This may be because of ethnic differences.
In DCs, the majority of families do not seek care in hospitals, particularly in rural areas, because of resource constraints, distances to their homes, or differences in health care seeking behaviours [ 39].
This convenience sample was considered because of resource constraints.
We were unable to formally test differences between eligible studies reporting or not reporting appropriate data, as data on the latter were not extracted because of resource limitations, and would by definition not have allowed assessment of variation in outcomes.
Estimates are lacking from low- and middle-income countries but might differ substantially because of reduced health-care resources, differences in influenza transmission dynamics, poorer nutrition, differences in chronic illnesses, and lower levels of vaccine coverage against influenza and interacting pathogens, such as Streptococcus pneumoniae (2, 3).
Although costs of osteoporotic fractures have also been estimated in other cost-of-illness studies, these estimates cannot be directly compared because of differences in resource use and patterns of care as well as different price levels of the treatment of fractures.
That's not because of resources.
"I think it's solely because of resources," says Schaffer.
Also, because of the differences in resources among families, the high dependence of an individual on intergenerational bonds can lead to the intergenerational transmission of social inequality.
5, 6 In addition, despite the clear evidence that screening and counseling for AUDs is highly cost-effective and likely cost saving, 7 evidence-based screening tools and interventions are often difficult to implement in resource-limited settings because of marked differences in provider experience, patient populations, and health systems.
