Evidence map›Paper›PMID 34763676›Full record

SynthesisBMC health services research2021

Impacts of chronic disease prevention programs implemented by private health insurers: a systematic review.

Sithara Wanni Arachchige Dona, Mary Rose Angeles, Natasha Hall, Jennifer J Watts, Anna Peeters, Martin Hensher

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

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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 1 institution in 1 country.

Sithara Wanni Arachchige DonaInstitute for Health Transformation, Faculty of Health, Deakin University, Geelong, Victoria, 3220, Australia.
Mary Rose AngelesInstitute for Health Transformation, Faculty of Health, Deakin University, Geelong, Victoria, 3220, Australia.
Natasha HallInstitute for Health Transformation, Faculty of Health, Deakin University, Geelong, Victoria, 3220, Australia.
Jennifer J WattsInstitute for Health Transformation, Faculty of Health, Deakin University, Geelong, Victoria, 3220, Australia.
Anna PeetersInstitute for Health Transformation, Faculty of Health, Deakin University, Geelong, Victoria, 3220, Australia.
Martin HensherInstitute for Health Transformation, Faculty of Health, Deakin University, Geelong, Victoria, 3220, Australia. martin.hensher@deakin.edu.au.
Deakin University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic diseases contribute to a significant proportion (71%) of all deaths each year worldwide. Governments and other stakeholders worldwide have taken various actions to tackle the key risk factors contributing to the prevalence and impact of chronic diseases. Private health insurers (PHI) are one key stakeholders, particularly in Australian health system, and their engagement in chronic disease prevention is growing. Therefore, we investigated the impacts of chronic disease prevention interventions implemented by PHI both in Australia and internationally.

methodWe searched multiple databases (Business Source Complete, CINAHL, Global Health, Health Business Elite, Medline, PsycINFO, and Scopus) and grey literature for studies/reports published in English until September 2020 using search terms on the impacts of chronic disease prevention interventions delivered by PHIs. Two reviewers assessed the risk of bias using a quality assessment tool developed by Effective Public Healthcare Panacea Project. After data extraction, the literature was synthesised thematically based on the types of the interventions reported across studies. The study protocol was registered in PROSPERO, CRD42020145644.

resultsOf 7789 records, 29 studies were eligible for inclusion. There were predominantly four types of interventions implemented by PHIs: Financial incentives, health coaching, wellness programs, and group medical appointments. Outcome measures across studies were varied, making it challenging to compare the difference between the effectiveness of different intervention types. Most studies reported that the impacts of interventions, such as increase in healthy eating, physical activity, and lower hospital admissions, last for a shorter term if the length of the intervention is shorter.

interpretationAlthough it is challenging to conclude which intervention type was the most effective, it appeared that, regardless of the intervention types, PHI interventions of longer duration (at least 2 years) were more beneficial and outcomes were more sustained than those PHI interventions that lasted for a shorter period.

fundingPrimary source of funding was Geelong Medical and Hospital Benefits Association (GMHBA), an Australian private health insurer.

Indexed as

Health PersonnelInsurance CarriersAustraliaChronic DiseaseExerciseHumansChronic diseasesPreventionPrivate health insurers

Identifiers

PMID34763676
PMCPMC8582197
OpenAlexW3212814936

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.