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  1. Urinary tract infections (UTIs) are among the most common infections that require antibiotic therapy. In December 2015, new guidelines for UTI management were published in France with the aim of reducing antib...

    Authors: Arthur Piraux, Sébastien Faure, Kurt G. Naber, Jakhongir F. Alidjanov and Aline Ramond-Roquin
    Citation: BMC Health Services Research 2021 21:612
    Content type: Research Published on:

  2. The causes and consequences of childhood obesity are complex and multifaceted. Therefore, an integrated care approach is required to address weight-related issues and improve children’s health, societal partic...

    Authors: L. W. Koetsier, M. M. A. van Mil, M. M. A. Eilander, E. van den Eynde, C. A. Baan, J. C. Seidell and J. Halberstadt
    Citation: BMC Health Services Research 2021 21:611
    Content type: Research Published on:

  3. ‘Whole-person’ palliative approaches to care (PAC) are important for enhancing the quality of life of residents with life-limiting conditions in long-term care (LTC). This research is part of a larger, four pr...

    Authors: Denise Cloutier, Kelli I. Stajduhar, Della Roberts, Carren Dujela and Kaitlyn Roland
    Citation: BMC Health Services Research 2021 21:610
    Content type: Research Published on:

  4. Transgender, or trans, people experience a number of barriers to accessing gender-affirming healthcare and have a range of barriers and facilitators to primary care and specialist services, commonly citing dis...

    Authors: Talen Wright, Emily Jay Nicholls, Alison J Rodger, Fiona M Burns, Peter Weatherburn, Roger Pebody, Leanne McCabe, Aedan Wolton, Mitzy Gafos and T. Charles Witzel
    Citation: BMC Health Services Research 2021 21:609
    Content type: Research Published on:

  5. Acceptability is recognised as a key concept in the development of health interventions, but there has been a lack of consensus about how acceptability should be conceptualised. The theoretical framework of ac...

    Authors: Y. Kiera Bartlett, Cassandra Kenning, Jack Crosland, Nikki Newhouse, Lisa M. Miles, Veronika Williams, Jenny McSharry, Louise Locock, Andrew J. Farmer and David P. French
    Citation: BMC Health Services Research 2021 21:608
    Content type: Research Published on:

  6. Self-referral leads to diminished quality of health care service; increase resource depletion and poorer patient outcomes. However, a significant number of patients referred themselves to the higher health car...

    Authors: Tigist Misganaw Abere, Desta Debalkie Atnafu and Yaread Mulu
    Citation: BMC Health Services Research 2021 21:607
    Content type: Research Published on:

  8. Authors: Sayaka Horiuchi, Sommana Rattana, Bounnack Saysanasongkham, Outhevanh Kounnavongsa, Shogo Kubota, Mariko Inoue and Kazue Yamaoka
    Citation: BMC Health Services Research 2021 21:605
    Content type: Correction Published on:

    The original article was published in BMC Health Services Research 2021 21:460

  9. Communities represent a highly relevant source of knowledge with regard to not only healthcare performance but also sociocultural context, yet their role in learning health systems has not been studied. Situat...

    Authors: Crystal Milligan and Whitney Berta
    Citation: BMC Health Services Research 2021 21:603
    Content type: Research article Published on:

  10. Health systems are facing unprecedented socioeconomic pressures as well as the need to cope with the ongoing strain brought about by the COVID-19 pandemic. In response, the reconfiguration of health systems to...

    Authors: Justin Avery Aunger, Ross Millar and Joanne Greenhalgh
    Citation: BMC Health Services Research 2021 21:602
    Content type: Research Published on:

  11. The COVID-19 pandemic has highlighted important needs in water, sanitation and hygiene (WASH) services and standard practices for infection prevention and control in sub-Saharan Africa. We assessed the availab...

    Authors: Mufaro Kanyangarara, Savannah Allen, Safia S Jiwani and David Fuente
    Citation: BMC Health Services Research 2021 21:601
    Content type: Research article Published on:

  12. In order to solve the problem of “expensive medical treatment and difficult medical treatment” for patients and improve the equity of medical services, China started the health-care reform in 2009, and propose...

    Authors: Qingqing Yuan, Yuxuan Wu, Furong Li, Min Yang, Dandi Chen and Kun Zou
    Citation: BMC Health Services Research 2021 21:600
    Content type: Research article Published on:

  13. An existing hospital avoidance program, the Aged Care Rapid Response Team (ARRT), rapidly delivers geriatric outreach services to acutely unwell or older people with declining health at risk of hospitalisation...

    Authors: Luke Testa, Tayhla Ryder, Jeffrey Braithwaite and Rebecca J. Mitchell
    Citation: BMC Health Services Research 2021 21:599
    Content type: Research article Published on:

  14. Patients with schizophrenia spectrum diagnoses have a poor prognostic outlook and rates of recovery. Inpatient care is common, but the decision to initiate such care is not solely up to the patient but also in...

    Authors: Maria Skott, Natalie Durbeej, Maria Smitmanis-Lyle, Clara Hellner, Emelie Allenius, Sigrid Salomonsson, Tobias Lundgren, Nitya Jayaram-Lindström and Alexander Rozental
    Citation: BMC Health Services Research 2021 21:598
    Content type: Research Published on:

  15. One way in which care for pregnant and postpartum women living with long-term health conditions (LTCs) may be improved is through the adoption of standardised measures to provide evidence of health outcomes an...

    Authors: Laura Kelly, Jennifer J. Kurinczuk, Oliver Rivero-Arias, Ray Fitzpatrick, Elizabeth Gibbons and Fiona Alderdice
    Citation: BMC Health Services Research 2021 21:597
    Content type: Research Published on:

  16. Testing for recent HIV infection can distinguish recently acquired infection from long-standing infections. Given current interest in the implementation of recent infection testing algorithms (RITA), we report...

    Authors: Mariken M. de Wit, Brian Rice, Kathryn Risher, Susie Welty, Wanjiru Waruiru, Sitholubuhle Magutshwa, John Motoku, Daniel Kwaro, Benard Ochieng, Georges Reniers, Frances Cowan, George Rutherford, James R. Hargreaves and Gary Murphy
    Citation: BMC Health Services Research 2021 21:596
    Content type: Research Published on:

  17. Health care personnel who work in penitentiary environments are at risk of burnout due to a variety of factors. Latest research have brought forward a classification system consisting of five burnout profiles ...

    Authors: Stéphanie Boulier, Cédric Baumann, Hélène Rousseau, Pierre Horrach and Stéphanie Bourion-Bédès
    Citation: BMC Health Services Research 2021 21:595
    Content type: Research article Published on:

  18. Increasing the performance of routine health information systems (RHIS) is an important policy priority both globally and in Senegal. As RHIS data become increasingly important in driving decision-making in Se...

    Authors: Pierre Muhoza, Haneefa Saleem, Adama Faye, Ibrahima Gaye, Roger Tine, Abdoulaye Diaw, Alioune Gueye, Almamy Malick Kante, Andrea Ruff and Melissa A. Marx
    Citation: BMC Health Services Research 2021 21:594
    Content type: Research Published on:

  19. Depression is one of the key factors contributing to difficulties in one’s ability to work, and serves as one of the major reasons why employees apply for psychotherapy and receive insurance subsidization of t...

    Authors: A. Heissel, J. Bollmann, M. Kangas, K. Abdulla, M. Rapp and A. Sanchez
    Citation: BMC Health Services Research 2021 21:593
    Content type: Research Published on:

  20. Few studies have assessed the impact of clinical decision support (CDS), with or without shared decision-making tools (SDMTs), on patients’ perceptions of cancer screening or prevention in primary care setting...

    Authors: Daniel M. Saman, Ella A. Chrenka, Melissa L. Harry, Clayton I. Allen, Laura A. Freitag, Stephen E. Asche, Anjali R. Truitt, Heidi L. Ekstrom, Patrick J. O’Connor, JoAnn M. Sperl-Hillen, Jeanette Y. Ziegenfuss and Thomas E. Elliott
    Citation: BMC Health Services Research 2021 21:592
    Content type: Research article Published on:

  21. Family caregivers are key actors in the ageing society. They are mediators between practitioners and patients and usually provide also essential daily services for the elders. However, till now, few services h...

    Authors: Guendalina Graffigna, Eleonora Gheduzzi, Niccolò Morelli, Serena Barello, Massimo Corbo, Valeria Ginex, Roberta Ferrari, Andrea Lascioli, Carolina Feriti and Cristina Masella
    Citation: BMC Health Services Research 2021 21:591
    Content type: Research article Published on:

  22. There have been a major advance made in screening, early diagnosis, and prompt treatment of Diabetic Retinopathy among Person living with diabetes (PLWD). However, screening services remain a challenge in Low-...

    Authors: Bridgid Akrofi, John Tetteh, Kwesi N. Amissah-Arthur, Eileen N.A. Buxton and Alfred Yawson
    Citation: BMC Health Services Research 2021 21:590
    Content type: Research Published on:

  23. In designing, adapting, and integrating mental health interventions, it is pertinent to understand patients’ needs and their own perceptions and values in receiving care. Conjoint analysis (CA) and discrete ch...

    Authors: Anna Larsen, Albert Tele and Manasi Kumar
    Citation: BMC Health Services Research 2021 21:589
    Content type: Research article Published on:

  24. A key characteristic of healthcare systems that deliver high quality and cost performance in a sustainable way is a systematic approach to capacity and capability building for quality improvement. The aim of t...

    Authors: Peter D. Hibbert, Martin Basedow, Jeffrey Braithwaite, Louise K. Wiles, Robyn Clay-Williams and Robert Padbury
    Citation: BMC Health Services Research 2021 21:588
    Content type: Research article Published on:

  25. Authors: Eva S. van den Ende, Bo Schouten, Marjolein N. T. Kremers, Tim Cooksley, Chris P. Subbe, Immo Weichert, Louise S. van Galen, Harm R. Haak, John Kellett, Jelmer Alsma, Victoria Siegrist, Mark Holland, Erika F. Christensen, Colin A. Graham, Ling Yan LEUNG, Line E. Laugesen…
    Citation: BMC Health Services Research 2021 21:586
    Content type: Correction Published on:

    The original article was published in BMC Health Services Research 2021 21:474

  26. Adherence to heart failure (HF) self-care behaviours has been found to be effective for alleviating illness symptoms, increasing quality of life and reducing hospital re-admissions and mortality. However, many...

    Authors: Oliver Rudolf Herber, Isabell Ehringfeld, Paula Steinhoff and Amanda Whittal
    Citation: BMC Health Services Research 2021 21:585
    Content type: Research Published on:

  27. Although the equitable distribution of diabetic retinopathy (DR) services across Ghana remains paramount, there is currently a poor understanding of nationwide DR treatment services. This study aims to conduct...

    Authors: Agatha Mensah-Debrah, Kwesi Nyan Amissah Arthur, David Ben Kumah, Kwadwo Owusu Akuffo, Isaiah Osei Duah and Covadonga Bascaran
    Citation: BMC Health Services Research 2021 21:584
    Content type: Research Published on:

  28. Few European smokers receive professional counselling when attempting to quit smoking, resulting in suboptimal success rates and poor health outcomes. Healthcare providers in general practice play an important...

    Authors: Naomi A. van Westen-Lagerweij, Elisabeth G. Meeuwsen, Esther A. Croes, Eline Meijer, Niels H. Chavannes and Marc C. Willemsen
    Citation: BMC Health Services Research 2021 21:583
    Content type: Research Published on:

  29. Rates of end-stage kidney disease in Australia are highest in the Northern Territory (NT), with the burden of disease heaviest in remote areas. However, the high cost of delivering dialysis services in remote ...

    Authors: Gillian Gorham, Kirsten Howard, Joan Cunningham, Federica Barzi, Paul Lawton and Alan Cass
    Citation: BMC Health Services Research 2021 21:582
    Content type: Research Published on:

  30. Decentralization of healthcare services has been widely utilized, especially in developing countries, to improve the performance of healthcare systems by increasing the access and efficiency of service deliver...

    Authors: Bandar Noory, Sara Hassanain, Jeffrey Edwards and Benedikte V. Lindskog
    Citation: BMC Health Services Research 2021 21:581
    Content type: Research article Published on:

  31. The French healthcare system is characterised by a shift towards outpatient care and the desire to develop telemedicine affirmed in the collective commitment “Ma santé 2022” presented by President Macron in 20...

    Authors: Corinne Rochette, Anne Sophie Michallet, Stéphanie Malartre-Sapienza and Sophie Rodier
    Citation: BMC Health Services Research 2021 21:580
    Content type: Research article Published on:

  32. The COVID-19 pandemic has a significant impact on health care processes. Precautions such as restrictions imposed on visitors and social distancing have led to multiple challenges, particularly in terms of com...

    Authors: Sabahat Ölcer, Mohamed Idris¹, Yüce Yilmaz-Aslan and Patrick Brzoska
    Citation: BMC Health Services Research 2021 21:579
    Content type: Research Published on:

  33. The COVID-19 pandemic impedes therapy and care activities. Tele-health, i.e., the provision of health care at a distance (HCD), is a promising way to fill the supply gap. However, facilitators and barriers inf...

    Authors: Verena Klamroth-Marganska, Michael Gemperle, Thomas Ballmer, Susanne Grylka-Baeschlin, Jessica Pehlke-Milde and Brigitte E. Gantschnig
    Citation: BMC Health Services Research 2021 21:578
    Content type: Research article Published on:

  34. To describe the ethical issues and experiences of scientists conducting mixed methods health services research and to advance empirical and conceptual discussion on ethical integrity in mixed methods health re...

    Authors: Nicole A. Stadnick, Cheryl N. Poth, Timothy C. Guetterman and Joseph J. Gallo
    Citation: BMC Health Services Research 2021 21:577
    Content type: Research Published on:

  35. Health care funding reforms are being used worldwide to improve system performance but may invoke unintended consequences. We assessed the effects of introducing a targeted hospital funding model, based on fix...

    Authors: Daniel Pincus, Jessica Widdifield, Karen S. Palmer, J. Michael Paterson, Alvin Li, Anjie Huang, David Wasserstein, Lauren Lapointe-Shaw, Adalsteinn Brown, Monica Taljaard and Noah M. Ivers
    Citation: BMC Health Services Research 2021 21:576
    Content type: Research article Published on:

  36. In recent years, there has been a growing interest in health care personalization and customization (i.e. personalized medicine and patient-centered care). While some positive impacts of these approaches have ...

    Authors: Etienne Minvielle, Aude Fourcade, Thomas Ricketts and Mathias Waelli
    Citation: BMC Health Services Research 2021 21:575
    Content type: Research article Published on:

  37. Stress urinary incontinence (SUI) is common among women and affects their quality of life. Pelvic floor muscle training is an effective conservative therapy, but only a minority of women seek help. E-health wi...

    Authors: Lotte Firet, Theodora Alberta Maria Teunissen, Rudolf Bertijn Kool, Lukas van Doorn, Manal Aourag, Antoinette Leonarda Maria Lagro-Janssen and Willem Jan Jozef Assendelft
    Citation: BMC Health Services Research 2021 21:574
    Content type: Research Published on:

  38. During the past decade there has been some evaluation of transition programmes for adolescents with chronic conditions. However, this has rarely involved process evaluations focusing on mechanisms leading to o...

    Authors: Markus Saarijärvi, Lars Wallin, Philip Moons, Hanna Gyllensten and Ewa-Lena Bratt
    Citation: BMC Health Services Research 2021 21:573
    Content type: Research article Published on:

  39. Understanding the differential utilization of healthcare services is essential to address the public health challenges. Through the migration process, refugees move from one set of health risk factors to anoth...

    Authors: Jasmin Haj-Younes, Elisabeth Marie Strømme, Jannicke Igland, Eirik Abildsnes, Bernadette Kumar, Wegdan Hasha and Esperanza Diaz
    Citation: BMC Health Services Research 2021 21:572
    Content type: Research article Published on:

  40. Effective implementation processes play a central role in health care organizations and affect the care of patients. Managers are pivotal in facilitating the use of new practices, but their experience and how ...

    Authors: Anette Granberg, Marie Matérne, Lars-Olov Lundqvist and Anna Duberg
    Citation: BMC Health Services Research 2021 21:571
    Content type: Research article Published on:

  42. Mental disorders impose heavy burdens on patients’ families and children. It is imperative to provide family-focused services to avoid adverse effects from mental disorders on patients’ families and children. ...

    Authors: Hao Yao, Lili Guan, Changchun Zhang, Yang Pan, Jinxiang Han, Rui He, Zhengjiao Chang, Tianhang Zhou, Chunyu Du, Tingfang Wu, Jingwen Sun, Yilin Yuan, Darryl Maybery and Hong Ma
    Citation: BMC Health Services Research 2021 21:569
    Content type: Research article Published on:

  43. The epidemiology and cost of surgical care delivery in low-and middle-income countries (LMICs) is poorly understood. This study characterizes the cost of surgical care, rate of catastrophic medical expenditure...

    Authors: Obieze Nwanna–Nzewunwa, Rasheedat Oke, Esther Agwang, Mary-Margaret Ajiko, Christopher Yoon, Melissa Carvalho, Fred Kirya, Elliot Marseille and Rochelle A. Dicker
    Citation: BMC Health Services Research 2021 21:568
    Content type: Research article Published on:

  44. Healthcare practitioners (HCPs) play a crucial role in recognising, responding to, and supporting female patients experiencing intimate partner abuse (IPA). However, research consistently identifies barriers t...

    Authors: Laura Tarzia, Jacqui Cameron, Jotara Watson, Renee Fiolet, Surriya Baloch, Rebecca Robertson, Minerva Kyei-Onanjiri, Gemma McKibbin and Kelsey Hegarty
    Citation: BMC Health Services Research 2021 21:567
    Content type: Research Published on:

  45. Predicting bed occupancy for hospitalised patients with COVID-19 requires understanding of length of stay (LoS) in particular bed types. LoS can vary depending on the patient’s “bed pathway” - the sequence of ...

    Authors: Quentin J. Leclerc, Naomi M. Fuller, Ruth H. Keogh, Karla Diaz-Ordaz, Richard Sekula, Malcolm G. Semple, Katherine E. Atkins, Simon R. Procter and Gwenan M. Knight
    Citation: BMC Health Services Research 2021 21:566
    Content type: Research article Published on:

  46. We evaluated a 14-county quality improvement program of care delivery and payment of a dental care organization for child and adolescent managed care Medicaid beneficiaries after 2 years of implementation.

    Authors: Douglas A. Conrad, Peter Milgrom, Yuxian Du, Joana Cunha-Cruz, Sharity Ludwig and R. Mike Shirtcliff
    Citation: BMC Health Services Research 2021 21:565
    Content type: Research article Published on:

  47. Cancer diagnosis, treatment and survivorship is multifaceted, and the cancer patient experience can serve as a key indicator of healthcare performance and quality. The purpose of this paper was to analyse free...

    Authors: Gillian Prue, Dominic O’Connor, Malcolm Brown and Olinda Santin
    Citation: BMC Health Services Research 2021 21:564
    Content type: Research article Published on:

  48. To assess the impact on seven-day in-hospital mortality following the introduction in 2012 of a shadowing programme for new UK medical graduates requiring them to observe the doctor they are replacing for at l...

    Authors: Balinskaite Violeta, Bottle Alex and Aylin Paul
    Citation: BMC Health Services Research 2021 21:563
    Content type: Research article Published on:

  49. Although risk prediction has become an integral part of clinical practice guidelines for cardiovascular disease (CVD) prevention, multiple studies have shown that patients’ risk still plays almost no role in c...

    Authors: Linda Takamine, Jane Forman, Laura J. Damschroder, Bradley Youles and Jeremy Sussman
    Citation: BMC Health Services Research 2021 21:561
    Content type: Research article Published on:

  50. Medical education should ensure graduates are equipped for practice in modern health-care systems. Practicing effectively in complex health-care systems requires contemporary attributes and competencies, compl...

    Authors: Kathryn Ogden, Sue Kilpatrick, Shandell Elmer and Kim Rooney
    Citation: BMC Health Services Research 2021 21:560
    Content type: Research article Published on:
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