Utilization and out-of-pocket expenses of primary care among the multimorbid elderly in China: A two-part model with nationally representative data

Article Geriatrics & Gerontology

Association between marital relationship and multimorbidity in middle-aged adults: a longitudinal study across the US, UK, Europe, and China

Danyang Wang et al.

Summary: The study on middle-aged adults found that marital status and duration were associated with multimorbidity. People in different marital statuses and marriage durations had varied risks of developing multimorbidity.

MATURITAS (2022)

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Article Nursing

Multimorbidity and healthcare utilization among Black Americans: A cross-sectional study

Sangwoo Ahn et al.

Summary: This study explored the relationship between multimorbidity and healthcare utilization among Black Americans, finding that multimorbidity presence predicted visits to doctors and specialists, but not dentists. Further research is needed to understand healthcare utilization experiences among Black Americans with multimorbidity and improve access to dental care for this population.

NURSING OPEN (2022)

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Article Health Care Sciences & Services

Predicting key drivers for health care expenditure growth in the Middle East region: a Grossman-PLS modeling approach

Muhammad Muazu Bala et al.

Summary: This study examines the determinants of health-care expenditure in Middle-East region countries using Grossman's model. The results show that relative wage rate and aging variables are significant indicators of health-care spending, consistent with Grossman's model. However, in the parallel model, all four drivers of the demand for care are significant determinants of health-care spending. Therefore, expanding health insurance coverage, especially for the elderly, could be a promising mechanism to increase the demand for care and improve health outcomes.

EXPERT REVIEW OF PHARMACOECONOMICS & OUTCOMES RESEARCH (2022)

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Article Environmental Sciences

The Comparison of Various Types of Health Insurance in the Healthcare Utilization, Costs and Catastrophic Health Expenditures among Middle-Aged and Older Chinese Adults

Sha Chen et al.

Summary: According to the study, all types of health insurance in China promote hospital utilization rate and reduce out-of-pocket costs, but they are not significantly associated with total costs. Health insurance does not protect against catastrophic health expenditures.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2022)

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Article Geriatrics & Gerontology

Prevalence of multimorbidity and its correlates among older adults in Eastern Nepal

Siva Balakrishnan et al.

Summary: The study revealed a prevalence of multimorbidity among older adults in Eastern Nepal, with hypertension, osteoarthritis, and chronic respiratory disease being the common conditions. Factors associated with multimorbidity included increased age, being without a partner, residing in urban areas, and being distant from health centers.

BMC GERIATRICS (2022)

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Editorial Material Economics

The demand for health turns 50: Reflections

Michael Grossman

Summary: This article introduces the historical background of the author's demand for health model and its impacts on the field of health economics.

HEALTH ECONOMICS (2022)

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Article Environmental Sciences

Association between Primary Care Utilization and Emergency Room or Hospital Inpatient Services Utilization among the Middle-Aged and Elderly in a Self-Referral System: Evidence from the China Health and Retirement Longitudinal Study 2011-2018

Siman Yang et al.

Summary: Middle-aged and elderly individuals who choose primary care outpatient services have lower odds of emergency room visits, hospitalization, and shorter hospitalization days compared to those who opt for hospital outpatient services.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2022)

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Review Primary Health Care

Advancing multimorbidity management in primary care: a narrative review

Chanchanok Aramrat et al.

Summary: The review found that advancing multimorbidity management in primary care requires a health system approach and a patient-centered approach. The health systems approach includes three major areas: improves access to care, promotes generalism, and provides a decision support system. For the patient-centered approach, four key aspects are essential for multimorbidity management: promoting doctor-patient relationship, prioritizing health problems and sharing decision-making, supporting self-management, and integrating care.

PRIMARY HEALTH CARE RESEARCH AND DEVELOPMENT (2022)

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Article Geriatrics & Gerontology

The effect of multimorbidity on functional limitations and depression amongst middle-aged and older population in China: a nationwide longitudinal study

Yang William Zhao et al.

Summary: The prevalence of multimorbidity among adults in China aged 45 years and older was 62.1% in 2015, and was increased with older age, among women, in a higher socio-economic group and in the most deprived regions. Multimorbidity is associated with an increased likelihood of experiencing ADL limitation, IADL limitation, and depression.

AGE AND AGEING (2021)

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Article Health Care Sciences & Services

Use of primary and hospital care health services by chronic patients according to risk level by adjusted morbidity groups

Jaime Barrio-Cortes et al.

Summary: The study found that the characteristics and utilization of primary care (PC) and hospital care (HC) services by chronic patients varied according to their adjusted morbidity group (AMG) risk level. Although both levels of care had high utilization rates, primary care services were more commonly used than hospital care. Service utilization was associated with factors such as age, country of origin, immobility, high risk, and number and type of chronic diseases.

BMC HEALTH SERVICES RESEARCH (2021)

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Article Multidisciplinary Sciences

Adopting Andersen's behavior model to identify factors influencing maternal healthcare service utilization in Bangladesh

Md Ruhul Kabir

Summary: The study revealed that inadequate and disparate maternal healthcare service utilization exists in Bangladesh, with education level and wealth index playing significant roles in MHS use. Socioeconomic status and family factors also influence women's decision to utilize maternal healthcare services.

PLOS ONE (2021)

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Article Health Care Sciences & Services

Effect of multimorbidity on utilisation and out-of-pocket expenditure in Indonesia: quantile regression analysis

Kanya Anindya et al.

Summary: Multimorbidity is associated with higher healthcare utilization and out-of-pocket expenditure, especially among those in the upper tail of the distribution. Health financing strategies are urgently needed to meet the needs of patients with multimorbidity.

BMC HEALTH SERVICES RESEARCH (2021)

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Article Medicine, General & Internal

Facilitate Signing with the Family Doctor: A Study of the Practice in Shanghai, China

Huimin Dai et al.

Summary: The program of facilitating signing with family doctors in Shanghai has been effective, but there is still a shortage of family doctors and specialists. While the proportion of key population and elderly who had signed with family doctors was relatively high, the proportion of permanent residents who had signed with family doctors was low. Residents in outskirts had higher utilization rates, but efforts should be made to increase usage in urban areas.

INTERNATIONAL JOURNAL OF GENERAL MEDICINE (2021)

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Article Health Care Sciences & Services

Bypassing primary care facilities: health-seeking behavior of middle age and older adults in China

Changle Li et al.

Summary: The study found that in China, two in five older patients bypass primary healthcare facilities to seek care from higher-tier facilities, with urban patients being more likely to do so. Factors such as longer travel time, higher education level, poor health status, recent hospitalization, and presence of chronic conditions like diabetes were associated with bypassing primary care facilities.

BMC HEALTH SERVICES RESEARCH (2021)

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Article Public, Environmental & Occupational Health

Impacts of multimorbidity on medication treatment, primary healthcare and hospitalization among middle-aged and older adults in China: evidence from a nationwide longitudinal study

Yang Zhao et al.

Summary: The study suggests that individuals in China facing multimorbidity require higher levels of primary care, hospitalization, and healthcare spending. The healthcare system needs to transition from single-disease models to new financing and service delivery models to better address the challenges of multimorbidity.

BMC PUBLIC HEALTH (2021)

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Article Public, Environmental & Occupational Health

Racial and socioeconomic disparities in multimorbidity and associated healthcare utilisation and outcomes in Brazil: a cross-sectional analysis of three million individuals

Thomas Hone et al.

Summary: The study identified racial/ethnic and socioeconomic disparities in multimorbidity and associated healthcare outcomes in Rio de Janeiro, Brazil, indicating that individuals of black race/ethnicity and lower income groups had higher prevalence of multimorbidity and increased healthcare utilization, costs, and death risk. Interventions are needed to address these disparities in low- and middle-income country settings.

BMC PUBLIC HEALTH (2021)

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Article Environmental Sciences

Benefits Associated with China's Social Health Insurance Schemes: Trend Analysis and Associated Factors Since Health Reform

Wanyue Dong et al.

Summary: This study analyzed the achievements and gaps in the integration of social health insurance schemes in China, showing that the reimbursement rate of Urban Employee Basic Medical Insurance is higher but the gap has narrowed over time. Health reform has improved the benefits covered by Urban Resident Basic Medical Insurance and the New Rural Cooperative Medical Scheme, but disparities with Urban Employee Basic Medical Insurance still exist. The government should focus on releasing more health benefits and promoting healthcare equity.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

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Article Public, Environmental & Occupational Health

Perception and Use of Primary Healthcare Services Among People With Cardiometabolic Diseases in Two Resource-Limited Areas in Nepal: A Mixed Methods Study

Nicholas Peoples et al.

Summary: Nepalese individuals with cardiometabolic diseases showed high utilization but low satisfaction with primary healthcare services. Factors contributing to this dissatisfaction included perceived high medication costs, poor bedside manner, and limited medical resources. Proposed interventions include focusing on improving healthcare provider attitudes and exploring electronic-health solutions.

FRONTIERS IN PUBLIC HEALTH (2021)

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Review Medicine, General & Internal

Interventions for improving outcomes in patients with multimorbidity in primary care and community settings

Susan M. Smith et al.

Summary: Evidence from 17 randomized controlled trials suggests that interventions for people with multimorbidity may improve outcomes through changes in care delivery or patient-oriented support. While there was little or no difference in clinical outcomes, mental health outcomes improved and there were modest improvements in medication adherence, patient health behaviors, and provider prescribing behavior quality.

COCHRANE DATABASE OF SYSTEMATIC REVIEWS (2021)

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Review Public, Environmental & Occupational Health

Socioeconomic inequalities in primary-care and specialist physician visits: a systematic review

Sara Lena Lueckmann et al.

Summary: The utilization of primary-care and specialist physicians shows socioeconomic inequalities, with more pronounced disparities found in visiting specialists. While probabilities of consulting primary-care physicians show little association with SES, frequencies of visits are higher among the most disadvantaged. On the other hand, probabilities of visiting specialists are linked to SES, yet the number of visits does not show a strong association with socioeconomic status.

INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH (2021)

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Article Public, Environmental & Occupational Health

Is low cost really conducive to primary care utilisation: An empirical analysis of community health centers in China

Hui Sang et al.

Summary: In urban China, the utilization rate of community health centers (CHCs) remains low despite their potential benefits. A study in Shanghai found that while low cost did not strongly influence the choice of CHCs, factors such as older age, perceived susceptibility to common diseases, and benefits of individualized care greatly increased the likelihood of using primary care services. Conversely, perceived low competencies of medical personnel and outdated medical facilities had significant negative relationships with the intention of choosing CHCs.

HEALTH & SOCIAL CARE IN THE COMMUNITY (2021)

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Article Medicine, General & Internal

Declining Use of Primary Care Among Commercially Insured Adults in the United States, 2008-2016

Ishani Ganguli et al.

ANNALS OF INTERNAL MEDICINE (2020)

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Article Medicine, General & Internal

A two-part model to estimate inpatient, outpatient, prescribing and care home costs associated with atrial fibrillation in Scotland

Giorgio Ciminata et al.

BMJ OPEN (2020)

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Article Geriatrics & Gerontology

Health Care Utilization and Unmet Needs in Chinese Older Adults With Multimorbidity and Functional Impairment

Chaofan Li et al.

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION (2020)

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Article Health Care Sciences & Services

Medical insurance and health equity in health service utilization among the middle-aged and older adults in China: a quantile regression approach

Guorui Fan et al.

BMC HEALTH SERVICES RESEARCH (2020)

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Article Health Care Sciences & Services

Medical insurance and healthcare utilization among the middle-aged and elderly in China: evidence from the China health and retirement longitudinal study 2011, 2013 and 2015

Yue Zhou et al.

BMC HEALTH SERVICES RESEARCH (2020)

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Article Environmental Sciences

Association between Primary Healthcare and Medical Expenditures in a Context of Hospital-Oriented Healthcare System in China: A National Panel Dataset, 2012-2016

Mengping Zhou et al.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2020)

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Article Public, Environmental & Occupational Health

Can the reform of integrating health insurance reduce inequity in catastrophic health expenditure? Evidence from China

Jiahui Wang et al.

INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH (2020)

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Article Health Care Sciences & Services

A collection of marginalized two-part random-effects models for analyzing medical expenditure panel data: Impact of the New Cooperative Medical Scheme on healthcare expenditures in China

Bo Zhang et al.

STATISTICAL METHODS IN MEDICAL RESEARCH (2019)

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Article Health Care Sciences & Services

Predicting healthcare expenditure by multimorbidity groups

Vicent Caballer-Tarazona et al.

HEALTH POLICY (2019)

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Article Public, Environmental & Occupational Health

Two-Part Models and Quantile Regression for the Analysis of Survey Data With a Spike. The Example of Satisfaction With Health Care

Odile Sauzet et al.

FRONTIERS IN PUBLIC HEALTH (2019)

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Article Green & Sustainable Science & Technology

Predicting the Future Chinese Population using Shared Socioeconomic Pathways, the Sixth National Population Census, and a PDE Model

Aijun Guo et al.

SUSTAINABILITY (2019)

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Article Public, Environmental & Occupational Health

Financial Affordability, Health Insurance, and Use of Health Care Services by the Elderly: Findings From the China Health and Retirement Longitudinal Study

Jiaojiao Ren et al.

ASIA-PACIFIC JOURNAL OF PUBLIC HEALTH (2019)

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Article Health Care Sciences & Services

Multiple chronic conditions and associated health care expenses in US adults with cancer: a 2010-2015 Medical Expenditure Panel Survey study

Mary Lynn Davis-Ajami et al.

BMC HEALTH SERVICES RESEARCH (2019)

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Article Public, Environmental & Occupational Health

Health Care Utilization and Health Care Expenditure of Nepali Older Adults

Sabnam Acharya et al.

FRONTIERS IN PUBLIC HEALTH (2019)

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Article Health Care Sciences & Services

Use of mobile health applications for health-promoting behavior among individuals with chronic medical conditions

Asos Niahmood et al.

DIGITAL HEALTH (2019)

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Review Medicine, General & Internal

Building primary care in Japan: Literature review

Daisuke Kato et al.

JOURNAL OF GENERAL AND FAMILY MEDICINE (2019)

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Article Public, Environmental & Occupational Health

Effects of health insurance integration on health care utilization and its equity among the mid-aged and elderly: evidence from China

Chaofan Li et al.

INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH (2019)

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Article Public, Environmental & Occupational Health

Association between multiple comorbidities and self-rated health status in middle-aged and elderly Chinese: the China Kadoorie Biobank study

Xingyue Song et al.

BMC PUBLIC HEALTH (2018)

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Article Public, Environmental & Occupational Health

Determinants of health care utilisation: the case of Timor-Leste

Lorna Guinness et al.

INTERNATIONAL HEALTH (2018)

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Article Economics

Testing the Grossman model of medical spending determinants with macroeconomic panel data

Jochen Hartwig et al.

EUROPEAN JOURNAL OF HEALTH ECONOMICS (2018)

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Article Public, Environmental & Occupational Health

Social health insurance, healthcare utilization, and costs in middle-aged and elderly community-dwelling adults in China

Zhonghua Wang et al.

INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH (2018)

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Review Medicine, General & Internal

The primary health-care system in China

Xi Li et al.

LANCET (2017)

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Article Public, Environmental & Occupational Health

Does health insurance reduce out-of-pocket expenditure? Heterogeneity among China's middle-aged and elderly

Anwen Zhang et al.

SOCIAL SCIENCE & MEDICINE (2017)

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Article Medicine, General & Internal

Public views towards community health and hospital-based outpatient services and their utilisation in Zhejiang, China: a mixed methods study

Dan Wu et al.

BMJ OPEN (2017)

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Article Mathematics, Interdisciplinary Applications

Two-Part and Related Regression Models for Longitudinal Data

V. T. Farewell et al.

ANNUAL REVIEW OF STATISTICS AND ITS APPLICATION, VOL 4 (2017)

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Article Public, Environmental & Occupational Health

Mapping the global research landscape and knowledge gaps on multimorbidity: a bibliometric study

Xiaolin Xu et al.

JOURNAL OF GLOBAL HEALTH (2017)

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Article Health Policy & Services

Sociodemographic and health-related determinants of health care utilisation and access to primary and specialist care: Results of a nationwide population survey in Germany (2006-2016)

Florian Tille et al.

ZEITSCHRIFT FUR EVIDENZ FORTBILDUNG UND QUALITAET IM GESUNDHEITSWESEN (2017)

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Article Mathematical & Computational Biology

Modeling zero-modified count and semicontinuous data in health services research Part 1: background and overview

Brian Neelon et al.

STATISTICS IN MEDICINE (2016)

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Article Health Care Sciences & Services

Determinants of Healthcare Utilisation and Out-of-Pocket Payments in the Context of Free Public Primary Healthcare in Zambia

Felix Masiye et al.

INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT (2016)

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Article Public, Environmental & Occupational Health

Is the association between physical activity and healthcare utilization affected by self-rated health and socio-economic factors?

Patricia Rocca et al.

BMC PUBLIC HEALTH (2015)

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Article Health Care Sciences & Services

An impact evaluation of medical insurance for poor in Georgia: preliminary results and policy implications

George Gotsadze et al.

HEALTH POLICY AND PLANNING (2015)

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Article Medicine, General & Internal

Prevalence and outcomes of multimorbidity in South Asia: a systematic review

Sanghamitra Pati et al.

BMJ OPEN (2015)

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Article Economics

DO FERTILITY CONTROL POLICIES AFFECT HEALTH IN OLD AGE? EVIDENCE FROM CHINA'S ONE-CHILD EXPERIMENT

Asadul Islam et al.

HEALTH ECONOMICS (2015)

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Review Nursing

An integrative review of promoting trust in the patient-primary care provider relationship

Billie Murray et al.

JOURNAL OF ADVANCED NURSING (2015)

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Article Health Care Sciences & Services

Rural Health Care Bypass Behavior: How Community and Spatial Characteristics Affect Primary Health Care Selection

Scott R. Sanders et al.

JOURNAL OF RURAL HEALTH (2015)

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Article Multidisciplinary Sciences

Impact of Noncommunicable Disease Multimorbidity on Healthcare Utilisation and Out-Of-Pocket Expenditures in Middle-Income Countries: Cross Sectional Analysis

John Tayu Lee et al.

PLOS ONE (2015)

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Review Multidisciplinary Sciences

Prevalence, Determinants and Patterns of Multimorbidity in Primary Care: A Systematic Review of Observational Studies

Concepcio Violan et al.

PLOS ONE (2014)

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Article Health Care Sciences & Services

Importance of healthcare utilization and multimorbidity level in choosing a primary care provider in Sweden

Karin Ranstad et al.

SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE (2014)

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Article Health Care Sciences & Services

Factors influencing healthcare service quality

Ali Mohammad Mosadeghrad

INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT (2014)

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Article Geriatrics & Gerontology

Physical activity and other health-related factors predict health care utilisation in older adults. The ActiFE Ulm study

M. D. Denkinger et al.

ZEITSCHRIFT FUR GERONTOLOGIE UND GERIATRIE (2012)

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Editorial Material Medicine, General & Internal

Adapting clinical guidelines to take account of multimorbidity

Bruce Guthrie et al.

BMJ-BRITISH MEDICAL JOURNAL (2012)

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Article Economics

Does better disease management in primary care reduce hospital costs? Evidence from English primary care

Mark Dusheiko et al.

JOURNAL OF HEALTH ECONOMICS (2011)

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Article Geriatrics & Gerontology

Patterns of ambulatory medical care utilization in elderly patients with special reference to chronic diseases and multimorbidity - Results from a claims data based observational study in Germany

Hendrik van den Bussche et al.

BMC GERIATRICS (2011)

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Article Demography

The Protective Effect of Marriage for Survival: A Review and Update

Michael S. Rendall et al.

DEMOGRAPHY (2011)

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Article Economics

A flexible two-part random effects model for correlated medical costs

Lei Liu et al.

JOURNAL OF HEALTH ECONOMICS (2010)

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Article Medicine, General & Internal

The market in primary care

Allyson Pollock et al.

BMJ-BRITISH MEDICAL JOURNAL (2007)

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Article Computer Science, Interdisciplinary Applications

Semi-parametric single-index two-part regression models

XH Zhou et al.

COMPUTATIONAL STATISTICS & DATA ANALYSIS (2006)

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Article Health Care Sciences & Services

The disparity in access to new medication by type of health insurance - Lessons from Germany

KJ Krobot et al.

MEDICAL CARE (2004)

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Article Economics

Ageing and health-care expenditure: the red herring argument revisited

M Seshamani et al.

HEALTH ECONOMICS (2004)

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Meeting Abstract Economics

The relationship between health insurance type and costs of prescribed drugs

S Ngorsuraches et al.

VALUE IN HEALTH (2004)

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Utilization and out-of-pocket expenses of primary care among the multimorbid elderly in China: A two-part model with nationally representative data

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