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Utilization, expenditure, economics and financing systems

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. Unsafe abortion is common in Tanzania. Currently, postabortion care (PAC) is legally provided, but there is little information on the national cost. We estimated the health system costs of offering PAC in Tanz...

    Authors: Naomi Lince-Deroche, George Ruhago, Philicia W. Castillo, Patrice Williams, Projestine Muganyizi and Akinrinola Bankole

    Citation: BMC Health Services Research 2021 21:720

    Content type: Research article

    Published on:

  2. Family caregivers assume substantial caregiving responsibilities for persons with chronic conditions, such as individuals with spinal cord injury, which leads to negative impacts on their lives. Respite care a...

    Authors: Jianan Huang, Nadja Münzel, Anke Scheel-Sailer and Armin Gemperli

    Citation: BMC Health Services Research 2021 21:637

    Content type: Research article

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  3. Hospitalisations for Ambulatory Care Sensitive Conditions (ACSC) cause harm to users and to health systems, as these events are potentially avoidable. In 2009, Portugal was hit by an economic and financial cri...

    Authors: Cristina Loureiro da Silva, João Victor Rocha and Rui Santana

    Citation: BMC Health Services Research 2021 21:506

    Content type: Research article

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  4. There is a lack of information on the cost of depression associated with metabolic syndrome and cardiovascular diseases in the literature.

    Authors: Felipe Saia Tápias, Victor Henrique Oyamada Otani, Daniel Augusto Corrêa Vasques, Thais Zelia Santos Otani and Ricardo Riyoiti Uchida

    Citation: BMC Health Services Research 2021 21:433

    Content type: Research article

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  5. Terminal illness can cause a financial burden for many households. In England and Wales, fast-track access to welfare payments is available through special rules for the terminally ill (SRTI). Individuals are ...

    Authors: Edward J. D. Webb, David Meads and Clare Gardiner

    Citation: BMC Health Services Research 2021 21:421

    Content type: Research article

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  6. It is increasingly common for two or more treatments for cancer to be combined as a single regimen. Determining value and appropriate payment for such regimens can be challenging. This study discusses these ch...

    Authors: Nicholas. R Latimer, Daniel Pollard, Adrian Towse, Chris Henshall, Lloyd Sansom, Robyn L Ward, Andrew Bruce and Carla Deakin

    Citation: BMC Health Services Research 2021 21:412

    Content type: Research article

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  7. The Hospital Readmissions Reduction Program (HRRP) was introduced to reduce readmission rates among Medicare beneficiaries, however little is known about readmissions and costs for HRRP-targeted conditions in ...

    Authors: Chi-Hua Lu, Collin M. Clark, Ryan Tober, Meghan Allen, Walter Gibson, Edward M. Bednarczyk, Christopher J. Daly and David M. Jacobs

    Citation: BMC Health Services Research 2021 21:386

    Content type: Research article

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  8. This study aimed to evaluate the cost-effectiveness of a breast cancer screening programme that incorporates genetic testing using breast cancer associated single nucleotide polymorphisms (SNPs), against the c...

    Authors: Jerry Zeng Yang Wong, Jia Hui Chai, Yen Shing Yeoh, Nur Khaliesah Mohamed Riza, Jenny Liu, Yik-Ying Teo, Hwee Lin Wee and Mikael Hartman

    Citation: BMC Health Services Research 2021 21:379

    Content type: Research article

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  9. Self-report resource-use measures (RUMs) are often used to collect healthcare use data from participants in healthcare studies. However, RUMs are typically adapted from existing measures on a study-by-study ba...

    Authors: Kirsty Garfield, Samantha Husbands, Joanna C. Thorn, Sian Noble and Will Hollingworth

    Citation: BMC Health Services Research 2021 21:371

    Content type: Research article

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  10. Severe bronchiolitis requiring mechanical ventilation was associated with an absence of surfactant activity and phosphatidylglycerol, causing airway obstruction in acute bronchiolitis. Exogen surfactant in mec...

    Authors: Jefferson Antonio Buendía and Diana Guerrero Patiño

    Citation: BMC Health Services Research 2021 21:334

    Content type: Research article

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  11. Inpatient palliative care is associated with lower inpatient costs; however, this has yet to be studied using a more nuanced, multi-tiered measure of inpatient palliative care and a national population-represe...

    Authors: Sarina R. Isenberg, Christopher Meaney, Peter May, Peter Tanuseputro, Kieran Quinn, Danial Qureshi, Stephanie Saunders, Colleen Webber, Hsien Seow, James Downar, Thomas J. Smith, Amna Husain, Peter G. Lawlor, Rob Fowler, Julie Lachance, Kimberlyn McGrail…

    Citation: BMC Health Services Research 2021 21:331

    Content type: Research article

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  12. Environmental health services (EHS) in healthcare facilities (HCFs) are critical for providing a safe, functional healthcare environment, but little is known about their costs. Poor understanding of costs impe...

    Authors: Darcy M. Anderson, Ryan Cronk, Emily Pak, Precious Malima, David Fuente, J. Wren Tracy, Innocent Mofolo, Holystone Kafanikhale, Irving Hoffman and Jamie Bartram

    Citation: BMC Health Services Research 2021 21:329

    Content type: Research article

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  13. Subcutaneous (SC) versus intravenous (IV) administration is advantageous in terms of patient convenience and hospital efficiency. This study aimed to compare the effect of optimizing the processes involved in ...

    Authors: María Reyes Abad-Sazatornil, Ainhoa Arenaza, Juan Bayo, Jesus García Mata, José María Guinea De Castro, Josefa León, Javier Letellez, Virginia Reguero, Carmen Martínez Chamorro and Antonio Salar

    Citation: BMC Health Services Research 2021 21:320

    Content type: Research article

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  14. Research has shown unilateral cochlear implants (CIs) significantly improve clinical outcomes and quality of life in adults. However, only 13% of eligible Swedish adults currently use a unilateral CI. The obje...

    Authors: Mutsa Gumbie, Emma Olin, Bonny Parkinson, Ross Bowman and Henry Cutler

    Citation: BMC Health Services Research 2021 21:319

    Content type: Research article

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  15. Electronic medical record (EMR) systems have the potential to facilitate appropriate laboratory testing. We examined three common medical tests in primary care—hemoglobin A1c (HbA1c), lipid, and thyroid stimul...

    Authors: Nadine Chami, Silvy Mathew, Sharada Weir, James G. Wright and Jasmin Kantarevic

    Citation: BMC Health Services Research 2021 21:307

    Content type: Research article

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  16. Cryptococcal meningitis in HIV-infected patients in sub-Saharan Africa accounts for three-quarters of the global cases and 135,000 deaths per annum. Current treatment includes the use of fluconazole and amphot...

    Authors: Jacqui Miot, Trudy Leong, Simbarashe Takuva, Andrew Parrish and Halima Dawood

    Citation: BMC Health Services Research 2021 21:305

    Content type: Research article

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  17. The landscape of cutaneous melanoma (CM) diagnosis, staging, prognosis, and treatment has undergone fundamental changes in the past decade. While the benefits of new health resources are recognized, there is a...

    Authors: Cassia Rita Pereira da Veiga, Claudimar Pereira da Veiga, Alceu Souza, Alberto Julius Alves Wainstein, Andreia Cristina de Melo and Ana Paula Drummond-Lage

    Citation: BMC Health Services Research 2021 21:284

    Content type: Research article

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  18. ERAS (Enhanced Recovery After Surgery) is a multidisciplinary and integrative approach with the goal of optimizing the postoperative recovery. We aimed to analyze the economic impact of a newly established ERA...

    Authors: Johannes Petersen, Benjamin Kloth, Johanna Konertz, Jens Kubitz, Leonie Schulte-Uentrop, Gesche Ketels, Hermann Reichenspurner and Evaldas Girdauskas

    Citation: BMC Health Services Research 2021 21:254

    Content type: Research article

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  19. Since the introduction in 1984 of Australia’s publicly-funded universal healthcare system, Medicare, healthcare financing has relied on a mix of public and private sources to meet the needs of the population (...

    Authors: Lisa Tam, Ellen Tyquin, Amisha Mehta and Ingrid Larkin

    Citation: BMC Health Services Research 2021 21:246

    Content type: Research article

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  20. Insufficient cost data and limited capacity constrains the understanding of the actual resources required for effective TB control. This study used process maps and time-driven activity-based costing to docume...

    Authors: J. Chirenda, B. Nhlema Simwaka, C. Sandy, K. Bodnar, S. Corbin, P. Desai, T. Mapako, S. Shamu, C. Timire, E. Antonio, A. Makone, A. Birikorang, T. Mapuranga, M. Ngwenya, T. Masunda, M. Dube…

    Citation: BMC Health Services Research 2021 21:242

    Content type: Research article

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  21. Out-of-pocket payments have a diverse impact on the burden of those with a higher morbidity or the chronically ill. As the prevalence of chronic diseases increases with age, older adults are a vulnerable group...

    Authors: Veronika Kočiš Krůtilová, Lewe Bahnsen and Diana De Graeve

    Citation: BMC Health Services Research 2021 21:239

    Content type: Research article

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  22. Price negotiations for specialty pharmaceuticals take place in a complex market setting. The determination of the added value of new treatments and the related societal willingness to pay are of increasing imp...

    Authors: Dominik J. Wettstein and Stefan Boes

    Citation: BMC Health Services Research 2021 21:234

    Content type: Research article

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  23. Uganda experiences a high morbidity and mortality burden due to conditions amenable to emergency care, yet few public hospitals have dedicated emergency units. As a result, little is known about the costs and ...

    Authors: Kalin Werner, Tracy Kuo Lin, Nicholas Risko, Martha Osiro, Joseph Kalanzi and Lee Wallis

    Citation: BMC Health Services Research 2021 21:232

    Content type: Research article

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  24. Breast cancer is the most prevalent cancer among women. Breast cancer imposes a considerable economic burden on the health system. This study aimed to compare the cost of breast cancer among patients who refer...

    Authors: Abolhasan Afkar, Habib Jalilian, Abolghasem Pourreza, Habibeh Mir, Abdolhosein Emami Sigaroudi and Somayeh Heydari

    Citation: BMC Health Services Research 2021 21:219

    Content type: Research article

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  25. Systematic approaches to the inclusion of economic evaluation in national healthcare decision-making are usual. It is less common for economic evaluation to be routinely undertaken at the ‘local-level’ (e.g. i...

    Authors: Andrew Searles, Donella Piper, Christine Jorm, Penny Reeves, Maree Gleeson, Jonathan Karnon, Nicholas Goodwin, Kenny Lawson, Rick Iedema and Jane Gray

    Citation: BMC Health Services Research 2021 21:201

    Content type: Study protocol

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  26. Acute otitis media (AOM) is among the most common paediatric conditions managed in primary care. Most recent estimates of the cost of AOM date from a decade ago and lack a full societal perspective. We therefo...

    Authors: Rick T. van Uum, Roderick P. Venekamp, Clémence T. B. Pasmans, G. Ardine de Wit, Alies Sjoukes, Alma C. van der Pol, Roger A. M. J. Damoiseaux and Anne G. M. Schilder

    Citation: BMC Health Services Research 2021 21:193

    Content type: Research article

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  27. Smoking exerts substantial medical burdens on society. Precise estimation of the smoking-attributable medical expenditures (SAME) helps to inform tobacco control policy makers. Based on the epidemiological app...

    Authors: Shiyao Huang, Han Wei, Tingting Yao, Zhengzhong Mao, Qun Sun and Lian Yang

    Citation: BMC Health Services Research 2021 21:187

    Content type: Research article

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  28. As low- and middle-income countries progress toward Universal Health Coverage, there is an increasing focus on measuring out-of-pocket (OOP) expenditure and health services utilization within countries. While ...

    Authors: Faraz Khalid, Wajeeha Raza, David R. Hotchkiss and Rieza H. Soelaeman

    Citation: BMC Health Services Research 2021 21:178

    Content type: Research article

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    The Correction to this article has been published in BMC Health Services Research 2021 21:570

  29. Globally, Pediatric Intensive Care Unit (PICU) admissions are amongst the most expensive. In low middle-income countries, out of pocket expenditure (OOP) constitutes a major portion of the total expenditure. T...

    Authors: Amrit Kaur, Muralidharan Jayashree, Shankar Prinja, Ranjana Singh and Arun K. Baranwal

    Citation: BMC Health Services Research 2021 21:168

    Content type: Research article

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  30. In the low- and middle-income countries, most patients with esophageal cancer present with advanced stage disease and experience poor survival. There is inadequate understanding of the factors that influence d...

    Authors: Nakimuli Esther, Ssentongo Julius and Mwaka Amos Deogratius

    Citation: BMC Health Services Research 2021 21:159

    Content type: Research article

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  31. Burkina Faso has undertaken major reforms, the cornerstone of which has been the decentralization of the health system to increase access to primary healthcare and to increase the effectiveness, efficiency, fi...

    Authors: Hilaire Zon, Milena Pavlova and Wim Groot

    Citation: BMC Health Services Research 2021 21:148

    Content type: Research article

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  32. Sustainable Development Goal (SDG) aspires to improve universal health coverage through reduction of Out of Pocket Expenditure (OOPE) and improving the quality of care. In the last two decades, there have been se...

    Authors: Avinash K Sunny, Omkar Basnet, Ankit Acharya, Prajwal Poudel, Mats Malqvist and Ashish KC

    Citation: BMC Health Services Research 2021 21:128

    Content type: Research article

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  33. The introduction of generics after the loss of patent exclusivity plays a major role in budget savings by significantly decreasing drug prices. The aims of this study were to estimate the budget savings from o...

    Authors: Seung Mi Lee, Heui Jae Kim, David Suh, Kyung-In Joung, Eun Suk Kim, Hee Jung Back, Jun Young Kwon, Man-Jae Park and Dong Churl Suh

    Citation: BMC Health Services Research 2021 21:126

    Content type: Research article

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  34. Neonatal hypoglycaemia is a common but treatable metabolic disorder that affects newborn infants and which, if not identified and treated adequately, may result in neurological sequelae that persist for the li...

    Authors: Matthew J. Glasgow, Richard Edlin and Jane E. Harding

    Citation: BMC Health Services Research 2021 21:121

    Content type: Research article

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  35. Psychological distress among young people is increasing in Northern Europe. According to established healthcare utilization theory, this will create a greater need for youth primary healthcare and subsequently...

    Authors: Thomas Potrebny, Nora Wiium, Anne Haugstvedt, Ragnhild Sollesnes, Bente Wold and Frode Thuen

    Citation: BMC Health Services Research 2021 21:115

    Content type: Research article

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  36. Bundled payments for spine surgery, which is known for having high overall cost with wide variation, have been previously studied in older adults. However, there has been limited work examining bundled payment...

    Authors: Michael K. Dalton, Christer Mjåset, Adoma Manful, Melvin D. Helgeson, William Wynn-Jones, Zara Cooper, Tracey P. Koehlmoos and Joel S. Weissman

    Citation: BMC Health Services Research 2021 21:112

    Content type: Research article

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  37. A barrier to the uptake of robotic-assisted surgery (RAS) continues to be the perceived high costs. A lack of detailed costing information has made it difficult for public hospitals in particular to determine ...

    Authors: Kate McBride, Daniel Steffens, Christina Stanislaus, Michael Solomon, Teresa Anderson, Ruban Thanigasalam, Scott Leslie and Paul G. Bannon

    Citation: BMC Health Services Research 2021 21:108

    Content type: Research article

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  38. Healthcare spending has grown over the last decades in all developed countries. Making hard choices for investments in a rational, evidence-informed, systematic, transparent and legitimate manner constitutes a...

    Authors: Brayan V. Seixas, Dean A. Regier, Stirling Bryan and Craig Mitton

    Citation: BMC Health Services Research 2021 21:90

    Content type: Research article

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  39. The incidence and prevalence of stroke among the young are increasing in the US. Data on healthcare utilization prior to stroke is limited. We hypothesized those < 45 years were less likely than those 45–65 ye...

    Authors: Brandi L. Vollmer, Xing Chen, Erin R. Kulick, Mitchell S. V. Elkind and Amelia K. Boehme

    Citation: BMC Health Services Research 2021 21:84

    Content type: Research article

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  40. Given projected shortages of critical care capacity in public hospitals during the COVID-19 pandemic, the South African government embarked on an initiative to purchase this capacity from private hospitals. In...

    Authors: S. M. Cleary, T. Wilkinson, C. R. Tamandjou Tchuem, S. Docrat and G. C. Solanki

    Citation: BMC Health Services Research 2021 21:82

    Content type: Research article

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  41. A vast array of literature has established that high maternity expenditure precludes women from accessing health services. Further, this maternity expenditure takes catastrophic form, forcing individuals or ho...

    Authors: Niharika Mahajan and Baljit Kaur

    Citation: BMC Health Services Research 2021 21:76

    Content type: Research article

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  42. The adherence pattern of antiepileptic drugs (AEDs) among patients with epilepsy is relatively lower in the United States and different European countries. However, adherence and cost analysis of AEDs in Asian...

    Authors: Muhammad Arif Asghar, Ahad Abdul Rehman, Muhammad Liaquat Raza, Yousra Shafiq and Muhammad Asif Asghar

    Citation: BMC Health Services Research 2021 21:72

    Content type: Research article

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  43. This study explores how socio-demographic and health factors shape the relationship between multimorbidity and one-year acute care service use (i.e., hospital, emergency department visits) in older adults in O...

    Authors: Kathryn A. Fisher, Lauren E. Griffith, Andrea Gruneir, Ross Upshur, Richard Perez, Lindsay Favotto, Francis Nguyen, Maureen Markle-Reid and Jenny Ploeg

    Citation: BMC Health Services Research 2021 21:62

    Content type: Research article

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  44. Breast cancer costs were estimated at $16.5 billion in 2010 and were higher than other cancer costs. There are limited studies on breast cancer charges and costs by BRCA mutations and receptor status. We exami...

    Authors: Joseph Biskupiak, Sudhir Unni, Claire Telford, Minkyoung Yoo, Xiangyang Ye, Rishi Deka, Diana Brixner and David Stenehjem

    Citation: BMC Health Services Research 2021 21:58

    Content type: Research article

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  45. The global population has transitioned to one where more adults are living with obesity than are underweight. Obesity is associated with the development of cardiometabolic diseases and widely attributed to inc...

    Authors: Neeru Gupta and Zihao Sheng

    Citation: BMC Health Services Research 2021 21:54

    Content type: Research article

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  46. Despite an official policy of exemption from health care costs, pregnant women in Niger still face some out-of-pocket costs (OPC) in addition to time costs when they attend antenatal care (ANC) services. We ai...

    Authors: Césaire T. Ouédraogo, Stephen A. Vosti, K. Ryan Wessells, Charles D. Arnold, M. Thierno Faye and Sonja Y. Hess

    Citation: BMC Health Services Research 2021 21:47

    Content type: Research article

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  47. The study aimed to estimate the comparative costs per positive diagnosis of previously undetected HIV in three testing regimes: conventional; parallel and point of care (POC) testing. The regimes are analysed ...

    Authors: Owain D. Williams, Judith A. Dean, Anna Crothers, Charles F. Gilks and Jeff Gow

    Citation: BMC Health Services Research 2021 21:30

    Content type: Research article

    Published on: