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To assess the distal outputs of the intervention, we collected annualised data on budget utilisation, provision of 24/7 PHC services, coverage rates of institutional delivery, delivery by caesarean section (CS), completion of three antenatal care visits, and immunisation.
The research questions were designed to evaluate user perceptions relating to cost and efficiencies associated with Hospital Information Systems; perceptions pertaining to data confidentiality; the impact on patient treatment and service delivery; record management; the user experience; management's support for system utilisation; provision of training; and willingness to adopt new systems.
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The study documents a large small-area variation in utilisation and provision of health care resources in Switzerland.
We therefore consider this approach an appropriate spatial representation of utilisation and provision of hospitals in Switzerland.
We therefore consider this approach an appropriate spatial representation of utilisation and provision of primary care in Switzerland.
We therefore applied a new and alternative spatial model to describe the utilisation and provision of primary health care in Switzerland.
Less skewed, but still highly variable, data were observed for the measures of utilisation and provision of primary care in terms of the consultation frequencies LI and MSI.
The localisation index (LI) and the market share index (MSI) were calculated as measures of the health care utilisation and provision in each area.
Our study confirms other reports documenting large small-area variations in the utilisation and provision of health care resources in the multicultural population of Switzerland [ 15, 23].
In particular the study illustrates the importance of taking a health systems approach to evaluation that links utilisation and provision of services with the wider context of policy, patient information and demand, and provider motivations.
Positive and significant correlations were found between regional population size and both LI (rho = 0.44) and MSI (rho = 0.48), implying a higher localisation of utilisation and provision of resources in highly populated areas.
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