Evidence map›Paper›PMID 25820635›Full record

ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2016

Switching health insurers: the role of price, quality and consumer information search.

Lieke H H M Boonen, Trea Laske-Aldershof, Frederik T Schut

Open access · hybridAbstract read
In one paragraph

Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
16.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
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  4. Adverse selection and consumer inertia: empirical evidence from the Dutch health insurance market.The European journal of health economics : HEPAC : health economics in prevention and care · 2025
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  14. Switching gains and health plan price elasticities: 20 years of managed competition reforms in The Netherlands.The European journal of health economics : HEPAC : health economics in prevention and care · 2017
    Article
  15. Switching insurer in the Irish voluntary health insurance market: determinants, incentives, and risk equalization.The European journal of health economics : HEPAC : health economics in prevention and care · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Lieke H H M BoonenInstitute of Health Policy and Management, Erasmus University Rotterdam, PO Box 1738, 3000 DR, Rotterdam, The Netherlands.
Trea Laske-AldershofInstitute of Health Policy and Management, Erasmus University Rotterdam, PO Box 1738, 3000 DR, Rotterdam, The Netherlands.
Frederik T SchutInstitute of Health Policy and Management, Erasmus University Rotterdam, PO Box 1738, 3000 DR, Rotterdam, The Netherlands. schut@bmg.eur.nl.
Erasmus University Rotterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We examine the impact of price, service quality and information search on people's propensity to switch health insurers in the competitive Dutch health insurance market. Using panel data from annual household surveys and data on health insurers' premiums and quality ratings over the period 2006-2012, we estimate a random effects logit model of people's switching decisions. We find that switching propensities depend on health plan price and quality, and on people's age, health, education and having supplementary or group insurance. Young people (18-35 years) are more sensitive to price, whereas older people are more sensitive to quality. Searching for health plan information has a much stronger impact on peoples' sensitivity to price than to service quality. In addition, searching for health plan information has a stronger impact on the switching propensity of higher than lower educated people, suggesting that higher educated people make better use of available health plan information. Finally, having supplementary insurance significantly reduces older people's switching propensity.

Indexed as

Information Seeking BehaviorAdolescentAdultAgedAge FactorsCommerceConsumer BehaviorEconomic CompetitionEducational StatusFemaleHealth StatusHumansInsurance CarriersInsurance, HealthMaleMiddle AgedConsumer quality ratingsHealth plan choiceInformation searchManaged competition

Identifiers

PMID25820635
PMCPMC4805725
OpenAlexW2079445551

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.