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Based on these findings, we conclude that the NHM is effective in increasing in utilization, continuation of services in public health centres and reducing OOPE and CHS in public health centres on maternal care.
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This strategy of 'cross-tolerance' results in a balanced reduction in energy production and utilization [27], enabling continuation of life-dependent processes such as membrane pumps at the expense of other energy-dependent functions such as protein synthesis [28, 29].
Applying the two theories, usage behavior was conceptualized to form four stages: consideration, initiation, utilization (attrition or continuation), and outcome.
In the utilization stage (attrition or continuation), caregivers made the decision to continue service based on their clinical needs and technology aptitude.
For the purpose of this paper, we conceptualized different "stages of use" (consideration to use, intention to use, utilization with attrition or continuation, and outcome stage; see description under "Methods"), realizing that in each stage, different factors may play different roles and become less or more important to predict advancement to the next stage.
Objective 3 explored factors associated with service utilization, which was divided into continuation and attrition.
Other dependent variables of interest are maternal physical health problems (including pelvic floor trauma), infant health problems, maternal and infant readmission, breastfeeding initiation and continuation, post-discharge health service utilization, and costs of care.
Socioeconomic determinants have been shown to influence the timeliness of peoples' responses to the utilization of emergency and in-patient services (56) and the initiation and continuation of treatments for chronic illnesses (55), all of which influence patient outcomes (57).
Length of post delivery hospital stay, initiation or continuation of breastfeeding, and the amount or type of health and social service utilization, although identified in the literature as predictive factors, were not associated with EPDS scores.
Continuation of resuscitative efforts in medically futile patients can be associated with increased resource utilization, cost, and potential hazards to providers.
"Utilization will skyrocket".
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