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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. 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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  2. 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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  3. 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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  4. 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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  5. 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

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  6. The purpose of this descriptive study is to outline the Roseman University of Health Sciences (RUHS) College of Dental Medicines’ Patient Assistance Fund development, organization and outcomes. The description...

    Authors: Burke W. Soffe, Justine E. Miranda, Jenny Fang, Daniel G. Epperson, Roberto A. Lara, Hazel L. Williamson and Martin S. Lipsky

    Citation: BMC Health Services Research 2021 21:14

    Content type: Research article

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  7. The HOSPITAL Risk Score (HRS) predicts 30-day hospital readmissions and is internationally validated. Social determinants of health (SDOH) such as low socioeconomic status (SES) affect health outcomes and have...

    Authors: Shirlene Obuobi, Rhys F. M. Chua, Stephanie A. Besser and Corey E. Tabit

    Citation: BMC Health Services Research 2021 21:5

    Content type: Research article

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  8. Acute myocardial infarction (AMI), a major source of morbidity and mortality, is also associated with excess costs. Findings from previous studies were divergent regarding the effect on health care expenditure...

    Authors: Florian Kirsch, Christian Becker, Christoph Kurz, Lars Schwettmann and Anja Schramm

    Citation: BMC Health Services Research 2020 20:1145

    Content type: Research article

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  9. State Medicaid plans across the United States provide dental insurance coverage to millions of young persons with mental illness (MI), including those with attention deficit hyperactivity disorder (ADHD), depr...

    Authors: Erica L. Stockbridge, Eleena Dhakal, Stacey B. Griner, Abiah D. Loethen, Joseph F. West, Joseph W. Vera and Karabi Nandy

    Citation: BMC Health Services Research 2020 20:1138

    Content type: Research article

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  10. A new two-year Post University Specialty Training (PUST) programme in family medicine was introduced to improve the quality of postgraduate speciality medical education in Tajikistan. Postgraduate education of...

    Authors: Jari Kempers, Leah F. Bohle, Alexandra Topa, Greta Ross, Zukhra Kasymova, Shakhlo Yarbaeva, Cristina Rotaru and Helen Prytherch

    Citation: BMC Health Services Research 2020 20:1132

    Content type: Research article

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  11. Using the example of secondary prophylaxis of myocardial infarction (MI), our aim was to establish a framework for assessing cost consequences of compliance with clinical guidelines; thereby taking cost trajec...

    Authors: Viktor von Wyl, Agne Ulyte, Wenjia Wei, Dragana Radovanovic, Oliver Grübner, Beat Brüngger, Caroline Bähler, Eva Blozik, Holger Dressel and Matthias Schwenkglenks

    Citation: BMC Health Services Research 2020 20:1125

    Content type: Research article

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  12. Doing “more” in healthcare can be a major threat to the delivery of high-quality health care. It is important to identify the supplier-induced demand (SID) of health care. This study aims to test SID hypothesi...

    Authors: Yafei Si, Zhongliang Zhou, Min Su, Han Hu, Zesen Yang and Xi Chen

    Citation: BMC Health Services Research 2020 20:1118

    Content type: Research article

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  13. Previous studies on the persistence of child and adolescent mental healthcare do not consider the role of time-invariant individual characteristics. Estimating persistence of healthcare using standard linear m...

    Authors: Hermien H. Dijk, Roel D. Freriks, Rob J.M. Alessie and Jochen O. Mierau

    Citation: BMC Health Services Research 2020 20:1113

    Content type: Research article

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  14. Hearing aids (HA) is the primary medical intervention aimed to reduce hearing handicap. This study assessed the cost-effectiveness of HA for older adults who were volunteered to be screened for hearing loss in...

    Authors: Palvinder Kaur, Sheue Lih Chong, Palvannan Kannapiran, W.-S. Kelvin Teo, Charis Ng Wei Ling, Chiang Win Weichen, Gan Ruling, Lee Sing Yin, Tang Ying Leng, Soo Ying Pei, Then Tze Kang, Lim Zhen Han, Lin Peizhen, Lynne Lim Hsueh Yee and Pradeep Paul George

    Citation: BMC Health Services Research 2020 20:1112

    Content type: Research article

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  15. This Consensus Statement introduces a standardized framework, in a checklist format, to support future development and reporting of TDABC studies in healthcare, and to encourage their reproducibility. Addition...

    Authors: Ana Paula Beck da Silva Etges, Carisi Anne Polanczyk and Richard D. Urman

    Citation: BMC Health Services Research 2020 20:1107

    Content type: Guidelines

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  16. Regional variation in healthcare utilization could reflect unequal access to care, which may lead to detrimental consequences to quality of care and costs. The aims of this study were to a) describe the degree...

    Authors: Wenjia Wei, Agne Ulyte, Oliver Gruebner, Viktor von Wyl, Holger Dressel, Beat Brüngger, Eva Blozik, Caroline Bähler, Julia Braun and Matthias Schwenkglenks

    Citation: BMC Health Services Research 2020 20:1091

    Content type: Research article

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  17. The cost of anticancer drugs is constantly growing. The aim of this study was determine the impact in terms of cost reduction for anticancer drug in the Italian Health Service due to patient participation in c...

    Authors: Francesca D’Ambrosio, Gianfranco De Feo, Gerardo Botti, Arturo Capasso, Sandro Pignata, Piera Maiolino, Maria Triassi, Antonio Nardone, Franco Perrone, Michela Piezzo, Antonio Maria Grimaldi, Ida Palazzo, Immacolata De Stasio, Roberta D’Aniello, Alessandro Morabito and Giacomo Pascarella

    Citation: BMC Health Services Research 2020 20:1089

    Content type: Research article

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  18. To identify and rank the importance of key determinants of high medical expenses among breast cancer patients and to understand the underlying effects of these determinants.

    Authors: Liangyuan Hu, Lihua Li, Jiayi Ji and Mark Sanderson

    Citation: BMC Health Services Research 2020 20:1066

    Content type: Research article

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  19. The optimal method to collect accurate healthcare utilisation data in people with chronic obstructive pulmonary disease (COPD) is not well established. The aim of this study was to determine feasibility and co...

    Authors: Chantal L. Grimwood, Anne E. Holland, Christine F. McDonald, Ajay Mahal, Catherine J. Hill, Annemarie L. Lee, Narelle S. Cox, Rosemary Moore, Caroline Nicolson, Paul O’Halloran, Aroub Lahham, Rebecca Gillies and Angela T. Burge

    Citation: BMC Health Services Research 2020 20:1061

    Content type: Research article

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  20. Since 2015, China has been rolling out the pricing reform for drugs and medical services (PRDMS) in the urban public hospitals in order to reduce drug expenditures and to relieve financial burdens of patients....

    Authors: Xiaoxi Zhang, Hongyu Lai, Lidan Zhang, Jiangjiang He, Bo Fu and Chunlin Jin

    Citation: BMC Health Services Research 2020 20:1058

    Content type: Research article

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  21. The growing demand for LTC (Long-term care) services for disabled elderly has become a daunting task for countries worldwide, especially China, where population aging is particularly severe. According to CSY (...

    Authors: Linhong Chen, Lu Zhang and Xiaocang Xu

    Citation: BMC Health Services Research 2020 20:1057

    Content type: Research article

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  22. Medical Financial Assistance (MFA) provides health insurance and financial support for millions of low income and disabled Chinese people, yet there has been little systematic analysis focused on this vulnerab...

    Authors: Yangling Ren, Zhongliang Zhou, Guanping Liu, Chi Shen, Dan Cao, Tiange Xu, Jane M. Fry, Rashed Nawaz, Dantong Zhao, Min Su, Tingshuai Ge, Yafei Si and Gang Chen

    Citation: BMC Health Services Research 2020 20:1051

    Content type: Research article

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  23. A common challenge for free-access systems is that people may bypass primary care and seek secondary care through self-referral. Taiwan’s government has undertaken various initiatives to mitigate bypass; howev...

    Authors: Li-Lin Liang, Nicole Huang, Yi-Jung Shen, Annie Yu-An Chen and Yiing-Jenq Chou

    Citation: BMC Health Services Research 2020 20:1050

    Content type: Research article

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  24. Type 2 diabetes represents an increasingly critical challenge for health policy worldwide. It absorbs massive resources from both patients and national economies to sustain direct costs of the treatment of typ...

    Authors: Constance Stegbauer, Camilla Falivena, Ariadna Moreno, Anna Hentschel, Magda Rosenmöller, Tim Heise, Joachim Szecsenyi and Freimut Schliess

    Citation: BMC Health Services Research 2020 20:1043

    Content type: Research article

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  25. Total hip and total knee arthroplasties are among the most common types of surgery performed in Australia today and are effective treatments for severe osteoarthritis. However, the increasing financial burden ...

    Authors: Emma Cheng, Adriane Lewin, Tim Churches, Ian A Harris and Justine Naylor

    Citation: BMC Health Services Research 2020 20:1036

    Content type: Research article

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  26. This study estimated the economic cost of treating measles in children under-5 in Bangladesh from the caregiver, government, and societal perspectives.

    Authors: Gatien de Broucker, Sayem Ahmed, Md. Zahid Hasan, Gazi Golam Mehdi, Jorge Martin Del Campo, Md. Wazed Ali, Md. Jasim Uddin, Dagna Constenla and Bryan Patenaude

    Citation: BMC Health Services Research 2020 20:1026

    Content type: Research article

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  27. The evidence regarding the safety and efficacy of nonoperative management is growing. However, the best treatment strategy for acute complicated appendicitis remains controversial. We aimed to evaluate the cos...

    Authors: Kiyoaki Sugiura, Keiichi Suzuki, Tomoshige Umeyama, Kenshi Omagari, Takeo Hashimoto and Akihiko Tamura

    Citation: BMC Health Services Research 2020 20:1019

    Content type: Research article

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  28. Knowledge about the relationship between the residents’ Quality of Life (QOL) and the nursing home price is currently lacking. Therefore, this study investigates the relationship between 11 dimensions of QOL a...

    Authors: Sarah Raes, Sophie Vandepitte, Delphine De Smedt, Herlinde Wynendaele, Yannai DeJonghe and Jeroen Trybou

    Citation: BMC Health Services Research 2020 20:987

    Content type: Research article

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  29. The proportion of people aged 60 years or over is growing faster than other age groups. Traditionally, retirement has been considered as both a loss to the labour market and an additional economic burden on th...

    Authors: Shanquan Chen, Xi Chen, Stephen Law, Henry Lucas, Shenlan Tang, Qian Long, Lei Xue and Zheng Wang

    Citation: BMC Health Services Research 2020 20:1008

    Content type: Research article

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  30. A minority of individuals use a large portion of health system resources, incurring considerable costs, especially in acute-care hospitals where a significant proportion of deaths occur. We sought to describe ...

    Authors: Danial Qureshi, Sarina Isenberg, Peter Tanuseputro, Rahim Moineddin, Kieran Quinn, Christopher Meaney, Kimberlyn McGrail, Hsien Seow, Colleen Webber, Robert Fowler and Amy Hsu

    Citation: BMC Health Services Research 2020 20:997

    Content type: Research article

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  31. There has been a significant increase in computed tomography (CT) utilization over the past two decades with the major challenges being a high exposure to ionizing radiation and rising cost. In this study we a...

    Authors: Joshua Tambe, Lawrence Mbuagbaw, Pierre Ongolo-Zogo, Georges Nguefack-Tsague, Andrew Edjua, Victor Mbome-Njie and Jacqueline Ze Minkande

    Citation: BMC Health Services Research 2020 20:981

    Content type: Research article

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  32. This study examines the effects of a shift in medical coverage, from National Health Insurance (NHI) to Medical Aid (MA), on health care utilization (measured by the number of outpatient visits and length of s...

    Authors: Doo Woong Lee, Jieun Jang, Dong-Woo Choi, Sung-In Jang and Eun-Cheol Park

    Citation: BMC Health Services Research 2020 20:979

    Content type: Research article

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  33. The complexity of caring for patients with chronic conditions necessitates new models of integrated care to accommodate an increasing demand. To inform the development of integrated care models, it is essentia...

    Authors: Anders Damgaard Møller Schlünsen, David Høyrup Christiansen, Ulrich Fredberg and Peter Vedsted

    Citation: BMC Health Services Research 2020 20:976

    Content type: Research article

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  34. Increasing the knowledge about heart failure (HF) costs and their determinants is important to ascertain how HF management can be optimized, leading to a significant decrease of HF costs. This study evaluated ...

    Authors: Carlos Escobar, Luis Varela, Beatriz Palacios, Margarita Capel, Antoni Sicras, Aram Sicras, Antonio Hormigo, Roberto Alcázar, Nicolás Manito and Manuel Botana

    Citation: BMC Health Services Research 2020 20:964

    Content type: Research article

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  35. Asylum seekers are a vulnerable group with special needs in health care due to their migration history and pre-, peri- and postmigratory social determinants of health. However, in Germany access to health care...

    Authors: Andreas Niedermaier, Anna Freiberg, Daniel Tiller, Andreas Wienke and Amand Führer

    Citation: BMC Health Services Research 2020 20:961

    Content type: Research article

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  36. Falls may lead to hip fractures, which have a detrimental effect on the prognosis of patients as well as a considerable impact on healthcare expenditures. Since a secondary hip fracture (SHF) may lead to even ...

    Authors: Stefania Manetti, Giuseppe Turchetti and Francesco Fusco

    Citation: BMC Health Services Research 2020 20:955

    Content type: Research article

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    The Correction to this article has been published in BMC Health Services Research 2020 20:1146

  37. The current healthcare sector consists of diverse services to accommodate the high demands and expectations of the users. Nursing plays a major role in catering to these demands and expectations, but nursing c...

    Authors: Nor Haty Hassan, Syed Mohamed Aljunid and Amrizal Muhammad Nur

    Citation: BMC Health Services Research 2020 20:945

    Content type: Research article

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  38. In recent years, safer conception strategies have been developed to help HIV-serodiscordant couples conceive a child without transmitting HIV to the seronegative partner. The SAFER clinical trial assessed impl...

    Authors: Carolyn Smith Hughes, Joelle Brown, Caroline Murombedzi, Thandiwe Chirenda, Gift Chareka, Felix Mhlanga, Bismark Mateveke, Serah Gitome, Tinei Makurumure, Allen Matubu, Nyaradzo Mgodi, Zvavahera Chirenje and James G. Kahn

    Citation: BMC Health Services Research 2020 20:940

    Content type: Research article

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  39. Integrative Medicine (IM) combines conventional and complementary therapies. It aims to address biological, psychological, social, spiritual and environmental aspects of patients’ health. During the past 20 ye...

    Authors: Katharina Fetz, Alfred Längler, Melanie Schwermer, Clara Carvalho-Hilje, Jan Vagedes, Tycho Jan Zuzak and Thomas Ostermann

    Citation: BMC Health Services Research 2020 20:939

    Content type: Research article

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  40. Social integration has been demonstrated to be associated with the health care use among migrants, but few studies have focused on migrant pregnant women. This study aims to explore the association between soc...

    Authors: Lulu Ding, Xinying Li, Xue Tang, Yuejing Feng, Yi Wang, Jiejie Cheng, Mei Sun and Chengchao Zhou

    Citation: BMC Health Services Research 2020 20:918

    Content type: Research article

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  41. General hospitals provide a wide range of primary and secondary healthcare services. They accounted for 38% of government funding to health facilities, 8.8% of outpatient department visits and 28% of admission...

    Authors: Rogers Ayiko, Paschal N. Mujasi, Joyce Abaliwano, Dickson Turyareeba, Rogers Enyaku, Robert Anguyo, Walter Odoch, Pauline Bakibinga and Tom Aliti

    Citation: BMC Health Services Research 2020 20:916

    Content type: Research article

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  42. 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

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  43. 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

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  44. 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

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

  45. 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

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  46. 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

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  47. 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

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