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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. 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

    Published on:

  2. 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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  3. Despite attempts to improve universal health coverage (UHC) in low income countries like Nepal, most healthcare utilization is still financed by out-of-pocket (OOP) payments, with detrimental effects on the po...

    Authors: Selina Rajan, Sujit D. Rathod, Nagendra P. Luitel, Adrianna Murphy, Tessa Roberts and Mark J. D. Jordans

    Citation: BMC Health Services Research 2020 20:250

    Content type: Research article

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  4. The decreased life expectancy and care costs of mental disorders could be enormous. However, research that compares mortality and utilization concurrently across the major category of mental disorders is absen...

    Authors: Jong-Yi Wang, Cheng-Chen Chang, Meng-Chen Lee and Yi-Jhen Li

    Citation: BMC Health Services Research 2020 20:230

    Content type: Research article

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  5. Hospitalizations for ambulatory care sensitive conditions are commonly used to evaluate primary health care performance, as the hospital admission could be avoided if care was timely and adequate. Previous evi...

    Authors: João Victor Muniz Rocha, Ana Patrícia Marques, Bruno Moita and Rui Santana

    Citation: BMC Health Services Research 2020 20:210

    Content type: Research article

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  6. Most European countries have implemented a form of school health services (SHS) to provide young children and adolescents with various types of healthcare. No estimations on SHS expenditure for European countr...

    Authors: Simon van der Pol, Maarten J. Postma and Danielle E. M. C. Jansen

    Citation: BMC Health Services Research 2020 20:206

    Content type: Research article

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  7. Those who are homeless are more prone to communicable, respiratory and cardiovascular diseases and are less likely to access healthcare services. In South Africa there are no specific public healthcare service...

    Authors: Deanne Johnston, Patricia McInerney and Jacqui Miot

    Citation: BMC Health Services Research 2020 20:202

    Content type: Research article

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  8. Chronic low back pain (CLBP) is a highly prevalent condition that has substantial impact on patients, the healthcare system and society. Pain management services (PMS), which aim to address the complex nature ...

    Authors: Saja H. AlMazrou, Rachel A. Elliott, Roger D. Knaggs and Shiekha S. AlAujan

    Citation: BMC Health Services Research 2020 20:194

    Content type: Research article

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  9. Classical homocystinuria (HCU), an inborn error of homocysteine metabolism, has previously been estimated to affect approximately 1 in 100,000–200,000 people in the United States (US). HCU is poorly detected b...

    Authors: Marcia Sellos-Moura, Frank Glavin, David Lapidus, Kristin Evans, Carolyn R. Lew and Debra E. Irwin

    Citation: BMC Health Services Research 2020 20:183

    Content type: Research article

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  10. Published methods to describe and visualize Care Trajectories (CTs) as patterns of healthcare use are very sparse, often incomplete, and not intuitive for non-experts.

    Authors: Alain Vanasse, Josiane Courteau, Mireille Courteau, Mike Benigeri, Yohann M. Chiu, Isabelle Dufour, Simon Couillard, Pierre Larivée and Catherine Hudon

    Citation: BMC Health Services Research 2020 20:177

    Content type: Research article

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  11. Antibiotics are often prescribed inappropriately to patients with upper respiratory infection (URI) in ambulatory care settings; however, the economic burden of such prescription has not been quantitatively as...

    Authors: Shinya Tsuzuki, Yuki Kimura, Masahiro Ishikane, Yoshiki Kusama and Norio Ohmagari

    Citation: BMC Health Services Research 2020 20:153

    Content type: Research article

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  12. In Côte d’Ivoire, maternal health service utilization indicators remain low despite improvements in health coverage and the availability of free health care for pregnant women. The objective of the study was t...

    Authors: Mamadou Samba, Akissi Régine Attia-Konan, Abou Dramane Sangaré, Gotré Jules Youan, Luc Philippe Kouadio and Ramata Bakayoko-Ly

    Citation: BMC Health Services Research 2020 20:136

    Content type: Research article

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  13. A vast body of literature has documented regional variations in healthcare utilization rates. The extent to which such variations are “unwarranted” critically depends on whether there are corresponding variati...

    Authors: Jan Håkon Rudolfsen, Tore K. Solberg, Tor Ingebrigtsen and Jan Abel Olsen

    Citation: BMC Health Services Research 2020 20:135

    Content type: Research article

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  14. Autosomal dominant polycystic kidney disease (ADPKD) is one of the most common inherited kidney diseases characterized by progressive development of renal cysts and numerous extra-renal manifestations, eventua...

    Authors: Martin Cloutier, Ameur M. Manceur, Annie Guerin, Myrlene Sanon Aigbogun, Dorothee Oberdhan and Marjolaine Gauthier-Loiselle

    Citation: BMC Health Services Research 2020 20:126

    Content type: Research article

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  15. Universal coverage for dental care is a topical policy debate across Canada, but the impact of dental insurance on improving oral health-related outcomes remains empirically unexplored in this population.

    Authors: Nevena Zivkovic, Musfer Aldossri, Noha Gomaa, Julie W. Farmer, Sonica Singhal, Carlos Quiñonez and Vahid Ravaghi

    Citation: BMC Health Services Research 2020 20:124

    Content type: Research article

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  16. Renal replacement therapy was a lifesaving yet high-cost treatment for people with end-stage kidney disease (ESKD). This study aimed to estimate the direct medical costs per capita of ESKD by different treatme...

    Authors: Hui Zhang, Chao Zhang, Sufen Zhu, Hongjian Ye and Donglan Zhang

    Citation: BMC Health Services Research 2020 20:122

    Content type: Research article

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  17. Economic analyses of end-of-life care often focus on single aspects of care in selected cohorts leading to limited knowledge on the total level of care required to patients at their end-of-life. We aim at desc...

    Authors: Gudrun Maria Waaler Bjørnelv, Bjørn Edwin, Åsmund Avdem Fretland, Partha Deb and Eline Aas

    Citation: BMC Health Services Research 2020 20:115

    Content type: Research article

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  18. There has been a growing interest in using diagnosis-related groups (DRGs) payment to reimburse inpatient care worldwide. But its effects on healthcare and health outcomes are controversial, and the evidence f...

    Authors: Kun Zou, Hong-Ying Li, Die Zhou and Zai-Jun Liao

    Citation: BMC Health Services Research 2020 20:112

    Content type: Research article

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  19. Length of hospital stay (LOS) for hip fracture treatments is associated with mortality. In addition to patient demographic and clinical factors, hospital and payer type may also influence LOS, and thus mortali...

    Authors: Edward Coffield, Saeyoan Thirunavukkarasu, Emily Ho, Swapna Munnangi and L.D. George Angus

    Citation: BMC Health Services Research 2020 20:100

    Content type: Research article

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  20. The rapid increase in pharmaceutical expenditure (PE) has been a main problem of global healthcare reform for decades. Previous studies demonstrated that pharmacists play an indispensable role in controlling P...

    Authors: Ming Wei, Xuemei Wang, Dandan Zhang and Xinping Zhang

    Citation: BMC Health Services Research 2020 20:91

    Content type: Research article

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  21. The Affordable Care Act (ACA) was enacted to enhance access to care primarily among nonelderly and low-income populations; however, several provisions addressed key determinants of emergency department (ED) an...

    Authors: SangNam Ahn, Mustafa Hussein, Asos Mahmood and Matthew Lee Smith

    Citation: BMC Health Services Research 2020 20:77

    Content type: Research article

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  22. According to the World Health Organization, essential surgery should be recognized as an essential component of universal health coverage. In Ghana, insurance is associated with a reduction in maternal mortali...

    Authors: Juliet Okoroh, Doris Ottie-Boakye Sarpong, Samuel Essoun, Robert Riviello, Hobart Harris and Joel S. Weissman

    Citation: BMC Health Services Research 2020 20:45

    Content type: Research article

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  23. An ageing and a shrinking labour force implies that the prevention of a premature exit from work due to poor health will become more relevant in the future. Medical rehabilitation is a health service that aims...

    Authors: Chloé Charlotte Schröder, Maria Dyck, Jürgen Breckenkamp, Hans Martin Hasselhorn and Jean-Baptist du Prel

    Citation: BMC Health Services Research 2020 20:31

    Content type: Research article

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  24. Nowadays, a growing literature reveals how patients use informal payments to seek either better treatment or additional services, but little systematic review has been accomplished for synthesizing the main fa...

    Authors: Arefeh Pourtaleb, Mehdi Jafari, Hesam Seyedin and Ali Akhavan Behbahani

    Citation: BMC Health Services Research 2020 20:14

    Content type: Research article

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  25. Huntington’s disease (HD) is a devastating and fatal neurodegenerative disorder that leads to progressive disability, and over time to total dependence. The economic impact of HD on patients living in developi...

    Authors: Gustavo Silva-Paredes, Rosa M. Urbanos-Garrido, Miguel Inca-Martinez, Danielle Rabinowitz and Mario R. Cornejo-Olivas

    Citation: BMC Health Services Research 2019 19:1017

    Content type: Research article

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  26. The pharmaceutical industry in Iran is influenced by various parameters such as internal factors caused by the financial information of each economic unit and external factors including major economic and non-...

    Authors: Mohammadreza Masoumi, Farbod Ebadi Fard Azar, Aziz RezaPour and Mohsen Mehrara

    Citation: BMC Health Services Research 2019 19:1011

    Content type: Research article

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  27. Atrial fibrillation (AF) represents the most common sustained cardiac arrhythmia. A service evaluation was carried out at an anticoagulation clinic in Newcastle upon-Tyne to explore the efficacy of introducing...

    Authors: Eoin Moloney, Dawn Craig, Nikki Holdsworth and Joanne Smithson

    Citation: BMC Health Services Research 2019 19:1007

    Content type: Research article

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  28. Some children with mental health (MH) problems have been found to receive ongoing care, either continuously or episodically. We sought to replicate patterns of MH service use over extended time periods, and te...

    Authors: Graham J. Reid, Shannon L. Stewart, Melanie Barwick, Jeffrey Carter, Alan Leschied, Richard W. J. Neufeld, Jeff St. Pierre, Juliana I. Tobon, Evelyn Vingilis and Gregory S. Zaric

    Citation: BMC Health Services Research 2019 19:993

    Content type: Research article

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  29. The overuse of diagnostic imaging for low back pain (LBP) in Australia results in unnecessary cost to the health system and, for patients, avoidable exposure to radiation. The 2013 NPS MedicineWise LBP program...

    Authors: Tessa Morgan, Jianyun Wu, Ludmila Ovchinikova, Robyn Lindner, Suzanne Blogg and Rachael Moorin

    Citation: BMC Health Services Research 2019 19:983

    Content type: Research article

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  30. Cancer increases the risk of developing one or more chronic conditions, yet little research describes the associations between health care costs, utilization patterns, and chronic conditions in adults with can...

    Authors: Mary Lynn Davis-Ajami, Zhiqiang K. Lu and Jun Wu

    Citation: BMC Health Services Research 2019 19:981

    Content type: Research article

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  31. Cardiovascular diseases are the leading cause of death in Lebanon and Qatar. When lifestyle modifications prove insufficient, medication becomes a cornerstone in controlling such diseases and saving lives. Pri...

    Authors: N. Abdel Rida, M. I. Mohamed Ibrahim and Z. U. D. Babar

    Citation: BMC Health Services Research 2019 19:973

    Content type: Research article

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  32. Although public medical insurance covers over 95% of the population in China, disparities in health service use and out-of-pocket (OOP) health expenditure across income groups are still widely observed. This s...

    Authors: Weixi Jiang, Xiaolin Xu, Shenglan Tang, Ling Xu, Yaoguang Zhang, Chris Elbers, Frank Cobelens and Lijing Yan

    Citation: BMC Health Services Research 2019 19:966

    Content type: Research article

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  33. Rapid evaluation was at the heart of National Health Service England’s evaluation strategy of the new models of care vanguard programme. This was to facilitate the scale and spread of successful models of care...

    Authors: Andrew McCarthy, Peter McMeekin, Shona Haining, Lesley Bainbridge, Claire Laing and Joanne Gray

    Citation: BMC Health Services Research 2019 19:964

    Content type: Research article

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  34. While the traditional Medicare program imposes a deductible for hospital admissions, many Medicare Advantage plans have instituted per-diem copayments for hospital care. Little evidence exists about the effect...

    Authors: John P. McHugh, Laura Keohane, Regina Grebla, Yoojin Lee and Amal N. Trivedi

    Citation: BMC Health Services Research 2019 19:961

    Content type: Research article

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  35. Rising health care costs are a major public health issue. Thus, accurately predicting future costs and understanding which factors contribute to increases in health care expenditures are important. The objecti...

    Authors: Annika M. Jödicke, Urs Zellweger, Ivan T. Tomka, Thomas Neuer, Ivanka Curkovic, Malgorzata Roos, Gerd A. Kullak-Ublick, Hayk Sargsyan and Marco Egbring

    Citation: BMC Health Services Research 2019 19:953

    Content type: Research article

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  36. The organisation of cancer follow-up is under scrutiny in many countries, and general practice is suggested to become more involved. A central focus is timely detection of recurring previous cancer and new sec...

    Authors: Linda Aagaard Rasmussen, Henry Jensen, Line Flytkjær Virgilsen, Alina Zalounina Falborg, Henrik Møller and Peter Vedsted

    Citation: BMC Health Services Research 2019 19:941

    Content type: Research article

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  37. The potential economic benefit in terms of reduced healthcare costs when patients quit smoking after hospital discharge has not been directly measured. The aim of this study was to compare the costs for hospit...

    Authors: Margaret B. Nolan, Bijan J. Borah, James P. Moriarty and David O. Warner

    Citation: BMC Health Services Research 2019 19:924

    Content type: Research article

    Published on:

  38. The statins are а developing group of cardiovascular medicines, widely used for dyslipidemia. As a whole statins consumption leads to reduction in cardiovascular events and death, and improves the disease cont...

    Authors: Oksana Tkachova, Larysa Iakovlieva, Zornitsa Mitkova, Manoela Manova, Alexandra Savova and Guenka Petrova

    Citation: BMC Health Services Research 2019 19:902

    Content type: Research article

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  39. Millions of citizens in high-income countries face over-indebtedness that implies being unable to cover payment obligations with available income and assets on an ongoing basis. Studies have shown an associati...

    Authors: Jacqueline Warth, Marie-Therese Puth, Judith Tillmann, Niklas Beckmann, Johannes Porz, Ulrike Zier, Klaus Weckbecker, Birgitta Weltermann and Eva Münster

    Citation: BMC Health Services Research 2019 19:887

    Content type: Research article

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  40. In the move toward value-based care, bundled payments are believed to reduce waste and improve coordination. Some commercial insurers have addressed this through the use of bundled payment, the provision of on...

    Authors: W. Wynn-Jones, T. P. Koehlmoos, C. Tompkins, A. Navathe, S. Lipsitz, N. K. Kwon, P. A. Learn, C. Madsen, A. Schoenfeld and J. S. Weissman

    Citation: BMC Health Services Research 2019 19:877

    Content type: Research article

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  41. Breast cancer is the leading malignancy among Filipino women, with about 23.50% of cases characterized by human epidermal growth factor receptor-2 (HER2) overexpression. Trastuzumab, in addition to standard ch...

    Authors: Anne Julienne Genuino, Usa Chaikledkaew, Anna Melissa Guerrero, Thanyanan Reungwetwattana and Ammarin Thakkinstian

    Citation: BMC Health Services Research 2019 19:874

    Content type: Research article

    Published on:

  42. The rapid decrease in international funding for HIV/AIDS has been challenging for many nations to effectively mobilize and allocate their limited resources for HIV/AIDS programs. Economic evaluations can help ...

    Authors: Bach Xuan Tran, Long Hoang Nguyen, Hugo C. Turner, Son Nghiem, Giang Thu Vu, Cuong Tat Nguyen, Carl A. Latkin, Cyrus S. H. Ho and Roger C. M. Ho

    Citation: BMC Health Services Research 2019 19:834

    Content type: Research article

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  43. Evaluating hospital efficiency is a process to optimize resource utilization and allocation. This is vital due to hospitals being the largest financial cost in a health system. To limit avoidable uses of hospi...

    Authors: Hamid Ravaghi, Mahnaz Afshari, Parvaneh Isfahani and Victoria D. Bélorgeot

    Citation: BMC Health Services Research 2019 19:830

    Content type: Research article

    Published on:

    The Correction to this article has been published in BMC Health Services Research 2019 19:948

  44. The exudative age-related macular degeneration (AMD) causes considerable healthcare costs for patients and healthcare system, which are expected to grow as the population ages. The objective of this study was ...

    Authors: Siin Kim, Sang Jun Park, Seong Jun Byun, Kyu Hyung Park and Hae Sun Suh

    Citation: BMC Health Services Research 2019 19:828

    Content type: Research article

    Published on:

  45. In 2014 and 2015, biosimilars for the drugs filgrastim, infliximab, and insulin glargine were approved for use in Canada. The introduction of biosimilars in Canada could provide significant cost savings for th...

    Authors: Kerry Mansell, Hishaam Bhimji, Dean Eurich and Holly Mansell

    Citation: BMC Health Services Research 2019 19:827

    Content type: Research article

    Published on:

    The Correction to this article has been published in BMC Health Services Research 2019 19:972

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