Evidence map›Paper›PMID 33367963›Full record

ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2021

Voluntary private health insurance, health-related behaviours and health outcomes: evidence from Russia.

Andrey Aistov, Ekaterina Aleksandrova, Christopher J Gerry

Abstract read
In one paragraph

Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Does voluntary health insurance improve health and longevity? Evidence from European OECD countries.The European journal of health economics : HEPAC : health economics in prevention and care · 2022
    Article
  5. Socioeconomic Determinants of Health and Their Unequal Distribution in Poland.International journal of environmental research and public health · 2021
    Article
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.

Andrey AistovNational Research University Higher School of Economics, Nizhny Novgorod, Russian Federation.
Ekaterina AleksandrovaCentre for Health Economics, Management, and Policy, National Research University Higher School of Economics, St. Petersburg, Russian Federation.
Christopher J GerryCentre for Health Economics, Management, and Policy, National Research University Higher School of Economics, St. Petersburg, Russian Federation. christopher.gerry@sant.ox.ac.uk.ORCID http://orcid.org/0000-0001-9717-686X

Funding

Russian Science Foundation 20-18-00307
6 · The paper itself

Abstract

This paper contributes to the discussion around ex-post (increased utilisation of health care) and ex-ante (changes in health behaviours) moral hazard in supplemental private health insurance. Applying a range of methodologies to data from the Russian Longitudinal Monitoring Survey-Higher School of Economics we exploit a selection mechanism in the data to compare the impact of workplace provided and individually purchased supplemental health insurance on the utilisation of health care, on a range of health behaviours and on self-assessed health. We find compelling policy-relevant evidence of ex-post moral hazard that confirms a theoretical prediction and empirical regularity found in other settings. In contrast to other empirical findings though, our data reveals evidence of ex-ante moral hazard demonstrated by clear behavioural differences between those with self-funded supplemental health insurance and those for whom the workplace finances the additional insurance. We find no evidence that either form of insurance is related to improved self-assessed health.

Indexed as

Health BehaviorInsurance, HealthDelivery of Health CareHumansLongitudinal StudiesRussiaHealth behavioursHealth outcomesMoral hazardRLMS-HSERussiaSupplemental voluntary health insurance

Identifiers

PMID33367963
PMCPMC7757736

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.