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194 Results Found

  • Feature Paper
  • Article
  • Open Access
16 Citations
6,866 Views
24 Pages

16 April 2017

In the realm of representational politics, research exploring the relationship between descriptive representation and substantive representation is conflicted with some scholars finding policy outcomes influenced by the presence of women in office an...

  • Article
  • Open Access
2 Citations
3,386 Views
24 Pages

Existing research has documented the association between bullying perpetration and bullying victimisation. However, it is still unclear how different sources of social support moderate the association between bullying perpetration and bullying victim...

  • Article
  • Open Access
7 Citations
4,397 Views
20 Pages

This paper examined the important organizational and managerial factors of publicness for the equity of health care. The extent of organizational publicness was measured with key independent variables such as ownership, evaluation, and accreditation....

  • Article
  • Open Access
3 Citations
4,395 Views
10 Pages

Every US state requires private health insurers to cover certain conditions, treatments, and providers. These benefit mandates were rare as recently as the 1960s, but the average state now has more than forty. These mandates are intended to promote t...

  • Article
  • Open Access
844 Views
18 Pages

Oregon Not-for-Profit Hospital Community Benefit Policy: Trends in Community Benefit Spending

  • Tatiane Santos,
  • Gary J. Young,
  • Shoou-Yih Lee and
  • Kelsey Owsley

Background/Objectives: Community benefit (CB) obligations by not-for-profit (NFP) hospitals have attracted renewed scrutiny at federal and state levels due to wide variation in CB spending. In 2020, Oregon implemented a CB policy for all NFP hospital...

  • Article
  • Open Access
1 Citations
2,923 Views
13 Pages

21 November 2024

US life expectancy now lags significantly behind the majority of high-income countries, having grown more slowly since 1980 for reasons that are not evident and have been debated. An exploratory system dynamics model is presented that reproduces the...

  • Article
  • Open Access
8 Citations
2,978 Views
12 Pages

Change in Pediatric Health Care Spending and Drug Utilization during the COVID-19 Pandemic

  • Riccardo Lubrano,
  • Emanuela Del Giudice,
  • Alessia Marcellino,
  • Flavia Ventriglia,
  • Anna Dilillo,
  • Enrica De Luca,
  • Saverio Mallardo,
  • Sara Isoldi,
  • Vanessa Martucci and
  • Silvia Bloise
  • + 7 authors

15 December 2021

Objective: To evaluate how the restrictive measures implemented during the SARS-CoV-2 pandemic have influenced the incidence of the most common children’s diseases and the consumption of medications in 2020 compared to 2019. Methods: We involve...

  • Article
  • Open Access
3 Citations
1,863 Views
12 Pages

The purpose of this study was to determine if there were racial/ethnic differences and patterns for individual office-based visit expenditures by gender among a nationally representative sample of adults with arthritis. We retrospectively analyzed po...

  • Article
  • Open Access
5 Citations
3,171 Views
17 Pages

21 May 2021

One way to reduce healthcare costs is to target the high spenders who remain persistently high in cost over time. Using claims data from China between 2010 to 2014, we sought to identify the level of concentration in spending and the proportion of sp...

  • Article
  • Open Access
3 Citations
1,535 Views
10 Pages

Ethnic-Regional Differences in the Allocation of High Complexity Spending in Brazil: Time Analysis 2010–2019

  • Luiz Oscar Machado Martins,
  • Marcio Fernandes dos Reis,
  • Alfredo Chaoubah and
  • Guilhermina Rego

The following paper presents as a research problem the ethnic-regional differences in the allocation of high complexity spending in Brazil in an analysis from 2010 to 2019. This is a descriptive research in which a generalized linear model (GLM) was...

  • Review
  • Open Access
2,312 Views
22 Pages

3 August 2025

Although technological innovations are often intended to improve quality and efficiency, they can exacerbate systemic challenges when not aligned with the principles of value-based care. As a result, healthcare systems in many countries face persiste...

  • Article
  • Open Access
475 Views
16 Pages

5 November 2025

Background and objectives: The identification and preservation of the parathyroid glands (PGs) are of paramount importance in thyroid surgery. Permanent hypoparathyroidism represents a significant post-operative complication that may result from the...

  • Article
  • Open Access
5 Citations
4,290 Views
14 Pages

29 November 2021

Research comparing health care systems of countries, with a particular emphasis on health care spending and health care outcomes, has found unexplained differences which are often attributed to the countries’ cultures, yet these cultural dimens...

  • Article
  • Open Access
4 Citations
3,066 Views
17 Pages

(1) Background: Informal patient payments continue to persist in the Serbian health care system, exposing vulnerable groups to private spending on health care. Migrants may in particular be subject to such payments, as they often experience barriers...

  • Review
  • Open Access
7 Citations
4,659 Views
15 Pages

Children and Women’s Health in South East Asia: Gap Analysis and Solutions

  • Viroj Tangcharoensathien,
  • Kunihiko Chris Hirabayashi,
  • Chompoonut Topothai,
  • Shaheda Viriyathorn,
  • Orana Chandrasiri and
  • Walaiporn Patcharanarumol

In response to the Millennium Development Goals (MDGs) and Sustainable Development Goals (SDGs) commitment, eight selected countries in the South East Asia region have made a remarkable reduction in infant and child mortality, while a few have achiev...

  • Article
  • Open Access
6 Citations
3,898 Views
11 Pages

Associations between Hospital Quality Outcomes and Medicare Spending per Beneficiary in the USA

  • Karyn Cook,
  • Brent Foster,
  • I’sis Perry,
  • Christy Hoke,
  • Dana Smith,
  • Leanne Peterson,
  • John Martin,
  • Michael Korvink and
  • Laura H. Gunn

The cost of healthcare in the United States has increased over time. However, patient health outcomes have not trended with spending. There is a need to better comprehend the association between healthcare costs in the United States and hospital qual...

  • Article
  • Open Access
2,206 Views
22 Pages

In this paper, we utilize the 2019/20 Uganda National Household Survey data to answer three related questions: (i) To what extent did out-of-pocket payments (OOPs) for health care services exceed the threshold for household financial catastrophe amid...

  • Article
  • Open Access
1,878 Views
13 Pages

10 August 2024

Hypertension contributes to the increase in health care spending in Canada through two primary mechanisms. First, it directly increases costs, as individuals with hypertension require medical care to manage the condition. Second, it indirectly raises...

  • Article
  • Open Access
25 Citations
5,719 Views
15 Pages

Effects of the COVID-19 Pandemic on the Budgetary Mechanism Established to Cover Public Health Expenditure. A Case Study of Romania

  • Mihaela Onofrei,
  • Elena Cigu,
  • Anca-Florentina Gavriluta (Vatamanu),
  • Ionel Bostan and
  • Florin Oprea

The COVID-19 pandemic stressed the importance of understanding the sources of vulnerabilities that can lead to a financial crisis and highlighted the predominant impact on health systems. Firstly, the paper aims to conduct a retrospective analysis of...

  • Article
  • Open Access
45 Citations
6,090 Views
16 Pages

Differing from previous studies ignoring the nonlinear features, this study employs both the linear and nonlinear Granger causality tests to examine the complex causal relationship between health care expenditure and economic growth among 15 Organisa...

  • Article
  • Open Access
2,292 Views
16 Pages

15 November 2024

This article examines the impact of income level on family care organizations in Mexico to elucidate how families apportion care responsibilities according to their economic standing. The study design employed a quantitative approach, utilizing two d...

  • Article
  • Open Access
19 Citations
14,977 Views
19 Pages

8 August 2017

Considering the recent struggle in the Ghanaian health sector, Ghanaian policy makers and donor agencies are confronted with rethinking how the health sector can be funded and sustained. In Ghana, where budgetary decisions are heavily contested and p...

  • Article
  • Open Access
8 Citations
3,283 Views
18 Pages

COVID-19 and Public Health Spending; Effects on the Economic Sustainability of the Spanish Private Healthcare System

  • María del Carmen Valls Martínez,
  • José Manuel Santos-Jaén,
  • Rafael Félix Valls-Úbeda and
  • Rafael Soriano Román

This research analyzes the influence of COVID-19 and public health spending policies on the economic sustainability of Spanish private hospitals. Moreover, it explores the relationship between public health spending policies and the spread of COVID-1...

  • Short Communication
  • Open Access
17 Citations
1,323 Views
11 Pages

The Generation of Two Specific Cancer Costing Algorithms Using Ontario Administrative Databases

  • Nicole Mittmann,
  • S. Y. Cheng,
  • N. Liu,
  • S. J. Seung,
  • F. E. Saxena,
  • C. DeAngelis,
  • N. J. Look Hong,
  • C. C. Earle,
  • M. C. Cheung and
  • W. K. Evans
  • + 2 authors

1 October 2019

Cancer treatment and management have become increasingly economically burdensome. Consequently, to help with planning health service delivery, it is vital to understand the associated costs. Administrative databases can be used to help understand and...

  • Article
  • Open Access
4 Citations
2,959 Views
14 Pages

11 May 2024

Goal: This study aimed to examine provincial differences in patient spending for cancer care and reductions in household spending including decisions to forego care in Canada. Methods: Nine-hundred and one patients with cancer, from twenty cancer cen...

  • Review
  • Open Access
3 Citations
4,286 Views
11 Pages

19 November 2020

There is tremendous variation in costs of delivering health care, whether by country, hospital, or patient. However, the questions remain: what costs are reasonable? How does spending affect patient outcomes? We look to explore the relationship betwe...

  • Article
  • Open Access
2 Citations
2,690 Views
11 Pages

Perception and Willingness to Maintain Continuity of Care by Parents of Children with Asthma in Taiwan

  • Christy Pu,
  • Yu-Chen Tseng,
  • Gau-Jun Tang,
  • Yen-Hsiung Lin,
  • Chien-Heng Lin and
  • I-Jen Wang

To investigate caregivers’ attitudes toward continuity of care (COC) and their willingness to maintain continuity for their children with asthma under a national health insurance (NHI) system without strict referral management. We sampled 825 individ...

  • Article
  • Open Access
11 Citations
4,708 Views
14 Pages

17 December 2021

Out-of-pocket (OOP) payments are perceived as the most regressive means of health financing. Using the panel-data approach and region-aggregated data from Statistics Poland, this research investigated associations between socio-economic factors and O...

  • Article
  • Open Access
10 Citations
8,192 Views
12 Pages

16 November 2022

Health insurance models are being considered as part of health system reforms in Saudi Arabia. This paper assesses the attributes of health funding models that support better control of non-communicable diseases (NCDs) and perspectives on health insu...

  • Systematic Review
  • Open Access
4 Citations
5,849 Views
27 Pages

In health insurance, “moral hazard” describes the concept that coverage without an out-of-pocket cost to consumers could result in health care utilization beyond economically efficient levels. In response, payers in the United States (US)...

  • Article
  • Open Access
12 Citations
5,016 Views
24 Pages

Health Investment Management and Healthcare Quality in the Public System: A Gender Perspective

  • María del Carmen Valls Martínez,
  • Alicia Ramírez-Orellana and
  • Mayra Soledad Grasso

The aim of this empirical research was to provide useful information for health system managers on the costs and investments involved in improving the quality of the National Health Service (NHS) based on patient assessments and from a gender perspec...

  • Feature Paper
  • Article
  • Open Access
46 Citations
6,057 Views
15 Pages

Underlying Differences in Health Spending Within the World Health Organisation Europe Region—Comparing EU15, EU Post-2004, CIS, EU Candidate, and CARINFONET Countries

  • Mihajlo Jakovljevic,
  • Paula Odete Fernandes,
  • João Paulo Teixeira,
  • Nemanja Rancic,
  • Yuriy Timofeyev and
  • Vladimir Reshetnikov

This study examined the differences in health spending within the World Health Organization (WHO) Europe region by comparing the EU15, the EU post-2004, CIS, EU Candidate and CARINFONET countries. The WHO European Region (53 countries) has been divid...

  • Article
  • Open Access
39 Citations
10,275 Views
15 Pages

In times of economic crisis, most countries face the dual challenge of fighting unemployment while restraining social expenditures and closing budget deficits. The spending cuts and lack of employment affect a large number of decisions that have a d...

  • Article
  • Open Access
19 Citations
5,731 Views
15 Pages

The Effects of Socioeconomic Vulnerability, Psychosocial Services, and Social Service Spending on Family Reunification: A Multilevel Longitudinal Analysis

  • Tonino Esposito,
  • Ashleigh Delaye,
  • Martin Chabot,
  • Nico Trocmé,
  • David Rothwell,
  • Sonia Hélie and
  • Marie-Joelle Robichaud

Socio-environmental factors such as poverty, psychosocial services, and social services spending all could influence the challenges faced by vulnerable families. This paper examines the extent to which socioeconomic vulnerability, psychosocial servic...

  • Article
  • Open Access
3 Citations
2,701 Views
13 Pages

Outpatient care following discharge from a neonatal intensive care unit (NICU) is critical for streamlined transfer of care. Yet, information is lacking about the characteristics of early outpatient care. The objective of this secondary data analysis...

  • Systematic Review
  • Open Access
7 Citations
4,600 Views
19 Pages

Cost and Cost-Effectiveness of the Mediterranean Diet: An Update of a Systematic Review

  • Corrado Colaprico,
  • Davide Crispini,
  • Ilaria Rocchi,
  • Shizuka Kibi,
  • Maria De Giusti and
  • Giuseppe La Torre

16 June 2024

It is well known that the Mediterranean diet (DM) is beneficial for health, as years of research globally have confirmed. The aim of this study was to update a previous systematic review that assessed the cost-effectiveness of adherence to the DM as...

  • Article
  • Open Access
11 Citations
5,480 Views
38 Pages

The attainment of health system goals is largely hinged on the health workforce availability and performance; hence, health workforce planning is central to the health policy agenda. This study sought to estimate health service activity standards and...

  • Review
  • Open Access
9 Citations
8,480 Views
9 Pages

Pharmacist Involvement in Population Health Management for a Pediatric Managed Medicaid Accountable Care Organization

  • Catherine Kuhn,
  • Brigid K. Groves,
  • Chester Kaczor,
  • Sonya Sebastian,
  • Ujjwal Ramtekkar,
  • Joshua Nowack,
  • Christina Toth,
  • Olivia Valenti and
  • Charitha Gowda

Accountable care organizations (ACOs) have emerged as an effective healthcare delivery model for managing quality and cost at a population level. Within ACOs, pharmacists are critical for the delivery of high-value health care, offering patients and...

  • Article
  • Open Access
3 Citations
4,319 Views
23 Pages

13 December 2022

In recent decades, China has experienced rapid economic growth and rising health inequality. The government has introduced a nationwide health care reform aimed at achieving affordable and equitable basic health care for all. This paper investigates...

  • Article
  • Open Access
4 Citations
2,738 Views
21 Pages

15 October 2021

The objective of this article is to analyze the development of the public and private offer for the universalization of health services, specifically, for the progression of the public network. The time period examined is from 2008 to 2015, when ther...

  • Article
  • Open Access
2 Citations
8,238 Views
10 Pages

Rising health care costs are threatening the fiscal solvency of patients, employers, payers, and governments. The Collaborative Payer Provider Model (CPPM) addresses this challenge by reinventing the role of the payer into a full-service collaborativ...

  • Article
  • Open Access
1 Citations
2,354 Views
36 Pages

Mathematical Modeling for the Assessment of Public Policies in the Cancer Health-Care System Implemented for the Colombian Case

  • Daniel Rojas-Díaz,
  • María Eugenia Puerta-Yepes,
  • Daniel Medina-Gaspar,
  • Jesús Alonso Botero,
  • Anwar Rodríguez and
  • Norberto Rojas

The incidence of cancer has been constantly growing worldwide, placing pressure on health systems and increasing the costs associated with the treatment of cancer. In particular, low- and middle-income countries are expected to face serious challenge...

  • Article
  • Open Access
4 Citations
4,879 Views
21 Pages

The decision-making processes and outcomes of male and female household heads differ due to gender-based differences in preferences. In this paper, we assess the impact of this heterogeneity on household healthcare consumption in Thailand. Past studi...

  • Article
  • Open Access
5 Citations
4,476 Views
15 Pages

1 September 2022

A persistent problem in UK hospitals is that of delayed discharges, where patients who are fit for discharge continue to occupy beds whilst awaiting care packages from Social Care. Integrated Care Systems (ICSs) in which Health and Social Care collab...

  • Article
  • Open Access
14 Citations
4,453 Views
11 Pages

Children are uniquely vulnerable to toxicant exposures in their environment, which can have long-lasting impacts on their health. Childcare providers are an important population to target for environmental health literacy, as most children in the Uni...

  • Short Communication
  • Open Access
11 Citations
561 Views
5 Pages

Impact of Non-Medical Switching of Prescription Medications on Health Outcomes: An E-Survey of High-Volume Medicare and Medicaid Physician Providers

  • Craig Coleman,
  • Tabassum Salam,
  • Amy Duhig,
  • Aarti A. Patel,
  • Ann Cameron,
  • Jennifer Voelker and
  • Brahim Bookhart

Background: Non-medical switching refers to a change in a stable patient’s prescribed medication to a clinically distinct, non-generic, alternative for reasons other than poor clinical response, side-effects or non-adherence. Objective: To assess the...

  • Article
  • Open Access
24 Citations
4,921 Views
19 Pages

We surveyed 604 family caregivers residing in the province of Alberta to better understand the impact of the COVID-19 pandemic on anxiety, loneliness, and care work. We assessed anxiety with the Six-Item State Anxiety Scale and loneliness with the De...

  • Article
  • Open Access
3 Citations
3,106 Views
16 Pages

Testing for Drug-Related Infectious Diseases and Determinants among People Who Use Drugs in a Low-Resource Setting: A Respondent-Driven Cross-Sectional Survey

  • Samuel Lazarus Likindikoki,
  • Elia J. Mmbaga,
  • Mucho Mizinduko,
  • Mwijage Alexander,
  • Lisa V. Adams,
  • Robert Horsburgh,
  • Kåre Moen,
  • Germana Leyna,
  • Theis Lange and
  • Dan W. Meyrowitsch
  • + 2 authors

(1) Background: There is a dearth of data on the levels and determinants of testing for drug-related infectious diseases among people who use drugs (PWUD). We assessed the proportions and determinants of testing for drug-related infectious diseases t...

  • Systematic Review
  • Open Access
160 Views
15 Pages

Does Paying the Same Sustain Telehealth? A Systematic Review of Payment Parity Laws

  • Alina Doina Tanase,
  • Malina Popa,
  • Bogdan Hoinoiu,
  • Raluca-Mioara Cosoroaba and
  • Emanuela-Lidia Petrescu

16 January 2026

Background and Objectives: Payment parity laws require commercial health plans to pay for telehealth on the same basis as in-person care. We systematically reviewed open-access empirical studies to identify and synthesize empirical U.S. studies that...

  • Opinion
  • Open Access
78 Citations
24,066 Views
5 Pages

Medication Adherence and Compliance: Recipe for Improving Patient Outcomes

  • Taiwo Opeyemi Aremu,
  • Oluwatosin Esther Oluwole,
  • Kehinde Oluwatosin Adeyinka and
  • Jon C. Schommer

28 August 2022

The indices of patients’ health outcomes have historically included recurrence of symptoms, number of emergency visits, hospitalization and re-admission rates, morbidity, and mortality. As significant healthcare players, providers can influence...

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