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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. Content type: Research article

    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

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  2. Content type: Research article

    As an important outcome of the health system, equity in health service utilization has attracted an increasing amount of attention in the literature on health reform in China in recent years. The poor, who fre...

    Authors: Zhongliang Zhou, Jianmin Gao, Ashley Fox, Keqin Rao, Ke Xu, Ling Xu and Yaoguang Zhang

    Citation: BMC Health Services Research 2011 11:201

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  3. Content type: Research article

    With a greater emphasis on cost containment in many health care systems, it has become common to evaluate each physician's relative resource use. This study explored the major factors that influence the econom...

    Authors: Hee-Chung Kang and Jae-Seok Hong

    Citation: BMC Health Services Research 2011 11:189

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  4. Content type: Research article

    Chronic Obstructive Pulmonary Disease (COPD) accounts for around 4% of all public hospital annual admissions in Hong Kong. By year 2020, COPD will be ranked fifth among the conditions with the highest burden t...

    Authors: Frank WK Chan, Fiona YY Wong, Carrie HK Yam, Wai-ling Cheung, Eliza LY Wong, Michael CM Leung, William B Goggins and Eng-kiong Yeoh

    Citation: BMC Health Services Research 2011 11:186

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  5. Content type: Research article

    The treatment of ulcerative colitis (UC) can place a substantial financial burden on healthcare systems. The anti-inflammatory compound 5-aminosalicylic acid (5-ASA; mesalazine) is the recommended first-line t...

    Authors: Anne Prenzler, Linnette Yen, Thomas Mittendorf and J-Matthias von der Schulenburg

    Citation: BMC Health Services Research 2011 11:157

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  6. Content type: Research article

    Due to increasing demand and financial constraints, NHS continuing healthcare systems seek to find better ways of forecasting demand and budgeting for care. This paper investigates two areas of concern, namely...

    Authors: Salma Chahed, Eren Demir, Thierry J Chaussalet, Peter H Millard and Samuel Toffa

    Citation: BMC Health Services Research 2011 11:155

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  7. Content type: Research article

    To describe patterns of recent health service utilisation, and consequent out-of-pocket expenses among older people in countries with low and middle incomes, and to assess the equity with which services are ac...

    Authors: Emiliano Albanese, Zhaorui Liu, Daisy Acosta, Mariella Guerra, Yueqin Huang, KS Jacob, Ivonne Z Jimenez-Velazquez, Juan J Llibre Rodriguez, Aquiles Salas, Ana L Sosa, Richard Uwakwe, Joseph D Williams, Guilherme Borges, AT Jotheeswaran, Milagros G Klibanski, Paul McCrone…

    Citation: BMC Health Services Research 2011 11:153

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  8. Content type: Research article

    Studies on readmissions attributed to particular medical conditions, especially heart failure, have generally not addressed the factors associated with readmissions and the implications for health outcomes and...

    Authors: Eliza LY Wong, Annie WL Cheung, Michael CM Leung, Carrie HK Yam, Frank WK Chan, Fiona YY Wong and Eng-Kiong Yeoh

    Citation: BMC Health Services Research 2011 11:149

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  9. Content type: Research article

    Special services within public hospitals are becoming increasingly common in low and middle income countries with the stated objective of providing higher comfort services to affluent customers and generating ...

    Authors: Barbara McPake, Charles Hongoro and Giuliano Russo

    Citation: BMC Health Services Research 2011 11:143

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  10. Content type: Research article

    The reliability of self-report regarding health care utilization in inflammatory bowel disease (IBD) is unknown. If proven reliable, it could help justify self-report as a means of determining health care util...

    Authors: Teresa Longobardi, John R Walker, Lesley A Graff and Charles N Bernstein

    Citation: BMC Health Services Research 2011 11:137

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  11. Content type: Research article

    Few studies have investigated the subsequent rate of hospital and outpatient clinic utilization in those who receive continuing care and have documented frequent usage over one year. Such knowledge may be help...

    Authors: Anna Condelius, Ingalill R Hallberg and Ulf Jakobsson

    Citation: BMC Health Services Research 2011 11:136

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  12. Content type: Research article

    Recent increases in patient cost-sharing for health care have lent increasing importance to monitoring cost-related changes in health care use. Despite the widespread use of survey questions to measure changes...

    Authors: Robert B Penfold, Jeffrey T Kullgren, Irina Miroshnik, Alison A Galbraith, Virginia L Hinrichsen and Tracy A Lieu

    Citation: BMC Health Services Research 2011 11:133

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  13. Content type: Research article

    The Government of the Republic of Kenya is in the process of implementing health care reforms. However, poor knowledge about costs of health care services is perceived as a major obstacle towards evidence-base...

    Authors: Steffen Flessa, Michael Moeller, Tim Ensor and Klaus Hornetz

    Citation: BMC Health Services Research 2011 11:128

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  14. Content type: Research article

    Children's exposure to secondhand smoke is associated with increased morbidity. We estimated Medicaid expenditures for children living with smokers compared to those living with no smokers in the United States.

    Authors: Douglas E Levy, Nancy A Rigotti and Jonathan P Winickoff

    Citation: BMC Health Services Research 2011 11:125

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  15. Content type: Research article

    The use of antenatal care (ANC) varies between countries and in different settings within each country. Most previous studies of ANC in Vietnam have been cross-sectional, and conducted in rural areas before th...

    Authors: Toan K Tran, Chuc TK Nguyen, Hinh D Nguyen, Bo Eriksson, Goran Bondjers, Karin Gottvall, Henry Ascher and Max Petzold

    Citation: BMC Health Services Research 2011 11:120

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  16. Content type: Research article

    The paradox of health refers to the improvement in objective measures of health and the increase in the reported prevalence of chronic conditions. The objective of this paper is to test the paradox of health i...

    Authors: Anna García-Altés, Jaime Pinilla and Vicente Ortún

    Citation: BMC Health Services Research 2011 11:116

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  17. Content type: Research article

    In Japan, as the number of elderly covered by the Long-term Care Insurance (LTCI) system has increased, demand for long-term care services has increased substantially and consequently growing expenditures are ...

    Authors: Pedro Olivares-Tirado, Nanako Tamiya, Masayo Kashiwagi and Kimikazu Kashiwagi

    Citation: BMC Health Services Research 2011 11:103

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  18. Content type: Research article

    Controlled trials have found therapeutic plasma exchange (TPE) and intravenous immunoglobulin (IVIg) infusion therapy to be equally efficacious in treating Guillain-Barré syndrome (GBS). Due to increases in th...

    Authors: Jeffrey L Winters, David Brown, Elisabeth Hazard, Ashok Chainani and Chester Andrzejewski Jr

    Citation: BMC Health Services Research 2011 11:101

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  19. Content type: Research article

    Inpatient utilization associated with incidence of geriatric new-onset epilepsy has not been characterized in any large study, despite recognized high levels of risk factors (comorbidity).

    Authors: Laurel A Copeland, Alan B Ettinger, John E Zeber, Jodi M Gonzalez and Mary Jo Pugh

    Citation: BMC Health Services Research 2011 11:84

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  20. Content type: Research article

    The Nepal Demographic Health Survey (NDHS) in 2006 showed that more than half (56%) of the women with sexually transmitted infections (STIs), including HIV, in Nepal sought sexual health services. There is no ...

    Authors: Laxmi Ghimire, W Cairns S Smith and Edwin R van Teijlingen

    Citation: BMC Health Services Research 2011 11:79

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  21. Content type: Research article

    The aim of this study was to estimate the cost of childbirth in a teaching hospital in Barcelona, Spain, including the costs of prenatal care, delivery and postnatal care (3 months). Costs were assessed by tak...

    Authors: Mercè Comas, Laura Català, Maria Sala, Antoni Payà, Assumpció Sala, Elisabeth Del Amo, Xavier Castells and Francesc Cots

    Citation: BMC Health Services Research 2011 11:77

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  22. Content type: Research article

    In Uganda, public human immunodeficiency virus (HIV) Voluntary Counseling and Testing (VCT) services are mainly provided through the facility based model, although the home based approach is being promoted as ...

    Authors: Edgar M Mulogo, Aden S Abdulaziz, Ranieri Guerra and Sebastian O Baine

    Citation: BMC Health Services Research 2011 11:54

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  23. Content type: Research article

    Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death among US adults and is projected to be the third by 2020. In anticipation of the increasing burden imposed on healthcare system...

    Authors: Douglas W Mapel, Michael P Dutro, Jenő P Marton, Kimberly Woodruff and Barry Make

    Citation: BMC Health Services Research 2011 11:43

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  24. Content type: Research article

    Infectious diseases present a potentially substantial yet undefined burden on the health of the adult Azerbaijani population. Efforts to quantify this burden in Azerbaijan are currently based almost exclusivel...

    Authors: Danielle V Clark, Afrail Ismayilov, Sevinj Bakhishova, Huseyn Hajiyev, Tahir Nuriyev, Saleh Piraliyev, Sadigulla Bagirov, Afag Aslanova, Maqsud Qasimov and Matthew J Hepburn

    Citation: BMC Health Services Research 2011 11:32

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  25. Content type: Research article

    Initial assessment of dyspepsia often includes noninvasive testing for Helicobacter pylori infection. Commercially available tests vary widely in cost and accuracy. Although there is extensive literature on the c...

    Authors: Kyland P Holmes, John C Fang and Brian R Jackson

    Citation: BMC Health Services Research 2010 10:344

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  26. Content type: Research article

    Predictive modeling presents an opportunity to contain the expansion of medical expenditures by focusing on very few people. Evaluation of how risk adjustment models perform in predictive modeling in Taiwan or...

    Authors: Hsien-Yen Chang, Wui-Chiang Lee and Jonathan P Weiner

    Citation: BMC Health Services Research 2010 10:343

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  27. Content type: Research article

    Russian society has faced dramatic changes in terms of social stratification since the collapse of the Soviet Union. During this time, extensive reforms have taken place in the organisation of health services,...

    Authors: Tatiana Dubikaytis, Meri Larivaara, Olga Kuznetsova and Elina Hemminki

    Citation: BMC Health Services Research 2010 10:307

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  28. Content type: Research article

    Adverse drug reactions (ADR) are a substantial cause of hospital admissions. We conducted a nationwide study to estimate the burden of hospital admissions for ADRs in Spain during a six-year period (2001-2006)...

    Authors: Pilar Carrasco-Garrido, López Ana de Andrés, Valentín Hernández Barrera, Gil Ángel de Miguel and Rodrigo Jiménez-García

    Citation: BMC Health Services Research 2010 10:287

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