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  1. In many health systems, specialist services for critically ill children are typically regionalised or centralised. Studies have shown that high-risk paediatric patients have improved survival when managed in s...

    Authors: Nigel R Armfield, Mark G Coulthard, Anthony Slater, Julie McEniery, Mark Elcock, Robert S Ware, Paul A Scuffham, Mark E Bensink and Anthony C Smith
    Citation: BMC Health Services Research 2014 14:546
    Content type: Study protocol Published on:

  2. Fibromyalgia (FM) is a condition characterized by widespread pain, estimated to affect 2.4% of the Spanish population. Nowadays, there are no consistent epidemiological studies on the actual impact of the dise...

    Authors: Antonio Collado, Emili Gomez, Rosa Coscolla, Ruth Sunyol, Emília Solé, Javier Rivera, Emília Altarriba, Jordi Carbonell and Xavier Castells
    Citation: BMC Health Services Research 2014 14:513
    Content type: Research article Published on:

  3. Development of more self-management support programmes in primary health care has been one option used to enhance positive outcomes in chronic disease management. At present, research results provide no consen...

    Authors: Hilde Strøm Solberg, Aslak Steinsbekk, Marit Solbjør, Randi Granbo and Helge Garåsen
    Citation: BMC Health Services Research 2014 14:562
    Content type: Research article Published on:

  4. Increasingly, health policy-makers and managers all over the world look for alternative forms of organisation and governance in order to add more value and quality to their health systems. In recent years, the...

    Authors: Pavel V Ovseiko, Catherine O’Sullivan, Susan C Powell, Stephen M Davies and Alastair M Buchan
    Citation: BMC Health Services Research 2014 14:552
    Content type: Research article Published on:

  5. Patients with ACS often present to community hospitals without on-site cardiac catheterization and revascularization therapies. Transfer to specialized cardiac procedural centers is necessary to provide access...

    Authors: Helen J Curran, Jaroslav Hubacek, Danielle Southern, Diane Galbraith, Merril L Knudtson, William A Ghali and Michelle M Graham
    Citation: BMC Health Services Research 2014 14:550
    Content type: Research article Published on:

  6. Case management has been suggested as a way of improving the quality and cost-effectiveness of support for people with dementia. In this study we adapted and implemented a successful United States’ model of ca...

    Authors: Claire Bamford, Marie Poole, Katie Brittain, Carolyn Chew-Graham, Chris Fox, Steve Iliffe, Jill Manthorpe and Louise Robinson
    Citation: BMC Health Services Research 2014 14:549
    Content type: Research article Published on:

  7. Employee engagement is a fundamental component of quality healthcare. In order to provide empirical data of engagement in NHS Scotland an Employee Engagement Index was co-constructed with staff. `iMatter’ cons...

    Authors: Austyn Snowden and Ewan MacArthur
    Citation: BMC Health Services Research 2014 14:535
    Content type: Research article Published on:

  8. Health-care organizations need to be ready prior to implement evidence-based interventions. In this study, we sought to achieve consensus on a framework to assess the readiness of health-care organizations to ...

    Authors: Randa Attieh, Marie-Pierre Gagnon, Carole A Estabrooks, France Légaré, Mathieu Ouimet, Patricia Vazquez and Roberto Nuño
    Citation: BMC Health Services Research 2014 14:534
    Content type: Research article Published on:

  9. Palliative care often requires inter-professional collaboration, offering opportunities to learn from each other. General practitioners often collaborate with specialized palliative home care teams. This study...

    Authors: Peter Pype, Wim Peersman, Johan Wens, Ann Stes, Bart Van den Eynden and Myriam Deveugele
    Citation: BMC Health Services Research 2014 14:501
    Content type: Research article Published on:

  10. Leg ulcers and diabetes-related foot ulcers are frequent and costly complications of their underlying diseases and thus represent a critical issue for public health. Since the population is aging, the prevalen...

    Authors: Lena Victoria Nordheim, Marianne Tveit Haavind and Marjolein M Iversen
    Citation: BMC Health Services Research 2014 14:565
    Content type: Research article Published on:

  11. In resource-poor settings, where health systems are frequently stretched to their capacity, access to emergency care is often limited. Triage systems have been proposed as a tool to ensure efficiency and optim...

    Authors: Temmy Sunyoto, Rafael Van den Bergh, Pola Valles, Reinaldo Gutierrez, Latifa Ayada, Rony Zachariah, Abdi Yassin, Sven Gudmund Hinderaker and Anthony D Harries
    Citation: BMC Health Services Research 2014 14:531
    Content type: Research article Published on:

  12. The Personal Care Participation Assessment and Resource Tool (PC-PART) is a 43-item, clinician-administered assessment, designed to identify patients’ unmet needs (participation restrictions) in activities of ...

    Authors: Susan Darzins, Christine Imms, Marilyn Di Stefano, Nicholas F Taylor and Julie F Pallant
    Citation: BMC Health Services Research 2014 14:543
    Content type: Research article Published on:

  13. Research shows us that auditory hallucinations or `hearing voices’ may be more common than previously thought, particularly in childhood and adolescents. Importantly, not all individuals are affected negativel...

    Authors: Prerna Kapur, Daniel Hayes, Rachel Waddingham, Saul Hillman, Jessica Deighton and Nick Midgley
    Citation: BMC Health Services Research 2014 14:527
    Content type: Research article Published on:

  14. Computed tomography (CT) scanning is a relatively high radiation dose diagnostic imaging modality with increasing concerns about radiation exposure burden at the population level in scientific literature. This...

    Authors: David AJ Gibson, Rachael E Moorin and C D’Arcy J Holman
    Citation: BMC Health Services Research 2014 14:526
    Content type: Research article Published on:

  15. Front-line health providers have a unique role as brokers (patient advocates) between the health system and patients in ensuring access to medicines (ATM). ATM is a fundamental component of health systems. Thi...

    Authors: Bvudzai Priscilla Magadzire, Ashwin Budden, Kim Ward, Roger Jeffery and David Sanders
    Citation: BMC Health Services Research 2014 14:520
    Content type: Research article Published on:

  16. The Swedish government has increasingly begun to rely on so called informative governance when regulating healthcare. The question this article sets out to answer is: considered to be ‘the backbone’ of the Swe...

    Authors: Mio Fredriksson, Paula Blomqvist and Ulrika Winblad
    Citation: BMC Health Services Research 2014 14:509
    Content type: Research article Published on:

  17. While older adults (age 75 and over) represent a large and growing proportion of patients with acute myocardial infarction (AMI), they have traditionally been under-represented in cardiovascular studies. Altho...

    Authors: John A Dodson, Mary Geda, Harlan M Krumholz, Nancy Lorenze, Terrence E Murphy, Heather G Allore, Peter Charpentier, Sui W Tsang, Denise Acampora, Mary E Tinetti, Thomas M Gill and Sarwat I Chaudhry
    Citation: BMC Health Services Research 2014 14:506
    Content type: Study protocol Published on:

  18. User fees have been shown to constitute a major barrier to the utilisation of health-care, particularly in low-income countries such as the Democratic Republic of Congo (DRC). Importantly, such barriers can le...

    Authors: Rishma Maini, Rafael Van den Bergh, Johan van Griensven, Katie Tayler-Smith, Janet Ousley, Daniel Carter, Seb Mhatre, Lara Ho and Rony Zachariah
    Citation: BMC Health Services Research 2014 14:504
    Content type: Research article Published on:

  19. Clinical governance has become a core component of health policy and services management in many countries in recent years. Yet tools for measuring its development are limited. We therefore created the Clinica...

    Authors: Robin Gauld and Simon Horsburgh
    Citation: BMC Health Services Research 2014 14:547
    Content type: Research article Published on:

  20. Access to health care is a particular concern given the important role of poor access in perpetuating poverty and inequality. South Africa’s apartheid history leaves large racial disparities in access despite ...

    Authors: Zoë M McLaren, Cally Ardington and Murray Leibbrandt
    Citation: BMC Health Services Research 2014 14:541
    Content type: Research article Published on:

  21. Cost effectiveness analysis (CEA) is a useful tool for allocation of constrained resources, yet CEA methodologies are rarely taught or implemented in developing nations. We aimed to assess exposure to, and int...

    Authors: Jackson S Musuuza, Mendel E Singer, Anna M Mandalakas and Achilles Katamba
    Citation: BMC Health Services Research 2014 14:539
    Content type: Research article Published on:

  22. Despite the growing burden of NCDs in South Africa, very little is known about how people living in urban townships manage these illnesses. In this article we expound upon the findings of a study showing that ...

    Authors: Daniel Lopes Ibanez-Gonzalez, Emily Mendenhall and Shane A Norris
    Citation: BMC Health Services Research 2014 14:528
    Content type: Research article Published on:

  23. Business format franchising is an organizational form that originates from the business sector. It is increasingly used in healthcare, being a promising organizational form for improving the competitiveness an...

    Authors: Karlijn J Nijmeijer, Robbert Huijsman and Isabelle N Fabbricotti
    Citation: BMC Health Services Research 2014 14:485
    Content type: Research article Published on:

  24. The diagnosis of malaria in clinical laboratories mainly depends on blood smear microscopy and this technique remains the most widely used in Ethiopia. Despite the importance of blood smear microscopy for pati...

    Authors: Fantahun Biadglegne, Yeshambel Belyhun, Jemal Ali, Fisha Walle, Nigussu Gudeta, Afework Kassu and Andargachew Mulu
    Citation: BMC Health Services Research 2014 14:529
    Content type: Research article Published on:

  25. The majority of people with type 2 diabetes (T2D) receive their care in general practice and will eventually require initiation of insulin as part of their management. However, this is often delayed and freque...

    Authors: Jo-Anne Manski-Nankervis, Irene Blackberry, Doris Young, David O’Neal, Elizabeth Patterson and John Furler
    Citation: BMC Health Services Research 2014 14:515
    Content type: Research article Published on:

  26. Newborn infants with respiratory failure are often treated with intubation and mechanical ventilation for prolonged periods of time. Our objective was to evaluate whether increasing use of non-invasive respira...

    Authors: Inger Cathrine Kann and Anne Lee Solevåg
    Citation: BMC Health Services Research 2014 14:494
    Content type: Research article Published on:

  28. In psychiatric emergencies in rural areas the availability of psychiatrists are limited. Therefore, tele-psychiatry, via real-time videoconferencing (VC), has been developed to provide advanced consultative se...

    Authors: Marianne Vibeke Trondsen, Stein Roald Bolle, Geir Øyvind Stensland and Aksel Tjora
    Citation: BMC Health Services Research 2014 14:544
    Content type: Research article Published on:

  29. Primary care is increasingly focussed on the care of people with two or more long-term conditions (multimorbidity). The UK Department of Health strategy for long term conditions is to use self-management support ...

    Authors: Peter A Coventry, Louise Fisher, Cassandra Kenning, Penny Bee and Peter Bower
    Citation: BMC Health Services Research 2014 14:536
    Content type: Research article Published on:

  30. Health care spending is overwhelmingly concentrated within a very small proportion of the population, referred to as the high-cost users (HCU). To date, research on HCU has been limited in scope, focusing most...

    Authors: Laura C Rosella, Tiffany Fitzpatrick, Walter P Wodchis, Andrew Calzavara, Heather Manson and Vivek Goel
    Citation: BMC Health Services Research 2014 14:532
    Content type: Research article Published on:

  31. The World Health Organisation has designed a pregnancy registry to investigate the effect of maternal drug use on pregnancy outcomes in resource-limited settings. In this sentinel surveillance system, detailed...

    Authors: Elizabeth N Allen, Melba Gomes, Lucy Yevoo, Omar Egesah, Christine Clerk, Josaphat Byamugisha, Anthony Mbonye, Edwin Were, Ushma Mehta and Lynn M Atuyambe
    Citation: BMC Health Services Research 2014 14:525
    Content type: Research article Published on:

  32. Medical devices and in vitro diagnostic tests (IVD) are vital components of health delivery systems but access to these important tools is often limited in Africa. The regulation of health commodities by National...

    Authors: Simon Peter Rugera, Ruth McNerney, Albert K Poon, Gladys Akimana, Rehema Forgen Mariki, Henry Kajumbula, Elizabeth Kamau, Servilien Mpawenimana, Said Yusuf Said, Anthony Toroitich, Wesley Ronoh, Kimberly A Sollis, Stanley Sonoiya and Rosanna W Peeling
    Citation: BMC Health Services Research 2014 14:524
    Content type: Research article Published on:

  33. This case study from DR Congo demonstrates how rational operational planning based on a health systems strengthening strategy (HSSS) can contribute to policy dialogue over several years. It explores the operat...

    Authors: Dheepa Rajan, Hyppolite Kalambay, Mathias Mossoko, Dieudonné Kwete, Joseph Bulakali, Jean-Pierre Lokonga, Denis Porignon and Gerard Schmets
    Citation: BMC Health Services Research 2014 14:522
    Content type: Research article Published on:

  34. Achieving a successful transition from pediatric to adult care for young adults with special needs, especially rare genetic diseases such as osteogenesis imperfecta (OI), is a prominent issue in healthcare res...

    Authors: Maman Joyce Dogba, Frank Rauch, Trudy Wong, Joanne Ruck, Francis H Glorieux and Christophe Bedos
    Citation: BMC Health Services Research 2014 14:489
    Content type: Research article Published on:

  35. Good quality post-abortion-care (PAC) is essential to prevent death and long-term complications following unsafe abortion, especially in countries with restrictive abortion laws. We assessed the PAC given to w...

    Authors: Carukshi Arambepola, Lalini C Rajapaksa and Chandani Galwaduge
    Citation: BMC Health Services Research 2014 14:470
    Content type: Research article Published on:

  36. Managed competition was introduced into the health care system in several countries including the Netherlands, although effects of competition of both providers and health insurers on the price of health care ...

    Authors: Christel E van Dijk, Bob Venema, Judith D de Jong and Dinny H de Bakker
    Citation: BMC Health Services Research 2014 14:510
    Content type: Research article Published on:

  37. The World Health Assembly has pledged to achieve universal reproductive health (RH) coverage by 2015. Therefore, China has been vigorously promoting the equalisation of basic public health services (i.e. RH se...

    Authors: Huan Liu, Qi Wang, Zuxun Lu and Junan Liu
    Citation: BMC Health Services Research 2014 14:502
    Content type: Research article Published on:

  38. Whilst multimorbidity is more prevalent with increasing age, approximately 30% of middle-aged adults (45-64 years) are also affected. Several prescribing criteria have been developed to optimise medication use...

    Authors: Janine A Cooper, Cristín Ryan, Susan M Smith, Emma Wallace, Kathleen Bennett, Caitriona Cahir, David Williams, Mary Teeling, Tom Fahey and Carmel M Hughes
    Citation: BMC Health Services Research 2014 14:484
    Content type: Research article Published on:

  39. Norway introduced 32 priority guidelines for elective health treatment in the specialist health service in the period 2008-9. The guidelines were intended to reduce large differences in waiting times among hos...

    Authors: Lise Lund H’heim and Jon Helgeland
    Citation: BMC Health Services Research 2014 14:493
    Content type: Research article Published on:

  40. There is an economic burden associated with hypertension both worldwide and in Vietnam. In Vietnam, patients with uncontrolled high blood pressure are hospitalized for further diagnosis and initiation of treat...

    Authors: Thi-Phuong-Lan Nguyen, Thi Bach Yen Nguyen, Thanh Trung Nguyen, Van Vinh Hac, Hoa H Le, CCM Schuiling-Veninga and Maarten J Postma
    Citation: BMC Health Services Research 2014 14:514
    Content type: Research article Published on:

  41. Teaming is an accepted approach in health care settings but rarely practiced at the community level in developing countries. Save the Children trained and deployed teams of volunteer community health workers (...

    Authors: Kojo Yeboah-Antwi, Davidson H Hamer, Katherine Semrau, Karen Z Waltensperger, Gail Snetro-Plewman, Chilobe Kambikambi, Amon Sakala, Stephen Filumba, Bias Sichamba and David R Marsh
    Citation: BMC Health Services Research 2014 14:516
    Content type: Research article Published on:

  42. Mobile health (mhealth) has emerged as a powerful resource in the medical armamentarium against human immunodeficiency virus (HIV) infection. We sought to determine among adult caregivers of HIV-exposed/infect...

    Authors: Jean Joel R Bigna, Jean Jacques N Noubiap, Claudia S Plottel, Charles Kouanfack and Sinata Koulla-Shiro
    Citation: BMC Health Services Research 2014 14:523
    Content type: Research article Published on:

  43. In the Netherlands, disease management programs (DMPs) are used to treat chronic diseases. Their aim is to improve care and to control the rising expenditures related to chronic diseases. A bundled payment was...

    Authors: Apostolos Tsiachristas, Bethany Hipple Waters, Samantha A Adams, Roland Bal and Maureen PMM Rutten-van M’lken
    Citation: BMC Health Services Research 2014 14:518
    Content type: Research article Published on:

  44. For decades Indigenous peoples have argued for health research reform claiming methods used and results obtained often reflect the exploitative history of colonisation. In 2006 the Kimberley Aboriginal Health ...

    Authors: Frieda Mc Loughlin, Nyssa T Hadgraft, David Atkinson and Julia V Marley
    Citation: BMC Health Services Research 2014 14:517
    Content type: Research article Published on:

  45. Limited research exists that investigates hospital admissions for ambulatory care sensitive conditions (ACSCs) among the homeless, who frequently lack a usual source of care. This study profiled ACSC admission...

    Authors: Brandi M White, Charles Ellis Jr and Kit N Simpson
    Citation: BMC Health Services Research 2014 14:511
    Content type: Research article Published on:

  46. The National Essential Medicine System (NEMS) is a new policy in China launched in 2009 to improve the appropriate use of medications. This study aims to examine the outcomes of the NEMS objectives in terms of...

    Authors: Yan Song, Ying Bian, Max Petzold, Lingui Li and Aitian Yin
    Citation: BMC Health Services Research 2014 14:507
    Content type: Research article Published on:

  47. People with intellectual disability are at risk of poor hospital experiences and outcomes. The aims were to conduct a content and quality review of research into the acute hospital experiences of both people w...

    Authors: Teresa Iacono, Christine Bigby, Carolyn Unsworth, Jacinta Douglas and Petya Fitzpatrick
    Citation: BMC Health Services Research 2014 14:505
    Content type: Research article Published on:

  49. Patients with multiple chronic conditions often have multiple prescribers, which has been associated with greater health care utilization and medication nonadherence in claims-based analyses. This qualitative ...

    Authors: Corrine I Voils, Betsy Sleath and Matthew L Maciejewski
    Citation: BMC Health Services Research 2014 14:490
    Content type: Research article Published on:

  50. NHS Direct, introduced in 1998, has provided 24/7 telephone-based healthcare advice and information to the public in England and Wales. National studies have suggested variation in the uptake of this service a...

    Authors: Erica J Cook, Gurch Randhawa, Shirley Large, Andy Guppy, Angel M Chater and Nasreen Ali
    Citation: BMC Health Services Research 2014 14:487
    Content type: Research article Published on:
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