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Evidence for increased utilisation of health services is more established for vouchers (Meyer et al. 2011) and CCTs (Bastagli et al. 2016; Lagarde et al. 2009) than for UCTs (Bastagli et al. 2016; Pega et al. 2015); however, most studies reporting on 'intermediate outcomes' are outside of humanitarian contexts and care needs to be taken when extrapolating their conclusions.
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In the pilot phase of the current project, health providers and voucher scheme administrators were overwhelmed by the response in terms of increased utilisation for ANC, delivery care, and postnatal care.
This result suggested a linear trend of increased utilisation of orthopaedic surgeon office services with increasing access to PCPs for a given level of availability of orthopaedic surgeons.
What is the cost of increased utilisation?
This increase was accounted for by increased utilisation of codes for stroke annual review or stroke monitoring.
These additional benefits however come at an increased cost for the NHS, due to increased utilisation of services and psychological therapies.
A systematic review has shown that mass media interventions, for example, "can encourage increased utilisation of health services".
This suggests that the surge in utilisation of clinical services we observed may be an artefact of a natural association between a new health concern, increased utilisation, and, for some patients, portal registration and first secure email use.
With a higher carbon reduction target, there is an increased utilisation of biomass for transport biofuels instead of heat and electricity in LC Acctech (no fuel cells) (80%).
This has lead to increased utilisation of private providers for primary health care.
The Government of Mali will need to assess its capacity to reduce user-fees for health care in an effort to promote increased utilisation.
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