ArticleBMC public health2021
The impacts of health insurance on financial strain for people with chronic diseases.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Effects of health insurance on economic burden and health service utilization among people with noncommunicable diseases in low- and middle-income countries: a systematic review.BMC public health · 2026Pooled it
- Assessing intervention effects on healthcare-related financial protection in low- and middle-income countries: a rapid evidence review.Health policy and planning · 2026Review
- Knowledge, Attitudes, Practices, and Illness Perception of Female Outpatients With Chronic Pelvic Pain.Pain research & management · 2026Article
- Reducing private health expenditure in Greece: the case for regulated complementary health insurance.Frontiers in public health · 2026Article
- The non-communicable disease e-Cohort for hypertension in Latin America: concept, survey development and study protocol.Global health action · 2025Article
- Impact of free health check-ups on elderly healthcare utilization and health: a pooled cross-sectional study.BMC geriatrics · 2025Article
- The Digital Amplifier in Medical Insurance: How Chinese Provincial Pooling Policy Optimizes Chronic Disease Management.Healthcare (Basel, Switzerland) · 2025Article
- Guardians' preferences for pit and fissure sealing services in China: evidence from a discrete choice experiment.BMC oral health · 2025Article
- Hypertension Prevalence Among People Lifted Out of Poverty in China in 2018-2023: Retrospective Spatiotemporal Analysis.JMIR public health and surveillance · 2025Article
- Patient satisfaction with the components of the National Health Insurance Program of Nepal: a cross-sectional study.BMC health services research · 2025Article
- Predictive Value of a Financial Strain Question to Pre-screen Individuals for Social Risks.Journal of general internal medicine · 2025Article
- Examining Trends in Medicare Advantage Plan Disenrollment Associated With Expanded Supplemental Benefit Adoption.Health services research · 2025Article
- Article
- A mediation analysis of family members' knowledge, attitudes, and practices in nutritional and dietary management for gastric cancer patients.Frontiers in medicine · 2025Article
- Social Risks and Health Care Use in Medically Complex Patients.JAMA network open · 2024Article
- Do patients need additional coverage for chronic ailments? Insights from hospital data.Journal of education and health promotion · 2024Article
- What is the coverage of your health insurance plan? An audit of hospital billing.AIMS public health · 2024Article
- The Effect of Hypertension, Diabetes, and Hyperlipidemia on Medication Intake and Adherence: Analysis from Korean Health Panel Survey 2014-2017.Iranian journal of public health · 2023Article
- The association between chronic disease and depression in middle-aged and elderly people: The moderating effect of health insurance and health service quality.Frontiers in public health · 2023Article
- The Health Insurance Fund Participates in Controlling the Epidemic: Insights from German Experience in Dealing with the COVID-19 Pandemic.Risk management and healthcare policy · 2023Article
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 at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDue to ongoing expenses for both short-term and long-term needs for health services, people with chronic diseases tend to struggle with financial hardship. Health insurance is employed as a useful tool in aiding people to solve such financial strain. This study aims to examine and compare the impacts of public and private health insurance on solving financial barriers for people with chronic diseases.
methodsThis research obtained an outpatient sample consisted of 1739 individuals and an inpatient sample consisted of 1034 individuals. We employed a Chi-square test and a two-sample T-test to explore differences in financial strain and insurance status between people with chronic diseases and those without. Then we adopted binary logistic regression technique to assess the impacts of different types of health insurance on outpatient and inpatient financial strain for people with chronic diseases.
resultsOur research has five key findings: first, people with chronic diseases were more likely to experience both the outpatient and inpatient financial strain (P < 0.01); second, public health insurance was found to reduce the outpatient financial strain; third, private health insurance was found to positively associate with inpatient financial barriers; fourth, Urban Employment Insurance (UEI) was expected to reduce both the outpatient and inpatient financial barriers, while self-paid private insurance (SPI) was positively associated with inpatient financial barriers; and fifth, income was identified as a positive predictor of having outpatient and inpatient financial strain.
conclusionsPublic health insurance has the potential to reduce the outpatient financial strain for people with chronic diseases. Private health insurance was identified as a positive predictor of inpatient financial strain for people with chronic diseases. Policy should be proposed to promote the capacity of public health insurance and explore the potential effects of private health insurance on solving the inpatient financial barriers faced by people with chronic diseases in China.
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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.