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. Research article

    Unit cost of healthcare services at 200-bed public hospitals in Myanmar: what plays an important role of hospital budgeting?

    Cost information is important for efficient allocation of healthcare expenditure, estimating future budget allocation, and setting user fees to start new financing systems. Myanmar is in political transition, ...

    Thet Mon Than, Yu Mon Saw, Moe Khaing, Ei Mon Win, Su Myat Cho, Tetsuyoshi Kariya, Eiko Yamamoto and Nobuyuki Hamajima

    BMC Health Services Research 2017 17:669

    Published on: 19 September 2017

  2. Research article

    Trends in the use and costs of round-the-clock long-term care in the last two years of life among old people between 2002 and 2013 in Finland

    The structure of long-term care (LTC) for old people has changed: care has been shifted from institutions to the community, and death is being postponed to increasingly old age. The aim of the study was to ana...

    Leena Forma, Marja Jylhä, Jutta Pulkki, Mari Aaltonen, Jani Raitanen and Pekka Rissanen

    BMC Health Services Research 2017 17:668

    Published on: 19 September 2017

  3. Research article

    The economic burden of advanced gastric cancer in Taiwan

    Gastric cancer is one of the leading causes of cancer-related deaths in both sexes worldwide, especially in Eastern Asia. This study aimed to estimate the economic burden of advanced gastric cancer (AGC) in Ta...

    Jihyung Hong, Yiling Tsai, Diego Novick, Frank Chi-huang Hsiao, Rebecca Cheng and Jen-Shi Chen

    BMC Health Services Research 2017 17:663

    Published on: 16 September 2017

  4. Research article

    Costs associated with adverse events among acute patients

    The aim of this study was to analyse the additional treatment costs of acute patients admitted to a Danish hospital who suffered an adverse event (AE) during in-hospital treatment.

    Jakob Kjellberg, Rasmus Trap Wolf, Marie Kruse, Susanne R. Rasmussen, Jesper Vestergaard, Kent J. Nielsen and Kurt Rasmussen

    BMC Health Services Research 2017 17:651

    Published on: 13 September 2017

  5. Research article

    First-dollar cost-sharing for skilled nursing facility care in medicare advantage plans

    The initial days of a Medicare-covered skilled nursing facility (SNF) stay may have no cost-sharing or daily copayments depending on beneficiaries’ enrollment in traditional Medicare or Medicare Advantage. Som...

    Laura M. Keohane, Regina C. Grebla, Momotazur Rahman, Dana B. Mukamel, Yoojin Lee, Vincent Mor and Amal Trivedi

    BMC Health Services Research 2017 17:611

    Published on: 29 August 2017

  6. Research article

    Social and economic value of Portuguese community pharmacies in health care

    Community pharmacies are major contributors to health care systems across the world. Several studies have been conducted to evaluate community pharmacies services in health care. The purpose of this study was ...

    Jorge Félix, Diana Ferreira, Marta Afonso-Silva, Marta Vargas Gomes, César Ferreira, Björn Vandewalle, Sara Marques, Melina Mota, Suzete Costa, Maria Cary, Inês Teixeira, Ema Paulino, Bruno Macedo and Carlos Maurício Barbosa

    BMC Health Services Research 2017 17:606

    Published on: 29 August 2017

  7. Research article

    A systematic review of the effectiveness of policies restricting access to pregabalin

    Formularies often employ restriction policies to reduce pharmacy costs. Pregabalin, an alpha-2-delta ligand, is approved for treatment of fibromyalgia (FM); neuropathic pain (NeP) due to postherpetic neuralgia...

    Brett R. Stacey, Jonathan Liss, Regina Behar, Alesia Sadosky, Bruce Parsons, Elizabeth T. Masters and Patrick Hlavacek

    BMC Health Services Research 2017 17:600

    Published on: 25 August 2017

  8. Research article

    An economic evaluation of the healthcare cost of tinnitus management in the UK

    There is no standard treatment pathway for tinnitus patients in the UK. Possible therapies include education and reassurance, cognitive behavioural therapies, modified tinnitus retraining therapy (education an...

    David Stockdale, Don McFerran, Peter Brazier, Clive Pritchard, Tony Kay, Christopher Dowrick and Derek J Hoare

    BMC Health Services Research 2017 17:577

    Published on: 22 August 2017

  9. Research article

    Use of hospital-based health care services among children aged 1 through 9 years who were born very preterm - a population-based study

    Very preterm (VPT) children, with a birth weight below 1500 g or delivered before 32 weeks of gestational age, are at increased risk of poorer long-term health outcomes and higher rates of hospitalization in c...

    Søren T. Klitkou, Tor Iversen, Hans J. Stensvold and Arild Rønnestad

    BMC Health Services Research 2017 17:571

    Published on: 17 August 2017

  10. Research article

    Hospital characteristics related to the hospital length of stay among inpatients receiving invasive cervical discectomy due to road traffic accidents under automobile insurance in South Korea

    In South Korea, people injured in road traffic accidents receive compensation for medical costs through their automobile insurance. However, the automobile insurance system appears to manage health care ineffi...

    Kyoung Won Shin, Hyo Jung Lee, Chung Mo Nam, Ki Tae Moon and Eun-Cheol Park

    BMC Health Services Research 2017 17:567

    Published on: 16 August 2017

  11. Research article

    Real-world costs of autosomal dominant polycystic kidney disease in the Nordics

    There is limited real-world data on the economic burden of patients with autosomal dominant polycystic kidney disease (ADPKD). The objective of this study was to estimate the annual direct and indirect costs o...

    Daniel Eriksson, Linda Karlsson, Oskar Eklund, Hans Dieperink, Eero Honkanen, Jan Melin, Kristian Selvig and Johan Lundberg

    BMC Health Services Research 2017 17:560

    Published on: 15 August 2017

  12. Research article

    Hospitalisation costs of metastatic melanoma in France; the MELISSA study (MELanoma In hoSpital coSts Assessment)

    Management of metastatic melanoma is changing rapidly following the introduction of innovative effective therapies, with consequences for the allocation of healthcare resources. The objective of this study was...

    Jérôme Fernandes, Bruno Bregman, Patrick Combemale, Camille Amaz, Lucie de Léotoing, Alexandre Vainchtock and Anne-Françoise Gaudin

    BMC Health Services Research 2017 17:542

    Published on: 8 August 2017

  13. Research article

    Willingness to pay and willingness to accept in a patient-centered blood pressure control study

    Elevated blood pressure is a major risk factor for cardiovascular disease and stroke but patients often discount recommended behavioral changes and prescribed medications. While effective interventions to prom...

    Julie Gleason-Comstock, Alicia Streater, Allen Goodman, James Janisse, Aaron Brody, LynnMarie Mango, Rachelle Dawood and Phillip Levy

    BMC Health Services Research 2017 17:538

    Published on: 7 August 2017

  14. Research article

    Evaluation of the use of health care services for non-communicable disease and prevention by children and adolescents in south Italy

    The objectives of this investigation are to evaluate the use of health care services for non-communicable disease and prevention by children and adolescents and to identify the factors linked to the use of hea...

    Flora Ascione, Diana Cascone, Francesco Napolitano and Gabriella Di Giuseppe

    BMC Health Services Research 2017 17:532

    Published on: 4 August 2017

  15. Research article

    Factors associated with chronic frequent emergency department utilization in a population with diabetes living in metropolitan areas: a population-based retrospective cohort study

    A small proportion of patients utilizes a disproportionately large amount of emergency department (ED) resources. Being able to properly identify chronic frequent ED users, i.e. frequent ED users over a multip...

    Catherine Hudon, Josiane Courteau, Cynthia Krieg and Alain Vanasse

    BMC Health Services Research 2017 17:525

    Published on: 4 August 2017

  16. Research article

    An economic analysis of a system wide Lean approach: cost estimations for the implementation of Lean in the Saskatchewan healthcare system for 2012–2014

    The costs of investing in health care reform initiatives to improve quality and safety have been underreported and are often underestimated. This paper reports direct and indirect cost estimates for the initia...

    Nazmi Sari, Thomas Rotter, Donna Goodridge, Liz Harrison and Leigh Kinsman

    BMC Health Services Research 2017 17:523

    Published on: 3 August 2017

  17. Research article

    Health insurance for patients with HIV/AIDS in Vietnam: coverage and barriers

    Health insurance (HI) plays an important role in ensuring the financial equity by the risk pooling mechanism and reducing the economic burden of healthcare for HIV/AIDS patients. However, there is a lack of ev...

    Quyen Le Thi Nguyen, Tuong Van Phan, Bach Xuan Tran, Long Hoang Nguyen, Chau Ngo, Huong Thi Thu Phan and Carl A. Latkin

    BMC Health Services Research 2017 17:519

    Published on: 3 August 2017

  18. Research article

    Costs of health care across primary care models in Ontario

    The purpose of this study is to analyze the relationship between newly introduced primary care models in Ontario, Canada, and patients’ primary care and total health care costs. A specific focus is on the paym...

    Maude Laberge, Walter P Wodchis, Jan Barnsley and Audrey Laporte

    BMC Health Services Research 2017 17:511

    Published on: 1 August 2017

  19. Research article

    Impact of the change of copay policy in Medicare Part D on zoster vaccine uptake among Medicare beneficiaries in a managed care organization

    Kaiser Permanente Southern California (KPSC) adopted the Medicare Part D Tier-6 with zero patient copay for zoster vaccination in 2012. We assessed the impact of the implementation on zoster vaccination rate (...

    Rulin C. Hechter, Lei Qian, Songkai Yan, Yi Luo, Girishanthy Krishnarajah and Hung-Fu Tseng

    BMC Health Services Research 2017 17:503

    Published on: 21 July 2017

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