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  1. Rare diseases are difficult to diagnose. Due to their rarity, heterogeneity, and variability, rare diseases often result not only in extensive diagnostic tests and imaging studies, but also in unnecessary repe...

    Authors: Tina Willmen, Lukas Völkel, Simon Ronicke, Martin C. Hirsch, Jessica Kaufeld, Reinhard P. Rychlik and Annette D. Wagner

    Citation: BMC Health Services Research 2021 21:947

    Content type: Research

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  2. Despite approaches to provide effective dementia training in acute care settings, little is known about the barriers and enablers to implement and embed learning into practice. We were commissioned by Health E...

    Authors: Michelle Heward, Michele Board, Ashley Spriggs, Dina Blagden and Jane Murphy

    Citation: BMC Health Services Research 2021 21:946

    Content type: Research

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  3. Healthcare services have become more complex, globally and nationally. Denmark is renowned for an advanced and robust healthcare system, aiming at a less fragmented structure. However, challenges within the co...

    Authors: Maiken Hjuler Persson, Christian Backer Mogensen, Jens Søndergaard, Helene Skjøt-Arkil and Pernille Tanggaard Andersen

    Citation: BMC Health Services Research 2021 21:944

    Content type: Research

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  4. The Gambia has one of the lowest survival rates for breast cancer in Africa. Contributing factors are late presentation, delays within the healthcare system, and decreased availability of resources. We aimed t...

    Authors: Ousman Sanyang, Fidel Lopez-Verdugo, Meghan Mali, Moustafa Moustafa, Jonathan Nellermoe, Justin Sorensen, Mustapha Bittaye, Ramou Njie, Yankuba Singhateh, Ngally Aboubacarr Sambou, Alison Goldsmith, Nuredin I. Mohammed, Kirstyn E. Brownson, Raymond R. Price and Edward Sutherland

    Citation: BMC Health Services Research 2021 21:943

    Content type: Research

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  5. Intense and aggressive treatment regimens for most children’s cancer have achieved vast improvements in survival but are also responsible for both a high number and burden of symptoms. The use of Patient Repor...

    Authors: Natalie Bradford, Paula Condon, Erin Pitt, Zephanie Tyack and Kimberly Alexander

    Citation: BMC Health Services Research 2021 21:942

    Content type: Study protocol

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  6. Despite prioritization, routine antenatal influenza vaccine coverage is < 16% in South Africa. We aimed to describe maternal influenza vaccine coverage in 27 antenatal clinics (ANCs) in Gauteng and Western Cap...

    Authors: Kate Bishop, Meredith McMorrow, Susan Meiring, Sibongile Walaza, Liza Rossi, Sarona Mhlanga, Stefano Tempia, Azwifarwi Mathunjwa, Jackie Kleynhans, Grace D. Appiah, Johanna M. McAnerney, Heather J. Zar and Cheryl Cohen

    Citation: BMC Health Services Research 2021 21:941

    Content type: Research

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  7. As healthcare systems strive for efficiency, hospital “length of stay outliers” have the potential to significantly impact a hospital’s overall utilization. There is a tendency to exclude such “outlier” stays ...

    Authors: Andrew H. Hughes, David Horrocks Jr, Curtis Leung, Melissa B. Richardson, Ann M. Sheehy and Charles F. S. Locke

    Citation: BMC Health Services Research 2021 21:940

    Content type: Research

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  8. Clostridioides difficile infection (CDI) is one of the leading nosocomial infections, resulting in increased hospital length of stay and additional treatment costs. Bezlotoxumab, the first monoclonal antibody aga...

    Authors: Florian Jakobs, Sebastian Marcel Wingen-Heimann, Julia Jeck, Anna Kron, Oliver Andreas Cornely and Florian Kron

    Citation: BMC Health Services Research 2021 21:939

    Content type: Research

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  9. Healthcare management faces complex challenges in allocating hospital resources, and predicting patients’ length-of-stay (LOS) is critical in effectively managing those resources. This work aims to map approac...

    Authors: Natália B. Medeiros, Flavio S. Fogliatto, Miriam K. Rocha and Guilherme L. Tortorella

    Citation: BMC Health Services Research 2021 21:938

    Content type: Research

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  10. Clinical pharmacy interventions (CPI) usually require prior medical authorization. Physicians approve 80% of CPI and reject 20%. If pharmacists show that physicians should authorize all 100% CPI, the professio...

    Authors: Loai M. Saadah, Amer H. Khan, Syed Azhar Syed Sulaiman and Iman A. Bashiti

    Citation: BMC Health Services Research 2021 21:937

    Content type: Research article

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  11. Registered dietitians are rarely employed at community pharmacies in Japan, even though dietetic advice might benefit some patients.

    Authors: Hayato Kizaki, Tomu Ota, Saki Mashima, Yoshimi Nakamura, Shoko Kiyokawa, Hidenori Kominato, Hiroki Satoh, Yasufumi Sawada and Satoko Hori

    Citation: BMC Health Services Research 2021 21:935

    Content type: Research

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  12. Over the last decade, regulators have taken significant steps towards tackling perceptions that regulatory systems are burdensome. There has been much international research activity in the regulation of healt...

    Authors: Julie Browne, Alison Bullock, Chiara Poletti and Dorottya Cserző

    Citation: BMC Health Services Research 2021 21:934

    Content type: Research

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  13. In the implementation of standardized cancer patient pathways (CPPs), the investigatory units, endoscopy, radiology and pathology, are crucial to ensure an eventual cancer diagnosis. However, when evaluating t...

    Authors: Jeanette Winterling, Sara Delilovic, Jessica Dervish, Malin Gunarsson, Mårten Åhström and Henna Hasson

    Citation: BMC Health Services Research 2021 21:933

    Content type: Research article

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  14. The Norwegian Board of Health Supervision aims to contribute to the improvement of quality and patient safety in the healthcare services. Planned audits were performed to investigate how 12 selected Norwegian ...

    Authors: Lars T. Johansen, Geir Sverre Braut, Ganesh Acharya, Jan Fredrik Andresen and Pål Øian

    Citation: BMC Health Services Research 2021 21:931

    Content type: Research

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  15. There are plenty of studies investigating the disparity of payer status in accessing to care. However, most studies are either disease-specific or cohort-specific. Quantifying the disparity from the level of f...

    Authors: Yanying Zhao, Ioannis Ch. Paschalidis and Jianqiang Hu

    Citation: BMC Health Services Research 2021 21:930

    Content type: Research article

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  16. Patient participation in decision-making has become a hallmark of responsive healthcare systems. Cancer networks in many countries have committed to involving people living with and beyond cancer (PLC) at mult...

    Authors: Dominique Tremblay, Nassera Touati, Susan Usher, Karine Bilodeau, Marie-Pascale Pomey and Lise Lévesque

    Citation: BMC Health Services Research 2021 21:929

    Content type: Research article

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  17. Non-communicable diseases (NCDs) are projected to become the leading cause of disability and mortality in sub-Saharan Africa by 2030; a vast treatment gap exists. There is a dearth of knowledge on developing e...

    Authors: Tiny Tinashe Kamvura, Jean Turner, Ephraim Chiriseri, Jermaine Dambi, Ruth Verhey and Dixon Chibanda

    Citation: BMC Health Services Research 2021 21:928

    Content type: Research

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  18. The highest risk of maternal and perinatal deaths occurs during and shortly after childbirth and is preventable if functional referral systems enable women to reach appropriate health services when obstetric c...

    Authors: Emma Radovich, Aduragbemi Banke-Thomas, Oona M. R. Campbell, Michael Ezeanochie, Uchenna Gwacham-Anisiobi, Adedapo B. A. Ande and Lenka Benova

    Citation: BMC Health Services Research 2021 21:927

    Content type: Research

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  19. End-user involvement in developing evidence-based tools for clinical practice may result in increased uptake and improved patient outcomes. Understanding end-user experiences and perceptions about the co-produ...

    Authors: Leslie Verville, Carol Cancelliere, Gaelan Connell, Joyce Lee, Sarah Munce, Silvano Mior, Robin Kay and Pierre Côté

    Citation: BMC Health Services Research 2021 21:926

    Content type: Research

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  20. Telemedical care of nursing home residents in Germany, especially in rural areas, is limited to a few pilot projects and is rarely implemented as part of standard care. The possible merits of implementing vide...

    Authors: Susann May, Kai Jonas, Georgia V. Fehler, Thomas Zahn, Martin Heinze and Felix Muehlensiepen

    Citation: BMC Health Services Research 2021 21:925

    Content type: Research article

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  21. Psoriasis is a chronic immune-mediated inflammatory skin disease which can also involve joints. It is often associated with burdensome comorbidities which negatively impact prognosis and quality of life (QoL)....

    Authors: Emanuela Zagni, Luca Bianchi, Gabriella Fabbrocini, Salvatore Corrao, Annamaria Offidani, Luca Stingeni, Antonio Costanzo, Giovanni Pellacani, Ketty Peris, Federico Bardazzi, Giuseppe Argenziano, Silvana Ruffolo, Paolo Dapavo, Carlo Carrera, Maria Concetta Fargnoli, Aurora Parodi…

    Citation: BMC Health Services Research 2021 21:924

    Content type: Research

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  22. Healthcare workers across the world have risen to the demands of treating COVID-19 patients, potentially at significant cost to their own health and wellbeing. There has been increasing recognition of the pote...

    Authors: Jo Billings, Brian Chi Fung Ching, Vasiliki Gkofa, Talya Greene and Michael Bloomfield

    Citation: BMC Health Services Research 2021 21:923

    Content type: Research article

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  23. The Collaborative Care Model is a well-established, evidence-based approach to treating depression and other common behavioral health conditions in primary care settings. Despite a robust evidence base, real w...

    Authors: Deborah J. Bowen, Ashley Heald, Erin LePoire, Amy Jones, Danielle Gadbois, Joan Russo and Jay Carruthers

    Citation: BMC Health Services Research 2021 21:922

    Content type: Research article

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  24. Language is a barrier to many patients from refugee backgrounds accessing and receiving quality primary health care. This paper examines the way general practices address these barriers and how this changed fo...

    Authors: Shoko Saito, Mark F Harris, Katrina M Long, Virginia Lewis, Sue Casey, William Hogg, I-Hao Cheng, Jenny Advocat, Geraldine Marsh, Nilakshi Gunatillaka and Grant Russell

    Citation: BMC Health Services Research 2021 21:921

    Content type: Research article

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  25. The Affordable Care Act (ACA) enabled millions of people to gain coverage that was expected to improve access to healthcare services. However, it is unclear the extent of the policy’s impact on Federally Quali...

    Authors: Angelo Ercia

    Citation: BMC Health Services Research 2021 21:920

    Content type: Research

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  26. Telemedicine offers additional ways of delivering medical care, e.g., in primary care in rural areas. During the last decades, projects including telemedicine are being implemented worldwide. However, implemen...

    Authors: Maja Maria Weißenfeld, Katja Goetz and Jost Steinhäuser

    Citation: BMC Health Services Research 2021 21:919

    Content type: Research article

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  27. Welfare technology has been launched as a concept to accelerate digital transformation in care services, but the deployment of these technologies is still hindered by organisational resistance, lack of infrast...

    Authors: Sanna Kuoppamäki

    Citation: BMC Health Services Research 2021 21:918

    Content type: Research

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  28. Significant resources are spent on hospital accreditation worldwide. However, documentation of the effects of accreditation on processes, quality of care and outcomes in healthcare remain scarce. This study ai...

    Authors: Maria Daniella Bergholt, Anne Mette Falstie-Jensen, Peter Hibbert, Barbara Joensen Eysturoy, Gunnvá Guttesen, Tóra Róin, Jan Brink Valentin, Jeffrey Braithwaite, Christian von Plessen and Søren Paaske Johnsen

    Citation: BMC Health Services Research 2021 21:917

    Content type: Research

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  29. Early identification of people at elevated risk of type 2 diabetes (T2D) is an important step in preventing or delaying its onset. Pharmacies can serve as a significant channel to reach these people. This stud...

    Authors: Kari Jalkanen, Emma Aarnio, Piia Lavikainen, Jaana Lindström, Markku Peltonen, Tiina Laatikainen and Janne Martikainen

    Citation: BMC Health Services Research 2021 21:916

    Content type: Research

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  30. In 2018, 875 000 under-five children died in India with children from poor families and rural communities disproportionately affected. Community health centres are positioned to improve access to quality child...

    Authors: Lorine Pelly, Kanchan Srivastava, Dinesh Singh, Parwez Anis, Vishal Babu Mhadeshwar, Rashmi Kumar and Maryanne Crockett

    Citation: BMC Health Services Research 2021 21:914

    Content type: Research

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  31. Retinal toxicity is a rare adverse event related to the use of hydroxychloroquine (HCQ). To address this, in 2016, the American Academy of Ophthalmology (AAO) issued guidelines recommending that HCQ not exceed...

    Authors: Rebecca S. Overbury, Gregory J. Stoddard, Jakrapun Pupaibool, Christopher B. Hansen and Dorota Lebiedz-Odrobina

    Citation: BMC Health Services Research 2021 21:913

    Content type: Research

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  32. Poor environmental conditions and hygiene practices at the time of childbirth is linked to life-threatening infections and death in mothers and babies. Improvements in water, sanitation, and hygiene (WASH) hav...

    Authors: Adediwura Oladunni Arowosegbe, David Ajiboye Ojo, Olufunke Bolatito Shittu, Opeoluwa Iwaloye and Uwem Friday Ekpo

    Citation: BMC Health Services Research 2021 21:912

    Content type: Research

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  33. Human-centered design (HCD) is an increasingly recognized approach for engaging stakeholders and developing contextually appropriate health interventions. As a component of the ongoing STRENGTHS study (Strengthen...

    Authors: Mc Kinsey M. Pillsbury, Eunice Mwangi, Josephine Andesia, Benson Njuguna, Gerald S. Bloomfield, Agneta Chepchumba, Jemima Kamano, Tim Mercer, Juliet Miheso, Sonak D. Pastakia, Shravani Pathak, Aarti Thakkar, Violet Naanyu, Constantine Akwanalo and Rajesh Vedanthan

    Citation: BMC Health Services Research 2021 21:910

    Content type: Research article

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  34. To evaluate the cost-effectiveness of six diagnostic strategies involving magnetic resonance imaging (MRI) targeted biopsy for diagnosing prostate cancer in initial and repeat biopsy settings from the Singapor...

    Authors: Li-Jen Cheng, Swee Sung Soon, Teck Wei Tan, Cher Heng Tan, Terence Sey Kiat Lim, Kae Jack Tay, Wei Tim Loke, Bertrand Ang, Edmund Chiong and Kwong Ng

    Citation: BMC Health Services Research 2021 21:909

    Content type: Research article

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  35. Uncontrolled hypertension represents a substantial and growing burden in Guatemala and other low and middle-income countries. As a part of the formative phase of an implementation research study, we conducted ...

    Authors: Meredith P. Fort, William Mundo, Alejandra Paniagua-Avila, Sayra Cardona, Juan Carlos Figueroa, Diego Hernández-Galdamez, Kristyne Mansilla, Ana Peralta-García, Dina Roche, Eduardo Alberto Palacios, Russell E. Glasgow, Pablo Gulayin, Vilma Irazola, Jiang He and Manuel Ramirez-Zea

    Citation: BMC Health Services Research 2021 21:908

    Content type: Research article

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  36. Occasions of self-discharge from health services before being seen by a health profession or against medical advice are often used by health systems as an indicator of quality care. People self-discharge becau...

    Authors: Deborah A. Askew, Wendy Foley, Corey Kirk and Daniel Williamson

    Citation: BMC Health Services Research 2021 21:907

    Content type: Research article

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  37. Australian federally-funded cognitive pharmacy services (CPS) (e.g. medication management and reconciliation services) have not been translated into practice consistently. These health services are purportedly...

    Authors: Faith R. Yong, Su-Yin Hor and Beata V. Bajorek

    Citation: BMC Health Services Research 2021 21:906

    Content type: Research article

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  38. In an effort to encourage Family Planning (FP) adoption, since 1952, the Government of India has been implementing various centrally sponsored schemes that offer financial incentives (FIs) to acceptors as well...

    Authors: Kamlesh Lalchandani, Aditi Gupta, Ashish Srivastava, Gulnoza Usmanova, Ashwarya Maadam and Bulbul Sood

    Citation: BMC Health Services Research 2021 21:905

    Content type: Research article

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  39. Person-centred care (PCC) is promoted as an innovation that will improve patients’ rights and increase their participation in healthcare. Experience shows that the implementation of PCC is challenging and ofte...

    Authors: Helena Fridberg, Lars Wallin and Malin Tistad

    Citation: BMC Health Services Research 2021 21:904

    Content type: Research

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  40. Ajzen’s theory of planned behavior (TPB) postulates that individuals’ behavioral intention is influenced by their attitudes, subjective norms, and perceived behavioral control. Therefore, it can be used to bro...

    Authors: Łucja Zielińska-Tomczak, Magdalena Cerbin-Koczorowska, Piotr Przymuszała and Ryszard Marciniak

    Citation: BMC Health Services Research 2021 21:903

    Content type: Research

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  41. The aim of this study was to describe the profile of patients who sought a second medical opinion (SMO) on their therapeutic or diagnostic strategy using nationwide data from a French physician network dedicat...

    Authors: Stéphane Sanchez, Isabelle Adamowicz, Jan Chrusciel, Philippe Denormandie, Pierre Denys and Laurent Degos

    Citation: BMC Health Services Research 2021 21:902

    Content type: Research

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  42. Advance Care Planning (ACP) has emerged to improve end-of-life processes and experiences. However, the available evidence presents the gloomy picture of increasing number of older people living with chronic di...

    Authors: Sarah Jeong, Peter Cleasby, Se Ok Ohr, Tomiko Barrett, Ryan Davey and Christopher Oldmeadow

    Citation: BMC Health Services Research 2021 21:901

    Content type: Research

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  43. Inappropriate hospitalization day (IHD) is recognized as an important indication of the excessive demand for health-care services, especially for surgical patients. We aim to examine the degree of IHDs, predic...

    Authors: Hao Li, Hongbing Tao and Gang Li

    Citation: BMC Health Services Research 2021 21:900

    Content type: Research

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  44. Hypertension is a major preventable risk factor for cardiovascular disease. Occupational factors such as having served or serving in armed forces may be associated with hypertension. This study aimed to assess...

    Authors: Abhishek Sapkota, Dinesh Neupane, Aamod Dhoj Shrestha, Tara Ballav Adhikari, Craig Steven McLachlan and Naveen Shrestha

    Citation: BMC Health Services Research 2021 21:899

    Content type: Research

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  45. There have been dozens of strikes by health workers in Kenya in the past decade, but there are few studies of their impact on maternal and child health services and outcomes. We conducted a retrospective surve...

    Authors: Michael L. Scanlon, Lauren Y. Maldonado, Justus E. Ikemeri, Anjellah Jumah, Getrude Anusu, Jeffrey N. Bone, Sheilah Chelagat, Joann Chebet Keter, Laura Ruhl, Julia Songok and Astrid Christoffersen-Deb

    Citation: BMC Health Services Research 2021 21:898

    Content type: Research

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