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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: Study protocol

    Extracorporeal life support (ECLS) is used to support the cardiorespiratory function in case of severe cardiac and/or respiratory failure in critically ill patients. According to the ELSO guidelines ECLS shoul...

    Authors: Annemieke Oude Lansink-Hartgring, Dinis Dos Reis Miranda, Dirk W. Donker, Jacinta J. Maas, Thijs Delnoij, Marijn Kuijpers, Judith van den Brule, Erik Scholten, Hendrik Endeman, Alexander P. J. Vlaar and Walter M. van den Bergh

    Citation: BMC Health Services Research 2018 18:172

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  2. Content type: Research article

    In the United States, home-based primary care (HBPC) is increasingly proposed as a means of enabling frail elders to remain at home for as long as possible, while still receiving needed medical care. However, ...

    Authors: Stephen A. Stanhope, Mary C. Cooley, Linda F. Ellington, Gregory P. Gadbois, Andrew L. Richardson, Timothy C. Zeddes and Jay P. LaBine

    Citation: BMC Health Services Research 2018 18:161

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  3. Content type: Research article

    Prison health systems are subject to increasing pressures given the specific health needs of a growing and aging prison population. Identifying the drivers of medical spending among incarcerated individuals is...

    Authors: Karine Moschetti, Véra Zabrodina, Tenzin Wangmo, Alberto Holly, Jean-Blaise Wasserfallen, Bernice S. Elger and Bruno Gravier

    Citation: BMC Health Services Research 2018 18:160

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  4. Content type: Research article

    Korea’s rapidly aging population has led to a rise in the prevalence of knee osteoarthritis (which reached upwards of 21.3% in 2017) in elderly people aged 65 years and over. Most patients with knee osteoarthr...

    Authors: Boyoung Jung, Kyoung Hee Cho, Dong Hyun Lee and Soyoon Kim

    Citation: BMC Health Services Research 2018 18:152

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  5. Content type: Research article

    In an era of a growing economic pressure for all health systems, the interest for “disinvestment” in healthcare increased. In this context, evidence based approaches such as Health Technology Assessment (HTA) ...

    Authors: G. E. Calabrò, G. La Torre, C. de Waure, P. Villari, A. Federici, W. Ricciardi and M. L. Specchia

    Citation: BMC Health Services Research 2018 18:148

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  6. Content type: Research article

    The present study estimated the cost of advanced non-small cell lung cancer care for a cohort of 251 patients enrolled in a Brazilian public hospital and identified factors associated with the cost of treating...

    Authors: Carla de Barros Reis, Renata Erthal Knust, Claudia Cristina de Aguiar Pereira and Margareth Crisóstomo Portela

    Citation: BMC Health Services Research 2018 18:124

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  7. Content type: Research article

    Despite economic growth and improved health outcomes over the past few decades, China still experiences striking urban-rural health inequalities. Urban and rural residents distinguished by the hukou system may...

    Authors: Jiajia Li, Leiyu Shi, Hailun Liang, Gan Ding and Lingzhong Xu

    Citation: BMC Health Services Research 2018 18:102

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  8. Content type: Research article

    To estimate changes in the cost and utilization of Medicare among beneficiaries over age 65 who have been impacted by a natural disaster, we merged publically available county-level Medicare claims for the yea...

    Authors: Nathanael Rosenheim, Shannon Grabich and Jennifer A. Horney

    Citation: BMC Health Services Research 2018 18:89

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  9. Content type: Research article

    Patients with type 2 diabetes (T2D) typically use several drug treatments during their lifetime. There is a debate about the best second-line therapy after metformin monotherapy failure due to the increasing n...

    Authors: Christina S. Kwon, Enrique Seoane-Vazquez and Rosa Rodriguez-Monguio

    Citation: BMC Health Services Research 2018 18:78

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  10. Content type: Research article

    Emergency department visits and hospitalizations (EDVH) place a large burden on patients and the health care system. The presence of informal caregivers may be beneficial for reducing EDVH among patients with ...

    Authors: Robert Abtan, Nooshin Khobzi Rotondi, Alison Macpherson and Michael Anthony Rotondi

    Citation: BMC Health Services Research 2018 18:73

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  11. Content type: Research article

    Previous works that uses patterns of prior spending to predict future mental health care expenses (utilization models) are mainly concerned with demand (need) variables. In this paper, we introduce supply vari...

    Authors: Knut Reidar Wangen and Sverre Grepperud

    Citation: BMC Health Services Research 2018 18:60

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  12. Content type: Research article

    Undocumented migrants face particular challenges in accessing healthcare services in many European countries. The aim of this study was to systematically review the academic literature on the utilization of he...

    Authors: Marjolein Winters, Bernd Rechel, Lea de Jong and Milena Pavlova

    Citation: BMC Health Services Research 2018 18:30

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  13. Content type: Research article

    Inpatient care for children with severe traumatic brain injury (sTBI) is expensive, with inpatient charges averaging over $70,000 per case (Hospital Inpatient, Children Only, National Statistics. Diagnoses– cl...

    Authors: Steven W. Howard, Zidong Zhang, Paula Buchanan, Stephanie L. Bernell, Christine Williams, Lindsey Pearson, Michael Huetsch, Jeff Gill and Jose A. Pineda

    Citation: BMC Health Services Research 2018 18:20

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  14. Content type: Research article

    A rapid increase of Medicaid expenditures has been a serious concern, and housing stability has been discussed as a means to reduce Medicaid costs. A program evaluation of a New York City supportive housing pr...

    Authors: Sungwoo Lim, Qi Gao, Elsa Stazesky, Tejinder P. Singh, Tiffany G. Harris and Amber Levanon Seligson

    Citation: BMC Health Services Research 2018 18:15

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  15. Content type: Research article

    Multiple sclerosis (MS) is a chronic disease with a high socioeconomic impact. The aim of this study was to assess healthcare resources utilization and costs in a sample of patients with MS.

    Authors: Antoni Sicras-Mainar, Elena Ruíz-Beato, Ruth Navarro-Artieda and Jorge Maurino

    Citation: BMC Health Services Research 2017 17:854

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  16. Content type: Research article

    China is reforming the way it finances health care as it moves towards Universal Health Coverage (UHC) after the failure of market-oriented mechanisms for health care. Improving financing equity is a major pol...

    Authors: Mingsheng Chen, Andrew J. Palmer and Lei Si

    Citation: BMC Health Services Research 2017 17:852

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  17. Content type: Research article

    Dengue fever is rapidly expanding geographically, with about half of the world’s population now at risk. Among the various diagnostic options, rapid diagnostic tests (RDTs) are convenient and prompt, but limit...

    Authors: Jacqueline Kyungah Lim, Neal Alexander and Gian Luca Di Tanna

    Citation: BMC Health Services Research 2017 17:850

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  18. Content type: Research article

    Generic substitution in several countries has become a common practice. Besides, it is considered as a major cost minimizing strategy meant to contain pharmaceutical expenditure without compromising healthcare...

    Authors: Naser Y. Shraim, Tasneem A. Al Taha, Rawan F. Qawasmeh, Hiba N. Jarrar, Maram A. N. Shtaya, Lama A. Shayeb and Waleed M. Sweileh

    Citation: BMC Health Services Research 2017 17:847

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  19. Content type: Research article

    We examined the association of dialysis facility characteristics with payment reductions and change in clinical performance measures during the first year of the United States Centers for Medicare & Medicaid S...

    Authors: Milda R. Saunders, Haena Lee and Marshall H. Chin

    Citation: BMC Health Services Research 2017 17:816

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  20. Content type: Research article

    World Health Organisation recommends routine Human Papilloma Virus (HPV) vaccination for girls when its cost-effectiveness in the country or region has been duly considered. We therefore aimed to evaluate cost...

    Authors: Obinna I. Ekwunife and Stefan K. Lhachimi

    Citation: BMC Health Services Research 2017 17:815

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  21. Content type: Research article

    In South Africa, the financing and sustainability of HIV services is a priority. Community-based HIV testing services (CB-HTS) play a vital role in diagnosis and linkage to HIV care for those least likely to u...

    Authors: Sue-Ann Meehan, Nulda Beyers and Ronelle Burger

    Citation: BMC Health Services Research 2017 17:801

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  22. Content type: Research article

    Advance care planning (ACP) is a process of planning for future health and personal care. A person’s values and preferences are made known so that they can guide decision making at a future time when that pers...

    Authors: Kim-Huong Nguyen, Marcus Sellars, Meera Agar, Sue Kurrle, Adele Kelly and Tracy Comans

    Citation: BMC Health Services Research 2017 17:797

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  23. Content type: Research article

    Like much of the developed world, healthcare costs in Canada are rising. A small proportion of patients account for a large proportion of healthcare spending and much of this spending occurs in acute care sett...

    Authors: Babak Rashidi, Daniel M. Kobewka, David J. T. Campbell, Alan J. Forster and Paul E. Ronksley

    Citation: BMC Health Services Research 2017 17:777

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  24. Content type: Research article

    Glucagon-like peptide-1 (GLP-1) receptor agonists are often recommended as part of combination therapy for type 2 diabetes when oral medication does not result in sufficient glycemic control. Several GLP-1 rec...

    Authors: Louis S. Matza, Kristina S. Boye, Katie D. Stewart, Evan W. Davies and Rosirene Paczkowski

    Citation: BMC Health Services Research 2017 17:774

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  25. Content type: Research article

    A comprehensive Compensation Plan for pharmacy services delivered by community pharmacists was implemented in Alberta, Canada in July 2012. Services covered by the Compensation Plan include care planning servi...

    Authors: Christine A. Hughes, Rene R. Breault, Deborah Hicks and Theresa J. Schindel

    Citation: BMC Health Services Research 2017 17:770

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  26. Content type: Research article

    Several stakeholders have undertaken initiatives to propose solutions towards a more sustainable health system and Spain, as an example of a European country affected by austerity measures, is looking for ways...

    Authors: David Cantarero-Prieto, Marta Pascual-Sáez and Noelia Gonzalez-Prieto

    Citation: BMC Health Services Research 2017 17:716

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  27. Content type: Research article

    Women and children constitute a large proportion of any population. They are the most vulnerable to morbidity and mortality especially in developing countries. In many situations the problem of poor maternal a...

    Authors: C. C. Agunwa, I. E. Obi, A. C. Ndu, I. B. Omotowo, C. A. Idoko, A. K. Umeobieri and E. C. Aniwada

    Citation: BMC Health Services Research 2017 17:715

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  28. Content type: Research article

    Generic medicines are essential to controlling health expenditures. Their market share is still small in France. The discourse and practices of prescribers may play a major role in their use. The purpose of th...

    Authors: Béatrice Riner, Adèle Bussy, Jeannie Hélène-Pelage, Nycrees Moueza, Sébastien Lamy and Philippe Carrère

    Citation: BMC Health Services Research 2017 17:707

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  29. Content type: Research article

    In the last 20–30 years, many international studies have found substantial differences in the use of (older) psychotropic medication between European countries. The majority mentioned an important role for att...

    Authors: J. M. Hoebert, A. K. Mantel-Teeuwisse, H. G. M. Leufkens and L. van Dijk

    Citation: BMC Health Services Research 2017 17:702

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  30. Content type: Research article

    The Community-based Health Planning and Services (CHPS) initiative was introduced to improve coverage and utilization of basic health services for people in remote rural communities whose use of orthodox healt...

    Authors: Kenneth Wiru, Akwasi Kumi-Kyereme, Emmanuel N. Mahama, Seeba Amenga-Etego and Seth Owusu-Agyei

    Citation: BMC Health Services Research 2017 17:679

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  31. Content type: Research article

    Cost information is important for efficient allocation of healthcare expenditure, estimating future budget allocation, and setting user fees to start new financing systems. Myanmar is in political transition, ...

    Authors: Thet Mon Than, Yu Mon Saw, Moe Khaing, Ei Mon Win, Su Myat Cho, Tetsuyoshi Kariya, Eiko Yamamoto and Nobuyuki Hamajima

    Citation: BMC Health Services Research 2017 17:669

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  32. Content type: Research article

    The structure of long-term care (LTC) for old people has changed: care has been shifted from institutions to the community, and death is being postponed to increasingly old age. The aim of the study was to ana...

    Authors: Leena Forma, Marja Jylhä, Jutta Pulkki, Mari Aaltonen, Jani Raitanen and Pekka Rissanen

    Citation: BMC Health Services Research 2017 17:668

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  33. Content type: Research article

    Gastric cancer is one of the leading causes of cancer-related deaths in both sexes worldwide, especially in Eastern Asia. This study aimed to estimate the economic burden of advanced gastric cancer (AGC) in Ta...

    Authors: Jihyung Hong, Yiling Tsai, Diego Novick, Frank Chi-huang Hsiao, Rebecca Cheng and Jen-Shi Chen

    Citation: BMC Health Services Research 2017 17:663

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  34. Content type: Research article

    The aim of this study was to analyse the additional treatment costs of acute patients admitted to a Danish hospital who suffered an adverse event (AE) during in-hospital treatment.

    Authors: Jakob Kjellberg, Rasmus Trap Wolf, Marie Kruse, Susanne R. Rasmussen, Jesper Vestergaard, Kent J. Nielsen and Kurt Rasmussen

    Citation: BMC Health Services Research 2017 17:651

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  35. Content type: Research article

    Since in an ageing society more long-term care (LTC) facilities are needed, it is important to understand the main determinants of first-time utilization of (LTC) services.

    Authors: Laurentius C.J. Slobbe, Albert Wong, Robert A. Verheij, Hans A.M. van Oers and Johan J. Polder

    Citation: BMC Health Services Research 2017 17:626

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  36. Content type: Research article

    The initial days of a Medicare-covered skilled nursing facility (SNF) stay may have no cost-sharing or daily copayments depending on beneficiaries’ enrollment in traditional Medicare or Medicare Advantage. Som...

    Authors: Laura M. Keohane, Regina C. Grebla, Momotazur Rahman, Dana B. Mukamel, Yoojin Lee, Vincent Mor and Amal Trivedi

    Citation: BMC Health Services Research 2017 17:611

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  37. Content type: Research article

    Community pharmacies are major contributors to health care systems across the world. Several studies have been conducted to evaluate community pharmacies services in health care. The purpose of this study was ...

    Authors: Jorge Félix, Diana Ferreira, Marta Afonso-Silva, Marta Vargas Gomes, César Ferreira, Björn Vandewalle, Sara Marques, Melina Mota, Suzete Costa, Maria Cary, Inês Teixeira, Ema Paulino, Bruno Macedo and Carlos Maurício Barbosa

    Citation: BMC Health Services Research 2017 17:606

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  38. Content type: Research article

    Formularies often employ restriction policies to reduce pharmacy costs. Pregabalin, an alpha-2-delta ligand, is approved for treatment of fibromyalgia (FM); neuropathic pain (NeP) due to postherpetic neuralgia...

    Authors: Brett R. Stacey, Jonathan Liss, Regina Behar, Alesia Sadosky, Bruce Parsons, Elizabeth T. Masters and Patrick Hlavacek

    Citation: BMC Health Services Research 2017 17:600

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  39. Content type: Research article

    There is no standard treatment pathway for tinnitus patients in the UK. Possible therapies include education and reassurance, cognitive behavioural therapies, modified tinnitus retraining therapy (education an...

    Authors: David Stockdale, Don McFerran, Peter Brazier, Clive Pritchard, Tony Kay, Christopher Dowrick and Derek J Hoare

    Citation: BMC Health Services Research 2017 17:577

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  40. Content type: Research article

    Very preterm (VPT) children, with a birth weight below 1500 g or delivered before 32 weeks of gestational age, are at increased risk of poorer long-term health outcomes and higher rates of hospitalization in c...

    Authors: Søren T. Klitkou, Tor Iversen, Hans J. Stensvold and Arild Rønnestad

    Citation: BMC Health Services Research 2017 17:571

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  41. Content type: Research article

    In South Korea, people injured in road traffic accidents receive compensation for medical costs through their automobile insurance. However, the automobile insurance system appears to manage health care ineffi...

    Authors: Kyoung Won Shin, Hyo Jung Lee, Chung Mo Nam, Ki Tae Moon and Eun-Cheol Park

    Citation: BMC Health Services Research 2017 17:567

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  42. Content type: Research article

    There is limited real-world data on the economic burden of patients with autosomal dominant polycystic kidney disease (ADPKD). The objective of this study was to estimate the annual direct and indirect costs o...

    Authors: Daniel Eriksson, Linda Karlsson, Oskar Eklund, Hans Dieperink, Eero Honkanen, Jan Melin, Kristian Selvig and Johan Lundberg

    Citation: BMC Health Services Research 2017 17:560

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  43. Content type: Research article

    Management of metastatic melanoma is changing rapidly following the introduction of innovative effective therapies, with consequences for the allocation of healthcare resources. The objective of this study was...

    Authors: Jérôme Fernandes, Bruno Bregman, Patrick Combemale, Camille Amaz, Lucie de Léotoing, Alexandre Vainchtock and Anne-Françoise Gaudin

    Citation: BMC Health Services Research 2017 17:542

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  44. Content type: Research article

    Elevated blood pressure is a major risk factor for cardiovascular disease and stroke but patients often discount recommended behavioral changes and prescribed medications. While effective interventions to prom...

    Authors: Julie Gleason-Comstock, Alicia Streater, Allen Goodman, James Janisse, Aaron Brody, LynnMarie Mango, Rachelle Dawood and Phillip Levy

    Citation: BMC Health Services Research 2017 17:538

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  45. Content type: Research article

    The objectives of this investigation are to evaluate the use of health care services for non-communicable disease and prevention by children and adolescents and to identify the factors linked to the use of hea...

    Authors: Flora Ascione, Diana Cascone, Francesco Napolitano and Gabriella Di Giuseppe

    Citation: BMC Health Services Research 2017 17:532

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  46. Content type: Research article

    A small proportion of patients utilizes a disproportionately large amount of emergency department (ED) resources. Being able to properly identify chronic frequent ED users, i.e. frequent ED users over a multip...

    Authors: Catherine Hudon, Josiane Courteau, Cynthia Krieg and Alain Vanasse

    Citation: BMC Health Services Research 2017 17:525

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