Skip to main content

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.

Page 1 of 16

  1. In this study, we aimed to analyze the hospitalization costs for immobile patients with hemorrhagic stroke (IHS) or ischemic stroke (IIS) in China and to determine the factors associated with hospitalization c...

    Authors: Hongpeng Liu, Chen Zhu, Jing Cao, Jing Jiao, Baoyun Song, Jingfen Jin, Yilan Liu, Xianxiu Wen, Shouzhen Cheng and Xinjuan Wu

    Citation: BMC Health Services Research 2020 20:905

    Content type: Research article

    Published on:

  2. To evaluate the cost-effectiveness of a reduction in the number of routine radiographs in the follow-up of patients with ankle fractures.

    Authors: P. van Gerven, J. M. van Dongen, S. M. Rubinstein, M. F. Termaat, M. El Moumni, W. P. Zuidema, P. Krijnen, I. B. Schipper and M. W. van Tulder

    Citation: BMC Health Services Research 2020 20:893

    Content type: Research article

    Published on:

  3. A number of German statutory health insurance companies are offering integrated care contracts for homeopathy (ICCHs) that cover the reimbursement of homeopathic treatment. The effectiveness and cost-effective...

    Authors: Benjamin Kass, Katja Icke, Claudia M. Witt and Thomas Reinhold

    Citation: BMC Health Services Research 2020 20:872

    Content type: Research article

    Published on:

    The Correction to this article has been published in BMC Health Services Research 2020 20:909

  4. Unnecessary healthcare utilization, non-adherence to current clinical guidelines, or insufficient personalized care are perpetual challenges and remain potential major cost-drivers for healthcare systems aroun...

    Authors: Daniel Lewkowicz, Attila Wohlbrandt and Erwin Boettinger

    Citation: BMC Health Services Research 2020 20:871

    Content type: Research article

    Published on:

  5. Antenatal care is the care provides for a pregnant mother to improve the health of the mother and her baby. But in the World including Ethiopia still, mothers do not receive the required number of antenatal ca...

    Authors: Yibeltal Alemu Bekele, Tadesse Ejigu Tafere, Amanu Aragaw Emiru and Henok Biresaw Netsere

    Citation: BMC Health Services Research 2020 20:846

    Content type: Research article

    Published on:

  6. An established body of literature has shown evidence of implicit bias in the health care system on the basis of patient race and ethnicity that contributes to well documented disparities in outcomes. However, ...

    Authors: Andrew B. Ross, Vivek Kalia, Brian Y. Chan and Geng Li

    Citation: BMC Health Services Research 2020 20:840

    Content type: Research article

    Published on:

  7. The internal rural-to-urban migration is one of the major challenges for tuberculosis (TB) control in China. Patient costs incurred during TB diagnosis and treatment could cause access and adherence barriers, ...

    Authors: Liping Lu, Qi Jiang, Jianjun Hong, Xiaoping Jin, Qian Gao, Heejung Bang, Kathryn DeRiemer and Chongguang Yang

    Citation: BMC Health Services Research 2020 20:832

    Content type: Research article

    Published on:

  8. Dementia is a progressive disease that decreases quality of life of persons with dementia and is associated with high societal costs. The burden of caring for persons with dementia also decreases the quality o...

    Authors: Mohamed El Alili, Hanneke J. A. Smaling, Karlijn J. Joling, Wilco P. Achterberg, Anneke L. Francke, Judith E. Bosmans and Jenny T. van der Steen

    Citation: BMC Health Services Research 2020 20:831

    Content type: Research article

    Published on:

  9. Globally, and particularly in countries with rapidly ageing populations like Japan, there are growing concerns over the heavy burden of ill health borne by older people, and the capacity of the health system t...

    Authors: Shinichi Tomioka, Megumi Rosenberg, Kiyohide Fushimi and Shinya Matsuda

    Citation: BMC Health Services Research 2020 20:830

    Content type: Research article

    Published on:

  10. The goal of this study was to describe the expenses related to human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) management and care in Nantong Infectious Disease Hospital from ...

    Authors: Xun Zhuang, Yujia Chen, Zunyou Wu, Sarah Robbins Scott, Renfei Lu, Zhengcheng Xu, Yuhui Yu, Wei Wang, Luyao Cao, Yuanyuan Liang, Gang Qin and Meiyin Zou

    Citation: BMC Health Services Research 2020 20:813

    Content type: Research article

    Published on:

  11. Evidence on the most effective and cost-effective management of ankle fractures is sparse but evolving. A recent large RCT in older patients with unstable fractures found that management with close-contact-cas...

    Authors: Lauren J. Scott, Tim Jones, Michael R. Whitehouse, Peter W. Robinson and William Hollingworth

    Citation: BMC Health Services Research 2020 20:811

    Content type: Research article

    Published on:

  12. In 2003, China established a New Rural Cooperative Medical System (NRCMS) for rural residents to alleviate the burden of medical expenses among rural residents. However, its reimbursement for high medical cost...

    Authors: Yang Li, Guangfeng Duan and Linping Xiong

    Citation: BMC Health Services Research 2020 20:809

    Content type: Research article

    Published on:

  13. Value-based reimbursement programs have become increasingly common. However, little is known about the effect of such programs on patient reported outcomes. Thus, the aim of this study was to analyze the effect o...

    Authors: Thérèse Eriksson, Hans Tropp, Ann-Britt Wiréhn and Lars-Åke Levin

    Citation: BMC Health Services Research 2020 20:805

    Content type: Research article

    Published on:

    The Correction to this article has been published in BMC Health Services Research 2020 20:878

  14. To estimate the potential benefits in terms of avoided complications and cost reduction if the Spanish health system would encourage the intensification of treatment for better glycaemic control in adults with...

    Authors: M. Mata-Cases, J. Mahon, D. Mauricio, J. Franch-Nadal, J. Real and N. Hex

    Citation: BMC Health Services Research 2020 20:803

    Content type: Research article

    Published on:

  15. To differentiate five formulations of Interferon Beta for the treatment of multiple sclerosis (MS) in clinical practice, by analysing persistence, adherence, healthcare resource utilisation and costs at popula...

    Authors: Marcello Moccia, Ilaria Loperto, Roberta Lanzillo, Antonio Capacchione, Antonio Carotenuto, Maria Triassi, Vincenzo Brescia Morra and Raffaele Palladino

    Citation: BMC Health Services Research 2020 20:797

    Content type: Research article

    Published on:

  16. Several studies have demonstrated that cultural competence improves patient-provider communication, which promotes adherence to established care plans and improves patient satisfaction and health outcomes. How...

    Authors: Marie Parker, Xiangming Fang and Andrew Bradlyn

    Citation: BMC Health Services Research 2020 20:784

    Content type: Research article

    Published on:

  17. Eye examinations are recommended for all persons throughout life. However, there is disparity in the uptake of eye care services in different populations. Using data from a nationally representative population...

    Authors: Kwadwo Owusu Akuffo, Ronel Sewpaul, Natisha Dukhi, Akosua Kesewah Asare, David Ben Kumah, Emmanuel Kofi Addo, Eldad Agyei-Manu and Priscilla Reddy

    Citation: BMC Health Services Research 2020 20:756

    Content type: Research article

    Published on:

  18. Monitoring progress towards Universal Health Coverage (UHC) requires an assessment of progress in coverage of health services and protection of households from the impact of direct out-of-pocket payments (i.e....

    Authors: Brendan Kwesiga, Tom Aliti, Pamela Nabukhonzo, Susan Najuko, Peter Byawaka, Justine Hsu, John E. Ataguba and Grace Kabaniha

    Citation: BMC Health Services Research 2020 20:741

    Content type: Research article

    Published on:

    The Correction to this article has been published in BMC Health Services Research 2020 20:843

  19. Reaching the 90–90-90 targets requires efficient resource use to deliver HIV testing and treatment services. We investigated the costs and efficiency of HIV services in relation to HIV testing yield in rural K...

    Authors: Seema Vyas, John Songo, Lorna Guinness, Albert Dube, Steffen Geis, Thokozani Kalua, Jim Todd, Jenny Renju, Amelia Crampin and Alison Wringe

    Citation: BMC Health Services Research 2020 20:740

    Content type: Research article

    Published on:

  20. Due to rising health care costs, in 2012 Switzerland introduced SwissDRG, a reimbursement system for hospitals based on lump sum per case. To circumvent possible negative consequences like reduction in length ...

    Authors: Lara Kollbrunner, Michael Rost, Insa Koné, Bettina Zimmermann, Yvonne Padrutt, Tenzin Wangmo and Bernice Elger

    Citation: BMC Health Services Research 2020 20:712

    Content type: Research article

    Published on:

  21. Rural households in developing countries usually have severe medical debt due to high out-of-pocket (OOP) payments, which contributes to bankruptcy. China implemented the critical illness insurance (CII) in 20...

    Authors: Yanjiao Xin, Junnan Jiang, Shanquan Chen, Fangxu Gong and Li Xiang

    Citation: BMC Health Services Research 2020 20:696

    Content type: Research article

    Published on:

  22. Real world evidence (RWE) is becoming more frequently used in technology appraisals (TAs). This study sought to explore the use and acceptance of evidence from primary care databases, a key source of RWE in th...

    Authors: Thomas P. Leahy, Sreeram Ramagopalan and Cormac Sammon

    Citation: BMC Health Services Research 2020 20:675

    Content type: Research article

    Published on:

  23. The Institute of Medicine reported that more than 1.5 million preventable adverse drug events occur annually in the United States. Comprehensive Medication Management (CMM) is the medication review process to ...

    Authors: Tong Han Chung, Ricardo J. Hernandez, Anaelle Libaud-Moal, Linh K. Nguyen, Lincy S. Lal, J. Michael Swint, Pio Juan Lansangan and Yen-Chi L. Le

    Citation: BMC Health Services Research 2020 20:671

    Content type: Research article

    Published on:

  24. The Quality-Adjusted Life Year (QALY) is internationally recognized as standard metric of health outcomes in cost-effectiveness analyses (CEAs) in healthcare. The ongoing debate concerning the appropriateness ...

    Authors: Anne B. Wichmann, Lia C. M. J. Goltstein, Ndidi J. Obihara, Madeleine R. Berendsen, M. Van Houdenhoven, R. Sean Morrison, Bridget M. Johnston and Y. Engels

    Citation: BMC Health Services Research 2020 20:659

    Content type: Research article

    Published on:

  25. Financial incentives represent a potential mechanism to encourage infection prevention by hospitals. In order to characterize the place of financial incentives, we investigated resource utilization and cost as...

    Authors: Shmuel Benenson, Matan J. Cohen, Carmela Schwartz, Michael Revva, Allon E. Moses and Phillip D. Levin

    Citation: BMC Health Services Research 2020 20:653

    Content type: Research article

    Published on:

  26. An important contribution to well-being of human beings can be observed by the use of self-medication products that is reflected in the constantly growing volume of over-the-counter (OTC) drugs. The aim of the...

    Authors: Katja Goetz, Matthias Kalder, Ute-Susann Albert and Christian O. Jacke

    Citation: BMC Health Services Research 2020 20:651

    Content type: Research article

    Published on:

  27. Total Healthcare Expenditure (THE) has increased substantially in all countries. Since the health system reform and health policy environment differ from each country, it is necessary to analyze the motivation...

    Authors: Jifei Hou, Liqi Tian, Yun Zhang, Yanzheng Liu, Jing Li and Yue Wang

    Citation: BMC Health Services Research 2020 20:606

    Content type: Research article

    Published on:

  28. The IMpassion130 trial demonstrated that adding atezolizumab to nanoparticle albumin-bound (nab)-paclitaxel improved the survival of patients with untreated, advanced, programmed death ligand 1 (PDL1)-positive...

    Authors: Lee Cheng Phua, Soo Chin Lee, Kwong Ng and Mohamed Ismail Abdul Aziz

    Citation: BMC Health Services Research 2020 20:581

    Content type: Research article

    Published on:

  29. To investigate the construction situation, costs and charges associated with pharmacy intravenous admixture services (PIVAS) to provide references for the construction and development of PIVAS in mainland China.

    Authors: Chunsong Yang, Bing Yao Kang, Lingli Zhang and Dan Yu

    Citation: BMC Health Services Research 2020 20:577

    Content type: Research article

    Published on:

  30. China has achieved nearly universal coverage of the Social Basic Medical Insurance (SBMI), which aims to reduce the disease burden and improve the utilization of health services. We investigated the associatio...

    Authors: Guorui Fan, Zhaohua Deng, Xiang Wu and Yang Wang

    Citation: BMC Health Services Research 2020 20:553

    Content type: Research article

    Published on:

  31. Dysphagia is a well-known stroke complication characterised by difficulty in swallowing. It may affect the majority of stroke patients and increases mortality and morbidity, due to aspiration pneumonia and mal...

    Authors: Aleksandra Pelczarska, Michał Jakubczyk and Maciej Niewada

    Citation: BMC Health Services Research 2020 20:552

    Content type: Research article

    Published on:

  32. In the United States (US), Medicaid capitated managed care costs are controlled by optimizing patients’ healthcare utilization. Adults in capitated plans utilize primary care providers (PCP) more than emergenc...

    Authors: Therese L. Canares, Ari Friedman, Jonathan Rodean, Rebecca R. Burns, Deena Berkowitz, Matt Hall, Elizabeth Alpern and Amanda Montalbano

    Citation: BMC Health Services Research 2020 20:532

    Content type: Research article

    Published on:

  33. Disparities in health care utilization and outcomes for racial and ethnic minorities with arthritis are well-established. However, there is a paucity of research on racial and ethnic differences in healthcare ...

    Authors: Antoinette L. Spector, Sneha Nagavally, Aprill Z. Dawson, Rebekah J. Walker and Leonard E. Egede

    Citation: BMC Health Services Research 2020 20:531

    Content type: Research article

    Published on:

  34. The Woza Asibonisane Community Responses (CR) Programme was developed to prevent HIV infections and gender-based violence (GBV) within four provinces in South Africa. The Centre for Communication Impact (CCI) in ...

    Authors: Bruce Larson, Refiloe Cele, Sarah Girdwood, Lawrence Long and Jacqui Miot

    Citation: BMC Health Services Research 2020 20:526

    Content type: Research article

    Published on:

  35. Malaysia’s public healthcare sector provides a greater volume of medicines at lower overall cost compared to the private sector, indicating its importance in providing access to medicines for Malaysians. Howev...

    Authors: NM Hamzah, P. N. Perera and R. P. Rannan-Eliya

    Citation: BMC Health Services Research 2020 20:509

    Content type: Research article

    Published on:

  36. Being homeless entails higher mortality, morbidity, and prevalence of psychiatric diseases. This leads to more frequent and expensive use of health care services. Medical respite care enables an opportunity to...

    Authors: Camilla Bring, Marie Kruse, Mikkel Z. Ankarfeldt, Nina Brünés, Maja Pedersen, Janne Petersen and Ove Andersen

    Citation: BMC Health Services Research 2020 20:508

    Content type: Research article

    Published on:

  37. Despite the rapid uptake of genomic technologies within cancer care, few studies provide detailed information on the costs of sequencing across different applications. The objective of the study was to examine...

    Authors: Louisa G. Gordon, Nicole M. White, Thomas M. Elliott, Katia Nones, Anthony G. Beckhouse, Astrid J. Rodriguez-Acevedo, Penelope M. Webb, Xing J. Lee, Nicholas Graves and Deborah J. Schofield

    Citation: BMC Health Services Research 2020 20:492

    Content type: Research article

    Published on:

  38. This study aims to establish a multi-agent system model to provide accurate suggestions for the policy proposal of controlling the unreasonable growth of medical expenses charged by public hospitals in China.

    Authors: Wenya Yu, Xiang Liu, Fangjie Zhao, Meina Li and Lulu Zhang

    Citation: BMC Health Services Research 2020 20:490

    Content type: Research article

    Published on:

  39. Hospital clinical pharmacists have been working in many countries for many years and clinical pharmaceutical care have a positive effect on the recovery of patients. In order to evaluate the clinical effective...

    Authors: Guohua Lin, Rong Huang, Jing Zhang, Gaojie Li, Lei Chen and Xiaoyu Xi

    Citation: BMC Health Services Research 2020 20:487

    Content type: Research article

    Published on:

  40. Assessment of the costs of care associated with chronic upper-limb spasticity following stroke in Australia and the potential benefits of adding intensive upper limb rehabilitation to botulinum toxin-A are key...

    Authors: Rachel Milte, Julie Ratcliffe, Louise Ada, Coralie English, Maria Crotty and Natasha A. Lannin

    Citation: BMC Health Services Research 2020 20:478

    Content type: Study protocol

    Published on:

  41. Day care is an important service for many people with dementia and their carers. In Ireland, day care services for people with dementia are delivered by a mix of dementia-specific day care centres as well as g...

    Authors: Tom Pierse, Fiona Keogh, Eamon O’Shea and John Cullinan

    Citation: BMC Health Services Research 2020 20:476

    Content type: Research article

    Published on:

  42. Patient-powered research networks (PPRNs) have been employing and exploring different methods to engage patients in research activities specific to their conditions. One way to intensify patient engagement is ...

    Authors: Xiaoxue Chen, Abiy Agiro, W. Benjamin Nowell, Sara Loud, Robert McBurney, Kalen Young, Rebecca Sutphen, Elizabeth Bourquardez Clark, Cristina M. Burroughs, Jeffrey R. Curtis, Antoine G. Sreih, Peter A. Merkel and Kevin Haynes

    Citation: BMC Health Services Research 2020 20:462

    Content type: Research article

    Published on:

  43. High use of services is associated with ill health and a number of health problems, but more information is needed on whether high use of services presents a risk for future pensions or disability. We aimed to...

    Authors: Tiia T. M. Reho, Salla A. Atkins, Nina Talola, Markku P. T. Sumanen, Mervi Viljamaa and Jukka Uitti

    Citation: BMC Health Services Research 2020 20:456

    Content type: Research article

    Published on:

  44. According to UNAIDS, the HIV epidemic has stabilized. This as a result of increased condom use and greater access to coverage for antiretroviral therapy (ART). In Central America, civil society organizations w...

    Authors: Mario Salvador Sanchez-Dominguez, Hector Lamadrid-Figueroa, Rene Leyva-Flores and Cesar Infante-Xibille

    Citation: BMC Health Services Research 2020 20:451

    Content type: Research article

    Published on:

  45. Incidence and prevalence of prostate cancer in Sweden have increased markedly due to prostate-specific antigen (PSA) testing. Moreover, new diagnostic tests and treatment technologies are expected to further i...

    Authors: Shuang Hao, Ellinor Östensson, Martin Eklund, Henrik Grönberg, Tobias Nordström, Emelie Heintz and Mark Clements

    Citation: BMC Health Services Research 2020 20:448

    Content type: Research article

    Published on:

  46. Operating under constrained budgets, payers and providers globally face challenges in enabling appropriate and sustainable access to new medicines. Among payer initiatives aiming to improve preparedness of hea...

    Authors: Love Linnér, Irene Eriksson, Marie Persson and Björn Wettermark

    Citation: BMC Health Services Research 2020 20:410

    Content type: Research article

    Published on:

  47. Diabetes is one of the leading causes of poor health and high care costs in Ukraine. To prevent diabetes complications and alleviate the financial burden of diabetes care on patients, the Ukrainian government ...

    Authors: Robyn Margaret Stuart, Olga Khan, Romesh Abeysuriya, Tetyana Kryvchun, Viktor Lysak, Alla Bredikhina, Nina Durdykulyieva, Volodymyr Mykhailets, Elvira Kaidashova, Olena Doroshenko, Zara Shubber, David Wilson, Feng Zhao and Nicole Fraser-Hurt

    Citation: BMC Health Services Research 2020 20:409

    Content type: Research article

    Published on: