people use health care services to prevent and mend health conditions, cure illnesses, and improve quality of life. If people did not have chronic diseases, or accidents, the cost of health care would be theoretically at little or no cost. In the last 10 years, the decline in acute illness and the comparative increase in chronic diseases have amplified the cost of medical care, (Fries, Koop, & Beadle, 1993).
Changes in health care in the past decade, including health care utilization, delivery, financing…
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