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13,514 Results Found

  • Article
  • Open Access
701 Views
11 Pages

Deploying Experienced Utility in Health Economic Evaluation: A Quantitative Study

  • Damien S. E. Broekharst,
  • Sjaak Bloem,
  • Robert J. Blomme,
  • Edward A. G. Groenland,
  • Patrick P. T. Jeurissen and
  • Michel van Agthoven

Background: Expected utility has been deployed in order to predict health behaviour in health economic evaluation. However, only limited variance in health behaviour is explained by this construct. This limited explained variance is often attributed...

  • Article
  • Open Access
9 Citations
3,467 Views
9 Pages

Association of Health Utility Score with Physical Activity Outcomes in Stroke Survivors

  • Masashi Kanai,
  • Kazuhiro P. Izawa,
  • Hiroki Kubo,
  • Masafumi Nozoe,
  • Kyoshi Mase and
  • Shinichi Shimada

Health-related quality of life (HRQoL) after stroke tends to vary across studies or across stages of stroke. It is useful to use the health utility score to compare HRQoL across studies. Physical activity after stroke also tends to vary similarly. Th...

  • Article
  • Open Access
6 Citations
3,590 Views
20 Pages

This paper investigates how the deteriorating health status of an individual affects the marginal utility of non-medical consumption in China. By using 2011, 2013 and 2015 China Health and Retirement Longitudinal Study (CHARLS) data, we find that whe...

  • Article
  • Open Access
11 Citations
3,306 Views
18 Pages

27 April 2021

Health utilities relevant to children are lacking, compromising health funding and policy decisions for children. The Child Health Utility 9D (CHU9D) is a recently developed preference-based health utility instrument designed for use in children. The...

  • Review
  • Open Access
1,938 Views
14 Pages

Generic Health Utility Measures in Exercise Oncology: A Scoping Review and Future Directions

  • Joanna F. Parkinson,
  • Paula A. Ospina,
  • Jeff Round,
  • Margaret L. McNeely and
  • C. Allyson Jones

28 September 2023

Despite the evidence that exercise is effective at mitigating common side effects in adults with cancer, it is rarely part of usual cancer care. One reason for this is the lack of economic evidence supporting the benefit of exercise. Economic evaluat...

  • Article
  • Open Access
11 Citations
4,371 Views
14 Pages

Background: The predictive utility of both individual and combined indicators of geriatric syndromes on subsequent emergency use and hospitalization is not clear. Methods: Nationally representative data on adults aged 65+ (N = 2345) (with 1148 male,...

  • Article
  • Open Access
6 Citations
4,996 Views
21 Pages

Geographical Area Network—Structural Health Monitoring Utility Computing Model

  • Hasan Tariq,
  • Anas Tahir,
  • Farid Touati,
  • Mohammed Abdulla E. Al-Hitmi,
  • Damiano Crescini and
  • Adel Ben Manouer

In view of intensified disasters and fatalities caused by natural phenomena and geographical expansion, there is a pressing need for a more effective environment logging for a better management and urban planning. This paper proposes a novel utility...

  • Article
  • Open Access
23 Citations
7,734 Views
14 Pages

Health-Related Quality of Life and Utility Scores in People with Mental Disorders: A Comparison with the Non-Mentally Ill General Population

  • Amélie Prigent,
  • Ane Auraaen,
  • Blaise Kamendje-Tchokobou,
  • Isabelle Durand-Zaleski and
  • Karine Chevreul

There is a lack of comparable health-related quality of life (HRQoL) and utility data across all mental disorders and all inpatient and outpatient settings. Our objective was to investigate the HRQoL and utility scores of people with mental disorders...

  • Article
  • Open Access
2,827 Views
10 Pages

18 October 2021

We aimed to determine the dynamic trends in health state utility values (HSUVs) in patients with end-stage breast cancer. We selected 181 patients comprising 137 with primary breast cancer (PBC) and 44 with metastatic breast cancer (MBC) (28 survivor...

  • Article
  • Open Access
7 Citations
2,518 Views
26 Pages

25 May 2022

Wooden utility poles are one of the most commonly used utility carriers in North America. Even though they are given different protection treatments, wooden utility poles are prone to have defects that are mainly caused by temperature, oxygen, moistu...

  • Article
  • Open Access
5 Citations
5,370 Views
22 Pages

Sports Utility Vehicles: A Public Health Model of Their Climate and Air Pollution Impacts in the United Kingdom

  • Charles Dearman,
  • James Milner,
  • Glenn Stewart,
  • Giovanni S. Leonardi,
  • John Thornes and
  • Paul Wilkinson

The emission benefits of shifting towards battery electric vehicles have so far been hampered by a trend towards sports utility vehicles (SUVs). This study assesses the current and future emissions from SUVs and their potential impact on public healt...

  • Article
  • Open Access
5 Citations
3,649 Views
18 Pages

This paper presented a new approach to the calculation of quality-adjusted life years (QALY) based on multi-criteria decision-making (MCDM) methods and using the EQ-5D-5L questionnaire. The health status utility values were calculated through a hybri...

  • Article
  • Open Access
601 Views
16 Pages

13 November 2025

Background/Objectives: Short bowel syndrome (SBS) is the leading cause of intestinal failure (IF) that often requires long-term parenteral nutrition (PN). Extended PN results in severe complications and reduced quality of life (QoL). This study aimed...

  • Article
  • Open Access
4 Citations
3,061 Views
12 Pages

Background: The parameter uncertainty in the six-dimensional health state short form (SF-6D) value sets is commonly ignored. There are two sources of parameter uncertainty: uncertainty around the estimated regression coefficients and uncertainty arou...

  • Article
  • Open Access
4 Citations
5,150 Views
8 Pages

Health Service Utilization and Poor Health Reporting in Asthma Patients

  • Joshua G. Behr,
  • Rafael Diaz and
  • Muge Akpinar-Elci

The management and treatment of adult asthma has been associated with utilization of health services. Objectives: First, to investigate the likelihood of health service utilization, including primary care, emergency department, and hospital stays, am...

  • Article
  • Open Access
2,052 Views
21 Pages

22 May 2025

The COVID-19 pandemic exposed significant deficiencies in global health emergency preparedness, highlighting the critical importance of health equity. This study investigates the role of public health infrastructure in promoting health equity, utiliz...

  • Article
  • Open Access
11 Citations
4,554 Views
12 Pages

Health Status and Health Service Utilization among Vietnamese Farmers in a Mountainous Province

  • Diep Ngoc Nguyen,
  • Long Hoang Nguyen,
  • Cuong Tat Nguyen,
  • Hai Quang Pham,
  • Jongnam Hwang,
  • Giang Thu Vu,
  • Bach Xuan Tran,
  • Carl A. Latkin,
  • Cyrus S. H. Ho and
  • Roger C. M. Ho

Problems of poor health status and low health service use among farmers in mountainous areas have not been fully investigated. A cross-sectional study was conducted in Son La, a mountainous province in Vietnam, to assess the self-rated health and hea...

  • Article
  • Open Access
9 Citations
5,567 Views
12 Pages

Factors Influencing Utilization of Preventive Health Services in Primary Health Care in the Republic of Serbia

  • Slavka Mitričević,
  • Janko Janković,
  • Željka Stamenković,
  • Vesna Bjegović-Mikanović,
  • Marko Savić,
  • Dejana Stanisavljević and
  • Stefan Mandić-Rajčević

The use of preventive health services is a long-term health investment due to its potential to help individuals to take care of their health. This study aimed to explore the availability and performance of health services in primary health care (PHC)...

  • Article
  • Open Access
7 Citations
2,784 Views
9 Pages

Health Utilities in Patients with Type 2 Diabetes in Taiwan

  • Chia-Chia Chen,
  • Jin-Hua Chen,
  • Chien-Lung Chen,
  • Tzu-Jung Lai and
  • Yu Ko

3 December 2021

We aimed to measure health utilities in patients with diabetes mellitus (DM) in Taiwan and to estimate the impact of common DM-related complications and adverse effects (AEs) on health utilities. The present study was a cross-sectional survey of DM p...

  • Article
  • Open Access
18 Citations
10,021 Views
13 Pages

Primary care has been viewed as a means to ensure equitable access to care, enhance efficiency within healthcare systems, and improve health service quality. In recent decades, Iraq has transformed its compromised health system, shifting the healthca...

  • Article
  • Open Access
85 Citations
12,070 Views
28 Pages

Predictors of Healthcare Service Utilization for Mental Health Reasons

  • Marie-Josée Fleury,
  • André Ngamini Ngui,
  • Jean-Marie Bamvita,
  • Guy Grenier and
  • Jean Caron

This study was designed to identify: (1) predictors of 12-month healthcare service utilization for mental health reasons, framed by the Andersen model, among a population cohort in an epidemiological catchment area; and (2) correlates associated with...

  • Article
  • Open Access
66 Views
24 Pages

The Association of Physical Activity with Health Indices and Healthcare Utilization

  • Anastasia Keremi,
  • Antonia Kaltsatou,
  • Anna Tsiakiri,
  • Dimitrios Tsiptsios,
  • Sotirios Botaitis,
  • Foteini Christidi,
  • Vasilis-Spyridon Tseriotis,
  • Maria Voulgari,
  • Pinelopi Vlotinou and
  • Gregory Tripsianis
  • + 2 authors

21 January 2026

This study aimed to examine the association between physical activity and individuals’ health status, healthcare utilization, socio-demographic characteristics, and health behaviors in a large representative sample from Northern Greece. A cross...

  • Article
  • Open Access
11 Citations
4,666 Views
9 Pages

Background: Despite the rapid development of China’s economy, a number of poor areas in China continue to exist. The health status of the elderly in the poor areas is a matter of concern. This study aims to explore the status of the elderly in terms...

  • Article
  • Open Access
8 Citations
3,924 Views
14 Pages

Rapid aging in China is increasing the number of older people who tend to require health services for their poor perceived health. Drawing on the China Health and Retirement Longitudinal Study (CHARLS) 2018 data, we used two-part model and binary log...

  • Review
  • Open Access
15 Citations
4,519 Views
17 Pages

Interventions to Promote the Utilization of Physical Health Care for People with Severe Mental Illness: A Scoping Review

  • Michael Strunz,
  • Naomi Pua’nani Jiménez,
  • Lisa Gregorius,
  • Walter Hewer,
  • Johannes Pollmanns,
  • Kerstin Viehmann and
  • Frank Jacobi

Background: The main contributor to excess mortality in severe mental illness (SMI) is poor physical health. Causes include unfavorable health behaviors among people with SMI, stigmatization phenomena, as well as limited access to and utilization of...

  • Article
  • Open Access
4 Citations
2,084 Views
9 Pages

Health Utilities of Bilateral Severe-to-Profound Hearing Loss with Assistive Devices

  • Yi-Wen Chen,
  • Pei-Hsuan Lin,
  • Te-Yung Fang,
  • Chen-Chi Wu,
  • Pa-Chun Wang,
  • Han Wang and
  • Yu Ko

Hearing loss is a common sensory disorder in newborns. Early intervention with assistive devices benefits children’s auditory and speech performance. This study aimed to measure the health utilities of children with bilateral severe-to-profound...

  • Article
  • Open Access
70 Citations
11,803 Views
12 Pages

Disparities in Health Care Utilization by Smoking Status – NHANES 1999-2004

  • Jennifer W. Kahende,
  • Bishwa Adhikari,
  • Emmanuel Maurice,
  • Valerie Rock and
  • Ann Malarcher

The objective of this study was to assess disparities in health care utilization, by smoking status, among adults in the United States.We used 1999–2004 National Health and Nutrition Examination Survey (NHANES) data from 15,332 adults.Multivariate lo...

  • Article
  • Open Access
26 Citations
7,695 Views
14 Pages

Understanding Barriers and Facilitators of Maternal Health Care Utilization in Central Myanmar

  • Maja Aleksandra Milkowska-Shibata,
  • Thin Thin Aye,
  • San Myint Yi,
  • Khin Thein Oo,
  • Kyi Khaing,
  • Marlar Than,
  • Thinzar Win,
  • Su Yi Myo,
  • Su Yi Toe and
  • Tomoyuki Shibata
  • + 4 authors

The study objective was to examine barriers and facilitators of maternal health services utilization in Myanmar with the highest maternal mortality ratio in Southeast Asia. Data for 258 mothers with children under five were extracted from a community...

  • Article
  • Open Access
23 Citations
6,342 Views
10 Pages

Health-Related Quality of Life and Health Service Utilization in Chinese Rural-to-Urban Migrant Workers

  • Chu-Hong Lu,
  • Zhong-Cheng Luo,
  • Jia-Ji Wang,
  • Jian-Hu Zhong and
  • Pei-Xi Wang

Objectives: The number of rural-to-urban migrant workers has been increasing rapidly in China over recent decades, but there is a scarcity of data on health-related quality of life (HRQOL) and health service utilization among Chinese rural-to-urban m...

  • Article
  • Open Access
1 Citations
3,157 Views
13 Pages

The Health Status and Healthcare Utilization of Ethnic Germans in Russia

  • Charlotte Arena,
  • Christine Holmberg,
  • Volker Winkler and
  • Philipp Jaehn

Ethnic German resettlers from the former Soviet Union are one of the largest migrant groups in Germany. In comparison with the majority of the German population, resettlers exhibit worse subjective health and utilize fewer preventive measures. Howeve...

  • Article
  • Open Access
1 Citations
1,328 Views
18 Pages

Background: Primary healthcare (PHC) at the community level is essential to improving access to health services and reducing healthcare costs. However, compared to developed countries where PHC is well developed, PHC in developing countries is not as...

  • Article
  • Open Access
48 Citations
6,553 Views
13 Pages

Horizontal Inequity in Health Care Utilization among the Middle-Aged and Elderly in China

  • Chaofan Li,
  • Lei Dou,
  • Haipeng Wang,
  • Shanshan Jing and
  • Aitian Yin

Background: Equitable utilization of health care is a primary goal of the Chinese health system. This study aimed to examine horizontal inequity in health care utilization and identify the factors resulting in inequity among the middle-aged and elder...

  • Article
  • Open Access
16 Citations
4,935 Views
15 Pages

Investigating the Aftershock of a Disaster: A Study of Health Service Utilization and Mental Health Symptoms in Post-Earthquake Nepal

  • Tara Powell,
  • Shang-Ju Li,
  • Yuan Hsiao,
  • Chloe Ettari,
  • Anish Bhandari,
  • Anne Peterson and
  • Niva Shakya

Background: In 2015, a 7.8 magnitude earthquake struck Nepal, causing unprecedented damage and loss in the mountain and hill regions of central Nepal. The aim of this study was to investigate the association between healthcare access and utilization,...

  • Article
  • Open Access
7 Citations
2,486 Views
15 Pages

Based on the dynamic monitoring survey data of China’s migrant population (CMDS) in 2017, this study analyzes the impact of public health education on migrant workers’ medical service utilization. The study found that public health educat...

  • Article
  • Open Access
2 Citations
3,569 Views
13 Pages

Background: Elderly population is particularly vulnerable to socioeconomic disparities. This study assessed inequalities in health care utilization among the elderly in China and identified contributing factors. Methods: This study used data from the...

  • Article
  • Open Access
9 Citations
6,569 Views
13 Pages

22 May 2014

There is evidence that the economic crisis in Greece has substantially affected patients and health care services, with chronic patients forming a particularly vulnerable group. The aim of this study was to investigate whether and in what way the cur...

  • Article
  • Open Access
11 Citations
3,418 Views
13 Pages

Health Care Services Utilization and Health-Related Quality of Life of Syrian Refugees with Post-Traumatic Stress Symptoms in Germany (the Sanadak Trial)

  • Thomas Grochtdreis,
  • Susanne Röhr,
  • Franziska U. Jung,
  • Michaela Nagl,
  • Anna Renner,
  • Anette Kersting,
  • Steffi G. Riedel-Heller,
  • Hans-Helmut König and
  • Judith Dams

Refugees who have fled from the ongoing civil war in Syria that arrived in Germany often develop post-traumatic stress symptoms (PTSS). The aim of this study was to determine health care services utilization (HCSU), health care costs and health-relat...

  • Article
  • Open Access
481 Views
13 Pages

Examining the Association Between Equity-Related Factors and EQ-5D-3L Health Utilities of Patients with Cancer

  • Teresa C. O. Tsui,
  • Rebecca E. Mercer,
  • Eleanor M. Pullenayegum and
  • Kelvin K. W. Chan

19 November 2025

Background: EQ-5D-3L health utilities inform health technology assessments in oncology, often derived from clinical trials enrolling highly selected populations, which may over-estimate real-world health utilities. Little is known about the associati...

  • Article
  • Open Access
9 Citations
3,313 Views
14 Pages

27 April 2020

Rapid urbanization development significantly accelerates residents’ income in China, but there still exists a series of problems in rural areas, especially the health status of the rural elderly in the metropolitan suburb, a crucial matter wort...

  • Article
  • Open Access
64 Citations
6,567 Views
11 Pages

Loneliness and Health Service Utilization among the Rural Elderly in Shandong, China: A Cross-Sectional Study

  • Jiao Zhang,
  • Lingzhong Xu,
  • Jiajia Li,
  • Long Sun,
  • Gan Ding,
  • Wenzhe Qin,
  • Qian Wang,
  • Jing Zhu,
  • Zihang Yu and
  • Su Xie

Objectives: To examine the prevalence of loneliness and to explore the association between loneliness and health service utilization among the rural elderly in Shandong Province, China. Methods: A total of 5514 rural people aged 60 and above from Sha...

  • Article
  • Open Access
21 Citations
7,231 Views
17 Pages

Based on the 2009 Thematic Household Survey in Hong Kong, this study compared health status and utilization of health care services in Hong Kong between migrants from Mainland China and natives. Overall, Mainland migrants reported lower socioeconomic...

  • Article
  • Open Access
1 Citations
1,787 Views
16 Pages

Purpose: Immigrants’ low socioeconomic status is consistently linked to reduced healthcare utilization. This study extends the Andersen Behavioral Model by incorporating asset ownership as an enabling factor and examining its role across immigr...

  • Article
  • Open Access
3 Citations
2,576 Views
25 Pages

Maternal Health Care Service Utilization in the Post-Conflict Democratic Republic of Congo: An Analysis of Health Inequalities over Time

  • Dieudonne Bwirire,
  • Inez Roosen,
  • Nanne de Vries,
  • Rianne Letschert,
  • Edmond Ntabe Namegabe and
  • Rik Crutzen

31 October 2023

This study assessed inequality in maternal healthcare service utilization in the Democratic Republic of the Congo, using the Demographic and Health Surveys of 2007 and 2013–2014. We assessed the magnitude of inequality using logistical regressi...

  • Review
  • Open Access
7 Citations
2,946 Views
14 Pages

25 July 2023

In this review, we examine the current landscape of health resource utilization and cost-effectiveness data in the care of patient populations with immune thrombotic thrombocytopenic purpura. We focus on the therapeutic (therapeutic plasma exchange,...

  • Article
  • Open Access
811 Views
11 Pages

The 11 September 2001 World Trade Center (WTC) rescue and recovery workers (RRWs) included first responders (FDNY and NYPD), volunteers, and other workers. Volunteers were often more vulnerable than first responders to adverse health outcomes resulti...

  • Article
  • Open Access
3 Citations
6,142 Views
11 Pages

Healthcare Utilization with Drug Acquisition and Expenses at the National Health Insurance Fund in Sudan

  • Yasir Ahmed Mohammed Elhadi,
  • Abdelmuniem Ahmed,
  • Ramy Mohamed Ghazy,
  • Elhadi B. Salih,
  • Osman S. Abdelhamed,
  • Ramy Shaaban,
  • Hammad Mohamed Hammad Mohamed,
  • Alanood Elnaeem Mohamed,
  • Noha Ahmed El Dabbah and
  • Ashraf Ahmed Zaher Zaghloul

Background: Understanding the pattern of care use can provide valuable information for reform interventions. This study investigates the pattern of healthcare utilization and its association with drug acquisition patterns and expenses in the National...

  • Article
  • Open Access
2,762 Views
21 Pages

This study aimed to assess and compare the utilization of preventive and other health services and the cost or availability in different regions of Europe, before and during the economic crisis. The data used in the study were obtained from Wave 8 of...

  • Article
  • Open Access
2 Citations
3,904 Views
15 Pages

14 February 2022

The concept of health security has aroused several interpretations because of theoretical technique indifferences or academic methodology. The focus has been on human security, old age health security (OAHS), whereas there remain issues of low health...

  • Article
  • Open Access
2 Citations
3,646 Views
9 Pages

An Analysis of Acculturation Status and Healthcare Coverage for the Needs of Mental Health Service Utilization among Latinos in Mississippi, Louisiana, and Alabama

  • Azad R. Bhuiyan,
  • Gerri A. Cannon-Smith,
  • Sophia S. Leggett,
  • Pamela D. McCoy,
  • Maria Barvié and
  • Ashley White Jones

30 August 2019

Background: The use of mental health services by Latinos is only 7.3%, despite the high prevalence of depression rates of between 27.0% and 38.0% in the United States. Research is limited concerning Latinos’ acculturation status and healthcare covera...

  • Article
  • Open Access
22 Citations
6,883 Views
12 Pages

Determinants of Health Care Services Utilization among First Generation Afghan Migrants in Istanbul

  • Qais Alemi,
  • Carl Stempel,
  • Patrick Marius Koga,
  • Valerie Smith,
  • Didem Danis,
  • Kelly Baek and
  • Susanne Montgomery

There is insufficient empirical evidence on the correlates of health care utilization of irregular migrants currently living in Turkey. The aim of this study was to identify individual level determinants associated with health service and medication...

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