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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. Schizophrenia is among the most burdensome and costly illnesses worldwide. To estimate the cost of schizophrenia in France, a longitudinal study was carried out between 1998 and 2002. The main objective of thi...

    Authors: Emmanuelle Sarlon, Dirk Heider, Aurélie Millier, Jean-Michel Azorin, Hans-Helmut König, Karina Hansen, Matthias C Angermeyer, Samuel Aballéa and Mondher Toumi

    Citation: BMC Health Services Research 2012 12:269

    Content type: Research article

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  2. In order to assist health service planning, understanding factors that influence higher trauma treatment costs is essential. The majority of trauma costing research reports the cost of trauma from the perspect...

    Authors: Lynsey Willenberg, Kate Curtis, Colman Taylor, Stephen Jan, Parisa Glass and John Myburgh

    Citation: BMC Health Services Research 2012 12:267

    Content type: Research article

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  3. Methods for the cost-effectiveness analysis of health technologies are now well established, but such methods may also have a useful role in the context of evaluating the effects of variation in applied clinic...

    Authors: Clarabelle Pham, Orla Caffrey, David Ben-Tovim, Paul Hakendorf, Maria Crotty and Jonathan Karnon

    Citation: BMC Health Services Research 2012 12:266

    Content type: Research article

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  4. A cost-effectiveness analysis of timely dialysis referral after renal transplant failure was undertaken from the perspective of the Public Administration. The current Spanish situation, where all the patients ...

    Authors: Guillermo Villa, Emilio Sánchez-Álvarez, Jesús Cuervo, Lucía Fernández-Ortiz, Pablo Rebollo and Francisco Ortega

    Citation: BMC Health Services Research 2012 12:257

    Content type: Research article

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  5. Cancer is a major cause of global morbidity and mortality. Since a high prevalence of functional impairments has been observed among cancer patients, rehabilitation has been proposed as a strategy to restore p...

    Authors: Heui-Fen Lin, Ying-Tai Wu and Jau-Yih Tsauo

    Citation: BMC Health Services Research 2012 12:255

    Content type: Research article

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  6. Cardiac rehabilitation (CR), a multidisciplinary program consisting of exercise, risk factor modification and psychosocial intervention, forms an integral part of managing patients after myocardial infarction ...

    Authors: Wai Pong Wong, Jun Feng, Keng Ho Pwee and Jeremy Lim

    Citation: BMC Health Services Research 2012 12:243

    Content type: Research article

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  7. Knowledge of patterns in cancer patients’ health care utilisation around the time of diagnosis may guide health care resource allocation and provide important insights into this groups’ demand for health care ...

    Authors: Karina Garnier Christensen, Morten Fenger-Grøn, Kaare Rud Flarup and Peter Vedsted

    Citation: BMC Health Services Research 2012 12:224

    Content type: Research article

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  8. The rate of caesarean delivery (CD) in rural China has been rapidly increasing in recent decades. Due to the exorbitant costs associated with CD, paying for this expensive procedure is often a great challenge ...

    Authors: Kun Huang, Fangbiao Tao, Lennart Bogg and Shenglan Tang

    Citation: BMC Health Services Research 2012 12:217

    Content type: Research article

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  9. Gastrointestinal (GI), respiratory and dermal symptoms are common and cause substantial morbidity, although the information on their exact incidence and comparative burden is limited. The aim of this study was...

    Authors: Nusrat Najnin, Martha Sinclair, Andrew Forbes and Karin Leder

    Citation: BMC Health Services Research 2012 12:211

    Content type: Research article

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  10. Universal access is one of the major aims in public health and social care. Services should be provided on the basis of individual needs. However, municipal autonomy and the fragmentation of services may jeopa...

    Authors: Sari Kehusmaa, Ilona Autti-Rämö, Hans Helenius, Katariina Hinkka, Maria Valaste and Pekka Rissanen

    Citation: BMC Health Services Research 2012 12:204

    Content type: Research article

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  11. The prevalence of obesity is over 25% in many developed countries. Obesity is strongly associated with an increased risk of fatal and chronic conditions such as cardiovascular disease and type 2 diabetes. Ther...

    Authors: Alec Miners, Jody Harris, Lambert Felix, Elizabeth Murray, Susan Michie and Phil Edwards

    Citation: BMC Health Services Research 2012 12:190

    Content type: Research article

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  12. To develop an instrument that predicts diabetes-related vascular disease severity using routinely collected data on Australian Aboriginal and Torres Strait Islander adults with type 2 diabetes, in the absence ...

    Authors: Odette R Gibson, Leonie Segal and Robyn A McDermott

    Citation: BMC Health Services Research 2012 12:185

    Content type: Research article

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  13. In low-resource settings, patients’ use of multiple healthcare sources may complicate chronic care and clinical outcomes as antiretroviral therapy (ART) continues to expand. However, little is known regarding ...

    Authors: Mosa Moshabela, Helen Schneider, Sheetal P Silal and Susan M Cleary

    Citation: BMC Health Services Research 2012 12:182

    Content type: Research article

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  14. More than half of veterans who use Veterans Health Administration (VA) care are also eligible for Medicare via disability or age, but no prior studies have examined variation in use of outpatient services by M...

    Authors: Chuan-Fen Liu, Chris L Bryson, James F Burgess Jr, Nancy Sharp, Mark Perkins and Matthew L Maciejewski

    Citation: BMC Health Services Research 2012 12:51

    Content type: Research article

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  15. Antenatal Care (ANC) is universally considered important for women and children. This study aims to identify factors, demographic, social and economic, possibly associated with three ANC indicators: number of ...

    Authors: Toan K Tran, Karin Gottvall, Hinh D Nguyen, Henry Ascher and Max Petzold

    Citation: BMC Health Services Research 2012 12:40

    Content type: Research article

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  16. Traditional Chinese medicine (TCM) utilization is common in Asian countries. Limited studies are available on the socioeconomic status (SES) associated with TCM use among the pediatric population. We report on...

    Authors: Chun-Chuan Shih, Chien-Chang Liao, Yi-Chang Su, Tsu F Yeh and Jaung-Geng Lin

    Citation: BMC Health Services Research 2012 12:27

    Content type: Research article

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  17. This study examines health-related "hardship financing" in order to get better insights on how poor households finance their out-of-pocket healthcare costs. We define hardship financing as having to borrow mon...

    Authors: Erika Binnendijk, Ruth Koren and David M Dror

    Citation: BMC Health Services Research 2012 12:23

    Content type: Research article

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  18. The aim of this study was to determine the health expenses incurred by families with children with autism spectrum disorder (ASD) and those expenses' relation to total household income and expenditures.

    Authors: Jia Wang, Xue Zhou, Wei Xia, Cai-Hong Sun, Li-Jie Wu, Jian-Li Wang and Akemi Tomoda

    Citation: BMC Health Services Research 2012 12:7

    Content type: Research article

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  19. The productive capacity of retired people is usually not valued. However, some retirees produce much more than we might expect. This diary-based study identifies the activities of older people, and suggests so...

    Authors: Klas-Göran Sahlen, Curt Löfgren, Håkan Brodin, Lars Dahlgren and Lars Lindholm

    Citation: BMC Health Services Research 2012 12:4

    Content type: Research article

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  20. Congenital heart disease (CHD) accounts for a major proportion of disease in the pediatric age group. The objective of the study was to estimate the cost of illness associated with CHD pre, intra and postopera...

    Authors: Roheena Z Panni, Awais Ashfaq and Muhammad M Amanullah

    Citation: BMC Health Services Research 2011 11:353

    Content type: Research article

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  21. In India, private pharmacies are ubiquitous yet critical establishments that facilitate community access to medicines. These are often the first points of treatment seeking in parts of India and other low inco...

    Authors: Yogesh D Sabde, Vishal Diwan, Vivek S Saraf, Vijay K Mahadik, Vinod K Diwan and Ayesha De Costa

    Citation: BMC Health Services Research 2011 11:351

    Content type: Research article

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  22. Antiretroviral therapy (ART) clinic populations have expanded enormously in the successful Malawi ART scale-up programme. Overcrowding, long waiting times and living far away from the clinic may affect the ext...

    Authors: Caroline Masangalawe, Akuzike Kandulu and Joep J van Oosterhout

    Citation: BMC Health Services Research 2011 11:345

    Content type: Research article

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  23. According to a national reference, 15% of German children and adolescents are overweight (including obese) and 6.3% are obese. An earlier study analysed the impact of childhood overweight and obesity on differ...

    Authors: Christina M Wenig, Hildtraud Knopf and Petra Menn

    Citation: BMC Health Services Research 2011 11:340

    Content type: Research article

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  24. Total knee arthroplasty (TKA) is an effective, but also cost-intensive health care intervention for end stage osteoarthritis. This investigation was designed to evaluate the cost-effectiveness of TKA before ve...

    Authors: Frank Krummenauer, Klaus-Peter Guenther and Stephan Kirschner

    Citation: BMC Health Services Research 2011 11:338

    Content type: Research article

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  25. This study aims to design an empirical test on the sensitivity of the prescribing doctors to the price afforded for the patient, and to apply it to the population data of primary care dispensations for cardiov...

    Authors: Beatriz González López-Valcárcel, Julián Librero, Gabriel Sanfélix-Gimeno and Salvador Peiró

    Citation: BMC Health Services Research 2011 11:333

    Content type: Research article

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  26. Patients' non-adherence to drug therapy is a major problem for society as it is associated with reduced health outcomes. Generally, approximately only 50% of patients with chronic disease in developed countrie...

    Authors: Bo Hovstadius and Göran Petersson

    Citation: BMC Health Services Research 2011 11:326

    Content type: Research article

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  27. Increasing population rates of cardiac catheterization can lead to the detection of more people with high risk coronary disease and opportunity for subsequent revascularization. However, such a strategy should...

    Authors: Fiona M Clement, William A Ghali, Stephane Rinfret and Braden J Manns

    Citation: BMC Health Services Research 2011 11:324

    Content type: Research article

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  28. There is variation in cardiac catheterization utilization across jurisdictions. Previous work from Alberta, Canada, showed no evidence of a plateau in the yield of high-risk disease at cardiac catheterization ...

    Authors: Fiona M Clement, Braden J Manns, Brenda Brownell, Peter D Faris, Michelle M Graham, Karin Humphries, Michael Love, Merril L Knudtson and William A Ghali

    Citation: BMC Health Services Research 2011 11:323

    Content type: Research article

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  29. The decision whether to treat conservatively or reconstruct surgically a torn anterior cruciate ligament (ACL) is an ongoing subject of debate. The high prevalence and associated public health burden of torn A...

    Authors: Mazda Farshad, Christian Gerber, Dominik C Meyer, Alexander Schwab, Patricia R Blank and Thomas Szucs

    Citation: BMC Health Services Research 2011 11:317

    Content type: Research article

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  30. The challenges posed by the rapidly ageing population, and the increased preponderance of disabled people in this group, coupled with the rising level of public expenditure required to service the complex orga...

    Authors: Gianfranco Damiani, Valentina Farelli, Angela Anselmi, Lorella Sicuro, Alessandro Solipaca, Alessandra Burgio, Domenica Fioredistella Iezzi and Walter Ricciardi

    Citation: BMC Health Services Research 2011 11:316

    Content type: Research article

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  31. The selection of patients for rehabilitation, and the timing of transfer from acute care, are important clinical decisions that impact on care quality and patient flow. This paper reports utilization review da...

    Authors: Christopher J Poulos, Christopher Magee, Guy Bashford and Kathy Eagar

    Citation: BMC Health Services Research 2011 11:291

    Content type: Research article

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  32. The economic burden of ventilator-associated pneumonia (VAP) during the index hospitalization has been confirmed in previous studies. However, the long-term economic impact is still unclear. The aim of this st...

    Authors: Chih-Chieh Yang, Nai-Ching Shih, Wen-Chiung Chang, San-Kuei Huang and Ching-Wen Chien

    Citation: BMC Health Services Research 2011 11:289

    Content type: Research article

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  33. The aim of this study is to describe the magnitude of educational inequalities in utilisation of general practitioner (GP) and specialist services in 9 European countries. In addition to West European countrie...

    Authors: Irina Stirbu, Anton E Kunst, Andreas Mielck and Johan P Mackenbach

    Citation: BMC Health Services Research 2011 11:288

    Content type: Research article

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  34. Work-related injuries result in considerable morbidity, as well as social and economic costs. Pain associated with these injuries is a complex, contested topic, and narcotic analgesics (NA) remain important tr...

    Authors: Janet A Parsons, Muhammad Mamdani, Onil Bhattacharyya, Claire Marie Fortin, Magda Melo, Christina Salmon, Stavroula R Raptis, Donna Bain and Patricia O'Campo

    Citation: BMC Health Services Research 2011 11:280

    Content type: Research article

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  35. Human resources for rehabilitation are often a neglected component of health services strengthening and health workforce development. This may be partly related to weaknesses in the available research and evid...

    Authors: Neeru Gupta, Carla Castillo-Laborde and Michel D Landry

    Citation: BMC Health Services Research 2011 11:276

    Content type: Research article

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  36. A small percentage of high-risk patients accounts for a large proportion of Medicaid spending in the United States, which has become an urgent policy issue. Our objective was to pilot a novel patient-centered ...

    Authors: Maria C Raven, Kelly M Doran, Shannon Kostrowski, Colleen C Gillespie and Brian D Elbel

    Citation: BMC Health Services Research 2011 11:270

    Content type: Research article

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  37. The correct implementation of Ambulatory Surgery must be accompanied by an accurate monitoring of the patient post-discharge state. We fit different statistical models to predict the first hours postoperative ...

    Authors: Juan Viñoles, Maía V Ibáñez and Guillermo Ayala

    Citation: BMC Health Services Research 2011 11:269

    Content type: Research article

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  38. There has been a marked increase in the number of Caesarean sections in many countries during the last decades. In several countries, Caesarean sections are carried out in more than 20 per cent of births. Thes...

    Authors: Jostein Grytten, Lars Monkerud, Terje P Hagen, Rune Sørensen, Anne Eskild and Irene Skau

    Citation: BMC Health Services Research 2011 11:267

    Content type: Research article

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  39. During 1999-2003, Japan experienced a series of measles epidemics, and in Action Plans to Control Measles and the Future Problems, it was proposed that infants be immunized soon after their one-year birthday.

    Authors: Kenzo Takahashi, Yasushi Ohkusa and Jong-Young Kim

    Citation: BMC Health Services Research 2011 11:254

    Content type: Research article

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  40. Interferon-γ release assays (IGRAs) for TB have the potential to replace the tuberculin skin test (TST) in screening for latent tuberculosis infection (LTBI). The higher per-test cost of IGRAs may be compensat...

    Authors: Albert Nienhaus, Anja Schablon, José Torres Costa and Roland Diel

    Citation: BMC Health Services Research 2011 11:247

    Content type: Research article

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  41. Since the shift from a radiographic film-based system to that of a filmless system, the change in radiographic examination costs and costs structure have been undetermined. The activity-based costing (ABC) met...

    Authors: Hiroshi Muto, Yuji Tani, Shigemasa Suzuki, Yuki Yokooka, Tamotsu Abe, Yuji Sase, Takayoshi Terashita and Katsuhiko Ogasawara

    Citation: BMC Health Services Research 2011 11:246

    Content type: Research article

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  42. Risperidone long-acting injection (LAI) is mostly administered twice weekly to people with schizophrenia by nurses at community mental health centres (CMHC) or through mobile outreach visits. This study estima...

    Authors: Andrew Dalton, Tim Lambert, Rudolf Schrover, Judy Hertel and Dell Kingsford Smith

    Citation: BMC Health Services Research 2011 11:236

    Content type: Research article

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  43. Empirical evidence on how ownership type affects the quality and cost of medical care is growing, and debate on these topics is ongoing. Despite the fact that the private sector is a major provider of hospital...

    Authors: Elias Kondilis, Magda Gavana, Stathis Giannakopoulos, Emmanouil Smyrnakis, Nikolaos Dombros and Alexis Benos

    Citation: BMC Health Services Research 2011 11:234

    Content type: Research article

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  44. Surveillance and intervention are resource-using activities of strategies to mitigate the unwanted effects of disease. Resources are scarce, and allocating them to disease mitigation instead of other uses nece...

    Authors: Barbara Häsler, Keith S Howe and Katharina DC Stärk

    Citation: BMC Health Services Research 2011 11:225

    Content type: Debate

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  45. Few studies have investigated factors associated with discontinuation of employment in patients with CFS/ME or quantified its impact on productivity.

    Authors: Simon M Collin, Esther Crawley, Margaret T May, Jonathan AC Sterne and William Hollingworth

    Citation: BMC Health Services Research 2011 11:217

    Content type: Research article

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  46. During the pandemic (H1N1) 2009 influenza vaccination campaign, health regions in Canada collected client-level immunization data using fully electronic or hybrid systems, with the latter comprising both elect...

    Authors: Jennifer A Pereira, Julie Foisy, Jeffrey C Kwong, Christine L Heidebrecht, Susan Quach, Sherman D Quan, Maryse Guay and Beate Sander

    Citation: BMC Health Services Research 2011 11:210

    Content type: Research article

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