE-B score (Platelet Age GEnder–HBV) selects chronic hepatitis B (cHB) patients showing no relevant 5-year risk for hepatocellular carcinoma (HCC). We, therefore, explored potential cost reduction follow...

    Authors: Martin F. Sprinzl, Christina Feist, Sandra Koch, Wolfgang M. Kremer, Karl J. Lackner, Arndt Weinmann and Peter R. Galle
    Citation: BMC Health Services Research 2021 21:846
  20. Demands for both customization and standardization are increasing in healthcare. At the same time, resources are scarce, and healthcare managers are urged to improve efficiency. A framework of three value configu...

    Authors: Christian Colldén, Andreas Hellström and Ida Gremyr
    Citation: BMC Health Services Research 2021 21:845
  21. Penta3 coverage in Nigeria was low at 33 % in 2017. The most reported reason for non-vaccination was lack of knowledge about the immunization place, time, and need. To address knowledge gaps and improve vaccin...

    Authors: Chisom Obi-Jeff, Cristina Garcia, Obinna Onuoha, Funmi Adewumi, Winnie David, Tobi Bamiduro, Abdulrasheed Bello Aliyu, Alain Labrique and Chizoba Wonodi
    Citation: BMC Health Services Research 2021 21:844
  22. Allocation of limited resources to improve quality, patient safety, and outcomes is a decision-making challenge health care leaders face every day. While much valuable health care management research has conce...

    Authors: Susan P. McGrath, Todd MacKenzie, Irina Perreard and George Blike
    Citation: BMC Health Services Research 2021 21:843
  23. A stronger safety climate in nursing homes may reduce avoidable adverse events. Yet efforts to strengthen safety climate may fail if nursing homes are not ready to change. To inform improvement efforts, we exa...

    Authors: Emma D. Quach, Lewis E. Kazis, Shibei Zhao, Pengsheng Ni, Valerie A. Clark, Sarah E. McDannold and Christine W. Hartmann
    Citation: BMC Health Services Research 2021 21:842
  24. Cervical cancer is the second most common female malignant tumor in the world. According to a study in 2018, the incidence of cervical cancer in Yunnan Province of China was 11.42 per 100,000, the mortality ra...

    Authors: Min Zhao, Lei Luo, Chun-hong zhang, Jin-ping zhang, Jia-yan Yuan, Rong-yan Gu and Song-rui Ding
    Citation: BMC Health Services Research 2021 21:841
  25. The increased prevalence of chronic diseases and an ageing population challenge healthcare delivery, particularly hospital-based care. To address this issue, health policy aims to decentralize healthcare by tr...

    Authors: Helle Krone-Hjertstrøm, Bente Norbye, Birgit Abelsen and Aud Obstfelder
    Citation: BMC Health Services Research 2021 21:840
  26. It is the responsibility of healthcare regulators to ensure healthcare professionals remain fit for practice in healthcare settings. If there are concerns about an individual healthcare professional they may u...

    Authors: Jill Maben, Linda Hoinville, Dawn Querstret, Cath Taylor, Magdalena Zasada and Ruth Abrams
    Citation: BMC Health Services Research 2021 21:839
  27. Understanding the cost of care associated with different kinds of healthcare providers is necessary for informing the policy debates in mixed health-systems like India’s. Existing studies reporting Out of Pock...

    Authors: Samir Garg, Narayan Tripathi, Alok Ranjan and Kirtti Kumar Bebarta
    Citation: BMC Health Services Research 2021 21:838
  28. Randomised controlled trials, and in particular those of psychosocial interventions, often fail to recruit to target, resulting in underpowered trials with poor generalisability of findings. The objectives of ...

    Authors: Trefor Aspden, Megan Armstrong and Marc Serfaty
    Citation: BMC Health Services Research 2021 21:837
  29. Patients diagnosed with inflammatory bowel disease may be treated with biologics, depending on several medical and non-medical factors. This study investigated healthcare costs and production values of patient...

    Authors: Sarah Alulis, Kasper Vadstrup, Jens Olsen, Tine Rikke Jørgensen, Niels Qvist, Pia Munkholm and Andras Borsi
    Citation: BMC Health Services Research 2021 21:836
  30. The objective is to examine hospital cost accounts to understand the foundation upon which healthcare decisions are based. More specifically, the aim is to add insights to accounting practices and their applic...

    Authors: Margit Malmmose and Jogvan Pauli Lydersen
    Citation: BMC Health Services Research 2021 21:835
  31. Poor medication adherence is an extraordinarily common problem worldwide that contributes to inadequate control of many chronic diseases, including Hypertension (HT). Globally, less than 14% of the estimated 1...

    Authors: Anbrasi Edward, Brady Campbell, Frank Manase and Lawrence J. Appel
    Citation: BMC Health Services Research 2021 21:834
  32. To identify the patterns of antibiotic use and irrational antibiotic prescriptions in primary healthcare institutions (PHIs) in Dongcheng District of Beijing, China.

    Authors: Yumiti Taxifulati, Haishaerjiang Wushouer, Mengyuan Fu, Yue Zhou, Kexin Du, Xi Zhang, Yaoyao Yang, Bo Zheng, Xiaodong Guan and Luwen Shi
    Citation: BMC Health Services Research 2021 21:832
  33. This study aimed to assess health facilities’ readiness to provide safe surgical care during Ebola and COVID-19 era in Uganda and in the Eastern DR Congo.

    Authors: Franck Katembo Sikakulya, Robinson Ssebuufu, Albert Ahuka Ona Longombe, Xaviour Francis Okedi, Michel Kalongo Ilumbulumbu, Moise Muhindo Valimungighe, Furaha Nzanzu Blaise Pascal, Bienfait Mumbere Vahwere, Simon Binezero Mambo, Yusuf Mulumba, Anderson Muhindo Muhasa Muyisa, Fatuma Djuma Sonia, John Sekabira, Jane O. Fualal and Patrick Kyamanywa
    Citation: BMC Health Services Research 2021 21:831
  34. Undocumented migrants face many hardships in their everyday life such as poor living conditions, discrimination, and lack of access to healthcare. Previous studies have demonstrated considerable health care ne...

    Authors: Hatem Mona, Lena M.C. Andersson, Anders Hjern and Henry Ascher
    Citation: BMC Health Services Research 2021 21:830
  35. It is well acknowledged that India’s community health workers known as Accredited Social Health Activists (ASHA) are the bedrock of its health system. Many ASHAs are currently working in fragile and conflict-a...

    Authors: Preety R Rajbangshi, Devaki Nambiar and Aradhana Srivastava
    Citation: BMC Health Services Research 2021 21:829
  36. The complexity of chronic obstructive pulmonary disease (COPD) and its different physical, mental, familial, occupational, and social complications highlight the necessity of pulmonary rehabilitation (PR) for ...

    Authors: Ramin Sami, Kobra Salehi, Marzieh Hashemi and Vajihe Atashi
    Citation: BMC Health Services Research 2021 21:828
  37. The shortage of medicines represents a complex global phenomenon that triggers patient care and safety issues. The study was undertaken to explore the impact of medicines shortages on patients in Pakistan. The...

    Authors: Muhammad Atif, Azka Sehar, Iram Malik, Irem Mushtaq, Nafees Ahmad and Zaheer-Ud-Din Babar
    Citation: BMC Health Services Research 2021 21:827
  38. Follow-up visits with clinic providers after hospital discharge may not be feasible for some patients due to functional limitations, transportation challenges, need for physical distancing, or fear of exposure...

    Authors: Huong Q. Nguyen, Aileen Baecker, Timothy Ho, Dan N. Huynh, Heather L. Watson, Jing Li and Ernest Shen
    Citation: BMC Health Services Research 2021 21:826
  39. Health systems across the world have implemented reforms that call for a reconsideration of the role of management in hospitals, which is increasingly seen as important for performance. These reorganisation ef...

    Authors: PÃ¥l E. Martinussen and Tonje Davidsen
    Citation: BMC Health Services Research 2021 21:825
  40. Glaucoma is a disease characterized by progressive damage of the optic nerve. Several therapeutic options are available to lower intraocular pressure (IOP). In primary open-angle glaucoma (POAG) patients with ...

    Authors: Antonio Maria Fea, Francesco Cattel, Stefano Gandolfi, Giorgio Buseghin, Gianluca Furneri and Ciro Costagliola
    Citation: BMC Health Services Research 2021 21:824
  41. In 2017, the Kenyan Ministry of Health integrated provision of pre-exposure prophylaxis (PrEP) into public HIV-1 care clinics as a key component of the national HIV-1 prevention strategy. Estimates of the cost...

    Authors: Kathryn Peebles, Kenneth K. Mugwanya, Elizabeth Irungu, Josephine Odoyo, Elizabeth Wamoni, Jennifer F. Morton, Kenneth Ngure, Elizabeth A. Bukusi, Nelly R. Mugo, Sarah Masyuko, Irene Mukui, Jared M. Baeten and Ruanne V. Barnabas
    Citation: BMC Health Services Research 2021 21:823
  42. Since the introduction of pharmaceutical care concept by Hepler and Strand in 1990, community pharmacists worldwide have been realigning their roles from being product-focused to patient-orientated to improve ...

    Authors: Pengyeow Loh, Siew Siang Chua and Mahmathi Karuppannan
    Citation: BMC Health Services Research 2021 21:822
  43. Care bundles are a set of three to five evidence-informed practices which, when performed collectively and reliably, may improve health system performance and patient care. To date, many studies conducted to i...

    Authors: Befikadu Bitewulign, Dereje Abdissa, Zewdie Mulissa, Abiyou Kiflie, Mehiret Abate, Abera Biadgo, Haregeweyni Alemu, Meseret Zelalem, Munir Kassa, Gareth Parry and Hema Magge
    Citation: BMC Health Services Research 2021 21:821
  44. Electronic Medical Records (EMRs) are a rich data source to measure and improve quality of care. As Canadian primary health care (PHC) EMRs mature, there is increasing potential use of EMR data for performance...

    Authors: Erica Barbazza, Sara Allin, Mary Byrnes, Andrea D Foebel, Tanya Khan, Patricia Sidhom, Niek S Klazinga and Dionne S Kringos
    Citation: BMC Health Services Research 2021 21:820
  45. The challenges of providing and accessing quality health care in rural regions have long been identified. Innovative solutions are not only required but are also vital if effective, timely and equitable access...

    Authors: Elena Wilson, Lisa C. Hanson, Kathleen E. Tori and Byron M. Perrin
    Citation: BMC Health Services Research 2021 21:819
  46. Birth preparedness could be the key factor that influences the choice of birthplace with skilled birth attendants. To reduce the high maternal mortality of Tanzania, a large study was planned to develop a smar...

    Authors: Yoko Shimpuku, Beatrice Mwilike, Keiko Ito, Dorkasi Mwakawanga, Naoki Hirose and Kazumi Kubota
    Citation: BMC Health Services Research 2021 21:818
  47. In New South Wales (NSW), Australia there are three settings available for women at low risk of complications to give birth: home, birth centre and hospital. Between 2000 and 2012, 93.6% of babies were planned...

    Authors: Vanessa L. Scarf, Serena Yu, Rosalie Viney, Seong Leang Cheah, Hannah Dahlen, David Sibbritt, Charlene Thornton, Sally Tracy and Caroline Homer
    Citation: BMC Health Services Research 2021 21:816
  48. Artificial Intelligence (AI) innovations in radiology offer a potential solution to the increasing demand for imaging tests and the ongoing workforce crisis. Crucial to their adoption is the involvement of dif...

    Authors: Yaru Chen, Charitini Stavropoulou, Radhika Narasinkan, Adrian Baker and Harry Scarbrough
    Citation: BMC Health Services Research 2021 21:813