You are viewing the site in preview mode

Skip to main content


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.

Page 6 of 26

  1. Content type: Study protocol

    Sickle cell disease (SCD) is an inherited blood disorder that results in a lifetime of anemia, severe pain, and end-organ damage that can lead to premature mortality. While the SCD field has made major medical...

    Authors: Ana A. Baumann, Steven H. Belle, Aimee James and Allison A. King

    Citation: BMC Health Services Research 2018 18:500

    Published on:

  2. Content type: Research article

    With the increasing burden of mental illness globally, it is becoming common for hospitalised patients with chronic medical conditions to have a comorbidity of mental illness. This combination could prolong le...

    Authors: Nazlee Siddiqui, Mitchell Dwyer, Jim Stankovich, Gregory Peterson, David Greenfield, Lei Si and Leigh Kinsman

    Citation: BMC Health Services Research 2018 18:498

    Published on:

  3. Content type: Research article

    The literature suggests that although adult hospitals are establishing population health programs around the country, there is considerable definitional ambiguity regarding whether interventions are aimed at t...

    Authors: Daniel Skinner, Berkeley Franz, Matthew Taylor, Chantelle Shaw and Kelly J. Kelleher

    Citation: BMC Health Services Research 2018 18:494

    Published on:

  4. Content type: Research article

    In 2015, Germany recorded the highest rates of refugees since the early 1990s. Access to medical care is a legally regulated fundamental element of aid for refugees. In practice, there are several hurdles such...

    Authors: Hannah S. Borgschulte, Gerhard A. Wiesmüller, Anne Bunte and Florian Neuhann

    Citation: BMC Health Services Research 2018 18:488

    Published on:

  5. Content type: Study protocol

    The completion of an implementation research project typically signals the end of research. In contrast, the Ghana Health Service has embraced a continuous process of evidence-based programming, wherein each r...

    Authors: James F. Phillips, John Koku Awoonor-Williams, Ayaga A. Bawah, Belinda Afriyie Nimako, Nicholas S. Kanlisi, Mallory C. Sheff, Patrick O. Asuming, Pearl E. Kyei, Adriana Biney and Elizabeth F. Jackson

    Citation: BMC Health Services Research 2018 18:484

    Published on:

  6. Content type: Research article

    Older adults with multiple chronic conditions typically have more complex care needs that require multiple transitions between healthcare settings. Poor care transitions often lead to fragmentation in care, de...

    Authors: Chantal Backman, Dawn Stacey, Michelle Crick, Danielle Cho-Young and Patricia B. Marck

    Citation: BMC Health Services Research 2018 18:482

    Published on:

  7. Content type: Research article

    With the rise in pre-mature mortality rate from non-communicable disease (NCD), there is a need for evidence-based interventions. We evaluated existing systematic reviews on effectiveness of integration of hea...

    Authors: Kristy C Yiu, Anke Rohwer and Taryn Young

    Citation: BMC Health Services Research 2018 18:481

    Published on:

  8. Content type: Research article

    Patients may decide to undertake shared care with a general practitioner (GP) during follow-up after treatment for localised melanoma. Routine imaging tests for surveillance may be commonly used despite no evi...

    Authors: Wei-Yin Lim, Robin M. Turner, Rachael L. Morton, Marisa C. Jenkins, Les Irwig, Angela C. Webster, Mbathio Dieng, Robyn P. M. Saw, Pascale Guitera, Donald Low, Cynthia Low and Katy J. L. Bell

    Citation: BMC Health Services Research 2018 18:477

    Published on:

  9. Content type: Research article

    Visiting services address the problem of workforce deficit and access to effective primary health care services in isolated remote and rural locations. Little is known about their impact or effectiveness and t...

    Authors: Timothy A. Carey, David Sirett, Deborah Russell, John S. Humphreys and John Wakerman

    Citation: BMC Health Services Research 2018 18:476

    Published on:

  10. Content type: Study protocol

    Non-medical prescribing (NMP) is acknowledged as an expanding area of clinical practice across the world. The physiotherapy profession is currently investigating the introduction of physiotherapist prescribing...

    Authors: T. Noblet, J. Marriot, T. Jones, C. Dean and A. Rushton

    Citation: BMC Health Services Research 2018 18:472

    Published on:

  11. Content type: Research article

    Although Germany’s acute care for stroke patients already has a good reputation, continuous follow-up care is still not widely available, a problem originating in the strict separation of inpatient and outpati...

    Authors: Isabelle Hempler, Kathrin Woitha, Ulrike Thielhorn and Erik Farin

    Citation: BMC Health Services Research 2018 18:468

    Published on:

  12. Content type: Research article

    In 2013, Health Quality Ontario introduced stroke quality-based procedures (QBPs) to promote use of evidence-based practices for patients with stroke in Ontario hospitals. The study purpose was to: (a) describ...

    Authors: Julia E. Moore, Christine Marquez, Kristen Dufresne, Charmalee Harris, Jamie Park, Radha Sayal, Monika Kastner, Linda Kelloway, Sarah E. P. Munce, Mark Bayley, Matthew Meyer and Sharon E. Straus

    Citation: BMC Health Services Research 2018 18:466

    Published on:

  13. Content type: Study protocol

    Musculoskeletal shoulder problems are common after breast cancer treatment. There is some evidence to suggest that early postoperative exercise is safe and may improve shoulder function. We describe the develo...

    Authors: Helen Richmond, Clare Lait, Cynthia Srikesavan, Esther Williamson, Jane Moser, Meredith Newman, Lauren Betteley, Beth Fordham, Sophie Rees, Sarah E. Lamb and Julie Bruce

    Citation: BMC Health Services Research 2018 18:463

    Published on:

  14. Content type: Study protocol

    Therapeutic patient education (TPE) improves quality of life and reduces health care utilization among patients with chronic obstructive pulmonary disease (COPD). However, benefits from TPE might depend on the...

    Authors: Myriam Gagné, Jocelyne Moisan, Sophie Lauzier, Christine Hamel, Patricia Côté, Jean Bourbeau and Louis-Philippe Boulet

    Citation: BMC Health Services Research 2018 18:460

    Published on:

  15. Content type: Research article

    Cancelation of same-day surgery is a common global problem, wasting valuable hospitals’ operating room (OR) times and imposing significant economic costs. There is limited evidence to support the association b...

    Authors: Omar B. Da’ar and Talal Al-Mutairi

    Citation: BMC Health Services Research 2018 18:454

    Published on:

  16. Content type: Research article

    Access to multidisciplinary health care services for First Nation children with a chronic condition is critical for the child’s health and well-being, but disparities and inequality in health care systems have...

    Authors: Julieann Coombes, Kate Hunter, Tamara Mackean, Andrew J. A. Holland, Elizabeth Sullivan and Rebecca Ivers

    Citation: BMC Health Services Research 2018 18:448

    Published on:

  17. Content type: Research article

    A Personal Health Record (PHR) is an electronic record that individuals use to manage and share their health information, e.g. data from their medical records and data collected by apps. However, engagement wi...

    Authors: Fiona Fylan, Lauren Caveney, Alastair Cartwright and Beth Fylan

    Citation: BMC Health Services Research 2018 18:445

    Published on:

  18. Content type: Research article

    Multidisciplinary teams (MDTs) are an integral component in the delivery of health care. This is particularly evident in the delivery of cancer care, where multidisciplinary teams are internationally recognize...

    Authors: Anna Janssen, Tracy Robinson, Melissa Brunner, Paul Harnett, Kylie E. Museth and Tim Shaw

    Citation: BMC Health Services Research 2018 18:444

    Published on:

  19. Content type: Research article

    Healthcare middle managers (HMMs) have, as the leaders closest to clinical practice, a crucial position in healthcare today. There is broad knowledge about the demands on HMMs’ capacity, their situation in gen...

    Authors: Trude Anita Hartviksen, Berit Mosseng Sjolie, Jessica Aspfors and Lisbeth Uhrenfeldt

    Citation: BMC Health Services Research 2018 18:433

    Published on:

  20. Content type: Research article

    The need for organisational development in primary care has increased as it is accepted as a means of curbing rising costs and responding to demographic transitions. It is only within such inter-organisational...

    Authors: Sanneke Schepman, Pim Valentijn, Marc Bruijnzeels, Marlies Maaijen, Dinny de Bakker, Ronald Batenburg and Antoinette de Bont

    Citation: BMC Health Services Research 2018 18:427

    Published on:

  21. Content type: Research article

    Transition between care settings is a time of high risk for preventable medication errors. Poor communication about medication changes on discharge from hospital can result in adverse drug events and medicines...

    Authors: Jane Ferguson, Liz Seston and Darren M. Ashcroft

    Citation: BMC Health Services Research 2018 18:424

    Published on:

  22. Content type: Research article

    Research has shown high rates of stress and dissatisfaction among allied health professionals, including physiotherapists, having an adverse impact on workforce retention rates. This study aimed to examine the...

    Authors: Othman Y. Alkassabi, Hana Al-Sobayel, Einas S. Al-Eisa, Syamala Buragadda, Ahmad H. Alghadir and Amir Iqbal

    Citation: BMC Health Services Research 2018 18:422

    Published on:

  23. Content type: Research article

    Public health and primary care are distinct sectors within western health care systems. Within each sector, work is carried out in the context of organizations, for example, public health units and primary car...

    Authors: Ruta Valaitis, Donna Meagher-Stewart, Ruth Martin-Misener, Sabrina T. Wong, Marjorie MacDonald and Linda O’Mara

    Citation: BMC Health Services Research 2018 18:420

    Published on:

  24. Content type: Research article

    Foreign-born physicians fill in the shortage of physicians in many developed countries. Labour market theory and previous studies suggest that foreign-born physicians may be a disadvantaged group with a higher...

    Authors: Tarja Heponiemi, Laura Hietapakka, Salla Lehtoaro and Anna-Mari Aalto

    Citation: BMC Health Services Research 2018 18:418

    Published on:

  25. Content type: Study protocol

    Pediatric obesity is a serious, but clinically neglected, chronic health problem. Despite the high prevalence, excess weight problems are rarely managed when children attend clinical services. It is recommende...

    Authors: Jennifer Cohen, Shirley Alexander, Michelle Critekos, Sarah P. Garnett, Alison J. Hayes, Tim Shaw, Kyra A. Sim and Louise A. Baur

    Citation: BMC Health Services Research 2018 18:417

    Published on:

  26. Content type: Study protocol

    Concepts for the nursing and care of cancer patients through a “navigation service” have attracted much interest. However, there is still room for improvement in terms of their funding and coverage. The Saxon ...

    Authors: Ralf Porzig, Sina Neugebauer, Thomas Heckmann, Daniela Adolf, Peter Kaskel and Ursula G. Froster

    Citation: BMC Health Services Research 2018 18:413

    Published on:

  27. Content type: Research article

    The Government of Turkey has initiated a series of major health reforms in 2003 with an objective of increasing access to health care services and improving efficiency of public and private hospitals. This stu...

    Authors: Mustafa S. Yildiz, Vahé Heboyan and M. Mahmud Khan

    Citation: BMC Health Services Research 2018 18:401

    Published on:

  28. Content type: Research article

    Change initiatives face many challenges, and only a few lead to long-term sustainability. One area in which the challenge of achieving long-term sustainability is particularly noticeable is integrated health a...

    Authors: Charlotte Klinga, Henna Hasson, Magna Andreen Sachs and Johan Hansson

    Citation: BMC Health Services Research 2018 18:400

    Published on:

  29. Content type: Research article

    Extant literature suggested that positive organizational climate leads to higher levels of organizational commitment, which is an important concept in terms of employee attitudes, likewise, the concept of perc...

    Authors: Aysen Berberoglu

    Citation: BMC Health Services Research 2018 18:399

    Published on:

  30. Content type: Research article

    The chronic care model (CCM) is an established framework for the management of patients with chronic illness at the individual and population level. Its application has been previously shown to improve clinica...

    Authors: Piercarlo Ballo, Francesco Profili, Laura Policardo, Lorenzo Roti, Paolo Francesconi and Alfredo Zuppiroli

    Citation: BMC Health Services Research 2018 18:388

    Published on:

  31. Content type: Study protocol

    A common approach to enhance patient-centered care is training care professionals. Additional training of patients has been shown to significantly improve patient-centeredness of care. In this participatory de...

    Authors: Thomas W. Vijn, Hub Wollersheim, Marjan J. Faber, Cornelia R. M. G. Fluit and Jan A. M. Kremer

    Citation: BMC Health Services Research 2018 18:387

    Published on:

  32. Content type: Debate

    This is the final paper in a thematic series reporting a program of Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. The SHARE Program was established to...

    Authors: Claire Harris, Kelly Allen, Wayne Ramsey, Richard King and Sally Green

    Citation: BMC Health Services Research 2018 18:386

    Published on:

  33. Content type: Research article

    The management of medical devices is crucial to safe, high-quality surgical care, but has received little attention in the medical literature. This study explored the effect of a sub-specialties management mod...

    Authors: Li Wang, Xuejiao Cai and Ping Cheng

    Citation: BMC Health Services Research 2018 18:385

    Published on:

  34. Content type: Study protocol

    Prenatal education is a core component of perinatal care and services provided by health institutions. Whereas group prenatal education is the most common educational model, some health institutions have opted...

    Authors: Geneviève Roch, Roxane Borgès Da Silva, Francine de Montigny, Holly O. Witteman, Tamarha Pierce, Sonia Semenic, Julie Poissant, André-Anne Parent, Deena White, Nils Chaillet, Carl-Ardy Dubois, Mathieu Ouimet, Geneviève Lapointe, Stéphane Turcotte, Alexandre Prud’homme, Geneviève Painchaud Guérard…

    Citation: BMC Health Services Research 2018 18:382

    Published on:

  35. Content type: Research article

    Military Veterans in the United States are more likely than the general population to live in rural areas, and often have limited geographic access to Veterans Health Administration (VHA) facilities. In an eff...

    Authors: Michael E. Ohl, Margaret Carrell, Andrew Thurman, Mark Vander Weg, Teresa Hudson Pharm, Michelle Mengeling and Mary Vaughan-Sarrazin

    Citation: BMC Health Services Research 2018 18:315

    Published on:

  36. Content type: Research article

    The South Eastern Health Region in Norway serves approximately 2.8 million people, which is more than half of Norway’s population. Physical medicine and rehabilitation services are provided by 9 public hospita...

    Authors: Jennifer L. Moore, Svein Friis, Ian D. Graham, Elisabeth Troøyen Gundersen and Jan E. Nordvik

    Citation: BMC Health Services Research 2018 18:379

    Published on:

  37. Content type: Study protocol

    Significant health inequities exist around maternal and infant health for Māori, the indigenous people of Aotearoa New Zealand – and in particular around a premature (preterm) delivery. Māori babies are more l...

    Authors: Sara Filoche, Fiona Cram, Angela Beard, Dalice Sim, Stacie Geller, Liza Edmonds, Bridget Robson and Beverley Lawton

    Citation: BMC Health Services Research 2018 18:374

    Published on:

  38. Content type: Research article

    Type 2 diabetes presents a major morbidity and mortality burden in the United States. Diabetes self-management education (DSME) is an intervention associated with improved hemoglobin A1c(HbA1c) and quality of ...

    Authors: Amy T. Cunningham, Denine R. Crittendon, Neva White, Geoffrey D. Mills, Victor Diaz and Marianna D. LaNoue

    Citation: BMC Health Services Research 2018 18:367

    Published on:

  39. Content type: Research article

    In 2003 the Uganda Ministry of Health (MoH) introduced the District League Table (DLT) to track district performance. This review of the DLT is intended to add to the evidence base on Health Systems Performanc...

    Authors: Christine KirungaTashobya, Freddie Ssengooba, Juliet Nabyonga-Orem, Juliet Bataringaya, Jean Macq, Bruno Marchal, Timothy Musila and Bart Criel

    Citation: BMC Health Services Research 2018 18:355

    Published on:

  40. Content type: Research article

    Accelerating the implementation of new technology in healthcare is typically complex and multi-faceted. One strategy is to charge a national agency with the responsibility for facilitating implementation. This...

    Authors: Gill Harvey, Sue Llewellyn, Gregory Maniatopoulos, Alan Boyd and Rob Procter

    Citation: BMC Health Services Research 2018 18:347

    Published on:

    The Correction to this article has been published in BMC Health Services Research 2018 18:438

  41. Content type: Research article

    Shenzhen has rapidly grown into a megacity in the recent decades. It is a challenging task for the Shenzhen government to provide sufficient healthcare services. The spatial configuration of healthcare service...

    Authors: Zhuolin Tao, Zaoxing Yao, Hui Kong, Fei Duan and Guicai Li

    Citation: BMC Health Services Research 2018 18:345

    Published on:

  42. Content type: Research article

    Poor retention in care and suboptimal adherence to antiretroviral treatment (ART) undermine its successful rollout in South Africa. The adherence club intervention was designed as an adherence-enhancing interv...

    Authors: Ferdinand C. Mukumbang, Bruno Marchal, Sara Van Belle and Brian van Wyk

    Citation: BMC Health Services Research 2018 18:343

    Published on:

  43. Content type: Research article

    Physician migration has been gaining attention worldwide. In Germany, physician migration became a topic of interest in the context of the discussion about a shortage of physicians, for which one contributing ...

    Authors: Birte Pantenburg, Katharina Kitze, Melanie Luppa, Hans-Helmut König and Steffi G. Riedel-Heller

    Citation: BMC Health Services Research 2018 18:341

    Published on:

  44. Content type: Study protocol

    There is wide variation in the overall one-year relative cancer survival rates across Europe, and this is thought to indicate national variations in stage of disease at diagnosis. However, there is little evid...

    Authors: Michael Harris and Gordon Taylor

    Citation: BMC Health Services Research 2018 18:338

    Published on:

  45. Content type: Research article

    We describe the way psychiatric issues are addressed by inpatient medical teams through analysis of discussions of patients with behavioral health concerns and examination of teams’ subsequent consultation pra...

    Authors: Carla Pezzia, Jacqueline A. Pugh, Holly J. Lanham and Luci K. Leykum

    Citation: BMC Health Services Research 2018 18:336

    Published on:

  46. Content type: Research article

    Despite an extensive body of knowledge exists on network outcomes and on how hospital network structures may contribute to the creation of outcomes at different levels of analysis, less attention has been paid...

    Authors: Fausto Di Vincenzo

    Citation: BMC Health Services Research 2018 18:334

    Published on:

  47. Content type: Research article

    Evidence-based treatment for co-occurring disorders is needed within programs that serve homeless Veterans to assist with increasing engagement in care and to prevent future housing loss. A specialized co-occu...

    Authors: David A. Smelson, Matthew Chinman, Gordon Hannah, Thomas Byrne and Sharon McCarthy

    Citation: BMC Health Services Research 2018 18:332

    Published on:

  48. Content type: Research article

    The perspectives of nursing professionals might differ from those of older adults when it comes to care for older people. This cross-sectional study compares the views of older adults with the views of nursing...

    Authors: Lisanne Marlieke Verweij, Rik Wehrens, Lieke Oldenhof, Roland Bal and Anneke L. Francke

    Citation: BMC Health Services Research 2018 18:321

    Published on: