This increased sense of responsibility was reported to drive up utilisation of skilled birthing services.
Participant 7(who had 14 visits/year) also was frank about how anxiety drove her utilisation: "I get too nervous, stressed, and then I feel all kind of things, you know...sometimes I wonder myself if my symptoms are real, you know.
As with coping high utilisers, utilisation among these patients was driven primarily by multiple testing, referrals, and empirical treatments.
The utilisation driven structures common to all formulae, which inform the capitation components, act to promote equality of access based on demand.
It was forecast to grow by 16% annually for the next 7 years to reach $1.4 billion by 2015, a growth that will "primarily be driven by increasing utilisation of SPECT/CT and PET/CT, the increase in the number of cancer patients across Europe, technological advances, and improvements in the quality of care" [ 27].
This seemingly linear assimilation of research findings into policy fits neatly within the knowledge driven model of research utilisation in which information from research is utilised because it exists [ 37, 38].
The data collection was driven by Patton's utilisation focused evaluation method.
As is often the case with patients in such "diagnostic limbo,"[ 20] high utilisation was driven primarily by futile quests for organic diagnosis and ineffective empirical therapies.
On the other hand, registration for the elections in November 2011 which occurred in health facilities may have driven an increase in utilisation rates in general across health zones during this time.
We believe this high utilisation is driven by considerably higher expenditure for injectable versus oral PPIs, averaging 4.3 to 6.8 fold or greater in recent years, especially lansoprazole injectable (Table 2), given the pressure on hospitals and physicians to make money from drug dispensing discussed earlier.
