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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: Study protocol

    Australia is one of many nations struggling with the challenges of delivering quality primary health care (PHC) to increasing numbers of refugees. The OPTIMISE project represents a collaboration between 12 org...

    Authors: Grant Russell, Nilakshi Gunatillaka, Virginia Lewis, I-Hao Cheng, Joanne Enticott, Geraldine Marsh, Shiva Vasi, Jenny Advocat, Hyun Song, Shoko Saito, Sue Casey, Mitchell Smith and Mark Harris

    Citation: BMC Health Services Research 2019 19:396

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  2. Content type: Research article

    Hospital boards have the responsibility to ensure compliance of hospital staff with guidelines and other norms, but they have struggled to do so. The current study aims to identify possible solutions that addr...

    Authors: Louise H. K. Blume, Jamiu O. Busari, Nico J. H. W. van Weert and Diana M. J. Delnoij

    Citation: BMC Health Services Research 2019 19:395

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  3. Content type: Research article

    Traditionally, the care of infants in neonatal care units has been professionally centered, paying less attention to family support. In recent years, many interventions have been developed to improve family-ce...

    Authors: Mirka Toivonen, Liisa Lehtonen, Sari Ahlqvist-Björkroth and Anna Axelin

    Citation: BMC Health Services Research 2019 19:394

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  4. Content type: Research article

    Fall prevention is a priority in Canadian tertiary rehabilitation hospitals. We aimed to understand the perspectives of hospital administrators on the challenges experienced when implementing fall prevention p...

    Authors: H. Singh, B. C. Craven, H. M. Flett, C. Kerry, S. B. Jaglal, M. P. Silver and K. E. Musselman

    Citation: BMC Health Services Research 2019 19:391

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  5. Content type: Research article

    Initiating parenteral nutrition (PN) within 24 h in critically ill children is inferior to withholding PN during the first week, as was found in the PEPaNIC study. The aims of this study were to investigate de...

    Authors: Esther van Puffelen, An Jacobs, Charlotte J. M. Verdoorn, Koen F. M. Joosten, Greet van den Berghe, Erwin Ista and Sascha C. A. T. Verbruggen

    Citation: BMC Health Services Research 2019 19:379

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  6. Content type: Research article

    Switzerland recently introduced Acute and Transitional Care (ATC) as a new financing option and a preventive measure to mitigate potential side effects of Swiss Diagnosis Related Group (SwissDRG). The goal of ...

    Authors: Tenzin Wangmo, Yvonne Padrutt, Insa Koné, Thomas Gächter, Bernice S. Elger and Agnes Leu

    Citation: BMC Health Services Research 2019 19:374

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  7. Content type: Study protocol

    Comprehensive assessment of integrated care deployment constitutes a major challenge to ensure quality, sustainability and transferability of both healthcare policies and services in the transition toward a co...

    Authors: Erik Baltaxe, Isaac Cano, Carmen Herranz, Anael Barberan-Garcia, Carme Hernandez, Albert Alonso, María José Arguis, Cristina Bescos, Felip Burgos, Montserrat Cleries, Joan Carles Contel, Jordi de Batlle, Kamrul Islam, Rachelle Kaye, Maarten Lahr, Graciela Martinez-Palli…

    Citation: BMC Health Services Research 2019 19:370

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  8. Content type: Research article

    Healthcare professionals’ person-centered communication skills are pivotal for delivering successful diabetes education. Many healthcare professionals favor person-centeredness as a concept, but implementation...

    Authors: Vibeke Stenov, Gitte Wind, Michael Vallis, Susanne Reventlow and Nana Folmann Hempler

    Citation: BMC Health Services Research 2019 19:368

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  9. Content type: Research article

    Implementation of digital monitoring technology systems is considered beneficial for increasing the safety and quality of care for residents in nursing homes and simultaneously improving care providers’ workfl...

    Authors: Janne Dugstad, Tom Eide, Etty R. Nilsen and Hilde Eide

    Citation: BMC Health Services Research 2019 19:366

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  10. Content type: Research article

    Electronic health (e-Health) interventions are emerging as an effective alternative model for improving secondary prevention of coronary artery disease (CAD). The aim of this study was to describe the effectiv...

    Authors: Gunhild Brørs, Trond Røed Pettersen, Tina B. Hansen, Bengt Fridlund, Linn Benjaminsen Hølvold, Hans Lund and Tone M. Norekvål

    Citation: BMC Health Services Research 2019 19:364

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  11. Content type: Research article

    Advance care planning (ACP) is the process of ongoing communication among patients, family and health care professionals regarding what plans for future care are preferred in the event that patients become una...

    Authors: Carmen Wing Han Chan, Nancy Hiu Yim Ng, Helen Y. L. Chan, Martin M. H. Wong and K. M. Chow

    Citation: BMC Health Services Research 2019 19:362

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  12. Content type: Research article

    Little is known about the participation of surgeons in preventative health activities in the non-admitted hospital care setting. The aim of this study was to identify which preventive health activities surgeon...

    Authors: Stephen Barrett, Stephen Begg, Andrea Sloane and Michael Kingsley

    Citation: BMC Health Services Research 2019 19:358

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  13. Content type: Research article

    The Targeted Intervention Interdisciplinary Model for Evaluation and Treatment of Neuropsychiatric Symptoms (TIME) has recently in a three-month cluster randomised controlled trial demonstrated reduction in ag...

    Authors: Bjørn Lichtwarck, Janne Myhre, Geir Selbaek, Øyvind Kirkevold, Anne Marie Mork Rokstad, Jūratė Šaltytė Benth and Sverre Bergh

    Citation: BMC Health Services Research 2019 19:349

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  14. Content type: Research article

    With an extensive rise in the number of acute patients and increases in both admissions and readmissions, hospitals are at times overcrowded and under immense pressure and this may challenge patient safety. Th...

    Authors: Cathrine Bell, Ulrich Fredberg, Anders Damgaard Moeller Schlünsen and Peter Vedsted

    Citation: BMC Health Services Research 2019 19:346

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  15. Content type: Research article

    Survival rates after in-hospital cardiac arrest are low and vary across hospitals. The ERC guidelines state that more research is needed to explore factors that could influence survival. Research into the role .....

    Authors: Marc Schluep, Geertje Johanna Catharina van Limpt, Robert Jan Stolker, Sanne Elisabeth Hoeks and Henrik Endeman

    Citation: BMC Health Services Research 2019 19:333

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  16. Content type: Study protocol

    Deficits in general and specialized on-site medical care are a common problem in nursing homes and can lead to unnecessary, costly and burdensome hospitalizations for residents. Reasons for this are often orga...

    Authors: Boris A. Brühmann, Christina Reese, Klaus Kaier, Margrit Ott, Christoph Maurer, Simone Kunert, Bruno R. Saurer and Erik Farin

    Citation: BMC Health Services Research 2019 19:332

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  17. Content type: Research article

    Each year around 5–10% of people with non-diabetic hyperglycaemia will develop type 2 diabetes mellitus. Diabetes prevention is a national and global public health concern. Diabetes Prevention Programmes, whic...

    Authors: Sarah Knowles, Sarah Cotterill, Nia Coupe and Michael Spence

    Citation: BMC Health Services Research 2019 19:321

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  18. Content type: Research article

    A good portion of stroke patients in Western countries are over 65 of age. Because of sequelae, they often lead more isolated lives after the stroke. In terms of social reintegration, this group of patients is...

    Authors: Susanne Lillelund Sørensen, Sedsel Kristine Stage Pedersen and Hanne Pallesen

    Citation: BMC Health Services Research 2019 19:320

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  19. 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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  20. 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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  21. 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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  22. 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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  23. 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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  24. 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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  25. 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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  26. 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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  27. 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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  28. 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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  29. 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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  30. 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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  31. 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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  32. 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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  33. 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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  34. 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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  35. 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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  36. 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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  37. 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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  38. 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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  39. 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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  40. 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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  41. 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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  42. 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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  43. 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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  44. 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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  45. 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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  46. 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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  47. 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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  48. 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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  49. 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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