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Ideally a needs based formula is preferred over a utilisation based formula.
Five generic methods are utilised in the workload measurement literature: personnel-to-population ratio method, health needs method, utilisation based method, service demand and service target method [ 14].
We categorised primary care visits into three equally sized categories of low, medium or high utilisation based on observed frequencies (ie, 0 2, 3 9 or ≥10 visits).
However, the closest available level of administrative data in Switzerland would be on the level of the 26 Swiss cantons and comparing 1014 utilisation based service areas with 26 cantons which range from 15'000 to 1 Mio inhabitants will certainly provide considerable differences of estimates.
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Our results show that (1) math and science competence significantly contribute to problem solving across countries; (2) math-science coherence is significantly related to problem solving competence; (3) country-specific characteristics confound this relation; (4) math-science coherence is linked to capability under-utilisation based on science performance but less on math performance.
Second, health care use based on recall of respondents' past utilisation in the last year may be subject to be underreported.
The data on medication use and health care utilisation are based on self-reports and therefore open to recall bias.
Our data on medication use and health care utilisation are based on self-reports and therefore open to recall bias, although there is no reason to suspect systematic bias.
Furthermore, there was appreciable utilisation of injectable PPIs, reaching a maximum of 41%to42%2% of total PPI utilisation (DDD based) between 2008 and 2010 before reducing to under 30% in 2013.
Healthcare utilisation was based on patient self reports at each follow-up (using the same postal questionnaire), including visits to primary health practitioners and community based health and social care services and use of specialist healthcare services.
3. Utilisation: contextual analysis based on the specific use proposed and the applicability of available evidence to this use.
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CEO of Professional Science Editing for Scientists @ prosciediting.com