ArticleInternational journal of health services : planning, administration, evaluation2019
Commercial Health Care Financing: The Cause of U.S., Dutch, and Swiss Health Systems Inefficiency?
Article in International journal of health services : planning, administration, evaluation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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.
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.
Who cites it
11 citing papers in PubMed.
- A study on the current status of collaboration between China's commercial health insurance and medical institutions and improvement strategies.BMC health services research · 2026Article
- Interrelatedness of Family and Parenting Risk Factors for Juvenile Delinquency: A Network Study in U.S. and Dutch Juveniles.International journal of offender therapy and comparative criminology · 2025Article
- Social determinants of the non-use of the explicit health guarantees plan (the GES plan).BMC health services research · 2023Article
- Comparison of COVID-19 Health Risks With Other Viral Occupational Hazards.International journal of health services : planning, administration, evaluation · 2021Article
- Objectives, methods, and results in critical health systems and policy research: evaluating the healthcare market.BMC health services research · 2020Article
- Neo-Hippocratic healthcare policies: professional or industrial healthcare delivery? A choice for doctors, patients, and their organisations.BMC health services research · 2020Article
- Universal Healthcare in the United States of America: A Healthy Debate.Medicina (Kaunas, Lithuania) · 2020Article
- Employment based health financing does not support gender equity in universal health coverage.BMJ (Clinical research ed.) · 2020Article
- The Privatization of Health Care System in Saudi Arabia.Health services insights · 2020Article
- Policy Discourses: Shifting the Burden of Healthcare from the State to the Market in the Kingdom of Saudi Arabia.Inquiry : a journal of medical care organization, provision and financingArticle
- Digital health in perinatal care: Exploring usage, attitudes, and needs among Swiss women in urban and rural settings.Digital healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This article evaluates the performance of 3 industrialized nations that have pursued market-based financing models, focusing on equity in access to care, care quality, health status, and efficiency. It then assesses the consistency of the findings with those of different research teams. Using secondary data obtained from a semi-structured review of articles from 2000 to 2017, we discuss the hypothesis that commercial health care insurance is detrimental to accessing professional health care and to population health status. The results show that in 2010 the unmet care needs of both poor and rich Americans exceeded those of the poor in several industrial countries. The number of Dutch adults experiencing financial obstacles to health care quadrupled between 2007 and 2013, and 22% of Swiss adults reported skipping needed care in a 2016 survey. The most negative impacts of "managed care" on care quality are its tight constraints on physicians' professional autonomy; a large reliance on the physicians' material motivation; health service fragmentation; and the tendency to apply evidence-based medicine too rigidly. Countries with a commercial insurance monopoly generally remained above the maternal, infant, and neonatal mortality rates versus the health-spending regression line. We conclude that the most inefficient system is where the insurance market has achieved its maximal development and that care industrialization contributes to the comparatively poor performance of the U.S., Dutch, and Swiss health systems.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.