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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

    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...

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

    Citation: BMC Health Services Research 2017 17:611

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  2. Content type: Research article

    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...

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

    Citation: BMC Health Services Research 2017 17:600

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  3. Content type: Research article

    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...

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

    Citation: BMC Health Services Research 2017 17:577

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  4. Content type: Research article

    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...

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

    Citation: BMC Health Services Research 2017 17:571

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  5. Content type: Research article

    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...

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

    Citation: BMC Health Services Research 2017 17:567

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  6. Content type: Research article

    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...

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

    Citation: BMC Health Services Research 2017 17:560

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  7. Content type: Research article

    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...

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

    Citation: BMC Health Services Research 2017 17:542

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  8. Content type: Research article

    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...

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

    Citation: BMC Health Services Research 2017 17:538

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  9. Content type: Research article

    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...

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

    Citation: BMC Health Services Research 2017 17:532

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  10. Content type: Research article

    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...

    Authors: Catherine Hudon, Josiane Courteau, Cynthia Krieg and Alain Vanasse

    Citation: BMC Health Services Research 2017 17:525

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  11. Content type: Research article

    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...

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

    Citation: BMC Health Services Research 2017 17:523

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  12. Content type: Research article

    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...

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

    Citation: BMC Health Services Research 2017 17:519

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  13. Content type: Research article

    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...

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

    Citation: BMC Health Services Research 2017 17:511

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  14. Content type: Research article

    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 (...

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

    Citation: BMC Health Services Research 2017 17:503

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  15. Content type: Research article

    Ensuring high enrollment while mobilizing resources through co-payment services is critical to the success of the methadone maintenance treatment (MMT) program in Vietnam. This study assessed the willingness o...

    Authors: Bach Xuan Tran, Quyen Le Nguyen, Long Hoang Nguyen, Huong Thu Thi Phan, Huong Thi Le, Tho Dinh Tran, Thuc Thi Minh Vu and Carl A. Latkin

    Citation: BMC Health Services Research 2017 17:480

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  16. Content type: Research article

    This study presents data on post-discharge costs of care among patients treated with transcatheter or surgical aortic valve replacement over a two year period.

    Authors: Klaus Kaier, Frederike von Kampen, Hardy Baumbach, Constantin von zur Mühlen, Philip Hehn, Werner Vach, Manfred Zehender, Christoph Bode and Jochen Reinöhl

    Citation: BMC Health Services Research 2017 17:473

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  17. Content type: Research article

    The successful control of cardiovascular diseases at the lowest possible cost requires the use of the most effective and affordable medicines. We aimed to describe the trends in the ambulatory use of medicines...

    Authors: Helena Gama, Carla Torre, José Pedro Guerreiro, Ana Azevedo, Suzete Costa and Nuno Lunet

    Citation: BMC Health Services Research 2017 17:449

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  18. Content type: Research article

    Due to extensive literature in the field of lung cancer and their heterogeneous results, the aim of this study was to systematically review of systematic reviews studies which reviewed the cost-effectiveness o...

    Authors: Farbod Ebadifard Azar, Saber Azami-Aghdash, Fatemeh Pournaghi-Azar, Alireza Mazdaki, Aziz Rezapour, Parvin Ebrahimi and Negar Yousefzadeh

    Citation: BMC Health Services Research 2017 17:413

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  19. Content type: Research article

    Use of oral anticoagulation therapy in patients with atrial fibrillation (AF) involves a trade-off between a reduced risk of ischemic stroke and an increased risk of bleeding events. Different anticoagulation ...

    Authors: Marie Jakobsen, Christophe Kolodziejczyk, Eskild Klausen Fredslund, Peter Bo Poulsen, Lars Dybro and Søren Paaske Johnsen

    Citation: BMC Health Services Research 2017 17:398

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    The Erratum to this article has been published in BMC Health Services Research 2017 17:690

  20. Content type: Technical advance

    Research addressing value in healthcare requires a measure of cost. While there are many sources and types of cost data, each has strengths and weaknesses. Many researchers appear to create study-specific cost...

    Authors: Sue L. Visscher, James M. Naessens, Barbara P. Yawn, Megan S. Reinalda, Stephanie S. Anderson and Bijan J. Borah

    Citation: BMC Health Services Research 2017 17:396

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  21. Content type: Research article

    Frequent use (FU) of hospital services impacts on patients and health service expenditure. Studies examining FU in emergency departments and inpatient settings have found heterogeneity and the need to differen...

    Authors: Adelle M. Springer, John R. Condon, Shu Q. Li and Steven L. Guthridge

    Citation: BMC Health Services Research 2017 17:348

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  22. Content type: Research article

    Psoriasis is a multifactorial, inflammatory, skin disease associated with various comorbidities. The cost of those comorbidities is not well characterized. The present study assesses the incremental burden of ...

    Authors: Steven R. Feldman, Haijun Tian, Isabelle Gilloteau, Patrick Mollon and Meng Shu

    Citation: BMC Health Services Research 2017 17:337

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  23. Content type: Study protocol

    Australia’s Northern Territory (NT) has the country’s highest incidence and prevalence of kidney disease. Indigenous people from remote areas suffer the heaviest disease burden. Concerns regarding cost and sus...

    Authors: Gillian Gorham, Kirsten Howard, Samantha Togni, Paul Lawton, Jaquelyne Hughes, Sandawana William Majoni, Sarah Brown, Sue Barnes and Alan Cass

    Citation: BMC Health Services Research 2017 17:320

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  24. Content type: Research article

    The goal of the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act is to eliminate differences in insurance coverage between behavioral health and general medical care. The law requ...

    Authors: Susan H. Busch, Emma E. Mcginty, Elizabeth A. Stuart, Haiden A. Huskamp, Teresa B. Gibson, Howard H. Goldman and Colleen L. Barry

    Citation: BMC Health Services Research 2017 17:315

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  25. Content type: Research article

    Introduction of a health insurance scheme is one of the ways to enhance access to health care services and to protect individuals from catastrophic health expenditures. Little is known on the influence of soci...

    Authors: Ntuli A. Kapologwe, Gibson B. Kagaruki, Albino Kalolo, Mariam Ally, Amani Shao, Manoris Meshack, Manfred Stoermer, Amena Briet, Karin Wiedenmayer and Axel Hoffman

    Citation: BMC Health Services Research 2017 17:308

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  26. Content type: Research article

    In Gujarat, India, a state led public private partnership scheme to promote facility birth named Chiranjeevi Yojana (CY) was implemented in 2005. Institutional birth is provided free of cost at accredited private...

    Authors: Sandul Yasobant, Hemant Deepak Shewade, Kranti Suresh Vora, Kristi Sidney Annerstedt, Petros Isaakidis, Nishith B. Dholakia and Dileep V. Mavalankar

    Citation: BMC Health Services Research 2017 17:302

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  27. Content type: Research article

    This study seeks to quantify variation in healthcare utilization and per capita costs using system-defined geographic regions based on enrollee residence within the Military Health System (MHS).

    Authors: Linda Kimsey, Samuel Olaiya, Chad Smith, Andrew Hoburg, Stuart R. Lipsitz, Tracey Koehlmoos, Louis L. Nguyen and Joel S. Weissman

    Citation: BMC Health Services Research 2017 17:271

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  28. Content type: Research article

    Regular dental attendance is significant in maintaining and improving children’s oral health and well-being. This study aims to determine the factors that predict and influence dental visits in primary school ...

    Authors: James Rufus John, Haider Mannan, Subrat Nargundkar, Mario D’Souza, Loc Giang Do and Amit Arora

    Citation: BMC Health Services Research 2017 17:264

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  29. Content type: Research article

    The evidence assessing differences in medical costs between men and women with diabetes living in the United States is sparse; however, evidence suggests women generally have higher healthcare expenditures com...

    Authors: Joni S. Williams, Kinfe Bishu, Clara E. Dismuke and Leonard E. Egede

    Citation: BMC Health Services Research 2017 17:259

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  30. Content type: Research article

    The increasing numbers of people with type 2 diabetes (T2D) is a global concern and especially in sub-Saharan Africa, where diabetes must compete for resources with communicable diseases. Diabetes intensifies ...

    Authors: Clarisse Mapa-Tassou, Leopold K. Fezeu, Zakariaou Njoumemi, Eric Lontchi-Yimagou, Eugène Sobngwi and Jean Claude Mbanya

    Citation: BMC Health Services Research 2017 17:262

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  31. Content type: Research article

    Undesirable outcomes in health care are associated with patient harm and substantial excess costs. Coarctation of the aorta (CoA), one of the most common congenital heart diseases, can be repaired with stentin...

    Authors: Maximilian Salcher, Alistair Mcguire, Vivek Muthurangu, Marcus Kelm, Titus Kuehne and Huseyin Naci

    Citation: BMC Health Services Research 2017 17:258

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  32. Content type: Research article

    Among HIV+ patients, alcohol use is a highly prevalent risk factor for both HIV transmission and poor adherence to HIV treatment. The large-scale implementation of effective interventions for treating alcohol ...

    Authors: Omar Galárraga, Burke Gao, Benson N. Gakinya, Debra A. Klein, Richard G. Wamai, John E. Sidle and Rebecca K. Papas

    Citation: BMC Health Services Research 2017 17:239

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  33. Content type: Research article

    The study seeks to evaluate the difference in access of long-term family planning (LTFP) methods among the output based approach (OBA) and non-OBA clients within the OBA facility.

    Authors: Boniface Oyugi, Urbanus Kioko, Stephen Mbugua Kaboro, Shadrack Gikonyo, Clarice Okumu, Sarah Ogola-Munene, Shaminder Kalsi, Simon Thiani, Julius Korir, Paul Odundo, Billy Baltazaar, Moses Ranji, Nicholas Muraguri and Charles Nzioka

    Citation: BMC Health Services Research 2017 17:236

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  34. Content type: Research article

    Small for gestational age (SGA) infants are at increased risk for preterm birth morbidities as well as a range of adverse perinatal outcomes that result in part from associated premature birth. We sought to ev...

    Authors: Alicia Marzouk, Antoine Filipovic-Pierucci, Olivier Baud, Vassilis Tsatsaris, Anne Ego, Marie-Aline Charles, François Goffinet, Danièle Evain-Brion and Isabelle Durand-Zaleski

    Citation: BMC Health Services Research 2017 17:221

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  35. Content type: Research article

    Results-based financing (RBF) has been introduced in many countries across Africa and a growing literature is building around the assessment of their impact. These studies are usually quantitative and often si...

    Authors: Matthieu Antony, Maria Paola Bertone and Olivier Barthes

    Citation: BMC Health Services Research 2017 17:204

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  36. Content type: Research article

    Antenatal care is one of the three most essential care - antenatal, delivery and post-natal, given to women during pregnancy and has the potential to contribute towards the achievement of the Sustainable Devel...

    Authors: Kwamena Sekyi Dickson, Eugene Kofuor Maafo Darteh and Akwasi Kumi - Kyereme

    Citation: BMC Health Services Research 2017 17:203

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  37. Content type: Research article

    Treatment of multidrug-resistant tuberculosis (MDR-TB) is complex, lengthy, and involves a minimum of four drugs termed a background regimen (BR), that have not previously been prescribed or that have proven s...

    Authors: Daniel Wirth, Ramesh Dass and Robert Hettle

    Citation: BMC Health Services Research 2017 17:182

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  38. Content type: Research Article

    In 2012, Switzerland has introduced a diagnosis related group (DRG) system for hospital financing to increase the efficiency and transparency of hospital services and to reduce costs. However, little is known ...

    Authors: Christoph Napierala and Stefan Boes

    Citation: BMC Health Services Research 2017 17:168

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  39. Content type: Research article

    The Korean healthcare system is composed of costly and inefficient structures that fail to adequately divide the functions and roles of medical care organizations. To resolve this matter, the government reform...

    Authors: Hyo Jung Lee, Sung-In Jang and Eun-Cheol Park

    Citation: BMC Health Services Research 2017 17:152

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  40. Content type: Research article

    Contributory social health insurance for formal sector employees only has proven challenging for moving towards universal health coverage (UHC). This is because the informally employed and the poor usually rem...

    Authors: Inke Mathauer and Thorsten Behrendt

    Citation: BMC Health Services Research 2017 17:145

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  41. Content type: Research article

    The burden of chronic disease and multimorbidity is rapidly increasing. Self-management support interventions are effective in reduce cost, especially when targeted at a single disease group; however, economic...

    Authors: Erja Oksman, Miika Linna, Iiris Hörhammer, Johanna Lammintakanen and Martti Talja

    Citation: BMC Health Services Research 2017 17:138

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  42. Content type: Research article

    Decreasing hospital length of stay, and so freeing up hospital beds, represents an important cost saving which is often used in economic evaluations. The savings need to be accurately quantified in order to ma...

    Authors: Katie Page, Adrain G. Barnett and Nicholas Graves

    Citation: BMC Health Services Research 2017 17:137

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  43. Content type: Research article

    At the end of Millennium development goals, Ethiopia was included among 10 countries which constitutes about 59% of maternal deaths due to complications of pregnancy and/or childbirth every year globally. Inst...

    Authors: Niguse Tadele and Tafesse Lamaro

    Citation: BMC Health Services Research 2017 17:101

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  44. Content type: Research article

    Predictors of high out-of-pocket household healthcare expenditure are essential for creating effective health system finance policy. In Bangladesh, 63.3% of health expenditure is out-of-pocket and born by hous...

    Authors: Azaher Ali Molla, Chunhuei Chi and Alicia Lorena Núñez Mondaca

    Citation: BMC Health Services Research 2017 17:94

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