Evidence map›Paper›PMID 29514629›Full record

ArticleBMC health services research2018

The determinants of individual health care expenditures in prison: evidence from Switzerland.

Karine Moschetti, Véra Zabrodina, Tenzin Wangmo, Alberto Holly, Jean-Blaise Wasserfallen, Bernice S Elger, Bruno Gravier

Abstract read
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
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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

7 authors.

Karine MoschettiInstitute of Social and Preventive Medicine, University of Lausanne and University Hospital of Lausanne (CHUV), Route de la Corniche 10, 1010, Lausanne, Switzerland. karine.moschetti@chuv.ch.
Véra ZabrodinaInstitute of Social and Preventive Medicine, University of Lausanne and University Hospital of Lausanne (CHUV), Route de la Corniche 10, 1010, Lausanne, Switzerland.
Tenzin WangmoInstitute for Biomedical Ethics, University of Basel, Basel, Switzerland.
Alberto HollyInstitute of Health Economics and Management, HEC Lausanne, University of Lausanne, Lausanne, Switzerland.
Jean-Blaise WasserfallenTechnology Assessment Unit, University Hospital of Lausanne (CHUV), Lausanne, Switzerland.
Bernice S ElgerInstitute for Biomedical Ethics, University of Basel, Basel, Switzerland.
Bruno GravierService of Correctional Medicine and Psychiatry, University Hospital of Lausanne (CHUV), Lausanne, Switzerland.

Funding

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung SNF (CR13I1_135035/1)
6 · The paper itself

Abstract

backgroundPrison health systems are subject to increasing pressures given the specific health needs of a growing and aging prison population. Identifying the drivers of medical spending among incarcerated individuals is therefore key for health care governance in prisons. This study assesses the determinants of individual health care expenditures within the prisons of the canton of Vaud, a large region of Switzerland.

methodsWe use a unique dataset linking demographic and prison stay characteristics as well as objective measures of morbidity to detailed medical invoice data. We adopt a multivariate regression approach to model total, somatic and psychiatric outpatient health care expenditures.

resultsWe find that chronic infectious, musculoskeletal and skin diseases are strong predictors of total and somatic costs. Schizophrenia, neurotic and personality disorders as well as the abuse of illicit drugs and pharmaceuticals drive total and psychiatric costs. Furthermore, cumulating psychiatric and somatic comorbidities has an incremental effect on costs.

conclusionBy identifying the characteristics associated with health care expenditures in prison, this study constitutes a key step towards a more efficient use of medical resources in prison.

Indexed as

AdolescentAdultChronic DiseaseComorbidityFemaleHealth ExpendituresHumansMaleMental DisordersMiddle AgedPrisonersPrisonsSwitzerlandYoung AdultChronic diseasesHealth care expendituresOutpatient carePrison

Identifiers

PMID29514629
PMCPMC5842659

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Registered trials

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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.