Health-care Facility Choice and the Phenomenon of Bypassing

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Health-care facility choice and the phenomenon of bypassing.

Health policy-makers in developing countries are often disturbed and to a degree surprised by the phenomenon of the ill travelling past a free or subsidized local public clinic (or other public facility) to get to an alternative source of care at which they often pay a considerable amount for health care. That a person bypasses a facility is almost certainly indicative either of significant pro...

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Is Patient Choice the Future of Health Care Systems?

Patient and user choice are at the forefront of the debate on the future direction of health and public services provision in many industrialized countries in Europe and elsewhere. It is used both, as a means to achieve desired policy goals in public health care systems such as greater efficiency and improved quality of care, and as a good with its own intrinsic value. However, the evidence sug...

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Choice of health-care facility after introduction of free essential health services in Nepal.

BACKGROUND Choice of health-care services depends on patients' characteristics and the features of health-care facilities available. In Nepal, a significant proportion of health care is provided through the private sector, despite the introduction of free essential health care for all citizens in 2008. We sought to determine whether people chose private or public facilities in the first instanc...

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The First Discrete Choice Experiment On Usage of Bypassing Agents in Hemophilic Patients in Iran

Background: Bleeding events in hemophilic patients with inhibitors are managed by bypassing agents. Currently available agents in Iran are recombinant activated factor VII (rfVIIa; Aryogen, Aryoseven) and Feiba (factor eight inhibitor bypassing agent). No standardized and accurate assay is currently available for monitoring the effectiveness of bypassing agents. We suggested that history of the...

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ژورنال

عنوان ژورنال: Health Policy and Planning

سال: 1999

ISSN: 0268-1080,1460-2237

DOI: 10.1093/heapol/14.2.135