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Organization, structure and delivery of healthcare

Section edited by  Stefano Bonacina, Marie Pierre Gagnon and Holly Lanham

This section aims to publish studies looking at how health care is planned, organized and structured, including in terms of relationships among personnel or departments, as well as research on the provision of healthcare to an individual, group, population or community.

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  1. Content type: Research article

    Hospitals need to understand how to reduce their frontline employees’ turnover rate as well as how to positively engage them and improve their service. Central to these issues, we find, is the employees’ perce...

    Authors: Terje Slåtten, Gudbrand Lien and Peer Jacob Svenkerud

    Citation: BMC Health Services Research 2019 19:307

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  2. Content type: Research article

    The impact of new medical graduates on the social dimensions of the rural medical workforce is yet to be examined. Social Network Analysis (SNA) is able to visualize and measure these dimensions. We apply this...

    Authors: Denese E. Playford, Tessa Burkitt and David Atkinson

    Citation: BMC Health Services Research 2019 19:305

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  3. Content type: Study protocol

    A number of challenges impede our ability to consistently provide high quality care to patients hospitalized with medical conditions. Teams are large, team membership continually evolves, and physicians are of...

    Authors: Kevin J. O’Leary, Julie K. Johnson, Milisa Manojlovich, Jenna D. Goldstein, Jungwha Lee and Mark V. Williams

    Citation: BMC Health Services Research 2019 19:293

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  4. Content type: Research article

    In 2012, Switzerland introduced the diagnosis-related group hospital payment system. Fearing that vulnerable patients may be discharged early, Acute and Transitional Care (ATC) was introduced to address the nu...

    Authors: Bettina M. Zimmermann, Insa Koné, Michael Rost, Agnes Leu, Tenzin Wangmo and Bernice S. Elger

    Citation: BMC Health Services Research 2019 19:289

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  5. Content type: Research article

    Managers and professionals in health and social care are required to implement evidence-based methods. Despite this, they generally lack training in implementation. In clinical settings, implementation is ofte...

    Authors: Rebecca Mosson, Hanna Augustsson, Annika Bäck, Mårten Åhström, Ulrica von Thiele Schwarz, Anne Richter, Malin Gunnarsson and Henna Hasson

    Citation: BMC Health Services Research 2019 19:287

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  6. Content type: Study protocol

    Advanced care planning (ACP) is a process that involves thinking about what medical care one would like should individuals be seriously ill and cannot communicate decisions about treatment for themselves. The ...

    Authors: Sarah Jeong, Tomiko Barrett, Se Ok Ohr, Peter Cleasby, Michael David, Sally Chan, Helen Fairlamb, Ryan Davey and Peter Saul

    Citation: BMC Health Services Research 2019 19:286

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  7. Content type: Research article

    Specific Timely Appointments for Triage (STAT) is an intervention designed to reduce waiting time in community outpatient health services, shown to be effective in a large stepped wedge cluster randomised cont...

    Authors: Katherine E. Harding, David A. Snowdon, Annie K. Lewis, Sandra G. Leggat, Bridie Kent, Jennifer J. Watts and Nicholas F. Taylor

    Citation: BMC Health Services Research 2019 19:283

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  8. Content type: Research article

    As compliance to guidelines is generally low among health care providers, little is known about the impact of guidelines on the quality of delivery of care. To improve adherence to guideline recommendations on...

    Authors: Margot C. W. Joosen, Karlijn M. van Beurden, David S. Rebergen, Monique A. J. M. Loo, Berend Terluin, Jaap van Weeghel, Jac J. L. van der Klink and Evelien P. M. Brouwers

    Citation: BMC Health Services Research 2019 19:281

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  9. Content type: Research article

    Currently, there is a lack of knowledge, organisation and structure in modern health care systems to counter the global trend of obesity, which has become a major risk factor for noncommunicable diseases. Obes...

    Authors: Tonje C. Osmundsen, Unni Dahl and Bård Kulseng

    Citation: BMC Health Services Research 2019 19:278

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  10. Content type: Technical advance

    Patients with Parkinson’s disease (PWP) have complex healthcare needs, and compared to the general population, are more likely to have an unplanned emergency department (ED) attendance to hospital, along with ...

    Authors: Peter Hobson, Sally Roberts and Glesni Davies

    Citation: BMC Health Services Research 2019 19:271

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  11. Content type: Research article

    Individuals experiencing disadvantage or marginalisation often face difficulty accessing primary health care. Overcoming access barriers is important for improving the health of these populations. Brokers can ...

    Authors: Louise Thomas, Sharon Parker, Hyun Song, Nilakshi Gunatillaka, Grant Russell and Mark Harris

    Citation: BMC Health Services Research 2019 19:269

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  12. Content type: Research article

    Translating evidence-based interventions from study conditions to actual practice necessarily requires adaptation. We implemented an evidence-based Hospital at Home (HaH) intervention and evaluated whether ada...

    Authors: Albert L. Siu, Robert M. Zimbroff, Alex D. Federman, Linda V. DeCherrie, Melissa Garrido, Barbara Morano, Sara Lubetsky, Elisse Catalan and Bruce Leff

    Citation: BMC Health Services Research 2019 19:264

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  13. Content type: Research article

    Ambulatory care sensitive conditions (ACSC) hospitalization is a widely accepted measure of the access to primary care. However, given its discretionary characteristics, the ACSC hospitalization can be a measu...

    Authors: Agnus M. Kim, Jong Heon Park, Tae Ho Yoon and Yoon Kim

    Citation: BMC Health Services Research 2019 19:259

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  14. Content type: Research article

    There are increasing calls to make mental health and substance use services youth friendly, with hopes of improving service uptake, engagement and satisfaction. However, youth-friendliness in this area has not...

    Authors: Lisa D. Hawke, Kamna Mehra, Cara Settipani, Jaqueline Relihan, Karleigh Darnay, Gloria Chaim and Joanna Henderson

    Citation: BMC Health Services Research 2019 19:257

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  15. Content type: Research article

    Guidelines recommend shared decision making (SDM) for determining whether to use statins to prevent cardiovascular events in at-risk patients. We sought to develop a toolkit to facilitate the cross-organizatio...

    Authors: Aaron L. Leppin, Kasey R. Boehmer, Megan E. Branda, Nilay D. Shah, Ian Hargraves, Sara Dick, Glyn Elwyn, Henry H. Ting, Siqin Ye, Ryan Gilles, Marghoob Abbas, Alex Alexander and Victor M. Montori

    Citation: BMC Health Services Research 2019 19:249

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  16. Content type: Research article

    Hospital-initiated smoking cessation interventions utilizing pharmacotherapy increase post-discharge quit rates. Use of smoking cessation medications following discharge may further increase quit rates. This s...

    Authors: Edward P. Liebmann, Taneisha S. Scheuermann, Babalola Faseru and Kimber P. Richter

    Citation: BMC Health Services Research 2019 19:246

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  17. Content type: Study protocol

    A comprehensive in-hospital patient management with reasonable and economic resource allocation is arguably the major challenge of health-care systems worldwide, especially in elderly, frail, and polymorbid pa...

    Authors: Alexander Kutz, Daniel Koch, Antoinette Conca, Ciril Baechli, Sebastian Haubitz, Katharina Regez, Ursula Schild, Zeljka Caldara, Fahim Ebrahimi, Stefano Bassetti, Jens Eckstein, Juerg Beer, Michael Egloff, Vladimir Kaplan, Tobias Ehmann, Claus Hoess…

    Citation: BMC Health Services Research 2019 19:237

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  18. Content type: Research article

    Commissioning is a term used in the English National Health Service (NHS) to refer to what most health systems call health planning or strategic purchasing. Drawing on research from a recent in-depth mixed met...

    Authors: Judith Smith, Gerald Wistow, Holly Holder and Matthew Gaskins

    Citation: BMC Health Services Research 2019 19:228

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  19. Content type: Research article

    Effective collaboration between speech and language therapists (SLTs) and teachers is essential in meeting the needs of children with developmental language disorders in school, but it is difficult to achieve....

    Authors: A. L. Gallagher, CA. Murphy, P. F. Conway and A. Perry

    Citation: BMC Health Services Research 2019 19:226

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  20. Content type: Research article

    Cardiac rehabilitation (CR) has proven health benefits and, according to international guidelines, CR must be offered to all eligible patients. Studies have reported lower uptake of CR among migrants, and migr...

    Authors: Fatima Al-Sharifi, Hanne Winther Frederiksen, Henriette Knold Rossau, Marie Norredam and Ann-Dorthe Zwisler

    Citation: BMC Health Services Research 2019 19:223

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  21. Content type: Research article

    The use of psychotropic medications in relation to mental disorders is considered central to preventing suicide. However, few studies have addressed prescription patterns at different time points within the la...

    Authors: Anne Reneflot, Silje L. Kaspersen, Lars Johan Hauge and Jorid Kalseth

    Citation: BMC Health Services Research 2019 19:215

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  22. Content type: Research article

    Ultrasound (US) can be used for many perioperative procedures, but evidence is lacking as to its frequency of use and barrier of application. The objectives of this survey were to determine i) how often US gui...

    Authors: J. Chui, R. Lavi, A. F. Hegazy, P. M. Jones, R. Arellano, H. Yang and D. Bainbridge

    Citation: BMC Health Services Research 2019 19:214

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  23. Content type: Study protocol

    In 2016, Oregon became the first of eight states to allow pharmacists to directly prescribe hormonal contraception (HC), including the pill, patch, or ring, without a clinic visit. In the two years following t...

    Authors: Maria I. Rodriguez, Blair G. Darney, Alison B. Edelman, Kimberly Yee, Lorinda B. Anderson and K. John McConnell

    Citation: BMC Health Services Research 2019 19:207

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  24. Content type: Study protocol

    Hospitalisations are a critical event in the care process. Insufficient communication and uncoordinated follow-up care often impede the recovery process of the patient resulting in a high number of rehospitali...

    Authors: Johanna Forstner, Cornelia Straßner, Aline Kunz, Lorenz Uhlmann, Tobias Freund, Frank Peters-Klimm, Michel Wensing, Stephanie Kümmel, Nadja El-Kurd, Ronja Rück, Bärbel Handlos and Joachim Szecsenyi

    Citation: BMC Health Services Research 2019 19:206

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  25. Content type: Research article

    Accurate and valid measures for implementation constructs are critical to advance research and guide implementation efforts. However, there is a continued need for valid and reliable measures for implementatio...

    Authors: Timothy J. Walker, Serena A. Rodriguez, Sally W. Vernon, Lara S. Savas, Erica L. Frost and Maria E. Fernandez

    Citation: BMC Health Services Research 2019 19:205

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  26. Content type: Research article

    In Sweden, the number of older people using emergency department (ED) care is rising. Among older persons an ED visit is a stressful event, which potentially could have been prevented or treated at other level...

    Authors: Megan Doheny, Janne Agerholm, Nicola Orsini, Pär Schön and Bo Burström

    Citation: BMC Health Services Research 2019 19:202

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  27. Content type: Research article

    A number of working time arrangements have been linked to negative consequences for both health personnel and their patients. A common hypothesis put forth to explain these findings suggests that certain worki...

    Authors: Vilde H. Bernstrøm, Daniele Evelin Alves, Dag Ellingsen and Mari Holm Ingelsrud

    Citation: BMC Health Services Research 2019 19:193

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  28. Content type: Research article

    A majority of nursing home residents have dementia, and many develop neuropsychiatric symptoms. These symptoms are often caused by neuropathological changes in the brain, but modifiable factors related to qual...

    Authors: Sigrid Nakrem, Geir-Tore Stensvik, Rickard Johan Skjong and Joan Ostaszkiewicz

    Citation: BMC Health Services Research 2019 19:191

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  29. Content type: Research article

    Worldwide community pharmacies are shifting their role in the healthcare system from simple medication dispensers to health care providers. High levels of satisfaction with pharmacy services were found in prev...

    Authors: Verónica Policarpo, Sónia Romano, João H. C. António, Tânia Sofia Correia and Suzete Costa

    Citation: BMC Health Services Research 2019 19:186

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  30. Content type: Study protocol

    More than one million people in Germany live with dementia. Most of these people are cared for at home in the family setting. Supporting and caring for people with dementia is time-consuming, and family carers...

    Authors: Martin Berwig, Susanne Lessing and Ruth Deck

    Citation: BMC Health Services Research 2019 19:183

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  31. Content type: Research article

    Enhanced Recovery After Surgery (ERAS) guidelines recommend early oral feeding with nutritionally adequate diets after surgery. However, studies have demonstrated variations in practice and poor adherence to t...

    Authors: Megan Rattray, Shelley Roberts, Ben Desbrow, Martin Wullschleger, Tayla Robertson, Ingrid Hickman and Andrea P. Marshall

    Citation: BMC Health Services Research 2019 19:178

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  32. Content type: Research article

    To cope with rising demand for healthcare services in Singapore, Regional Health Systems (RHS) comprising of health and social care providers across care settings were set up to integrate service delivery. Tas...

    Authors: Milawaty Nurjono, Pami Shrestha, Ian Yi Han Ang, Farah Shiraz, Joanne Su-Yin Yoong, Sue-Anne Ee Shiow Toh and Hubertus Johannes Maria Vrijhoef

    Citation: BMC Health Services Research 2019 19:177

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  33. Content type: Research article

    Shared Decision Making (SDM) is an approach where clinicians and patients share the best available evidence to make decision and where patients opinions are considered. This approach provides benefits for pati...

    Authors: M. R. Gualano, F. Bert, S. Passi, M. Stillo, V. Brescia, G. Scaioli, R. Thomas, G. Voglino, D. Minniti, F. Boraso and R. Siliquini

    Citation: BMC Health Services Research 2019 19:174

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  34. Content type: Research article

    Shared decision-making in oncology requires information on individual prognosis. This comprises cancer prognosis as well as competing risks of dying due to age and comorbidities. Decision aids usually do not p...

    Authors: Viktoria Mühlbauer, Birte Berger-Höger, Martina Albrecht, Ingrid Mühlhauser and Anke Steckelberg

    Citation: BMC Health Services Research 2019 19:171

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  35. Content type: Study protocol

    Polypharmacy is prevalent among hospitalized older adults, particularly those being discharged to a post-care care facility (PAC). The aim of this randomized controlled trial is to determine if a patient-cente...

    Authors: Eduard E. Vasilevskis, Avantika S. Shah, Emily K. Hollingsworth, Matthew S. Shotwell, Amanda S. Mixon, Susan P. Bell, Sunil Kripalani, John F. Schnelle and Sandra F. Simmons

    Citation: BMC Health Services Research 2019 19:165

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  36. Content type: Research article

    Better management of long-term conditions remains a policy priority, with a focus on improving outcomes and reducing use of expensive hospital services. A number of interventions have been tested, but many hav...

    Authors: David G. Lugo-Palacios, Jonathan Hammond, Thomas Allen, Sarah Darley, Ruth McDonald, Thomas Blakeman and Peter Bower

    Citation: BMC Health Services Research 2019 19:159

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  37. Content type: Research article

    The increasing adoption of hospital electronic prescribing and medication administration (ePA) systems has driven a wealth of research around the impact on patient safety. Yet relatively little research has so...

    Authors: Monsey McLeod, Georgios Dimitrios Karampatakis, Lore Heyligen, Ann McGinley and Bryony Dean Franklin

    Citation: BMC Health Services Research 2019 19:156

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  38. Content type: Research article

    Efforts to address health literacy should favour a system-based approach with the dual aim both of fostering the material conditions and creating a work culture inside health care organisations that makes it e...

    Authors: Gilles Henrard, Marc Vanmeerbeek, Laetitia Buret and Jany Rademakers

    Citation: BMC Health Services Research 2019 19:146

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  39. Content type: Research article

    An important goal of the patient-centered medical home is increasing timely access for urgent needs, while maintaining continuity. In academic primary care clinics, meeting this goal, along with training medic...

    Authors: Jane H. Forman, Claire H. Robinson and Sarah L. Krein

    Citation: BMC Health Services Research 2019 19:145

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  40. Content type: Research article

    Generally, a significant portion of healthcare spending consists of out-of-pocket (OOP) expenses. Patients indicate that, in practice, there are often some OOP expenses, incurred when they receive medical care...

    Authors: A. Victoor, J. Noordman, A. Potappel, M. Meijers, C. J. J. Kloek and J. D. de Jong

    Citation: BMC Health Services Research 2019 19:141

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  41. Content type: Research article

    Family navigation in mental health and addictions is a mode of support aimed at helping families through the complex mental health and addictions system, making well-informed service matches, and engaging with...

    Authors: Roula Markoulakis, Samantha Chan and Anthony Levitt

    Citation: BMC Health Services Research 2019 19:137

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  42. Content type: Research article

    Cross-cultural educational initiatives for professionals are now commonplace across a variety of sectors including health care. A growing number of studies have attempted to explore the utility of such initiat...

    Authors: Stephane M. Shepherd, Cynthia Willis-Esqueda, Danielle Newton, Diane Sivasubramaniam and Yin Paradies

    Citation: BMC Health Services Research 2019 19:135

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  43. Content type: Research article

    The state of São Paulo recorded a significant reduction in infant mortality from 1990 to 2013, but the desired reduction in maternal mortality was not achieved. Knowledge of the factors with impact on these in...

    Authors: Alexandre Bergo Guerra, Luciane Miranda Guerra, Livia Fernandes Probst, Brunna Verna Castro Gondinho, Gláucia Maria Bovi Ambrosano, Estêvão Azevedo Melo, Valéria Silva Cândido Brizon, Jaqueline Vilela Bulgareli, Karine Laura Cortellazzi and Antonio Carlos Pereira

    Citation: BMC Health Services Research 2019 19:133

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  44. Content type: Research article

    OnkoNetwork is a recently established integrated care model with a personalized pathway system to manage patients with first suspect of a solid tumour in secondary care, that evolved as a regional initiative i...

    Authors: János G. Pitter, Marcell Csanádi, Annamária Szigeti, Gábor Lukács, Árpád Kovács, Mariann Moizs, Imre Repa, Antal Zemplényi, Thomas Czypionka, Markus Kraus, Maureen P. M. H. Rutten-van Mölken and Zoltán Kaló

    Citation: BMC Health Services Research 2019 19:131

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  45. Content type: Research article

    Patient and public involvement (PPI) in health education is a practice whereby research and education are carried in collaboration ‘with’ patients and/or citizens, maintaining their role as a team member or ex...

    Authors: Maman Joyce Dogba, Anara Richi Dossa, Erik Breton and Ruth Gandonou-Migan

    Citation: BMC Health Services Research 2019 19:128

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  46. Content type: Research article

    With its emphasis on cost-reduction and external management, New Public Management emerged as the dominant healthcare policy in many Western countries. The ability to provide comprehensive and customized patie...

    Authors: Maria Strandås, Steen Wackerhausen and Terese Bondas

    Citation: BMC Health Services Research 2019 19:121

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  47. Content type: Research article

    Collaborative care involves active engagement of primary care and hospital physicians in shared care of patients beyond usual discharge summaries. This enhances community-based care and reduces dependence on s...

    Authors: Joanne Shaw, Suvena Sethi, Lisa Vaccaro, Lisa Beatty, Laura Kirsten, David Kissane, Brian Kelly, Geoff Mitchell, Kerry Sherman and Jane Turner

    Citation: BMC Health Services Research 2019 19:120

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  48. Content type: Research article

    The purpose of this study was to contribute to knowledge about what is regarded as an appropriate governance model in welfare markets in healthcare, from the perspective of government. The study draws on a fra...

    Authors: Anna Häger Glenngård

    Citation: BMC Health Services Research 2019 19:114

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  49. Content type: Research article

    This cross-sectional study aimed to explore, among a sample of patients attending one of four Aboriginal Health Services (ACCHSs), the degree of concordance between self-report and medical records for whether ...

    Authors: Natasha Noble, Christine Paul, Justin Walsh, Kylie Wyndham, Sue Wilson and Jessica Stewart

    Citation: BMC Health Services Research 2019 19:111

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