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This study examines the association between MSA balance and outpatient utilization in Guangzhou, China, and determines MSA's impact on utilization under different circumstances.
RESULTS: The intervention did not have a statistically significant impact on utilization of either health care or community resources.
Critics of the use-per-need account argue that some process variables are important determinants of equity of access even if they do not have a significant impact on utilization of services (Sloan and Bentkover 1979).
The impact on utilization rates was mixed.
This will bring bias in examining impact on utilization.
Health status, accessibility, and the healthcare system were barriers with the biggest impact on utilization.
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At the same time, however, there was considerable heterogeneity in the changes in the different districts; for example, four of the 11 districts studied were not able to sustain the immediate impacts on utilization after 18 months of implementation, but utilization stagnated in only one of those four [ 49].
Our theory is that health insurance regulations that impact the ability of consumers to choose particular services have downstream impacts on utilization of preventive services in the market.
If current expenditures are large, fee for service may have serious negative impacts on utilization and on the economic well-being of Bangladeshi households.
Finally, continued study is needed to evaluate longer-term effects of SMRs on disease self-management, patient and physician perceptions of SMRs, as well as impacts on utilization and outcomes related to use.
In Burkina Faso, where the Bamako Initiative is at the heart of the health system, integration of the recent policy of subsidizing 80% of the cost of deliveries and caesareans within the cost recovery system was also well operationalized, even though the impacts on utilization are heterogeneous [ 52].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com