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  1. Medical tourism is a practice where patients travel internationally to purchase medical services. Medical tourists travel abroad for reasons including costly care, long wait times for care, and limited availab...

    Authors: Carly Jackson, Jeremy Snyder, Valorie A. Crooks and M. Ruth Lavergne
    Citation: BMC Health Services Research 2018 18:573
  2. Our research focuses on the co-creation of value in healthcare with reference to a case of hereditary angioedema with C1 inhibitor deficiency (C1-INH-HAE). Our work is mainly based on the concept of value co-c...

    Authors: Rosanna Spanò, Nadia Di Paola, Maria Bova and Alessandro Barbarino
    Citation: BMC Health Services Research 2018 18:571
  3. Complexity science has been introduced in healthcare as a theoretical framework to better understand complex situations. Interdisciplinary healthcare teams can be viewed as Complex Adaptive Systems (CAS) by fo...

    Authors: Peter Pype, Fien Mertens, Fleur Helewaut and Demi Krystallidou
    Citation: BMC Health Services Research 2018 18:570
  4. Measuring quality in healthcare is vital in evaluating patient outcomes and system performance. The availability of reliable and valid information about the quality of care for patients presenting with rotator...

    Authors: Breda H.F. Eubank, Mark R. Lafave, J. Preston Wiley, David M. Sheps, Aaron J. Bois and Nicholas G. Mohtadi
    Citation: BMC Health Services Research 2018 18:569
  5. Partnerships between clinicians and researchers could increase the generalizability of research findings and increase uptake of research results across populations. Yet engaging clinicians in research is chall...

    Authors: Kim M. Unertl, Alecia M. Fair, Jacquelyn S. Favours, Rowena J. Dolor, Duane Smoot and Consuelo H. Wilkins
    Citation: BMC Health Services Research 2018 18:568
  6. Chronic diseases are becoming a huge threat to the Chinese health system. Although the New Round of Medical Reform aims to improve this, the chronic disease management in rural China is still worrying as it re...

    Authors: Shaofan Chen, Bo Burström, Vibeke Sparring and Dongfu Qian
    Citation: BMC Health Services Research 2018 18:567
  7. Severe anaemia (SA) is a common reason for hospitalisation of children in sub-Saharan Africa but the extent to which blood transfusion is used appropriately in the management of severe anemia has hitherto rema...

    Authors: Robert O. Opoka, Andrew S. Ssemata, William Oyang, Harriet Nambuya, Chandy C. John, James K. Tumwine and Charles Karamagi
    Citation: BMC Health Services Research 2018 18:566
  8. Investments in settings-based health interventions can include workplaces, however, engaging with businesses and convincing them to take a role can be difficult. Our research investigated the potential for tra...

    Authors: Geraldine Marsh, Virginia Lewis, Jenny Macmillan and Su Gruszin
    Citation: BMC Health Services Research 2018 18:565
  9. Childbirth is a momentous event for women and their partners, yet women continue to die in childbirth worldwide, particularly in sub-Saharan Africa. To reduce maternal mortality and increase the number of wome...

    Authors: Thecla W. Kohi, Lilian T. Mselle, Justine Dol and Megan Aston
    Citation: BMC Health Services Research 2018 18:564
  10. In 2012, approximately 14 million new cases of cancer were diagnosed. As a result of advances in treatment, screening and prevention programmes the number of people surviving cancer globally is also increasing.

    Authors: Lucy Johnston and Karen Campbell
    Citation: BMC Health Services Research 2018 18:563
  11. Leadership has been identified as an influential factor in implementation processes in healthcare organizations. However, the processes through which leaders affect implementation outcomes are largely unknown....

    Authors: Håkan Uvhagen, Henna Hasson, Johan Hansson and Mia von Knorring
    Citation: BMC Health Services Research 2018 18:562
  12. Arua district, in Uganda, hosts some of the largest refugee camps in the country. The estimated prevalence of moderate and severe acute malnutrition in children is higher than the national estimates (10.4 and ...

    Authors: Humphrey Wanzira, Richard Muyinda, Peter Lochoro, Giovanni Putoto, Giulia Segafredo, Henry Wamani and Marzia Lazzerini
    Citation: BMC Health Services Research 2018 18:561
  13. Chronic diseases are generating a major health and societal burden worldwide. Healthy lifestyles, including physical activity (PA), have proven efficacy in the prevention and treatment of many chronic conditio...

    Authors: Anael Barberan-Garcia, Elena Gimeno-Santos, Isabel Blanco, Isaac Cano, Graciela Martínez-Pallí, Felip Burgos, Felip Miralles, Miquel Coca, Serafín Murillo, María Sanz, Alexander Steblin, Marta Ubré, Jaume Benavent, Josep Vidal, Marta Sitges and Josep Roca
    Citation: BMC Health Services Research 2018 18:560
  14. Anxiety disorders are common, yet treatment options in general practice are often limited to medication or CBT. There is a lack of evidence for the effectiveness of exercise in the treatment of anxiety in pati...

    Authors: Elizabeth Aylett, Nicola Small and Peter Bower
    Citation: BMC Health Services Research 2018 18:559
  15. Pain is a common and distressing symptom in people with cancer, but is under-recognised and under-treated. Australian guidelines for ‘Cancer Pain Management in Adults’ are available on the Cancer Council Austr...

    Authors: Tim Luckett, Jane Phillips, Meera Agar, Lawrence Lam, Patricia M. Davidson, Nicola McCaffrey, Frances Boyle, Tim Shaw, David C. Currow, Alison Read, Annmarie Hosie and Melanie Lovell
    Citation: BMC Health Services Research 2018 18:558
  16. Diagnostic imaging has been a part of medicine for the last century. It has been difficult to implement guidelines in this field, and unwarranted imaging has been a frequent problem. Some work has been done to...

    Authors: Ann Mari Gransjøen, Siri Wiig, Kristin Bakke Lysdahl and Bjørn Morten Hofmann
    Citation: BMC Health Services Research 2018 18:556
  17. Person-centred health care has widespread recognition, but there are few instruments aimed at measuring the provision of person-centred practice among health care professionals across a range of settings. The ...

    Authors: Pia Cecilie Bing-Jonsson, Paul Slater, Brendan McCormack and Lisbeth Fagerström
    Citation: BMC Health Services Research 2018 18:555
  18. The effective adoption and use of digital and computerized systems and records in hospitals are crucial for increasing the overall quality, safety and outcomes of any national health community. Prior research ...

    Authors: Luigi Lepore, Concetta Metallo, Francesco Schiavone and Loris Landriani
    Citation: BMC Health Services Research 2018 18:554
  19. Africa’s health systems rely on services provided by mid-level health workers (MLWs). Investment in their training is worthwhile since they are more likely to be retained in underserved areas, require shorter ...

    Authors: Ian Couper, Sunanda Ray, Duane Blaauw, Gideon Ng’wena, Lucy Muchiri, Eren Oyungu, Akinyinka Omigbodun, Imran Morhason-Bello, Charles Ibingira, James Tumwine, Daphney Conco and Sharon Fonn
    Citation: BMC Health Services Research 2018 18:553
  20. Rapidly increasing healthcare costs and the growing burden of non-communicable diseases have increased the out-of-pocket (OOP) spending (63.3% of total health expenditure) in Bangladesh. This increasing OOP sp...

    Authors: Sayem Ahmed, Md. Zahid Hasan, Mohammad Wahid Ahmed, Farzana Dorin, Marufa Sultana, Ziaul Islam, Andrew J. Mirelman, Clas Rehnberg, Jahangir A. M. Khan and Mahbub Elahi Chowdhury
    Citation: BMC Health Services Research 2018 18:552
  21. Delirium is a well-known complication in cardiac surgery and intensive care unit (ICU) patients. However, in many other settings its prevalence and clinical consequences are understudied. The aims of this stud...

    Authors: Maria Schubert, Roger Schürch, Soenke Boettger, David Garcia Nuñez, Urs Schwarz, Dominique Bettex, Josef Jenewein, Jasmina Bogdanovic, Marina Lynne Staehli, Rebecca Spirig and Alain Rudiger
    Citation: BMC Health Services Research 2018 18:550
  22. There is a growing body of evidence that supports the uses of telehealth to monitor and manage people with diabetes at a distance. Despite this, the uptake of telehealth has been low. The objective of this stu...

    Authors: Puikwan A. Lee, Geva Greenfield and Yannis Pappas
    Citation: BMC Health Services Research 2018 18:549
  23. Emergency departments handle a large proportion of acute patients. In 2007, it was recommended centralizing the Danish healthcare system and establishing emergency departments as the main common entrance for e...

    Authors: Morten Breinholt Søvsø, Sabina Bay Hermansen, Emil Færk, Tim Alex Lindskou, Marc Ludwig, Jørn Munkhof Møller, Jelena Jonciauskiene and Erika Frischknecht Christensen
    Citation: BMC Health Services Research 2018 18:548
  24. The standard 11-days IMCI (Integrated Management of Childhood Illness) training course (standard IMCI) has faced barriers such as high cost to scale up. Distance learning IMCI training program was developed as...

    Authors: Lulu M. Muhe, Nemes Iriya, Felixambrose Bundala, Mary Azayo, Maryam Juma Bakari, Asia Hussein and Theopista John
    Citation: BMC Health Services Research 2018 18:547
  25. Patient-reported outcome (PRO)-based follow-up is a new model of service delivery, where PRO measures are used as the very basis for demand-driven outpatient follow-up in patients with chronic diseases. Adopti...

    Authors: Caroline Trillingsgaard Mejdahl, Liv Marit Valen Schougaard, Niels Henrik Hjollund, Erik Riiskjær and Kirsten Lomborg
    Citation: BMC Health Services Research 2018 18:546
  26. In malaria endemic countries of sub-Saharan Africa, many children develop severe anaemia due to previous and current malaria infections. After blood transfusions and antimalarial treatment at the hospital they...

    Authors: Sarah Svege, Blessings Kaunda, Bjarne Robberstad, Thandile Nkosi-Gondwe, Kamija S. Phiri and Siri Lange
    Citation: BMC Health Services Research 2018 18:544
  27. Patient safety culture, i.e. a subset of an organization’s culture, has become an important focus of patient safety research. An organization’s culture consists of many cultures, underscoring the importance of...

    Authors: Marita Danielsson, Per Nilsen, Hans Rutberg and Siw Carlfjord
    Citation: BMC Health Services Research 2018 18:543
  28. Tobacco smoking is extremely prevalent in people with severe mental illness (SMI) and has been recognised as the main contributor to widening health inequalities in this population. Historically, smoking has b...

    Authors: Lisa Huddlestone, Harpreet Sohal, Claire Paul and Elena Ratschen
    Citation: BMC Health Services Research 2018 18:542
  29. Continuous Quality Improvement (CQI) programs have been taken up widely by Indigenous primary health care (PHC) services in Australia and there has been national policy commitment to support this. However, int...

    Authors: Karen Gardner, Beverly Sibthorpe, Mier Chan, Ginny Sargent, Michelle Dowden and Daniel McAullay
    Citation: BMC Health Services Research 2018 18:541
  30. In 2011 the World Health Organisation recommended that children with a diagnosis of HIV be gradually informed about their HIV status between the ages of 6 and 12 years. However, to date, literature has focused...

    Authors: Fatch W. Kalembo, Garth E. Kendall, Mohammed Ali and Angela F. Chimwaza
    Citation: BMC Health Services Research 2018 18:540
  31. Global strategies recommend a continuum of care for maternal health to improve outcomes and access to care in low and middle income countries (LMICs). South Africa has already set priority interventions along ...

    Authors: Mamothena Carol Mothupi, Lucia Knight and Hanani Tabana
    Citation: BMC Health Services Research 2018 18:539
  32. Proton pump inhibitors (PPIs) remain one of the world’s most frequently prescribed medications and there is a growing number of publications on correct versus incorrect use of PPIs worldwide. The objective of ...

    Authors: Hongli Luo, Qingze Fan, Shunlin Xiao and Kun Chen
    Citation: BMC Health Services Research 2018 18:537
  33. Research on team effectiveness in healthcare has focussed on whether effective teams yield positive outcomes for patients and on the effectiveness of team interventions to improve performance. Limited understa...

    Authors: U. Cunningham, M. E. Ward, A. De Brún and E. McAuliffe
    Citation: BMC Health Services Research 2018 18:536
  34. There are dearth of literature on the capacity of the health system to diagnose and treat HIV/AIDS in Ethiopia. In this study we evaluated the capacity of health facilities for HIV/AIDS care, its spatial distr...

    Authors: Amare Deribew, Sibhatu Biadgilign, Della Berhanu, Atkure Defar, Kebede Deribe, Ephrem Tekle, Kassahun Asheber and Tariku Dejene
    Citation: BMC Health Services Research 2018 18:535
  35. Achieving sustainable practice changes to ensure best-practice nursing care in acute hospital environments can be challenging and is not well understood. A multi-faceted practice change intervention was implem...

    Authors: Catherine Travers, Amanda Henderson, Frederick Graham and Elizabeth Beattie
    Citation: BMC Health Services Research 2018 18:534
  36. Studies in the intensive care unit (ICU) suggest that better communication between families of critically ill patients and healthcare providers is needed; however, most randomized trials targeting intervention...

    Authors: Csilla Kalocsai, Andre Amaral, Dominique Piquette, Grace Walter, Shelly P. Dev, Paul Taylor, James Downar and Lesley Gotlib Conn
    Citation: BMC Health Services Research 2018 18:533
  37. Retail drug shops play a significant role in managing pediatric fevers in rural areas in Uganda. Targeted interventions to improve drug seller practices require understanding of the retail drug shop market and...

    Authors: Chrispus Mayora, Freddy Eric Kitutu, Ngianga-Bakwin Kandala, Elizabeth Ekirapa-Kiracho, Stefan Swartling Peterson and Henry Wamani
    Citation: BMC Health Services Research 2018 18:532
  38. There is a global drive to promote facility deliveries but unless coupled with concurrent improvement in care quality, it might not translate into mortality reduction for mothers and babies. The World Health O...

    Authors: Alexander Manu, Shams Arifeen, John Williams, Edward Mwasanya, Nabila Zaka, Beth Anne Plowman, Debra Jackson, Priscilla Wobil and Kim Dickson
    Citation: BMC Health Services Research 2018 18:531
  39. Nutrition has been integrated within the health services in Bangladesh as it is an important issue for health and development. High penetration of mobile phones in the community and favourable policy and polit...

    Authors: Nazib Uz Zaman Khan, Sabrina Rasheed, Tamanna Sharmin, A. K. Siddique, Micheal Dibley and Ashraful Alam
    Citation: BMC Health Services Research 2018 18:530
  40. While we have made gains in understanding cultures in hospitals and their effects on outcomes of care, little work has investigated how the pace of work in hospitals is associated with staff satisfaction and p...

    Authors: Jeffrey Braithwaite, Louise A. Ellis, Kate Churruca and Janet C. Long
    Citation: BMC Health Services Research 2018 18:529
  41. EU Decision 1082/2013/EU on serious cross-border health threats provides a legal basis for collaboration between EU Member States, and between international and European level institutions on preparedness, pre...

    Authors: John Kinsman, John Angrén, Fredrik Elgh, Maria Furberg, Paola A. Mosquera, Laura Otero-García, René Snacken, Tarik Derrough, Paloma Carrillo Santisteve, Massimo Ciotti and Svetla Tsolova
    Citation: BMC Health Services Research 2018 18:528
  42. To investigate the association between the structural quality of care and patient satisfaction with care in individuals with disorders/ differences of sex development (DSD).

    Authors: Ute Thyen, Till Ittermann, Steffen Flessa, Holger Muehlan, Wiebke Birnbaum, Marion Rapp, Louise Marshall, Maria Szarras-Capnik, Claire Bouvattier, Baudewijntje P. C. Kreukels, Anna Nordenstroem, Robert Roehle and Birgit Koehler
    Citation: BMC Health Services Research 2018 18:527
  43. Irrational use of medicines is widespread in the South-East Asia Region (SEAR), where policy implementation to encourage quality use of medicines (QUM) is often low. The aim was to determine whether public-sec...

    Authors: Kathleen Anne Holloway, Anita Kotwani, Gitanjali Batmanabane, Budiono Santoso, Sauwakon Ratanawijitrasin and David Henry
    Citation: BMC Health Services Research 2018 18:526
  44. In 2013, the US Preventive Services Task Force (USPSTF) issued recommendations for low-dose computed tomography for lung cancer screening (LDCT-LCS), but there continues to be a dearth of information on the ad...

    Authors: Jiang Li, Sukyung Chung, Esther K. Wei and Harold S. Luft
    Citation: BMC Health Services Research 2018 18:525
  45. Poor sleep is known to adversely affect hospital patients’ recovery and rehabilitation. The aim of the study was to investigate the perceived duration and quality of patient sleep and identify any environmenta...

    Authors: Lori J. Delaney, Marian J. Currie, Hsin-Chia Carol Huang, Violeta Lopez and Frank Van Haren
    Citation: BMC Health Services Research 2018 18:524
  46. How non-verbal data may influence observer-administered ratings of shared decision making is unknown. Our objective for this exploratory analysis was to determine the effect of mode of data collection (audio+v...

    Authors: Michael R. Gionfriddo, Megan E. Branda, Cara Fernandez, Aaron Leppin, Kathleen J. Yost, Brittany Kimball, Gabriela Spencer-Bonilla, Laura Larrea, Katherine E. Nowakowski, Victor M. Montori and Jon Tilburt
    Citation: BMC Health Services Research 2018 18:522