Evidence map›Paper›PMID 32703180›Full record

SynthesisBMC public health2020

Utilization of public health care by people with private health insurance: a systematic review and meta-analysis.

Congcong Zhang, Chenwei Fu, Yimin Song, Rong Feng, Xinjuan Wu, Yongning Li

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 7% of its field
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. 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

6 authors at 2 institutions in 1 country.

Congcong ZhangDepartment of International Medical Servicers, Peking Union Medical College Hospital, No.1 Shuaifuyuan, Wangfujing Dongcheng District, Beijing, 100730, China.
Chenwei FuDepartment of International Medical Servicers, Peking Union Medical College Hospital, No.1 Shuaifuyuan, Wangfujing Dongcheng District, Beijing, 100730, China.
Yimin SongDepartment of International Medical Servicers, Peking Union Medical College Hospital, No.1 Shuaifuyuan, Wangfujing Dongcheng District, Beijing, 100730, China.
Rong FengDepartment of International Medical Servicers, Peking Union Medical College Hospital, No.1 Shuaifuyuan, Wangfujing Dongcheng District, Beijing, 100730, China.
Xinjuan WuDepartment of Nursing, Peking Union Medical College Hospital, No.1 Shuaifuyuan, Wangfujing Dongcheng District, Beijing, 100730, China. Wuxinjuan@pumch.cn.
Yongning LiDepartment of International Medical Servicers, Peking Union Medical College Hospital, No.1 Shuaifuyuan, Wangfujing Dongcheng District, Beijing, 100730, China. pumchcongcong@126.com.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNPeking Union Medical College Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this systematic review was to explore the association between private health insurance and health care utilization.

methodsWe searched the MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials (CENTRAL) electronic databases for relevant articles since 2010. Studies were eligible if they described original empirical research on the utilization of public health care by individuals with private health insurance, compared with individuals without private insurance. A pooled measure of association between insurance status with health care utilization was assessed through meta-analysis.

resultsTwenty-six articles were included in the final analysis. We found that patients with private insurance did not use more public health care than people without private insurance (P < 0.05). According to the subgroup analysis, people with private insurance were more likely to be hospitalized than people with no insurance (OR 1.67; 95% CI, 1.18 to 2.36).

conclusionsPeople with private insurance did not increase their use of health care (outpatient services), compared to those without private insurance. Private health insurance coverage may ease the financial burden on patients and on the public health insurance system.

Indexed as

HumansInsurance, HealthPatient Acceptance of Health CarePrivate SectorPublic HealthRandomized Controlled Trials as TopicHealth care utilizationMeta-analysisPrivate health insuranceSystematic review

Identifiers

PMID32703180
PMCPMC7376853
OpenAlexW3045267055

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.