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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

    Rural residents are less likely to receive screening for colorectal cancer (CRC) than urban residents. However, the mechanisms underlying this disparity, especially among people aged 50–64 years old with priva...

    Authors: Mesnad Alyabsi, Mary Charlton, Jane Meza, K. M. Monirul Islam, Amr Soliman and Shinobu Watanabe-Galloway

    Citation: BMC Health Services Research 2019 19:172

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  2. Content type: Research article

    Medicare beneficiaries hospitalized under observation status have significant cost-sharing responsibilities under Medicare Part B. Prior work has demonstrated an association between increased cost-sharing and ...

    Authors: Jennifer N. Goldstein, J. Sanford Schwartz, Patricia McGraw and LeRoi S. Hicks

    Citation: BMC Health Services Research 2019 19:149

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  3. Content type: Research article

    Floating Catchment Area (FCA) metrics provide a comprehensive measure of potential spatial accessibility to health care services and are often used to identify geographic disparities in health care access. An ...

    Authors: Paul L. Delamater, Ashton M. Shortridge and Rachel C. Kilcoyne

    Citation: BMC Health Services Research 2019 19:144

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  4. Content type: Research article

    The objective of this paper is to utilise a clinical costing system to investigate differences in the patient journey, defined as the sequence and timing of contacts with the Gold Coast Hospital and Health Ser...

    Authors: James Todd, Adrian Gepp, Bruce Vanstone and Brent Richards

    Citation: BMC Health Services Research 2019 19:136

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  5. Content type: Research article

    We investigate factors affecting Australian general practitioners’ decisions to adopt novel oral anticoagulants (NOACs) for the prevention of stroke/systemic embolism among patients with atrial fibrillation. A...

    Authors: Yuting Zhang, Susan J. Méndez and Anthony Scott

    Citation: BMC Health Services Research 2019 19:94

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  6. Content type: Research article

    The literature describes the obstacles to sufficient care faced by people with dementia and their informal caregivers. Although factors influencing access and utilisation are frequently studied, the body of kn...

    Authors: Anja Bieber, Natalie Nguyen, Gabriele Meyer and Astrid Stephan

    Citation: BMC Health Services Research 2019 19:88

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  7. Content type: Research article

    Plain abdominal radiography (PAR) is routinely performed in emergency departments (EDs). This study aimed to (1) identify the indications for PAR in EDs and compare them against international guidelines, (2) u...

    Authors: Christophe L. Bertin, Simon Ponthus, Hari Vivekanantham, Pierre-Alexandre Poletti, Omar Kherad and Olivier T. Rutschmann

    Citation: BMC Health Services Research 2019 19:36

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  8. Content type: Research article

    Diabetic macular oedema (DMO) may lead to visual loss and blindness. Several pharmacological treatments are available on the National Health Service (NHS) to United Kingdom patients affected by this condition,...

    Authors: Michal Pochopien, Annette Beiderbeck, Phil McEwan, Richard Zur, Mondher Toumi and Samuel Aballéa

    Citation: BMC Health Services Research 2019 19:22

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  9. Content type: Research article

    The implementation of an innovative and sustainable professional pharmacy service in routine care requires substantial resources borne by the pharmacy owner. Although a community pharmacy is a business setting...

    Authors: Clemence Perraudin, Jean-François Locca, Christophe Rossier, Olivier Bugnon and Marie-Paule Schneider

    Citation: BMC Health Services Research 2019 19:15

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  10. Content type: Research article

    The global Choosing Wisely campaign has identified the following psychotropic prescribing as low-value (harmful or wasteful): (1) benzodiazepine use in the elderly, (2) antipsychotic use in dementia and (3) presc...

    Authors: Jonathan Brett, Helga Zoega, Nicholas A. Buckley, Benjamin J. Daniels, Adam G. Elshaug and Sallie-Anne Pearson

    Citation: BMC Health Services Research 2018 18:1009

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  11. Content type: Research article

    Strategic purchasing of health care services has become a key policy measure on the path to achieving universal health coverage. National provider payment systems for health services are typically characterize...

    Authors: Isabelle Feldhaus and Inke Mathauer

    Citation: BMC Health Services Research 2018 18:996

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  12. Content type: Research article

    The elicitation of contact information, notification and testing of sex partners of HIV infected patients (aPS), is an effective HIV testing strategy in low-income settings but may not necessarily be affordabl...

    Authors: Peter Cherutich, Carey Farquhar, Beatrice Wamuti, Felix A. Otieno, Ann Ng’ang’a, Peter Maingi Mutiti, Paul Macharia, Betsy Sambai, David Bukusi and Carol Levin

    Citation: BMC Health Services Research 2018 18:721

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  13. Content type: Research article

    Pneumonia is the leading cause of morbidity and mortality worldwide. Pneumococcal conjugate vaccines have reduced the burden of pneumonia, but data on the current burden of pneumonia and its impact on the heal...

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

    Citation: BMC Health Services Research 2018 18:715

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  14. Content type: Research article

    For children and adolescents with mental health problems, there is a lack of data as to whether the type of residential area (urban vs. rural) influences healthcare costs for affected individuals. The aim of t...

    Authors: Heike Gerhardt, Monika Heinzel-Gutenbrunner and Christian J. Bachmann

    Citation: BMC Health Services Research 2018 18:714

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  15. Content type: Research article

    With the implementation of Chinese economic reform and rapid urbanization, policies and values surrounding migration have changed and given rise to unprecedented population mobility. This study is designed to ...

    Authors: Yangyang Qian, Dandan Ge, Li Zhang, Long Sun, Jiajia Li and Chengchao Zhou

    Citation: BMC Health Services Research 2018 18:704

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  16. Content type: Research article

    Management of nontuberculous mycobacterial lung disease (NTMLD) consists of a long-term multi-drug antibiotic regimen, yet many patients do not achieve culture conversion. We estimated the NTMLD-related direct...

    Authors: S. M. Goring, J. B. Wilson, N. R. Risebrough, J. Gallagher, S. Carroll, K. J. Heap, M. Obradovic, M. R. Loebinger and R. Diel

    Citation: BMC Health Services Research 2018 18:700

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  17. Content type: Research article

    In Spain, hospital expenditure represents the biggest share of overall public healthcare expenditure, the most important welfare system directly run by the Autonomous Communities (ACs). Since 2001, public heal...

    Authors: Manuel Ridao-López, Micaela Comendeiro-Maaløe, Natalia Martínez-Lizaga and Enrique Bernal-Delgado

    Citation: BMC Health Services Research 2018 18:696

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  18. Content type: Research article

    The number of human immunodeficiency virus (HIV)-related hospitalizations has decreased worldwide in recent years, due to the availability of combined antiretroviral therapies (cART). The present analysis aime...

    Authors: Lucia Taramasso, Federica Demma, Rossella Bitonti, Antonio Ferrazin, Barbara Giannini, Mauro Giacomini, Sabrina Beltramini, Elisabetta Sasso, Claudio Viscoli and Antonio Di Biagio

    Citation: BMC Health Services Research 2018 18:691

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  19. Content type: Research article

    After 2008 global economic crisis, Italian governments progressively reduced public healthcare financing. Describing the time trend of health outcomes and health expenditure may be helpful for policy makers du...

    Authors: Davide Golinelli, Andrea Bucci, Fabrizio Toscano, Filippo Filicori and Maria Pia Fantini

    Citation: BMC Health Services Research 2018 18:671

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  20. Content type: Research article

    Prior research suggests that many patients do not spontaneously include work/income loss when responding to utility assessments, although this remains unconfirmed in the US due to almost no published US-based ...

    Authors: Kelly D. Johnson, Susan K. Brenneman, Chrisann Newransky, Seth Sheffler-Collins, Laura K. Becker, Angela Belland and Camilo J. Acosta

    Citation: BMC Health Services Research 2018 18:662

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  21. Content type: Research article

    The aim of this systematic literature review is to identify and critique full economic evaluations of interventions for high risk young people with the purpose of informing the design of future rigorous econom...

    Authors: Kim Edmunds, Rod Ling, Anthony Shakeshaft, Chris Doran and Andrew Searles

    Citation: BMC Health Services Research 2018 18:660

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  22. Content type: Research article

    A teledermatology pilot scheme was first conducted in the town of Manresa (Barcelona) in the summer of 2010. The clinical success of the scheme prompted its expansion to the whole county of Bages in 2011 and t...

    Authors: Josep Vidal-Alaball, Josep Lluís Garcia Domingo, Francesc Garcia Cuyàs, Jacobo Mendioroz Peña, Gemma Flores Mateo, Joan Deniel Rosanas and Glòria Sauch Valmaña

    Citation: BMC Health Services Research 2018 18:650

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  23. Content type: Research article

    In the United States, value-based purchasing has created the need for healthcare systems to prospectively identify patients at risk for high healthcare utilization beyond a physical therapy episode for musculo...

    Authors: Trevor A. Lentz, Jason M. Beneciuk and Steven Z. George

    Citation: BMC Health Services Research 2018 18:648

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  24. 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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  25. 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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  26. 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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  27. 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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  28. 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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  29. 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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  30. 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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  31. 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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  32. 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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    The Correction to this article has been published in BMC Health Services Research 2018 18:940

  33. 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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  34. 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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  35. 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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  36. 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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  37. 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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  38. 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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  39. 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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  40. 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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  41. 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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  42. 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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  43. 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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  44. 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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  45. 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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  46. 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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  47. 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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  48. 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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