Skip to main content

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.

Page 1 of 15

  1. 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:

  2. 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:

  3. 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:

  4. 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:

  5. 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:

  6. 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:

  7. 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:

  8. 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:

  9. 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:

  10. 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:

  11. 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:

  12. 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:

  13. 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:

  14. 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:

  15. 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:

  16. 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:

  17. 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:

  18. 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:

  19. 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:

  20. 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:

  21. 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:

  22. Clinical practice guidelines and policies direct community mental health services to provide preventive care to address chronic disease risks, however, such care is infrequently provided in routine consultatio...

    Authors: Caitlin Fehily, Rod Ling, Andrew Searles, Kate Bartlem, John Wiggers, Rebecca Hodder, Andrew Wilson, Kim Colyvas and Jenny Bowman

    Citation: BMC Health Services Research 2020 20:405

    Content type: Research article

    Published on:

  23. Continued investment, especially from domestic financing, is needed for Ethiopia to achieve universal health coverage and a sustainable health system over time. Understanding costs of providing health services...

    Authors: Anubhav Agarwal, Carlyn Mann, Engida Abdella, Workie Mitiku, Abebe Alebachew and Peter Berman

    Citation: BMC Health Services Research 2020 20:389

    Content type: Research article

    Published on:

  24. Rheumatoid arthritis (RA) is a chronic autoimmune rheumatic disease that is associated with multiple comorbidities and has a significant economic impact on the Spanish health system. The objective of this stud...

    Authors: Mario Gil-Conesa, Juan Antonio Del-Moral-Luque, Ruth Gil-Prieto, Ángel Gil-de-Miguel, Ramón Mazzuccheli-Esteban and Gil Rodríguez-Caravaca

    Citation: BMC Health Services Research 2020 20:374

    Content type: Research article

    Published on:

  25. As the proportion of older people increases, so will the consumption of health services. The aim of this study was to describe the contact characteristics among older people and to identify factors associated ...

    Authors: Lisa Marie Haraldseide, Linn Solveig Sortland, Steinar Hunskaar and Tone Morken

    Citation: BMC Health Services Research 2020 20:345

    Content type: Research article

    Published on:

  26. Central line bundle programs were found to be effective in decreasing central line-associated bloodstream infection rates in pediatric cancer patients with ports. However, cost-effectiveness studies of central...

    Authors: İlker Devrim, Mustafa Taha Özkul, İlknur Çağlar, Yeliz Oruç, Nevbahar Demiray, Neryal Tahta and Canan Vergin

    Citation: BMC Health Services Research 2020 20:336

    Content type: Research article

    Published on:

    The Correction to this article has been published in BMC Health Services Research 2020 20:450

  27. There is a rich literature on insurance coverage and its impacts on health care. Many recent studies have examined the impacts of the Affordable Care Act (ACA) and found that it had positive effects on health ...

    Authors: Yunwei Gai and Kent Jones

    Citation: BMC Health Services Research 2020 20:334

    Content type: Research article

    Published on:

  28. Healthcare policy- and decision-makers make efforts to build and maintain high-performing and effective health systems, implementing effectiveness programs and health reforms. In May 2014, the Iranian Ministry...

    Authors: Siavash Beiranvand, Mandana Saki, Meysam Behzadifar, Ahad Bakhtiari, Masoud Behzadifar, Mohammad Keshvari and Nicola Luigi Bragazzi

    Citation: BMC Health Services Research 2020 20:327

    Content type: Research article

    Published on:

  29. Community-based screening may be one solution to increase testing and treatment of sexually transmitted infections in sexually active teenagers, but there are few data on the practicalities and cost of running...

    Authors: Sarah Kerry-Barnard, Susie Huntington, Charlotte Fleming, Fiona Reid, S. Tariq Sadiq, Vari M. Drennan, Elisabeth Adams and Pippa Oakeshott

    Citation: BMC Health Services Research 2020 20:316

    Content type: Research article

    Published on:

  30. The phased withdrawal of oral polio vaccine (OPV) and the introduction of inactivated poliovirus vaccine (IPV) is central to the polio ‘end-game’ strategy.

    Authors: Ignacio Olivera, Carlos Grau, Hugo Dibarboure, Juan Pablo Torres, Gustavo Mieres, Luis Lazarov, Fabián P. Alvarez and Juan Guillermo López Yescas

    Citation: BMC Health Services Research 2020 20:295

    Content type: Research article

    Published on:

  31. Since stroke survivors are increasingly responsible for managing stroke-related changes in their own health and lifestyle, self-management skills are required. In a recent randomised controlled trial a self-ma...

    Authors: Ghislaine A. P. G. van Mastrigt, Mitchel van Eeden, Caroline M. van Heugten, Nienke Tielemans, Vera P. M. Schepers and Silvia M. A. A. Evers

    Citation: BMC Health Services Research 2020 20:294

    Content type: Research article

    Published on:

  32. South Africa’s divided healthcare system is believed to be inequitable as the population serviced by each sector and the treatment received differs while annual healthcare expenditure is similar. The appropria...

    Authors: Candice-lee Herbst, Jacqueline K. Miot, Shirra L. Moch and Paul Ruff

    Citation: BMC Health Services Research 2020 20:290

    Content type: Research article

    Published on:

  33. The incidence and burden of depressive disorders are increasing in South Korea. There are many differences between pharmaceutically treated depression (PTD) and treatment-resistant depression (TRD), including ...

    Authors: Daun Shin, Nam Woo Kim, Min Ji Kim, Sang Jin Rhee, Christopher Hyung Keun Park, Hyeyoung Kim, Bo Ram Yang, Mi-sook Kim, Gum Jee Choi, Minjung Koh and Yong Min Ahn

    Citation: BMC Health Services Research 2020 20:286

    Content type: Research article

    Published on:

  34. Nowadays, irrational use of antimicrobials has threatened public health. It’s necessary to expand the use of clinical practice guideline (CPG) on antimicrobial for facilitating the proper use of antimicrobial....

    Authors: Qingwen Deng and Wenbin Liu

    Citation: BMC Health Services Research 2020 20:282

    Content type: Research article

    Published on:

  35. Intensive care units represent one of the largest clinical cost centers in hospitals. Mechanical ventilation accounts for a significant share of this cost. There is a relative dearth of information quantifying...

    Authors: Klaus Kaier, Thomas Heister, Jan Wolff and Martin Wolkewitz

    Citation: BMC Health Services Research 2020 20:267

    Content type: Research article

    Published on:

  36. Under a constrained health care budget, cost-increasing technologies may displace funds from existing health services. However, it is unknown what services are displaced and how such displacement takes place i...

    Authors: Joost Johan Godert Wammes, Geert Frederix, Paulien Govaert, Domino Determann, Silvia Evers, Aggie Paulus, Niek Stadhouders, Patrick Jeurissen, Wija Oortwijn and Eddy M. M. Adang

    Citation: BMC Health Services Research 2020 20:263

    Content type: Research article

    Published on:

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

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

    Citation: BMC Health Services Research 2020 20:250

    Content type: Research article

    Published on:

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

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

    Citation: BMC Health Services Research 2020 20:230

    Content type: Research article

    Published on:

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

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

    Citation: BMC Health Services Research 2020 20:210

    Content type: Research article

    Published on:

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

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

    Citation: BMC Health Services Research 2020 20:206

    Content type: Research article

    Published on:

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

    Authors: Deanne Johnston, Patricia McInerney and Jacqui Miot

    Citation: BMC Health Services Research 2020 20:202

    Content type: Research article

    Published on:

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

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

    Citation: BMC Health Services Research 2020 20:194

    Content type: Research article

    Published on:

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

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

    Citation: BMC Health Services Research 2020 20:183

    Content type: Research article

    Published on:

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

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

    Citation: BMC Health Services Research 2020 20:177

    Content type: Research article

    Published on: