ArticleInternational journal for equity in health2014
Health care seeking behaviour and utilisation in a multiple health insurance system: does insurance affiliation matter?
Article in International journal for equity in health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.
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Who cites it
40 citing papers in PubMed, 64 citations in OpenAlex.
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- Enhancing clinical breast examination (CBE) uptake: insights from women in northeastern Peninsular Malaysia.PeerJ · 2026Article
- Community case study: overcoming barriers to social participation for improved local health governance in Madagascar.Frontiers in public health · 2026Article
- Traditional healing and mycetoma management in East Sennar State (Sudan): a qualitative exploration.International journal for equity in health · 2025Article
- The role of health insurance on healthcare utilisation among women in Tanzania: insights from Tanzania demographic and health survey 2022.Archives of public health = Archives belges de sante publique · 2025Article
- Healthcare Cost Coverage and Hypertension and Diabetes Care Step Movement: A Five-Year Follow-Up Study in a Malaysian Semi-Rural Community.Health science reports · 2025Article
- Medical insurance integration improves migrant workers' employment quality: Evidence from China's URRMI reform.Frontiers in public health · 2025Article
- National health insurance membership in Indonesia: Do socio-economic elements matter?PloS one · 2025Article
- Moving toward universal health coverage with a national health insurance program: A scoping review and narrative synthesis of experiences in eleven low- and lower-middle income countries.PLOS global public health · 2025Article
- Parental traditional medicine use for children and associated factors in Harar City, Harari Regional State, Eastern Ethiopia: a community-based cross-sectional study.Frontiers in pediatrics · 2025Article
- Does health insurance status influence healthcare-seeking behavior in rural communities? evidence from rural Ghana.Health policy OPEN · 2024Article
- Enablers and barriers of community health programs for improved equity and universal coverage of primary health care services: A scoping review.BMC primary care · 2024Article
- Health-seeking behaviour during times of illness among urban poor women: a cross-sectional study.BMC women's health · 2024Article
- Evidence From the China Family Panel Studies Survey on the Effect of Integrating the Basic Medical Insurance System for Urban and Rural Residents on the Health Equity of Residents: Difference-in-Differences Analysis.JMIR public health and surveillance · 2024Article
- What are the factors affecting primary care choice when the access under health insurance scheme is limited?: a cross-sectional study in Bandung, Indonesia.BMC primary care · 2024Article
- Article
- Assessing inequalities in publicly funded health insurance scheme coverage and out-of-pocket expenditure for hospitalization: findings from a household survey in Kerala.International journal for equity in health · 2023Article
- The role of community-based health insurance on healthcare seeking behavior of households in Addis Ababa, Ethiopia.Preventive medicine reports · 2023Article
- Healthcare workers´ experiences and perceptions of the provision of health insurance benefits to the elderly in rural Tanzania: an explorative qualitative study.BMC public health · 2023Article
- Usage and parental knowledge of antibiotics in children undergoing (adeno) tonsillectomy in northern Tanzania.The Pan African medical journal · 2023Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany countries striving to achieve universal health insurance coverage have done so by means of multiple health insurance funds covering different population groups. However, existence of multiple health insurance funds may also cause variation in access to health care, due to the differential revenue raising capacities and benefit packages offered by the various funds resulting in inequity and inefficiency within the health system. This paper examines how the existence of multiple health insurance funds affects health care seeking behaviour and utilisation among members of the Community Health Fund, the National Health Insurance Fund and non-members in two districts in Tanzania.
methodsUsing household survey data collected in 2011 with a sample of 3290 individuals, the study uses a multinomial logit model to examine the influence of predisposing, enabling and need characteristics on the probability of seeking care and choice of provider.
resultsGenerally, health insurance is found to increase the probability of seeking care and reduce delays. However, the probability, timing of seeking care and choice of provider varies across the CHF and NHIF members.
conclusionsReducing fragmentation is necessary to provide opportunities for redistribution and to promote equity in utilisation of health services. Improvement in the delivery of services is crucial for achievement of improved access and financial protection and for increased enrolment into the CHF, which is essential for broadening redistribution and cross-subsidisation to promote equity.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.