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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: 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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. 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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  11. 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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  12. Content type: Research article

    Several Western and Arab countries, as well as over 30 States in the US are using the “All-Patient Refined Diagnosis-Related Groups” (APR-DRGs) with four severity-of-illness (SOI) subcategories as a model for ...

    Authors: Sarah Dewilde, Lieven Annemans, Hilde Pincé and Vincent Thijs

    Citation: BMC Health Services Research 2018 18:356

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  13. Content type: Research article

    Spending on cancer drugs has risen dramatically in recent years compared to other areas of health care, due in part to higher prices associated with newly approved drugs and increased demand for these drugs. A...

    Authors: Colene Bentley, Sarah Costa, Michael M. Burgess, Dean Regier, Helen McTaggart-Cowan and Stuart J. Peacock

    Citation: BMC Health Services Research 2018 18:339

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  14. Content type: Research article

    The US health care system uses diagnostic codes for billing and reimbursement as well as quality assessment and measuring clinical outcomes. The US transitioned to the International Classification of Diseases,...

    Authors: Rachel N. Caskey, Angelos Abutahoun, Anne Polick, Michelle Barnes, Pavan Srivastava and Andrew D. Boyd

    Citation: BMC Health Services Research 2018 18:328

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  15. Content type: Research article

    To indicate inefficiencies in health systems, previous studies examined regional variation in healthcare spending by analyzing the entire population. As a result, population heterogeneity is taken into account...

    Authors: Eline F. de Vries, Richard Heijink, Jeroen N. Struijs and Caroline A. Baan

    Citation: BMC Health Services Research 2018 18:323

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  16. Content type: Research article

    In rural regions with a low population density, distances to health care providers as well as insufficient public transport may be barriers for the accessibility of health care. In this analysis it was examine...

    Authors: Ulrike Stentzel, Jeanette Bahr, Daniel Fredrich, Jens Piegsa, Wolfgang Hoffmann and Neeltje van den Berg

    Citation: BMC Health Services Research 2018 18:322

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  17. Content type: Research article

    Predicting pharmacy service fees is crucial to sustain the health insurance budget and maintain pharmacy management. However, there is no evidence on how to predict pharmacy service fees at the population leve...

    Authors: Dongmun Ha, Inmyung Song, Eui-Kyung Lee and Ju-Young Shin

    Citation: BMC Health Services Research 2018 18:327

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  18. Content type: Research article

    Acute otitis media (AOM) is the most common cause of pediatric medical visits and antibiotic prescriptions worldwide, but its current impact on the US healthcare system is not clear. The aim of this study was ...

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

    Citation: BMC Health Services Research 2018 18:318

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  19. Content type: Research article

    The burden of HCV among those living with HIV remains a major public health challenge. We aimed to characterize trends in healthcare-related visits (HRV) of people living with HIV (PLW-HIV) and those living with ...

    Authors: Huiting Ma, Conrado Franco Villalobos, Martin St-Jean, Oghenowede Eyawo, Miriam Ruth Lavergne, Lianping Ti, Mark W. Hull, Benita Yip, Lang Wu, Robert S. Hogg, Rolando Barrios, Jean A. Shoveller, Julio S. G. Montaner and Viviane D. Lima

    Citation: BMC Health Services Research 2018 18:319

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  20. Content type: Research article

    Pen needles are an important component of insulin delivery among patients with diabetes, but are not universally covered in China. We compared clinical and economic characteristics of insulin-dependent patient...

    Authors: Linong Ji, Arthi Chandran, Timothy J. Inocencio, Zilin Sun, Qifu Li, Guijun Qin, Zheng Wei, Stefan DiMario and Richard H. Chapman

    Citation: BMC Health Services Research 2018 18:300

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