ReviewAnnals of family medicine2019
Contributions of Health Care to Longevity: A Review of 4 Estimation Methods.
Review in Annals of family medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 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
30 citing papers in PubMed.
- Older adults life expectancy in China: Bayesian mortality estimation and spatially heterogeneous determinants.Frontiers in public health · 2026Article
- Integrating Obesity Care into Chronic Disease Management in Catalonia: Progress and Challenges in Health System Approaches.Current obesity reports · 2025Review
- Re-Evaluating Access in Healthcare: Focus on Quality of Care.Public health challenges · 2025Review
- Spatiotemporal trajectory of life expectancy and its disparity in China 2000-2030: modelling and prediction.BMC public health · 2025Article
- Genetic signatures of exceptional longevity: a comprehensive analysis of coding region single nucleotide polymorphisms (SNPs) in centenarians and supercentenarians.Human genomics · 2025Article
- U.S. Rural Population Health and Aging in the 2020s.The Public policy and aging report · 2025Review
- A health-equity framework for tailoring digital non-pharmacological interventions in aging.Nature. Mental health · 2024Article
- Marine Polyphenols in Cardiovascular Health: Unraveling Structure-Activity Relationships, Mechanisms, and Therapeutic Implications.International journal of molecular sciences · 2024Review
- Assessing Ethiopia's surgical capacity in light of global surgery 2030 initiatives: Is there progress in the past decade?Surgery open science · 2024Review
- Longitudinal associations among the Big Five personality traits and healthcare utilization in the U.S.Social science & medicine (1982) · 2024Article
- Health effect of public sports services and public health services: empirical evidence from China.Frontiers in public health · 2024Article
- Article
- Comparison of social determinants of health in Medicaid vs commercial health plans.Health affairs scholar · 2023Article
- Eliminating health care inequities through strengthening access to care.Health services research · 2023Article
- Nativity moderates the relationship between nationality and healthcare access for some Latinx women in the United States.Ethnicity & health · 2022Article
- HAQ and DAS28 for clinical trials over months and MDHAQ, RheuMetric and psycho-socio-economic measures for long-term observations over years?Rheumatology (Oxford, England) · 2022Article
- Social Accountability and Regional Health Priorities in Medical Education.Medical science educator · 2022Article
- Perceived healthcare discrimination and well-being among older adults in the United States and Brazil.SSM - population health · 2022Article
- Racial disparities in healthcare and health.Health services research · 2022Article
- The cost-per-QALY threshold in England: Identifying structural uncertainty in the estimates.Frontiers in health services · 2022Article
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
purposeHealth care expenditures and biomedical research funding are often justified by the belief that modern health care powerfully improves life expectancy in wealthy countries. We examined 4 different methods of estimating the effect of health care on health outcomes.
methodsWe reviewed the contributions of medical care to health outcomes using 4 methods: (1) analyses by McGinnis and Schroeder, (2) Wennberg and colleagues' studies of small area variation, (3) Park and colleagues' analysis of County Health Rankings and Roadmaps, and (4) the RAND Health Insurance Experiment.
resultsThe 4 methods, using different data sets, produced estimates ranging from 0% to 17% of premature mortality attributable to deficiencies in health care access or delivery. Estimates of the effect of behavioral factors ranged from 16% to 65%.
conclusionsThe results converge to suggest that restricted access to medical care accounts for about 10% of premature death or other undesirable health outcomes. Health care has modest effects on the extension of US life expectancy, while behavioral and social determinants may have larger effects.
Indexed as
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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.