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Changing health insurance coverage for one service may affect use of other insured services.
The approach taken to address future emissions is, starting from the baseline described above, to assess relevant scenarios (e.g. concerning economy, demography, industry, consumption, energy, agriculture, hydrology) and analyse how these scenarios may affect use and emissions of chemicals.
"Committed" CAM use is important to investigate, as it may be associated with elevated risks and benefits, and may affect use of biomedically-oriented health care (BHC).
Finally, this study is unable to follow a cohort of patients pre- and post- intervention, though it is possible to look at aggregate baseline- and post-intervention patient-level factors that may affect use of the 5As.
Inequitable access across medical genetics services has raised international concerns to better understand how issues such as ethnicity may affect use of genetic services The wider socio-economic influences on ethnic variations in access to health care are well recognised.
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Information exchanged during delivery may also affect use or patterns of intra-household use.
Service characteristics such as the numbers of specialists or referral pathways may also affect use.
Uncertainty is common in primary care and may also affect use of specialist referrals [ 34] and laboratory tests [ 35].
For example the delivery point of an ITN, and the accompanying information and education, is likely to influence household ownership, but may also affect use of ITNs that are already owned.
Third, several factors that may affect resource use, such as the use of clinical pathways, were not considered in our study because of lack of available data.
One study by Ponce et al. [ 45] found that the type of managed care market structure may affect endoscopy use rates, with associated disparities in use for minorities versus whites.
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