Evidence map›Paper›PMID 35522390›Full record

SynthesisThe European journal of health economics : HEPAC : health economics in prevention and care2023

Does a working day keep the doctor away? A critical review of the impact of unemployment and job insecurity on health and social care utilisation.

Keyi Li, Paula Lorgelly, Sarah Jasim, Tiyi Morris, Manuel Gomes

Open access · hybridAbstract readReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The European journal of health economics : HEPAC : health economics in prevention and care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

15 citing papers in PubMed, 20 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

5 authors at 2 institutions in 1 country.

Keyi LiDepartment of Applied Health Research, Institute of Epidemiology and Health Care, University College London, London, UK. rmjllia@ucl.ac.uk.ORCID http://orcid.org/0000-0003-3852-4312
Paula LorgellyDepartment of Applied Health Research, Institute of Epidemiology and Health Care, University College London, London, UK.ORCID http://orcid.org/0000-0002-8990-9514
Sarah JasimDepartment of Applied Health Research, Institute of Epidemiology and Health Care, University College London, London, UK.ORCID http://orcid.org/0000-0003-3940-6350
Tiyi MorrisDepartment of Applied Health Research, Institute of Epidemiology and Health Care, University College London, London, UK.ORCID http://orcid.org/0000-0001-6018-1833
Manuel GomesDepartment of Applied Health Research, Institute of Epidemiology and Health Care, University College London, London, UK.ORCID http://orcid.org/0000-0002-1428-1232
University College London · GBDepartment of Health and Social Care · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While the negative impact of unemployment on health is relatively well established, the extent to which that impact reflects on changes in health and social care utilisation is not well understood. This paper critically reviews the direction, magnitude and drivers of the impact of unemployment and job insecurity on health and social care utilisation across different care settings. We identified 28 relevant studies, which included 79 estimates of association between unemployment/job insecurity and healthcare utilisation. Positive associations dominated mental health services (N = 8 out of 11), but not necessarily primary care (N = 25 out of 43) or hospital care (N = 5 out of 22). We conducted a meta-analysis to summarise the magnitude of the impact and found that unemployed individuals were about 30% more likely to use health services compared to those employed, although this was largely driven by mental health service use. Key driving factors included financial pressure, health insurance, social network, disposable time and depression/anxiety. This review suggests that unemployment is likely to be associated with increased mental health service use, but there is considerable uncertainty around primary and hospital care utilisation. Future work to examine the impact across other settings, including community and social care, and further explore non-health determinants of utilisation is needed. The protocol was registered in PROSPERO (CRD42020177668).

Indexed as

Mental Health ServicesUnemploymentHumansInsurance, HealthUncertaintyHealth care utilisationHealth service useJob insecurityUnemployment

Identifiers

PMID35522390
PMCPMC9985560
OpenAlexW4229014151

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.