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Only minor changes in the municipalities' utilization of primary health care services occurred in the years after the establishment of the ICH.
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From the point of view of the LTC insurer in Japan (i.e., municipalities) the utilization rate of the insurance benefits could be a relevant indicator of the disability profile of the population and consequently of demand for LTC services.
From his point of view, the official contract between the forestry enterprise and the local municipality facilitates his utilization practice since he only has to apply for grazing rights at the PC which acts as the mediator between him and the leskhoz, as the actual owner of the pasture (respondent AU 2013).
The person's median probability of using PCEC is 2.7 times higher if this persons moved to a municipality with higher utilization (MOR = 2.7).
At the contextual level, availability of emergency care centers in the municipality explained 23.1% of the variability in PCEC utilization among municipalities.
Similarly, in a comparison of HIE utilization among municipalities, Maenpaa et al. (2012) reported a difference in system usage between specialized and primary care providers depending on the numbers of ED visits, laboratory tests, radiology exams and appointments [ 6].
The results of this study showed municipality-level variation in the utilization of social services, whereas health care services provided for frail elderly people seem to be highly equitable across municipalities.
Even though the decreased use of antimicrobial drugs was seen in all municipalities, the municipalities with the highest utilization in 1995 1996 still had the highest use in 2000 2001.
Hierarchical analysis was applied to estimate the effects of patient and municipality-level variables on services utilization.
We then conducted 2-level multivariate logistic regression analyses in order to quantify the independent effect of the availability of emergency care centers in the municipality of residence on PCEC utilization.
This median probability decreases to 2.2 in Model 4.> -wrap-foot> Relative contribution of individual- and contextual-level characteristics of living in a municipality, to the individual's utilization of a PCEC.
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