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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

    Active management of existing health technologies (e.g., devices, diagnostic, and/or medical procedures) to ensure the delivery of high value care is increasingly recognized around the world. A number of initi...

    Authors: Lesley J. J. Soril, Brayan V. Seixas, Craig Mitton, Stirling Bryan and Fiona M. Clement

    Citation: BMC Health Services Research 2018 18:640

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  2. Content type: Research article

    Quota payment for specific diseases under global budget is one of the most typical modes of provider payment system reform in rural China. This study aimed to assess this reform mode from aspects of the total ...

    Authors: Hao-miao Li, Ying-chun Chen, Hong-xia Gao, Yan Zhang, Liangkai Chen, Jing-jing Chang, Dai Su, Shi-han Lei, Di Jiang and Xiao-mei Hu

    Citation: BMC Health Services Research 2018 18:635

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  3. Content type: Research article

    Idiopathic pulmonary fibrosis is a disease with high morbidity and mortality. Care for these patients, including lung transplantation, may provide significant benefits, but is resource-intensive and expensive....

    Authors: Adam W. Gaffney, Steffie Woolhander, David Himmelstein and Danny McCormick

    Citation: BMC Health Services Research 2018 18:618

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  4. Content type: Research article

    The PRediction of short-term Outcome in preGNant wOmen with Suspected preeclampsIa Study (PROGNOSIS) demonstrated that a soluble fms-like tyrosine kinase 1/placental growth factor (sFlt-1/PlGF) ratio ≤ 38 rule...

    Authors: Dietmar Schlembach, Martin Hund, Annabel Schroer and Cyrill Wolf

    Citation: BMC Health Services Research 2018 18:603

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  5. Content type: Research article

    Congenital haemophilia A (HA) is a rare, inherited, life-long bleeding disorder characterised by prolonged or spontaneous bleeding due to the lack of clotting factor VIII (FVIII) in the body. Treatment for HA ...

    Authors: Valentina Lorenzoni, Isotta Triulzi and Giuseppe Turchetti

    Citation: BMC Health Services Research 2018 18:596

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  6. Content type: Research article

    Unhealthy alcohol consumption exacerbates the HIV epidemic in East Africa. Potential benefits of new trials that test the effectiveness of alcohol interventions could not be evaluated by traditional sampling m...

    Authors: Lingfeng Li, Jennifer Uyei, Kimberly A. Nucifora, Jason Kessler, Elizabeth R. Stevens, Kendall Bryant and R. Scott Braithwaite

    Citation: BMC Health Services Research 2018 18:590

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  7. Content type: Research article

    Some veterans face multiple barriers to VA mental healthcare service use. However, there is limited understanding of how veterans’ experiences and meaning systems shape their perceptions of barriers to VA ment...

    Authors: Ann M. Cheney, Christopher J. Koenig, Christopher J. Miller, Kara Zamora, Patricia Wright, Regina Stanley, John Fortney, James F. Burgess and Jeffrey M. Pyne

    Citation: BMC Health Services Research 2018 18:591

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  8. Content type: Research article

    Although there are many initiatives to improve maternal health services use, utilization of health facility delivery and postnatal care services is low in Ethiopia. Current evidence at global level showed that...

    Authors: Gedefaw Abeje Fekadu, Getachew Mullu Kassa, Abadi Kidanemariam Berhe, Achenef Asmamaw Muche and Nuradin Abusha Katiso

    Citation: BMC Health Services Research 2018 18:577

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  9. Content type: Research article

    Native Hawaiians and Pacific Islanders (NHPIs) are one of the fasting growing racial groups in the United States (US). NHPIs have a significantly higher disease burden than the US population as a whole, yet th...

    Authors: Marie-Rachelle Narcisse, Holly Felix, Christopher R. Long, Teresa Hudson, Nalin Payakachat, Zoran Bursac and Pearl A. McElfish

    Citation: BMC Health Services Research 2018 18:575

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  10. Content type: Research article

    Medical tourism is a practice where patients travel internationally to purchase medical services. Medical tourists travel abroad for reasons including costly care, long wait times for care, and limited availab...

    Authors: Carly Jackson, Jeremy Snyder, Valorie A. Crooks and M. Ruth Lavergne

    Citation: BMC Health Services Research 2018 18:573

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  11. Content type: Research article

    Our research focuses on the co-creation of value in healthcare with reference to a case of hereditary angioedema with C1 inhibitor deficiency (C1-INH-HAE). Our work is mainly based on the concept of value co-c...

    Authors: Rosanna Spanò, Nadia Di Paola, Maria Bova and Alessandro Barbarino

    Citation: BMC Health Services Research 2018 18:571

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  12. Content type: Research article

    Falls are one of the major health problems in adults with Rheumatoid Arthritis (RA). Interventions, such as the Otago Exercise Programme (OEP), can reduce falls in community dwelling adults by up to 35%. The c...

    Authors: Siyar Abdulrazaq, Jackie Oldham, Dawn A. Skelton, Terence O’Neill, Luke Munford, Brenda Gannon, Mark Pilling, Chris Todd and Emma K. Stanmore

    Citation: BMC Health Services Research 2018 18:574

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  13. Content type: Study protocol

    Rapidly increasing healthcare costs and the growing burden of non-communicable diseases have increased the out-of-pocket (OOP) spending (63.3% of total health expenditure) in Bangladesh. This increasing OOP sp...

    Authors: Sayem Ahmed, Md. Zahid Hasan, Mohammad Wahid Ahmed, Farzana Dorin, Marufa Sultana, Ziaul Islam, Andrew J. Mirelman, Clas Rehnberg, Jahangir A. M. Khan and Mahbub Elahi Chowdhury

    Citation: BMC Health Services Research 2018 18:552

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  14. Content type: Research article

    Proton pump inhibitors (PPIs) remain one of the world’s most frequently prescribed medications and there is a growing number of publications on correct versus incorrect use of PPIs worldwide. The objective of ...

    Authors: Hongli Luo, Qingze Fan, Shunlin Xiao and Kun Chen

    Citation: BMC Health Services Research 2018 18:537

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  15. Content type: Study protocol

    Resources in any healthcare systems are scarce relative to need and therefore choices need to be made which often involve difficult decisions about the best allocation of these resources. One pragmatic and rob...

    Authors: Christopher R. Vernazza, Katherine Carr, John Wildman, Joanne Gray, Richard D. Holmes, Catherine Exley, Robert A. Smith and Cam Donaldson

    Citation: BMC Health Services Research 2018 18:487

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  16. Content type: Research article

    The goal of universal health coverage is challenging for chronically under-resourced health systems. Although household out-of-pocket payments are the most important source of health financing in low-income co...

    Authors: Samia Laokri, Rieza Soelaeman and David R. Hotchkiss

    Citation: BMC Health Services Research 2018 18:451

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  17. Content type: Research article

    Kisiizi Hospital Health Insurance scheme started in 1996 to; improve access to health services, and provide a stable source of funding and reduce bad debts to Kisiizi hospital. Objectives of this study were; t...

    Authors: Sebastian Olikira Baine, Alex Kakama and Moses Mugume

    Citation: BMC Health Services Research 2018 18:455

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  18. Content type: Research article

    Despite the potential widespread application and a significant need, the policy effectiveness of prescribed medications price controls has not been studied extensively. We aimed to explore the effects of a pri...

    Authors: Hae Sun Suh, Jee-Ae Kim and Iyn-Hyang Lee

    Citation: BMC Health Services Research 2018 18:429

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  19. Content type: Research article

    Venous leg ulcers (VLUs) are expensive to treat and impair quality of life of affected individuals. Although improved healing and reduced recurrence rates have been observed following the introduction of evide...

    Authors: Qinglu Cheng, Michelle Gibb, Nicholas Graves, Kathleen Finlayson and Rosana E. Pacella

    Citation: BMC Health Services Research 2018 18:421

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  20. Content type: Research article

    Approximately 150 million people suffer from financial catastrophe annually because of out-of-pocket expenditures (OOPEs) on health. Although the National Health Insurance Scheme (NHIS) of Ghana was designed t...

    Authors: Juliet Okoroh, Samuel Essoun, Anthony Seddoh, Hobart Harris, Joel S. Weissman, Lydia Dsane-Selby and Robert Riviello

    Citation: BMC Health Services Research 2018 18:426

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  21. Content type: Research article

    Residence in public housing, a subsidized and managed government program, may affect health and healthcare utilization. We compared healthcare use in the year before individuals moved into public housing with ...

    Authors: Aynslie M. Hinds, Brian Bechtel, Jino Distasio, Leslie L. Roos and Lisa M. Lix

    Citation: BMC Health Services Research 2018 18:411

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  22. Content type: Research article

    Differences in health care utilization across geographical areas are well documented within several countries. If the variation across areas cannot be explained by differences in medical need, it can be a sign...

    Authors: Naimi Johansson, Niklas Jakobsson and Mikael Svensson

    Citation: BMC Health Services Research 2018 18:403

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  23. Content type: Research article

    In Nigeria, the provision of public and private healthcare vary geographically, contributing to variations in one’s healthcare surroundings across space. Facility-based delivery (FBD) is also spatially heterog...

    Authors: Kerry L. M. Wong, Emma Radovich, Onikepe O. Owolabi, Oona M. R. Campbell, Oliver J. Brady, Caroline A. Lynch and Lenka Benova

    Citation: BMC Health Services Research 2018 18:397

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  24. Content type: Research article

    Ageing is continuously increasing the prevalence of patients with chronic conditions, putting pressure on the sustainability of Healthcare Systems. Chronic Care Models (CCM) have been used to address the needs...

    Authors: Fabio Robusto, Lucia Bisceglia, Vito Petrarolo, Francesca Avolio, Elisabetta Graps, Ettore Attolini, Eleonora Nacchiero and Vito Lepore

    Citation: BMC Health Services Research 2018 18:377

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  25. Content type: Research article

    Countries rely on out-of-pocket (OOP) spending to different degrees and employ varying techniques. The article examines trends in OOP spending in ten high-income countries since 2000, and analyzes their relati...

    Authors: Thomas Rice, Wilm Quentin, Anders Anell, Andrew J. Barnes, Pauline Rosenau, Lynn Y. Unruh and Ewout van Ginneken

    Citation: BMC Health Services Research 2018 18:371

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  26. Content type: Research article

    Several Western and Arab countries, as well as over 30 States in the US are using the “All-Patient Refined Diagnosis-Related Groups” (APR-DRGs) with four severity-of-illness (SOI) subcategories as a model for ...

    Authors: Sarah Dewilde, Lieven Annemans, Hilde Pincé and Vincent Thijs

    Citation: BMC Health Services Research 2018 18:356

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  27. Content type: Research article

    Spending on cancer drugs has risen dramatically in recent years compared to other areas of health care, due in part to higher prices associated with newly approved drugs and increased demand for these drugs. A...

    Authors: Colene Bentley, Sarah Costa, Michael M. Burgess, Dean Regier, Helen McTaggart-Cowan and Stuart J. Peacock

    Citation: BMC Health Services Research 2018 18:339

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  28. Content type: Research article

    The US health care system uses diagnostic codes for billing and reimbursement as well as quality assessment and measuring clinical outcomes. The US transitioned to the International Classification of Diseases,...

    Authors: Rachel N. Caskey, Angelos Abutahoun, Anne Polick, Michelle Barnes, Pavan Srivastava and Andrew D. Boyd

    Citation: BMC Health Services Research 2018 18:328

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  29. Content type: Research article

    To indicate inefficiencies in health systems, previous studies examined regional variation in healthcare spending by analyzing the entire population. As a result, population heterogeneity is taken into account...

    Authors: Eline F. de Vries, Richard Heijink, Jeroen N. Struijs and Caroline A. Baan

    Citation: BMC Health Services Research 2018 18:323

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  30. Content type: Research article

    In rural regions with a low population density, distances to health care providers as well as insufficient public transport may be barriers for the accessibility of health care. In this analysis it was examine...

    Authors: Ulrike Stentzel, Jeanette Bahr, Daniel Fredrich, Jens Piegsa, Wolfgang Hoffmann and Neeltje van den Berg

    Citation: BMC Health Services Research 2018 18:322

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  31. Content type: Research article

    Predicting pharmacy service fees is crucial to sustain the health insurance budget and maintain pharmacy management. However, there is no evidence on how to predict pharmacy service fees at the population leve...

    Authors: Dongmun Ha, Inmyung Song, Eui-Kyung Lee and Ju-Young Shin

    Citation: BMC Health Services Research 2018 18:327

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  32. Content type: Research article

    Acute otitis media (AOM) is the most common cause of pediatric medical visits and antibiotic prescriptions worldwide, but its current impact on the US healthcare system is not clear. The aim of this study was ...

    Authors: Sabine Tong, Caroline Amand, Alexia Kieffer and Moe H. Kyaw

    Citation: BMC Health Services Research 2018 18:318

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  33. Content type: Research article

    The burden of HCV among those living with HIV remains a major public health challenge. We aimed to characterize trends in healthcare-related visits (HRV) of people living with HIV (PLW-HIV) and those living with ...

    Authors: Huiting Ma, Conrado Franco Villalobos, Martin St-Jean, Oghenowede Eyawo, Miriam Ruth Lavergne, Lianping Ti, Mark W. Hull, Benita Yip, Lang Wu, Robert S. Hogg, Rolando Barrios, Jean A. Shoveller, Julio S. G. Montaner and Viviane D. Lima

    Citation: BMC Health Services Research 2018 18:319

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  34. Content type: Research article

    Pen needles are an important component of insulin delivery among patients with diabetes, but are not universally covered in China. We compared clinical and economic characteristics of insulin-dependent patient...

    Authors: Linong Ji, Arthi Chandran, Timothy J. Inocencio, Zilin Sun, Qifu Li, Guijun Qin, Zheng Wei, Stefan DiMario and Richard H. Chapman

    Citation: BMC Health Services Research 2018 18:300

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  35. Content type: Research article

    Despite several studies that have estimated the economic impact of Respiratory Syncytial Virus (RSV) in infants, limited data are available on healthcare resource use and costs attributable to RSV across age g...

    Authors: Caroline Amand, Sabine Tong, Alexia Kieffer and Moe H. Kyaw

    Citation: BMC Health Services Research 2018 18:294

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  36. Content type: Research article

    Hospitalization due to dengue illness is an important measure of dengue morbidity. However, limited studies are based on administrative database because the validity of the diagnosis codes is unknown. We valid...

    Authors: Yuan-Liang Woon, Keng-Yee Lee, Siti Fatimah Zahra Mohd Anuar, Pik-Pin Goh and Teck-Onn Lim

    Citation: BMC Health Services Research 2018 18:292

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  37. Content type: Research article

    Community-oriented nursing care is an important model of nursing care. Counseling and Nursing Care Service Centers (CNCSCs) have been providing these private services to the Iranian community for nearly two de...

    Authors: Sefollah Alaei, Fatemeh Alhani and Hassan Navipour

    Citation: BMC Health Services Research 2018 18:282

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  38. Content type: Research article

    Rwanda has made tremendous progress in reduction of maternal mortality in the last twenty years. Antenatal care is believed to have played a role in that progress. In late 2016, the World Health Organization p...

    Authors: Regis Hitimana, Lars Lindholm, Gunilla Krantz, Manassé Nzayirambaho and Anni-Maria Pulkki-Brännström

    Citation: BMC Health Services Research 2018 18:262

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  39. Content type: Research article

    Telemedical programs for patients with chronic heart failure have shown inconsistent effects on survival and hospitalization. Few studies analyzed effects of telemedical interventions on health costs, although...

    Authors: Robert Herold, Wolfgang Hoffmann and Neeltje van den Berg

    Citation: BMC Health Services Research 2018 18:271

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  40. Content type: Research article

    This study compared hospital admission rates among adult patients with schizophrenia who switched to antipsychotic monotherapy with lurasidone or quetiapine.

    Authors: John W. Newcomer, Daisy Ng-Mak, Krithika Rajagopalan and Antony Loebel

    Citation: BMC Health Services Research 2018 18:243

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  41. Content type: Research article

    Like other sectors, the healthcare sector has to deal with the issue of users’ acceptance of IT. In healthcare, different factors affecting healthcare professionals’ acceptance of software applications have be...

    Authors: Claudio Vitari and Roxana Ologeanu-Taddei

    Citation: BMC Health Services Research 2018 18:194

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  42. Content type: Research article

    Housing First is an effective intervention to stably house and alter service use patterns in a large proportion of homeless people with mental illness. However, it is unknown whether there are differences in t...

    Authors: Nick Kerman, John Sylvestre, Tim Aubry and Jino Distasio

    Citation: BMC Health Services Research 2018 18:190

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  43. Content type: Research article

    Smoking cessation services provide support to smokers who desire to quit. Published studies to date have looked at the cost and benefit of service provision but typically focus on clinical trial data. Using ro...

    Authors: Neil Walker, Yaling Yang, Vasiliki Kiparoglou, Subhash Pokhrel, Hayley Robinson and Hugo van Woerden

    Citation: BMC Health Services Research 2018 18:182

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  44. Content type: Research article

    Lack of health insurance claims (HIC) in the last year of life might indicate suboptimal end-of-life care, but reasons for no HIC are not fully understood because information on causes of death is often missin...

    Authors: Radoslaw Panczak, Viktor von Wyl, Oliver Reich, Xhyljeta Luta, Maud Maessen, Andreas E. Stuck, Claudia Berlin, Kurt Schmidlin, David C. Goodman, Matthias Egger, Kerri Clough-Gorr and Marcel Zwahlen

    Citation: BMC Health Services Research 2018 18:178

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  45. Content type: Research article

    In Togo, about half of health care costs are paid at the point of service, which reduces access to health care and exposes households to catastrophic health expenditure (CHE). To address this situation, the To...

    Authors: Esso-Hanam Atake and Djesika D. Amendah

    Citation: BMC Health Services Research 2018 18:175

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  46. 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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  47. 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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