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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

    Extracorporeal life support (ECLS) is used to support the cardiorespiratory function in case of severe cardiac and/or respiratory failure in critically ill patients. According to the ELSO guidelines ECLS shoul...

    Authors: Annemieke Oude Lansink-Hartgring, Dinis Dos Reis Miranda, Dirk W. Donker, Jacinta J. Maas, Thijs Delnoij, Marijn Kuijpers, Judith van den Brule, Erik Scholten, Hendrik Endeman, Alexander P. J. Vlaar and Walter M. van den Bergh

    Citation: BMC Health Services Research 2018 18:172

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  2. Content type: Research article

    Prison health systems are subject to increasing pressures given the specific health needs of a growing and aging prison population. Identifying the drivers of medical spending among incarcerated individuals is...

    Authors: Karine Moschetti, Véra Zabrodina, Tenzin Wangmo, Alberto Holly, Jean-Blaise Wasserfallen, Bernice S. Elger and Bruno Gravier

    Citation: BMC Health Services Research 2018 18:160

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  3. Content type: Research article

    In the United States, home-based primary care (HBPC) is increasingly proposed as a means of enabling frail elders to remain at home for as long as possible, while still receiving needed medical care. However, ...

    Authors: Stephen A. Stanhope, Mary C. Cooley, Linda F. Ellington, Gregory P. Gadbois, Andrew L. Richardson, Timothy C. Zeddes and Jay P. LaBine

    Citation: BMC Health Services Research 2018 18:161

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  4. Content type: Research article

    Korea’s rapidly aging population has led to a rise in the prevalence of knee osteoarthritis (which reached upwards of 21.3% in 2017) in elderly people aged 65 years and over. Most patients with knee osteoarthr...

    Authors: Boyoung Jung, Kyoung Hee Cho, Dong Hyun Lee and Soyoon Kim

    Citation: BMC Health Services Research 2018 18:152

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  5. Content type: Research article

    In an era of a growing economic pressure for all health systems, the interest for “disinvestment” in healthcare increased. In this context, evidence based approaches such as Health Technology Assessment (HTA) ...

    Authors: G. E. Calabrò, G. La Torre, C. de Waure, P. Villari, A. Federici, W. Ricciardi and M. L. Specchia

    Citation: BMC Health Services Research 2018 18:148

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  6. Content type: Research article

    The present study estimated the cost of advanced non-small cell lung cancer care for a cohort of 251 patients enrolled in a Brazilian public hospital and identified factors associated with the cost of treating...

    Authors: Carla de Barros Reis, Renata Erthal Knust, Claudia Cristina de Aguiar Pereira and Margareth Crisóstomo Portela

    Citation: BMC Health Services Research 2018 18:124

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  7. Content type: Research article

    Despite economic growth and improved health outcomes over the past few decades, China still experiences striking urban-rural health inequalities. Urban and rural residents distinguished by the hukou system may...

    Authors: Jiajia Li, Leiyu Shi, Hailun Liang, Gan Ding and Lingzhong Xu

    Citation: BMC Health Services Research 2018 18:102

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  8. Content type: Research article

    To estimate changes in the cost and utilization of Medicare among beneficiaries over age 65 who have been impacted by a natural disaster, we merged publically available county-level Medicare claims for the yea...

    Authors: Nathanael Rosenheim, Shannon Grabich and Jennifer A. Horney

    Citation: BMC Health Services Research 2018 18:89

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  9. Content type: Research article

    Patients with type 2 diabetes (T2D) typically use several drug treatments during their lifetime. There is a debate about the best second-line therapy after metformin monotherapy failure due to the increasing n...

    Authors: Christina S. Kwon, Enrique Seoane-Vazquez and Rosa Rodriguez-Monguio

    Citation: BMC Health Services Research 2018 18:78

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  10. Content type: Research article

    Emergency department visits and hospitalizations (EDVH) place a large burden on patients and the health care system. The presence of informal caregivers may be beneficial for reducing EDVH among patients with ...

    Authors: Robert Abtan, Nooshin Khobzi Rotondi, Alison Macpherson and Michael Anthony Rotondi

    Citation: BMC Health Services Research 2018 18:73

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  11. Content type: Research article

    Previous works that uses patterns of prior spending to predict future mental health care expenses (utilization models) are mainly concerned with demand (need) variables. In this paper, we introduce supply vari...

    Authors: Knut Reidar Wangen and Sverre Grepperud

    Citation: BMC Health Services Research 2018 18:60

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  12. Content type: Research article

    Undocumented migrants face particular challenges in accessing healthcare services in many European countries. The aim of this study was to systematically review the academic literature on the utilization of he...

    Authors: Marjolein Winters, Bernd Rechel, Lea de Jong and Milena Pavlova

    Citation: BMC Health Services Research 2018 18:30

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  13. Content type: Research article

    Inpatient care for children with severe traumatic brain injury (sTBI) is expensive, with inpatient charges averaging over $70,000 per case (Hospital Inpatient, Children Only, National Statistics. Diagnoses– cl...

    Authors: Steven W. Howard, Zidong Zhang, Paula Buchanan, Stephanie L. Bernell, Christine Williams, Lindsey Pearson, Michael Huetsch, Jeff Gill and Jose A. Pineda

    Citation: BMC Health Services Research 2018 18:20

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  14. Content type: Research article

    A rapid increase of Medicaid expenditures has been a serious concern, and housing stability has been discussed as a means to reduce Medicaid costs. A program evaluation of a New York City supportive housing pr...

    Authors: Sungwoo Lim, Qi Gao, Elsa Stazesky, Tejinder P. Singh, Tiffany G. Harris and Amber Levanon Seligson

    Citation: BMC Health Services Research 2018 18:15

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  15. Content type: Research article

    Dengue fever is rapidly expanding geographically, with about half of the world’s population now at risk. Among the various diagnostic options, rapid diagnostic tests (RDTs) are convenient and prompt, but limit...

    Authors: Jacqueline Kyungah Lim, Neal Alexander and Gian Luca Di Tanna

    Citation: BMC Health Services Research 2017 17:850

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  16. Content type: Research article

    China is reforming the way it finances health care as it moves towards Universal Health Coverage (UHC) after the failure of market-oriented mechanisms for health care. Improving financing equity is a major pol...

    Authors: Mingsheng Chen, Andrew J. Palmer and Lei Si

    Citation: BMC Health Services Research 2017 17:852

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  17. Content type: Research article

    Multiple sclerosis (MS) is a chronic disease with a high socioeconomic impact. The aim of this study was to assess healthcare resources utilization and costs in a sample of patients with MS.

    Authors: Antoni Sicras-Mainar, Elena Ruíz-Beato, Ruth Navarro-Artieda and Jorge Maurino

    Citation: BMC Health Services Research 2017 17:854

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  18. Content type: Research article

    Generic substitution in several countries has become a common practice. Besides, it is considered as a major cost minimizing strategy meant to contain pharmaceutical expenditure without compromising healthcare...

    Authors: Naser Y. Shraim, Tasneem A. Al Taha, Rawan F. Qawasmeh, Hiba N. Jarrar, Maram A. N. Shtaya, Lama A. Shayeb and Waleed M. Sweileh

    Citation: BMC Health Services Research 2017 17:847

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