ArticleBMC health services research2020
Selection of private or public hospital care: examining the care-seeking behaviour of patients with private health insurance.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Symptoms experienced during the first 4 months of chemotherapy administration: a longitudinal cohort study in an Australian cancer treatment unit.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Factors associated with healthcare seeking behavior from private clinics among patients in Riyadh, Saudi Arabia.BMC health services research · 2026Article
- What drives patients' preferences for cancer care in South Korea's capital area? A study on preferences concerning cancer care facilities.BMC health services research · 2026Article
- Healthcare costs in patients with head and neck cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Predicting non-emergency healthcare use in Australia using machine learning on longitudinal household data.Scientific reports · 2026Article
- Article
- A Point Prevalence Study of Need and Provision of Palliative Care in Adult and Medical Surgical Inpatients.Journal of clinical nursing · 2025Observational
- Factors influencing the intention to purchase health insurance among middle-income Malaysians: a qualitative study.BMC public health · 2025Article
- Health service use, health outcomes and treatment costs of adults with a cochlear implant: a retrospective cohort study.BMC public health · 2025Article
- Comparison of Readmission, Discharge Location and Mortality over Three Years Post-Discharge Between Patients Diagnosed with Hospital-Acquired Malnutrition and Those Malnourished on Admission-A Retrospective Matched Case-Control Study in Five Facilities.Healthcare (Basel, Switzerland) · 2025Article
- Healthcare utilisation patterns and contributory factors among middle-aged adults: a scoping review.Journal of health, population, and nutrition · 2024Article
- Age-specific differences in cervical cancer screening rates in women using mental health services in New South Wales, Australia.The Australian and New Zealand journal of psychiatry · 2024Article
- Are private hospital emergency departments in Australia distributed to serve the wealthy community?Health care science · 2024Article
- Comparative analysis of the quality of life regarding patients who underwent hip replacement in public versus private hospitals in Hungary.Scientific reports · 2024Article
- Effect of supplementary private health insurance on out-of-pocket inpatient medical expenditure: evidence from Malaysia.Health policy and planning · 2024Article
- Factors associated with acute care service use after epilepsy hospitalisation in people with intellectual disability.Journal of intellectual disability research : JIDR · 2023Article
- Financial Toxicity and Out-of-Pocket Costs for Patients with Head and Neck Cancer.Current oncology (Toronto, Ont.) · 2023Article
- Perceived unmet needs of an age-friendly environment: A qualitative exploration of older adults' perspectives in a Malaysian city.PloS one · 2023Article
- Factors Affecting the Use of Private Outpatient Services among the Adult Population in Malaysia.International journal of environmental research and public health · 2022Article
- How public and private health insurance coverage mitigates catastrophic health expenditures in Republic of Korea.BMC health services research · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aimed to examine the healthcare-seeking (hospital, primary and preventive care) and healthcare utilisation behaviour of patients with private health insurance (PHI) in Australia. It also aimed to examine the socioeconomic, demographic and lifestyle factors that influence the choice of hospital care in Australia.
methodA logistic regression model with repeated measure t-test and Pearson's Chi-square test were used to identify the factors that affect the choice of care. Data from waves 9 (2009) and 13 (2013) of the nationally-representative Household, Income and Labour Dynamics in Australia (HILDA) survey were used in the analysis.
resultsPatients with PHI had a higher number of hospital nights' stay despite having a lower number of hospital admissions than those without private cover. Significant disparities were identified in preventive and specialist care use between patients with cover and without cover. No significant variations were observed in healthcare utilisation for PHI patients before and after dropping PHI. One in four patients chose to use public hospitals despite holding PHI cover. Moreover, those insured and from lower socioeconomic backgrounds and those who were younger and without long-term health conditions showed a higher probability of selecting public rather than private care.
conclusionsIt is evident that PHI cover encourages people to use private care. However, a considerable number of PHI patients are using public care, even though eligible for private care may indicate consumer information asymmetry.
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