SynthesisBMJ open2021
Impact of public-funded health insurances in India on health care utilisation and financial risk protection: a systematic review.
Synthesis in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 66 citations in OpenAlex.
- Understanding pathways from primary health care to universal health coverage outcomes: a realist review.Frontiers in public health · 2026Pooled it
- Cultural and socioeconomic determinants of family satisfaction with ICU care across the globe: a scoping review.Frontiers in medicine · 2025Pooled it
- A Systematic Review of the World's Largest Government Sponsored Health Insurance Scheme for 500 Million Beneficiaries in India: Pradhan Mantri Jan Arogya Yojana.Applied health economics and health policy · 2024Pooled it
- Inequities in Health Insurance Coverage among Tribal Populations in India: Evidence from a Multi-State Cross-Sectional Study.Journal of racial and ethnic health disparities · 2026Article
- Article
- Article
- Beyond coverage: why Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana struggles to deliver healthcare in Jammu and Kashmir.Frontiers in public health · 2026Article
- Determinants of outpatient healthcare-seeking behaviors among the rural poor affected by chronic conditions in India: a population-based cross-sectional study in seven states.Global health action · 2025Article
- Progress towards universal health coverage in South Asia, 2000-2030: an examination of the twin elements of primary healthcare provision and financial protection.BMJ global health · 2025Article
- Comparative analysis of cardiac surgical outcomes across different healthcare funding modalities: a comprehensive cohort study.Indian journal of thoracic and cardiovascular surgery · 2025Article
- Article
- Determinants and Experiences of Care-Seeking for Childhood Pneumonia in a Rural Indian Setting: A Mixed-Methods Study.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Using electronic medical records to analyze outpatient visits of persons with epilepsy during the pandemic-experience from a low middle income country.Acta epileptologica · 2025Article
- Global practices in AT provision: considerations for a national assistive technology policy for health in India.Frontiers in rehabilitation sciences · 2025Review
- Impact of Government-Funded Health Insurance on Out-of-Pocket Expenditure and Quality of Hospital-Based Care in Indian States of Madhya Pradesh and Maharashtra.Applied health economics and health policy · 2024Article
- Female cancer screening in India: Results from the National Family Health Survey (NFHS-5) and the way forward.Journal of family medicine and primary care · 2024Article
- Community health workers to reduce unmet surgical needs in an urban slum in India: an implementation study.International health · 2024Article
- The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) after four years of implementation - is it making an impact on quality of inpatient care and financial protection in India?BMC health services research · 2024Article
- Article
- Public Health Insurance Status and Utilization of Healthcare Services Across India: A Narrative Review.Cureus · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveUniversal Health Coverage aims to address the challenges posed by healthcare inequalities and inequities by increasing the accessibility and affordability of healthcare for the entire population. This review provides information related to impact of public-funded health insurance (PFHI) on financial risk protection and utilisation of healthcare.
designSystematic review. DATA SOURCES: Medline (via PubMed, Web of Science), Scopus, Social Science Research Network and 3ie impact evaluation repository were searched from their inception until 15 July 2020, for English-language publications. ELIGIBILITY CRITERIA: Studies giving information about the different PFHI in India, irrespective of population groups (above 18 years), were included. Cross-sectional studies with comparison, impact evaluations, difference-in-difference design based on before and after implementation of the scheme, pre-post, experimental trials and quasi-randomised trials were eligible for inclusion. DATA EXTRACTION AND SYNTHESIS: Data extraction was performed by three reviewers independently. Due to heterogeneity in population and study design, statistical pooling was not possible; therefore, narrative synthesis was performed. OUTCOMES: Utilisation of healthcare, willingness-to-pay (WTP), out-of-pocket expenditure (including outpatient and inpatient), catastrophic health expenditure and impoverishment.
resultsThe impact of PFHI on financial risk protection reports no conclusive evidence to suggest that the schemes had any impact on financial protection. The impact of PFHIs such as Rashtriya Swasthy Bima Yojana, Vajpayee Arogyashree and Pradhan Mantri Jan Arogya Yojana showed increased access and utilisation of healthcare services. There is a lack of evidence to conclude on WTP an additional amount to the existing monthly financial contribution.
conclusionDifferent central and state PFHIs increased the utilisation of healthcare services by the beneficiaries, but there was no conclusive evidence for reduction in financial risk protection of the beneficiaries. REGISTRATION: Not registered.
Indexed as
Identifiers
What OpenQuestion holds
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.