Evidence map›Paper›PMID 30093509›Full record

ArticleBMJ open2018

Community-based health insurance and healthcare service utilisation, North-West, Ethiopia: a comparative, cross-sectional study.

Desta Debalkie Atnafu, Hiwot Tilahun, Yihun Mulugeta Alemu

Abstract readComparative Study
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 pooled it
–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

57 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

3 authors.

Desta Debalkie AtnafuSchool of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.ORCID 0000-000296604225
Hiwot TilahunCurative and Rehabilitative Core Process, Amhara Regional Health Bureau, Bahir Dar, Ethiopia.
Yihun Mulugeta AlemuSchool of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.ORCID 0000-0003-3145-3494

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objective of this study was to compare differences in healthcare utilisation between community-based health insurance member households and non-member households and to identify factors for community-based health insurance enrolment in South Achefer District.

designComparative, cross-sectional study. SETTINGS: Community-based.

participantsA total of 652 selected households (326 insured and 326 uninsured households) participated in the study.

methodsA two-sample t-test (for proportions) and χ

main outcome measureUtilisation of healthcare.

resultsThere was a significant difference in the rate of healthcare utilisation between insured (50.5%) and uninsured (29.3%) households (χ

conclusionsUtilisation of health services among insured households with community-based health insurance was higher. Educational status, family size, occupation, marital status, travel time to the nearest health institution, perceived quality of care, first choice of place for treatment during illness and expected healthcare cost of a recent treatment should be emphasised to enhance community health insurance enrolment.

Indexed as

AdolescentAdultAgedCross-Sectional StudiesEthiopiaFamily CharacteristicsFemaleHumansInsurance CoverageInsurance, HealthMaleMedically UninsuredMiddle AgedPatient Acceptance of Health CareSocioeconomic FactorsYoung Adulthealth economicshealth policyhuman resource management

Identifiers

PMID30093509
PMCPMC6089309

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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.