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Healthcare needs and demand

Section edited by Onyebuchi Arah and Michael Donnelly

This section aims to publish studies looking at the health care requirements of a population or community and research recommending ways in which to make changes to meet these needs. The section also accepts studies on the health services for which a population or community is able and willing to pay.

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  1. Content type: Research article

    Osteopaths are an integral member of the health care team, playing a pivotal role in the provision of care for patients with musculoskeletal disorders. Osteopaths, like other health care providers, are under i...

    Authors: Matthew J. Leach, Tobias Sundberg, Gary Fryer, Philip Austin, Oliver P. Thomson and Jon Adams

    Citation: BMC Health Services Research 2019 19:498

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  2. Content type: Research article

    Australia provides health care services for Indigenous peoples as part of its effort to enhance Indigenous peoples’ wellbeing. However, biomedical frameworks shape Australia’s health care system, often without...

    Authors: Rosalie Schultz, Stephen Quinn, Byron Wilson, Tammy Abbott and Sheree Cairney

    Citation: BMC Health Services Research 2019 19:488

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  3. Content type: Study protocol

    At the end of life, about 85–90% of patients can be treated within primary palliative care (PC) provided by general practitioners (GPs). In Germany, there is no structured approach for the provision of PC by G...

    Authors: Kambiz Afshar, Gabriele Müller-Mundt, Katharina van Baal, Sophie Schrader, Birgitt Wiese, Jutta Bleidorn, Stephanie Stiel and Nils Schneider

    Citation: BMC Health Services Research 2019 19:486

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  4. Content type: Research article

    Despite the high burden of pneumococcal disease, pneumococcal vaccine coverage continues to fall short of Healthy People 2020 goals. A quasi-experimental design was used to investigate the impact of pneumococc...

    Authors: Carrie McAdam-Marx, Casey Tak, Tanaz Petigara, Nathan W. Jones, Minkyoung Yoo, Melissa Struwe Briley, Karen Gunning and Lisa Gren

    Citation: BMC Health Services Research 2019 19:474

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  5. Content type: Research article

    Mortality rates and causes of death among individuals in opioid agonist treatment (OAT) vary according to several factors such as geographical region, age, gender, subpopulations, drug culture and OAT status. ...

    Authors: Anne Berit Bech, Thomas Clausen, Helge Waal, Jūratė Šaltytė Benth and Ivar Skeie

    Citation: BMC Health Services Research 2019 19:440

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  6. Content type: Research article

    Primary and secondary healthcare service usage is assessed in the year before and following a cancer diagnosis, in cancer cases versus matched non-cancer controls in New South Wales (NSW), Australia over 2006–...

    Authors: Stephen Morrell, Jane Young and David Roder

    Citation: BMC Health Services Research 2019 19:431

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  7. Content type: Study protocol

    Depressive disorders are the third leading cause of consultation in primary care, mainly in patients with chronic physical illnesses. Studies have shown the effectiveness of group psychoeducation in reducing s...

    Authors: Rocío Casañas, Jaume Martín Royo, Maria Isabel Fernandez-San-Martín, Antonia Raya Tena, Jacobo Mendioroz, Glòria Sauch Valmaña, Roser Masa-Font, Marc Casajuana-Closas, Eva María Fernandez Linares, Cèlia Cols-Sagarra, Susana Gonzalez Tejón, Quintí Foguet-Boreu and Luis Miguel Martín Lopez

    Citation: BMC Health Services Research 2019 19:427

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  8. Content type: Research article

    Patient activation refers to patients’ knowledge, skills, and confidence in self-managing health conditions. In large cross-sectional studies, individuals with higher patient activation are observed to have be...

    Authors: Jie Gao, Madelynne Arden, Zhe Hui Hoo and Martin Wildman

    Citation: BMC Health Services Research 2019 19:420

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  9. Content type: Research article

    Optimizing the organization of care for community-dwelling frail older people is an important issue in many Western countries. In Belgium, a series of complex, innovative, bottom-up interventions was recently ...

    Authors: Anne-Sophie Lambert, Sophie Ces, Espoir Bwenge Malembaka, Thérèse Van Durme, Anja Declercq and Jean Macq

    Citation: BMC Health Services Research 2019 19:416

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  10. Content type: Research article

    Clinical practice guidelines recommend further testing for people with tetraplegia and signs and symptoms of obstructive sleep apnoea (OSA), followed by treatment with positive airway pressure therapy. Little ...

    Authors: Marnie Graco, David J. Berlowitz and Sally E. Green

    Citation: BMC Health Services Research 2019 19:405

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  11. Content type: Research article

    Population segmentation of patients into parsimonious and relatively homogenous subgroups or segments based on healthcare requirements can aid healthcare resource planning and the development of targeted inter...

    Authors: Lian Leng Low, Yu Heng Kwan, Cheryl Ann Ma, Shi Yan, Elian Hui San Chia and Julian Thumboo

    Citation: BMC Health Services Research 2019 19:401

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  12. Content type: Research article

    Transition to adult care represents a vulnerable period for young people with special health care needs as they navigate multiple life transitions and developmental issues. Patient navigators are a promising i...

    Authors: Gina Dimitropoulos, Elizabeth Morgan-Maver, Brooke Allemang, Kyleigh Schraeder, Shannon D. Scott, Jorge Pinzon, Gail Andrew, Gregory Guilcher, Lorraine Hamiwka, Eddy Lang, Kerry McBrien, Alberto Nettel-Aguirre, Daniele Pacaud, Lonnie Zwaigenbaum, Andrew Mackie and Susan Samuel

    Citation: BMC Health Services Research 2019 19:390

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  13. Content type: Research article

    The quality of the care relationship between a client and a professional is important in long-term care, as most clients depend on support for a lengthy period. The three largest client groups who receive long...

    Authors: Aukelien Scheffelaar, Michelle Hendriks, Nanne Bos, Katrien Luijkx and Sandra van Dulmen

    Citation: BMC Health Services Research 2019 19:389

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  14. Content type: Research article

    There is an increasing number of pediatric urgent care centers that are largely staffed by pediatric residency graduates. It is unclear if pediatric residency adequately prepares a physician to fully and succe...

    Authors: Xian Zhao, Ioannis Koutroulis, Joanna Cohen and Deena Berkowitz

    Citation: BMC Health Services Research 2019 19:388

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  15. Content type: Research article

    Australia’s Aboriginal and Torres Strait Islander women have poorer survival and twice the disease burden from breast cancer compared to other Australian women. These disparities are influenced, but not fully ...

    Authors: David Banham, David Roder, Dorothy Keefe, Gelareh Farshid, Marion Eckert, Natasha Howard, Karla Canuto and Alex Brown

    Citation: BMC Health Services Research 2019 19:387

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  16. Content type: Research article

    To explore the inadequacies of health service and its impact on clinical outcomes of patients with systemic lupus erythematosus (SLE) in China.

    Authors: Le Zhang, Wei Luan, Shikai Geng, Shuang Ye, Xiaodong Wang, Liping Qian, Yang Ding, Ting Li and Anli Jiang

    Citation: BMC Health Services Research 2019 19:378

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  17. Content type: Research article

    The levels of knowledge, attitude and practice among primary physicians concerning both diabetic retinopathy screening and treatment of sight threatening diabetic retinopathy have been studied by different gro...

    Authors: Talal Bassam Abu-Amara, Waleed Abdulaziz Al Rashed, Rajiv Khandekar, Hamad Mohammed Qabha, Faris Mohammad Alosaimi, Abdulrahman Abdullah Alshuwayrikh, Mansour Khalid Almadi and Alanoud Alfaris

    Citation: BMC Health Services Research 2019 19:375

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  18. Content type: Research article

    Waiting times for elective treatments, including elective surgery, are a source of public concern and therefore are on policy makers’ agenda. The long waiting times have often been tackled through the allocati...

    Authors: Daniel Adrian Lungu, Tommaso Grillo Ruggieri and Sabina Nuti

    Citation: BMC Health Services Research 2019 19:369

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  19. Content type: Research article

    Lifestyle interventions regularly rely on study staff to implement the intervention and collect outcomes data directly from study participants. This study describes the experiences of project staff in two rand...

    Authors: Aline Gubrium, Denise Leckenby, Megan Ward Harvey, Bess H. Marcus, Milagros C. Rosal and Lisa Chasan-Taber

    Citation: BMC Health Services Research 2019 19:357

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  20. Content type: Research article

    To describe the process of patient engagement to co-design a patient experience survey for people with arthritis referred to central intake.

    Authors: Eloise C. J. Carr, Jatin N. Patel, Mia M. Ortiz, Jean L. Miller, Sylvia R. Teare, Claire E. H. Barber and Deborah A. Marshall

    Citation: BMC Health Services Research 2019 19:355

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  21. Content type: Research article

    Australians living in rural and remote areas have access to considerably fewer doctors compared with populations in major cities. Despite plentiful, descriptive data about what attracts and retains doctors to ...

    Authors: Louise Young, Raquel Peel, Belinda O’Sullivan and Carole Reeve

    Citation: BMC Health Services Research 2019 19:338

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  22. Content type: Research article

    Networks are a vehicle for mobilizing knowledge, but there is little research about evidence-informed decision-making in community settings. Breastfeeding is a powerful intervention for population health; comb...

    Authors: Sionnach Lukeman, Barbara Davies, Charmaine McPherson and Josephine Etowa

    Citation: BMC Health Services Research 2019 19:337

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  23. Content type: Research article

    An estimated 20–30% of end-stage lung disease patients awaiting lung transplant die whilst on the waiting list due to a shortage of suitable donor lungs. Ex-Vivo Lung Perfusion is a technique that reconditions...

    Authors: N. McMeekin, A. E. Chrysos, L. Vale and A. J. Fisher

    Citation: BMC Health Services Research 2019 19:326

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  24. Content type: Research article

    Regular asthma reviews are recommended by international guidelines to improve the quality of life of asthma patients. To facilitate these reviews in primary care practice, there is a need for structured asthma...

    Authors: Chris Livadiotis, Ekaterini Lambrinou, Vasilios Raftopoulos and Nicos Middleton

    Citation: BMC Health Services Research 2019 19:322

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  25. Content type: Research article

    Qualitative research studies are becoming increasingly necessary to understand the complex challenges in the healthcare setting. Successfully integrating interdisciplinary teams of investigators can be challen...

    Authors: Charissa Fritzen-Pedicini, Susan C. Bleasdale, Lisa M. Brosseau, Donna Moritz, Monica Sikka, Emily Stiehl and Rachael M. Jones

    Citation: BMC Health Services Research 2019 19:306

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  26. Content type: Research article

    Extensive research documents that child abuse is widespread and that it has detrimental effects on victims’ physical, psychological and social well-being. Efforts to help abused children by removing stressors ...

    Authors: Ane Ugland Albaek, Per-Einar Binder and Anne Marita Milde

    Citation: BMC Health Services Research 2019 19:302

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  27. Content type: Research article

    Colorectal cancer (CRC) screening is underutilized by Medicaid enrollees and the uninsured. Multiple national and state policies were enacted from 2010 to 2014 to increase access to Medicaid and to promote CRC...

    Authors: Meghan C. O’Leary, Kristen Hassmiller Lich, Yifan Gu, Stephanie B. Wheeler, Gloria D. Coronado, Sarah E. Bartelmann, Bonnie K. Lind, Maria E. Mayorga and Melinda M. Davis

    Citation: BMC Health Services Research 2019 19:298

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  28. Content type: Research article

    Neurological disorders may negatively impact community integration and/or quality of life. Peer support has emerged as a potential strategy to enhance patients’ efficacy in managing their own health. This revi...

    Authors: Ben B. Levy, Dorothy Luong, Laure Perrier, Mark T. Bayley and Sarah E. P. Munce

    Citation: BMC Health Services Research 2019 19:288

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  29. Content type: Study protocol

    In the UK, type 2 diabetes mellitus (T2D) is largely managed in primary care. Delay in the intensification to injectable therapy, a form of clinical inertia, is associated with worse glycaemic control. UK gene...

    Authors: Simon de Lusignan, William Hinton, Emmanouela Konstantara, Neil Munro, Martin Whyte, Julie Mount and Michael Feher

    Citation: BMC Health Services Research 2019 19:284

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  30. Content type: Research article

    Cerebral palsy (CP) is a serious neurodevelopmental disorder that occurs in childhood and requires a range of treatments over a person’s lifetime. The aims of this study were to investigate the nature of the r...

    Authors: Seong Woo Kim, Ha Ra Jeon, Taemi Youk and Jiyong Kim

    Citation: BMC Health Services Research 2019 19:277

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  31. Content type: Research article

    The study objectives were to identify differences in HIV sexual risk behavior of men who had sex with other men (MSM) resident in urban and rural Nigeria, their perspectives on need for HIV prevention services...

    Authors: Godwin Emmanuel, Morenike Oluwatoyin Folayan, Bartholomew Ochonye, Paul Umoh, Bashiru Wasiu, Mercy Nkom, Apera Iorwa and James Anenih

    Citation: BMC Health Services Research 2019 19:261

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  32. Content type: Research article

    Nearly 1% of the population is currently treated with long-term corticosteroid therapy. When corticosteroids are introduced, information concerning potential adverse effects and recommendations for lifestyle c...

    Authors: Muriel Nogué, Jacques Rambaud, Sylvie Fabre, Nathalie Filippi, Christian Jorgensen and Yves-Marie Pers

    Citation: BMC Health Services Research 2019 19:255

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  33. Content type: Research article

    Health systems are complex and continually changing across a variety of contexts and health service levels. The capacities needed by health managers and leaders to respond to current and emerging issues are no...

    Authors: Carah Alyssa Figueroa, Reema Harrison, Ashfaq Chauhan and Lois Meyer

    Citation: BMC Health Services Research 2019 19:239

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  34. Content type: Research article

    Tuberculosis (TB) is still a major global health problem. The increasing number of cases observed among foreign-born populations contrasts with the decreasing trends observed in later years in some high-income...

    Authors: Ana Maria Tavares, Ana Cristina Garcia, Ana Gama, Ana B. Abecasis, Miguel Viveiros and Sónia Dias

    Citation: BMC Health Services Research 2019 19:233

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  35. Content type: Research article

    Researchers have shown that hospitalisation can decrease older persons’ ability to manage life at home after hospital discharge. Inadequate practices of discharge can be associated with adverse outcomes and an...

    Authors: Christine Hillestad Hestevik, Marianne Molin, Jonas Debesay, Astrid Bergland and Asta Bye

    Citation: BMC Health Services Research 2019 19:224

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  36. Content type: Research article

    The ageing global population has seen increasing numbers of older people living with chronic health problems, declining function, and frailty. As older people seek to live out their years at home, family membe...

    Authors: Susan Slatyer, Samar M. Aoun, Keith D. Hill, Debbie Walsh, Dee Whitty and Christine Toye

    Citation: BMC Health Services Research 2019 19:220

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  37. Content type: Research article

    Post-acute care hospitals are often subject to patient flow pressures because of their intermediary position along the continuum of care between acute care hospitals and community care or residential long-term...

    Authors: Luke A. Turcotte, Chris M. Perlman, Brant E. Fries and John P. Hirdes

    Citation: BMC Health Services Research 2019 19:218

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  38. Content type: Research article

    Delay in healthcare seeking and loss to diagnostic follow-up (LDFU) contribute to substantial increase in tuberculosis (TB) morbidity and mortality. We examined factors, including perceived causes and prior he...

    Authors: Grace Mhalu, Mitchell G. Weiss, Jerry Hella, Francis Mhimbira, Enos Mahongo, Christian Schindler, Klaus Reither, Lukas Fenner, Elisabeth Zemp and Sonja Merten

    Citation: BMC Health Services Research 2019 19:217

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  39. Content type: Research article

    This study aimed to validate the psychometric properties of the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF) questionnaire for use in a rural district of Bangladesh.

    Authors: Mohammed Nazim Uddin and Fakir M Amirul Islam

    Citation: BMC Health Services Research 2019 19:216

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  40. Content type: Research article

    During transitions from hospital to home, up to half of all patients experience medication-related problems, such as adverse drug events. To reduce these problems, knowledge of patient experiences with medicat...

    Authors: Sara Daliri, Charlotte L. Bekker, Bianca M. Buurman, Wilma J. M. Scholte op Reimer, Bart J. F. van den Bemt and Fatma Karapinar – Çarkit

    Citation: BMC Health Services Research 2019 19:204

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  41. Content type: Research article

    HIV testing is one of the key strategies in the HIV/AIDS prevention and control programmes. However, studies examining utilization of this service by men in Malawi are limited. The aim of this study was to ass...

    Authors: Chrispin Mandiwa and Bernadetta Namondwe

    Citation: BMC Health Services Research 2019 19:203

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  42. Content type: Research article

    Demand for Physiotherapy is on the rise due to increasing ageing population and consequent disability and morbidity. However, the costs of healthcare in developing countries are rising, and healthcare resources a...

    Authors: Chidozie Mbada, Abraham Olawuyi, Olufemi O. Oyewole, Adesola C. Odole, Abiola O. Ogundele and Francis Fatoye

    Citation: BMC Health Services Research 2019 19:168

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  43. Content type: Research article

    Little is known about whether patients’ socioeconomic status influences their access to elective general surgery in Canada. The purpose of this study was to assess the association between socioeconomic status ...

    Authors: Jason M. Sutherland, Zuzanna Kurzawa, Ahmer Karimuddin, Katrina Duncan, Guiping Liu and Trafford Crump

    Citation: BMC Health Services Research 2019 19:161

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  44. Content type: Research article

    This study aimed to analyse the patient predictors of health-seeking behaviour for persons coughing for more than 2 weeks to better understand this vulnerable and important population.

    Authors: Carmen Christian, Cobus Burger, Mareli Claassens, Virginia Bond and Ronelle Burger

    Citation: BMC Health Services Research 2019 19:160

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  45. Content type: Research article

    The concept of complexity is used in palliative care (PC) to describe the nature of patients’ situations and the extent of resulting needs and care demands. However, the term or concept is not clearly defined ...

    Authors: Farina Hodiamont, Saskia Jünger, Reiner Leidl, Bernd Oliver Maier, Eva Schildmann and Claudia Bausewein

    Citation: BMC Health Services Research 2019 19:157

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  46. Content type: Research article

    In 2014, a large metropolitan mental health service in Australia developed a senior role (Lead Research Occupational Therapist) to address an identified need for greater research and knowledge translation, and...

    Authors: Danielle Hitch, Kate Lhuede, Lindsay Vernon, Genevieve Pepin and Karen Stagnitti

    Citation: BMC Health Services Research 2019 19:154

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  47. Content type: Research article

    Prisons represent a unique opportunity to diagnose blood-borne viruses. Opt-out testing is receiving increasing interest, as a result of mounting evidence to suggest that the manner in which a test offer is de...

    Authors: Seth Francis-Graham, Nnenna Adaniya Ekeke, Corey Andrew Nelson, Tin Yan Lee, Sulaima El Haj, Tim Rhodes, Cecilia Vindrola, Tim Colbourn and William Rosenberg

    Citation: BMC Health Services Research 2019 19:152

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