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Utilization, expenditure, economics and financing systems

Section edited by Milena Pavlova and Evelina Pappa

This section aims to publish studies looking at a population's use of hospital services and their health and health-related expenditures. The section also accepts economic evaluations of health interventions and services and studies looking at recommendations for people to be able access needed services while avoiding catastrophic expenditure and impoverishment.

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  1. Monitoring progress towards Universal Health Coverage (UHC) requires an assessment of progress in coverage of health services and protection of households from the impact of direct out-of-pocket payments (i.e....

    Authors: Brendan Kwesiga, Tom Aliti, Pamela Nabukhonzo, Susan Najuko, Peter Byawaka, Justine Hsu, John E. Ataguba and Grace Kabaniha

    Citation: BMC Health Services Research 2020 20:741

    Content type: Research article

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  2. Reaching the 90–90-90 targets requires efficient resource use to deliver HIV testing and treatment services. We investigated the costs and efficiency of HIV services in relation to HIV testing yield in rural K...

    Authors: Seema Vyas, John Songo, Lorna Guinness, Albert Dube, Steffen Geis, Thokozani Kalua, Jim Todd, Jenny Renju, Amelia Crampin and Alison Wringe

    Citation: BMC Health Services Research 2020 20:740

    Content type: Research article

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  3. Due to rising health care costs, in 2012 Switzerland introduced SwissDRG, a reimbursement system for hospitals based on lump sum per case. To circumvent possible negative consequences like reduction in length ...

    Authors: Lara Kollbrunner, Michael Rost, Insa Koné, Bettina Zimmermann, Yvonne Padrutt, Tenzin Wangmo and Bernice Elger

    Citation: BMC Health Services Research 2020 20:712

    Content type: Research article

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  4. Rural households in developing countries usually have severe medical debt due to high out-of-pocket (OOP) payments, which contributes to bankruptcy. China implemented the critical illness insurance (CII) in 20...

    Authors: Yanjiao Xin, Junnan Jiang, Shanquan Chen, Fangxu Gong and Li Xiang

    Citation: BMC Health Services Research 2020 20:696

    Content type: Research article

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  5. Real world evidence (RWE) is becoming more frequently used in technology appraisals (TAs). This study sought to explore the use and acceptance of evidence from primary care databases, a key source of RWE in th...

    Authors: Thomas P. Leahy, Sreeram Ramagopalan and Cormac Sammon

    Citation: BMC Health Services Research 2020 20:675

    Content type: Research article

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  6. The Institute of Medicine reported that more than 1.5 million preventable adverse drug events occur annually in the United States. Comprehensive Medication Management (CMM) is the medication review process to ...

    Authors: Tong Han Chung, Ricardo J. Hernandez, Anaelle Libaud-Moal, Linh K. Nguyen, Lincy S. Lal, J. Michael Swint, Pio Juan Lansangan and Yen-Chi L. Le

    Citation: BMC Health Services Research 2020 20:671

    Content type: Research article

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  7. The Quality-Adjusted Life Year (QALY) is internationally recognized as standard metric of health outcomes in cost-effectiveness analyses (CEAs) in healthcare. The ongoing debate concerning the appropriateness ...

    Authors: Anne B. Wichmann, Lia C. M. J. Goltstein, Ndidi J. Obihara, Madeleine R. Berendsen, M. Van Houdenhoven, R. Sean Morrison, Bridget M. Johnston and Y. Engels

    Citation: BMC Health Services Research 2020 20:659

    Content type: Research article

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  8. Financial incentives represent a potential mechanism to encourage infection prevention by hospitals. In order to characterize the place of financial incentives, we investigated resource utilization and cost as...

    Authors: Shmuel Benenson, Matan J. Cohen, Carmela Schwartz, Michael Revva, Allon E. Moses and Phillip D. Levin

    Citation: BMC Health Services Research 2020 20:653

    Content type: Research article

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  9. An important contribution to well-being of human beings can be observed by the use of self-medication products that is reflected in the constantly growing volume of over-the-counter (OTC) drugs. The aim of the...

    Authors: Katja Goetz, Matthias Kalder, Ute-Susann Albert and Christian O. Jacke

    Citation: BMC Health Services Research 2020 20:651

    Content type: Research article

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  10. Total Healthcare Expenditure (THE) has increased substantially in all countries. Since the health system reform and health policy environment differ from each country, it is necessary to analyze the motivation...

    Authors: Jifei Hou, Liqi Tian, Yun Zhang, Yanzheng Liu, Jing Li and Yue Wang

    Citation: BMC Health Services Research 2020 20:606

    Content type: Research article

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  11. The IMpassion130 trial demonstrated that adding atezolizumab to nanoparticle albumin-bound (nab)-paclitaxel improved the survival of patients with untreated, advanced, programmed death ligand 1 (PDL1)-positive...

    Authors: Lee Cheng Phua, Soo Chin Lee, Kwong Ng and Mohamed Ismail Abdul Aziz

    Citation: BMC Health Services Research 2020 20:581

    Content type: Research article

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  12. To investigate the construction situation, costs and charges associated with pharmacy intravenous admixture services (PIVAS) to provide references for the construction and development of PIVAS in mainland China.

    Authors: Chunsong Yang, Bing Yao Kang, Lingli Zhang and Dan Yu

    Citation: BMC Health Services Research 2020 20:577

    Content type: Research article

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  13. China has achieved nearly universal coverage of the Social Basic Medical Insurance (SBMI), which aims to reduce the disease burden and improve the utilization of health services. We investigated the associatio...

    Authors: Guorui Fan, Zhaohua Deng, Xiang Wu and Yang Wang

    Citation: BMC Health Services Research 2020 20:553

    Content type: Research article

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  14. Dysphagia is a well-known stroke complication characterised by difficulty in swallowing. It may affect the majority of stroke patients and increases mortality and morbidity, due to aspiration pneumonia and mal...

    Authors: Aleksandra Pelczarska, Michał Jakubczyk and Maciej Niewada

    Citation: BMC Health Services Research 2020 20:552

    Content type: Research article

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  15. In the United States (US), Medicaid capitated managed care costs are controlled by optimizing patients’ healthcare utilization. Adults in capitated plans utilize primary care providers (PCP) more than emergenc...

    Authors: Therese L. Canares, Ari Friedman, Jonathan Rodean, Rebecca R. Burns, Deena Berkowitz, Matt Hall, Elizabeth Alpern and Amanda Montalbano

    Citation: BMC Health Services Research 2020 20:532

    Content type: Research article

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  16. Disparities in health care utilization and outcomes for racial and ethnic minorities with arthritis are well-established. However, there is a paucity of research on racial and ethnic differences in healthcare ...

    Authors: Antoinette L. Spector, Sneha Nagavally, Aprill Z. Dawson, Rebekah J. Walker and Leonard E. Egede

    Citation: BMC Health Services Research 2020 20:531

    Content type: Research article

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  17. The Woza Asibonisane Community Responses (CR) Programme was developed to prevent HIV infections and gender-based violence (GBV) within four provinces in South Africa. The Centre for Communication Impact (CCI) in ...

    Authors: Bruce Larson, Refiloe Cele, Sarah Girdwood, Lawrence Long and Jacqui Miot

    Citation: BMC Health Services Research 2020 20:526

    Content type: Research article

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  18. Malaysia’s public healthcare sector provides a greater volume of medicines at lower overall cost compared to the private sector, indicating its importance in providing access to medicines for Malaysians. Howev...

    Authors: NM Hamzah, P. N. Perera and R. P. Rannan-Eliya

    Citation: BMC Health Services Research 2020 20:509

    Content type: Research article

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  19. Being homeless entails higher mortality, morbidity, and prevalence of psychiatric diseases. This leads to more frequent and expensive use of health care services. Medical respite care enables an opportunity to...

    Authors: Camilla Bring, Marie Kruse, Mikkel Z. Ankarfeldt, Nina Brünés, Maja Pedersen, Janne Petersen and Ove Andersen

    Citation: BMC Health Services Research 2020 20:508

    Content type: Research article

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  20. Despite the rapid uptake of genomic technologies within cancer care, few studies provide detailed information on the costs of sequencing across different applications. The objective of the study was to examine...

    Authors: Louisa G. Gordon, Nicole M. White, Thomas M. Elliott, Katia Nones, Anthony G. Beckhouse, Astrid J. Rodriguez-Acevedo, Penelope M. Webb, Xing J. Lee, Nicholas Graves and Deborah J. Schofield

    Citation: BMC Health Services Research 2020 20:492

    Content type: Research article

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  21. This study aims to establish a multi-agent system model to provide accurate suggestions for the policy proposal of controlling the unreasonable growth of medical expenses charged by public hospitals in China.

    Authors: Wenya Yu, Xiang Liu, Fangjie Zhao, Meina Li and Lulu Zhang

    Citation: BMC Health Services Research 2020 20:490

    Content type: Research article

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  22. Hospital clinical pharmacists have been working in many countries for many years and clinical pharmaceutical care have a positive effect on the recovery of patients. In order to evaluate the clinical effective...

    Authors: Guohua Lin, Rong Huang, Jing Zhang, Gaojie Li, Lei Chen and Xiaoyu Xi

    Citation: BMC Health Services Research 2020 20:487

    Content type: Research article

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  23. Assessment of the costs of care associated with chronic upper-limb spasticity following stroke in Australia and the potential benefits of adding intensive upper limb rehabilitation to botulinum toxin-A are key...

    Authors: Rachel Milte, Julie Ratcliffe, Louise Ada, Coralie English, Maria Crotty and Natasha A. Lannin

    Citation: BMC Health Services Research 2020 20:478

    Content type: Study protocol

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  24. Day care is an important service for many people with dementia and their carers. In Ireland, day care services for people with dementia are delivered by a mix of dementia-specific day care centres as well as g...

    Authors: Tom Pierse, Fiona Keogh, Eamon O’Shea and John Cullinan

    Citation: BMC Health Services Research 2020 20:476

    Content type: Research article

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  25. Patient-powered research networks (PPRNs) have been employing and exploring different methods to engage patients in research activities specific to their conditions. One way to intensify patient engagement is ...

    Authors: Xiaoxue Chen, Abiy Agiro, W. Benjamin Nowell, Sara Loud, Robert McBurney, Kalen Young, Rebecca Sutphen, Elizabeth Bourquardez Clark, Cristina M. Burroughs, Jeffrey R. Curtis, Antoine G. Sreih, Peter A. Merkel and Kevin Haynes

    Citation: BMC Health Services Research 2020 20:462

    Content type: Research article

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  26. High use of services is associated with ill health and a number of health problems, but more information is needed on whether high use of services presents a risk for future pensions or disability. We aimed to...

    Authors: Tiia T. M. Reho, Salla A. Atkins, Nina Talola, Markku P. T. Sumanen, Mervi Viljamaa and Jukka Uitti

    Citation: BMC Health Services Research 2020 20:456

    Content type: Research article

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  27. According to UNAIDS, the HIV epidemic has stabilized. This as a result of increased condom use and greater access to coverage for antiretroviral therapy (ART). In Central America, civil society organizations w...

    Authors: Mario Salvador Sanchez-Dominguez, Hector Lamadrid-Figueroa, Rene Leyva-Flores and Cesar Infante-Xibille

    Citation: BMC Health Services Research 2020 20:451

    Content type: Research article

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  28. Incidence and prevalence of prostate cancer in Sweden have increased markedly due to prostate-specific antigen (PSA) testing. Moreover, new diagnostic tests and treatment technologies are expected to further i...

    Authors: Shuang Hao, Ellinor Östensson, Martin Eklund, Henrik Grönberg, Tobias Nordström, Emelie Heintz and Mark Clements

    Citation: BMC Health Services Research 2020 20:448

    Content type: Research article

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  29. Operating under constrained budgets, payers and providers globally face challenges in enabling appropriate and sustainable access to new medicines. Among payer initiatives aiming to improve preparedness of hea...

    Authors: Love Linnér, Irene Eriksson, Marie Persson and Björn Wettermark

    Citation: BMC Health Services Research 2020 20:410

    Content type: Research article

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  30. Diabetes is one of the leading causes of poor health and high care costs in Ukraine. To prevent diabetes complications and alleviate the financial burden of diabetes care on patients, the Ukrainian government ...

    Authors: Robyn Margaret Stuart, Olga Khan, Romesh Abeysuriya, Tetyana Kryvchun, Viktor Lysak, Alla Bredikhina, Nina Durdykulyieva, Volodymyr Mykhailets, Elvira Kaidashova, Olena Doroshenko, Zara Shubber, David Wilson, Feng Zhao and Nicole Fraser-Hurt

    Citation: BMC Health Services Research 2020 20:409

    Content type: Research article

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  31. Clinical practice guidelines and policies direct community mental health services to provide preventive care to address chronic disease risks, however, such care is infrequently provided in routine consultatio...

    Authors: Caitlin Fehily, Rod Ling, Andrew Searles, Kate Bartlem, John Wiggers, Rebecca Hodder, Andrew Wilson, Kim Colyvas and Jenny Bowman

    Citation: BMC Health Services Research 2020 20:405

    Content type: Research article

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  32. Continued investment, especially from domestic financing, is needed for Ethiopia to achieve universal health coverage and a sustainable health system over time. Understanding costs of providing health services...

    Authors: Anubhav Agarwal, Carlyn Mann, Engida Abdella, Workie Mitiku, Abebe Alebachew and Peter Berman

    Citation: BMC Health Services Research 2020 20:389

    Content type: Research article

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  33. Rheumatoid arthritis (RA) is a chronic autoimmune rheumatic disease that is associated with multiple comorbidities and has a significant economic impact on the Spanish health system. The objective of this stud...

    Authors: Mario Gil-Conesa, Juan Antonio Del-Moral-Luque, Ruth Gil-Prieto, Ángel Gil-de-Miguel, Ramón Mazzuccheli-Esteban and Gil Rodríguez-Caravaca

    Citation: BMC Health Services Research 2020 20:374

    Content type: Research article

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  34. As the proportion of older people increases, so will the consumption of health services. The aim of this study was to describe the contact characteristics among older people and to identify factors associated ...

    Authors: Lisa Marie Haraldseide, Linn Solveig Sortland, Steinar Hunskaar and Tone Morken

    Citation: BMC Health Services Research 2020 20:345

    Content type: Research article

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  35. Central line bundle programs were found to be effective in decreasing central line-associated bloodstream infection rates in pediatric cancer patients with ports. However, cost-effectiveness studies of central...

    Authors: İlker Devrim, Mustafa Taha Özkul, İlknur Çağlar, Yeliz Oruç, Nevbahar Demiray, Neryal Tahta and Canan Vergin

    Citation: BMC Health Services Research 2020 20:336

    Content type: Research article

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    The Correction to this article has been published in BMC Health Services Research 2020 20:450

  36. There is a rich literature on insurance coverage and its impacts on health care. Many recent studies have examined the impacts of the Affordable Care Act (ACA) and found that it had positive effects on health ...

    Authors: Yunwei Gai and Kent Jones

    Citation: BMC Health Services Research 2020 20:334

    Content type: Research article

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  37. Healthcare policy- and decision-makers make efforts to build and maintain high-performing and effective health systems, implementing effectiveness programs and health reforms. In May 2014, the Iranian Ministry...

    Authors: Siavash Beiranvand, Mandana Saki, Meysam Behzadifar, Ahad Bakhtiari, Masoud Behzadifar, Mohammad Keshvari and Nicola Luigi Bragazzi

    Citation: BMC Health Services Research 2020 20:327

    Content type: Research article

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  38. Community-based screening may be one solution to increase testing and treatment of sexually transmitted infections in sexually active teenagers, but there are few data on the practicalities and cost of running...

    Authors: Sarah Kerry-Barnard, Susie Huntington, Charlotte Fleming, Fiona Reid, S. Tariq Sadiq, Vari M. Drennan, Elisabeth Adams and Pippa Oakeshott

    Citation: BMC Health Services Research 2020 20:316

    Content type: Research article

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  39. The phased withdrawal of oral polio vaccine (OPV) and the introduction of inactivated poliovirus vaccine (IPV) is central to the polio ‘end-game’ strategy.

    Authors: Ignacio Olivera, Carlos Grau, Hugo Dibarboure, Juan Pablo Torres, Gustavo Mieres, Luis Lazarov, Fabián P. Alvarez and Juan Guillermo López Yescas

    Citation: BMC Health Services Research 2020 20:295

    Content type: Research article

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  40. Since stroke survivors are increasingly responsible for managing stroke-related changes in their own health and lifestyle, self-management skills are required. In a recent randomised controlled trial a self-ma...

    Authors: Ghislaine A. P. G. van Mastrigt, Mitchel van Eeden, Caroline M. van Heugten, Nienke Tielemans, Vera P. M. Schepers and Silvia M. A. A. Evers

    Citation: BMC Health Services Research 2020 20:294

    Content type: Research article

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  41. South Africa’s divided healthcare system is believed to be inequitable as the population serviced by each sector and the treatment received differs while annual healthcare expenditure is similar. The appropria...

    Authors: Candice-lee Herbst, Jacqueline K. Miot, Shirra L. Moch and Paul Ruff

    Citation: BMC Health Services Research 2020 20:290

    Content type: Research article

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  42. The incidence and burden of depressive disorders are increasing in South Korea. There are many differences between pharmaceutically treated depression (PTD) and treatment-resistant depression (TRD), including ...

    Authors: Daun Shin, Nam Woo Kim, Min Ji Kim, Sang Jin Rhee, Christopher Hyung Keun Park, Hyeyoung Kim, Bo Ram Yang, Mi-sook Kim, Gum Jee Choi, Minjung Koh and Yong Min Ahn

    Citation: BMC Health Services Research 2020 20:286

    Content type: Research article

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  43. Nowadays, irrational use of antimicrobials has threatened public health. It’s necessary to expand the use of clinical practice guideline (CPG) on antimicrobial for facilitating the proper use of antimicrobial....

    Authors: Qingwen Deng and Wenbin Liu

    Citation: BMC Health Services Research 2020 20:282

    Content type: Research article

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  44. Intensive care units represent one of the largest clinical cost centers in hospitals. Mechanical ventilation accounts for a significant share of this cost. There is a relative dearth of information quantifying...

    Authors: Klaus Kaier, Thomas Heister, Jan Wolff and Martin Wolkewitz

    Citation: BMC Health Services Research 2020 20:267

    Content type: Research article

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  45. Under a constrained health care budget, cost-increasing technologies may displace funds from existing health services. However, it is unknown what services are displaced and how such displacement takes place i...

    Authors: Joost Johan Godert Wammes, Geert Frederix, Paulien Govaert, Domino Determann, Silvia Evers, Aggie Paulus, Niek Stadhouders, Patrick Jeurissen, Wija Oortwijn and Eddy M. M. Adang

    Citation: BMC Health Services Research 2020 20:263

    Content type: Research article

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