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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. 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

    Published on:

  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. 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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  11. 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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  12. 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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  13. 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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  14. 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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  15. 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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  16. 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

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  17. 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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  18. 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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  19. 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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  20. 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

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  21. 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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  22. 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

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

  23. 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

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  24. 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

  25. Although evidence is accumulating that lifestyle modification may be cost-effective in patients with prediabetes, information is limited on the cost-effectiveness of interventions implemented in public health ...

    Authors: Geerke Duijzer, Andrea J. Bukman, Aafke Meints-Groenveld, Annemien Haveman-Nies, Sophia C. Jansen, Judith Heinrich, Gerrit J. Hiddink, Edith J. M. Feskens and G. Ardine de Wit

    Citation: BMC Health Services Research 2019 19:824

    Content type: Research article

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  26. We analyze the cost of an incorrect application, by the haematologist, of bridging anticoagulation in patients with low-risk atrial fibrillation (AF) needing interruption of treatment prior to a scheduled inva...

    Authors: Ma Victoria Cuevas, Ignacio Martínez-Sancho, Jana Arribas, Covadonga García-Díaz and Beatriz Cuevas

    Citation: BMC Health Services Research 2019 19:802

    Content type: Research article

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  27. Higher income population tend to prefer brand-name to generic drugs, which may cause disparity in access to brand-name drugs among income groups. A potential policy that can resolve such disparity is imposing ...

    Authors: Yuki Ito, Konan Hara, Byung-Kwang Yoo, Jun Tomio and Yasuki Kobayashi

    Citation: BMC Health Services Research 2019 19:780

    Content type: Research article

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  28. The aim of this study was to estimate the mean cost per caregiver of informal care during the first year after myocardial infarction event in France.

    Authors: Hugo Rabier, Hassan Serrier, Anne-Marie Schott, Nathan Mewton, Michel Ovize, Norbert Nighoghossian, Antoine Duclos and Cyrille Colin

    Citation: BMC Health Services Research 2019 19:763

    Content type: Research article

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  29. Methicillin-resistant Staphylococcus aureus (MRSA) is an opportunistic bacterial organism resistant to first line antibiotics. Acquisition of MRSA is often classified as either healthcare-associated or community-...

    Authors: Erin Kirwin, Marie Varughese, David Waldner, Kimberley Simmonds, A. Mark Joffe and Stephanie Smith

    Citation: BMC Health Services Research 2019 19:743

    Content type: Research article

    Published on:

    The Correction to this article has been published in BMC Health Services Research 2019 20:4

  30. In the United States, there is well-documented regional variation in prescription drug spending. However, the specific role of physician adoption of brand name drugs on the variation in patient-level prescript...

    Authors: Ilinca D. Metes, Lingshu Xue, Chung-Chou H. Chang, Haiden A. Huskamp, Walid F. Gellad, Wei-Hsuan Lo-Ciganic, Niteesh K. Choudhry, Seth Richards-Shubik, Hasan Guclu and Julie M. Donohue

    Citation: BMC Health Services Research 2019 19:703

    Content type: Research article

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  31. Readmissions following exacerbations of chronic obstructive pulmonary disease (COPD) are prevalent and costly. Multimorbidity is common in COPD and understanding how comorbidity influences readmission risk wil...

    Authors: Russell G. Buhr, Nicholas J. Jackson, Gerald F. Kominski, Steven M. Dubinett, Michael K. Ong and Carol M. Mangione

    Citation: BMC Health Services Research 2019 19:701

    Content type: Research article

    Published on:

  32. Overweight and obesity is a major global public health challenge, and understanding the implications for healthcare systems is essential for policy planning. Past studies have typically found positive associat...

    Authors: Christina Hansen Edwards, Eline Aas and Jonas Minet Kinge

    Citation: BMC Health Services Research 2019 19:696

    Content type: Research article

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  33. In Asia, over 50% of patients with symptoms of tuberculosis (TB) access health care from private providers. These patients are usually not notified to the National TB Control Programs, which contributes to low no...

    Authors: Hamidah Hussain, Amani Thomas Mori, Aamir J. Khan, Saira Khowaja, Jacob Creswell, Thorkild Tylleskar and Bjarne Robberstad

    Citation: BMC Health Services Research 2019 19:690

    Content type: Research article

    Published on:

    The Correction to this article has been published in BMC Health Services Research 2019 19:794

  34. Stroke remains a major global health problem. In China, stroke was the leading cause of death and imposed a large impact on the healthcare system. This study aimed to examine the hospitalization costs by five ...

    Authors: Hui Zhang, Yujie Yin, Chao Zhang and Donglan Zhang

    Citation: BMC Health Services Research 2019 19:671

    Content type: Research article

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  35. A key challenge for most systems is how to provide effective access to urgent and emergency care across rural and urban populations. Tensions about the placement and scope of hospital emergency services are lo...

    Authors: Steve Thomas, Conor Foley, Bridget Kane, Bridget M. Johnston, Brenda Lynch, Susan Smith, Orla Healy, Elsa Droog and John Browne

    Citation: BMC Health Services Research 2019 19:657

    Content type: Research article

    Published on:

  36. Hokkaido’s demographic trend of population decrease with aging population is remarkable even in Japan. Although healthcare policy decision-makers need to appropriately allocate resources while grasping regiona...

    Authors: Tomoki Ishikawa, Yuji Nakao, Kensuke Fujiwara, Teppei Suzuki, Shintaro Tsuji and Katsuhiko Ogasawara

    Citation: BMC Health Services Research 2019 19:653

    Content type: Research article

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  37. This work aims to apply data-detection algorithms to predict the possible deductions of reimbursement from Taiwan’s Bureau of National Health Insurance (BNHI), and to design an online dashboard to send alerts ...

    Authors: Tsair-Wei Chien, Yi-Lien Lee and Hsien-Yi Wang

    Citation: BMC Health Services Research 2019 19:630

    Content type: Research article

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  38. Regional variation in medical care costs can indicate heterogeneity in clinical practice, inequities in access, or inefficiencies in service delivery. We aimed to estimate regional variation in medical costs f...

    Authors: Benjamin Enns, Jeong Eun Min, Dimitra Panagiotoglou, Julio S. G. Montaner and Bohdan Nosyk

    Citation: BMC Health Services Research 2019 19:626

    Content type: Research article

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  39. Equity in medical resource utilization is a crucial concern in countries with national health insurance systems. From the perspective of an active aging framework, public health insurance is one of the pillars...

    Authors: Chiao-Lee Chu, Yu-Hua Chu, Chih-Yuan Lin, Yen-Ping Hsieh, Ching-Sung Ho, Yung-Yu Su and Chia-Nien Liu

    Citation: BMC Health Services Research 2019 19:621

    Content type: Research article

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  40. Even though China launched a series of measures to alleviate several financial burdens (including health insurance scheme, increased government investment, and so on), the economic burden of health expenditure...

    Authors: Ruijie Zhang, Jinghua Li, Xiaochun Du, Tianjiao Ma, Li Zhang, Qian Zhang and Fang Xia

    Citation: BMC Health Services Research 2019 19:610

    Content type: Research article

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  41. Demand for gastrointestinal endoscopy in Australia is increasing as a result of the expanding national bowel cancer screening program and a growing, ageing population. More services are required to meet demand...

    Authors: Hannah E. Carter, Dylan Knowles, Timothy Moroney, Gerald Holtmann, Tony Rahman, Mark Appleyard, Nick Steele, Michael Zanco and Nicholas Graves

    Citation: BMC Health Services Research 2019 19:608

    Content type: Research article

    Published on:

  42. This study aims to assess the cost-effectiveness and budget impact of adopting sildenafil to the benefits package for the indication of pulmonary arterial hypertension (PAH), compared to beraprost.

    Authors: Oktavia Lilyasari, Yusuf Subekti, Nur Atika, Lucia Kris Dinarti, Septiara Putri, Cicih Opitasari, Anggita Bunga Anggraini, Thanaporn Bussabawalai and Yot Teerawattananon

    Citation: BMC Health Services Research 2019 19:573

    Content type: Research article

    Published on:

  43. Primary care doctors have a gatekeeper function in many healthcare systems, and strategies to reduce emergency hospital admissions often focus on general practitioners’ (GPs’) and out-of-hours (OOH) doctors’ r...

    Authors: Jesper Blinkenberg, Sahar Pahlavanyali, Øystein Hetlevik, Hogne Sandvik and Steinar Hunskaar

    Citation: BMC Health Services Research 2019 19:568

    Content type: Research article

    Published on:

  44. Australian Aboriginal and Torres Strait Islander (Indigenous) peoples face major health disadvantage across many conditions. Recording of patients’ Indigenous status in general practice records supports equita...

    Authors: Belinda K. Ford, Marlene Kong, James S. Ward, Jane S. Hocking, Christopher K. Fairley, Basil Donovan, Rebecca Lorch, Simone Spark, Matthew Law, John Kaldor and Rebecca Guy

    Citation: BMC Health Services Research 2019 19:567

    Content type: Research article

    Published on:

  45. Bronchiectasis in children is an important, but under-researched, chronic pulmonary disorder that has negative impacts on health-related quality of life. Despite this, it does not receive the same attention as...

    Authors: Yolanda G. Lovie-Toon, Keith Grimwood, Catherine A. Byrnes, Vikas Goyal, Greta Busch, I. Brent Masters, Julie M. Marchant, Helen Buntain, Kerry-Ann F. O’Grady and Anne B. Chang

    Citation: BMC Health Services Research 2019 19:561

    Content type: Research article

    Published on:

  46. Implementing adequate strategies to assess the value of health services plays a central role in the effort to deal with the financial pressures faced by health care systems worldwide. This study aimed to under...

    Authors: Brayan V. Seixas, François Dionne, Tania Conte and Craig Mitton

    Citation: BMC Health Services Research 2019 19:560

    Content type: Research article

    Published on:

  47. There is international interest in whether improved primary care, in particular for patients with chronic or complex conditions, can lead to decreased use of health resources and whether financial incentives h...

    Authors: Gregory M. Peterson, Grant Russell, Jan C. Radford, Nick Zwar, Danielle Mazza, Simon Eckermann, Judy Mullan, Marijka J. Batterham, Athena Hammond and Andrew Bonney

    Citation: BMC Health Services Research 2019 19:529

    Content type: Study protocol

    Published on:

    The Correction to this article has been published in BMC Health Services Research 2019 19:581

  48. Urinary tract infections (UTI) are one of the most common infections treated in primary care and the emergency department. The RxOUTMAP study demonstrated that management of uncomplicated UTI by community pharmac...

    Authors: Chiranjeev Sanyal, Donald R. Husereau, Nathan P. Beahm, Daniel Smyth and Ross T. Tsuyuki

    Citation: BMC Health Services Research 2019 19:499

    Content type: Research article

    Published on:

  49. PRIMEtime CE is a multistate life table model that can directly compare the cost effectiveness of public health interventions affecting diet and physical activity levels, helping to inform decisions about how ...

    Authors: Adam D. M. Briggs, Jane Wolstenholme and Peter Scarborough

    Citation: BMC Health Services Research 2019 19:489

    Content type: Research article

    Published on:

    The Research article to this article has been published in BMC Health Services Research 2019 19:485

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