PURPOSE To examine health care utilization of people with multiple chronic diseases in The Netherlands compared to people with a single chronic disease, and to identify subgroups of multimorbid patients according to health care utilization. METHODS All patients diagnosed with one or more chronic diseases in 2008-2009 (N=54,051) were selected from the nationwide NIVEL Primary Care Database, an...

BACKGROUND The entire population of Mongolia has free access to primary health care, which is fully funded by the government. It is provided by family health centers in urban settings. In rural areas, it is included in outpatient and inpatient services offered by rural soum (district) health centers. However, primary health care utilization differs across population groups. The aim of this stud...

OBJECTIVE The goal was to determine whether differences in health care costs and utilization exist for children whose mothers experienced intimate partner violence versus those who did not. METHODS A longitudinal cohort study was performed in an integrated health care delivery organization with 760 children of mothers with no history of intimate partner violence and 631 children of mothers wi...

BACKGROUND Characterizing patient complexity using granular electronic health record (EHR) data regularly available to health systems is necessary to optimize primary care processes at scale. OBJECTIVE To characterize the utilization patterns of primary care patients and create weighted panel sizes for providers based on work required to care for patients with different patterns. METHODS We...

background: households’ financial protection against health payments and expenditures and equity in utilization of health care services are of the most important tasks of governments. this study aims to measuring equity in household’s health care payments according to fairness in financial contribution (ffc) and kakwani indices in tehran-iran, 2013. methods: this cross-sectional study was condu...

introduction: health care industry consists of an unexpected and confusing environment in which quality events play the important role. in such conditions, the necessary changes should be made. excellence models are general oriented frameworks that are able to achieve the above intention. materials & methods: this study is a descriptive cross-sectional study. data gathered by a standard checkli...

This study addresses the relationship between utilization of maternal health services in terms of antenatal care, delivery care, and contraceptive use, and current prevalence of gynecological problems mediated through socioeconomic, demographic and biological correlates, in two ethnic communities of Sikkim. Study participants included 506 parous, nonpregnant women of Rai and Bhutia communities....

Health status and health care utilization among children are profoundly influenced by health insurance coverage. Uninsured and underinsured children are less likely than adequately insured children to receive preventive health care, have a usual source of care, and receive health care within a medical home that addresses their comprehensive needs. Gaps in health insurance coverage may lead to d...