ArticleFrontiers in public health2022
Successes and obstacles in implementing social health insurance in developing and middle-income countries: A scoping review of 5-year recent literatures.
Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Health insurance purchase intentions in the past decade: a systematic review and future research directions.BMC health services research · 2025Pooled it
- Prevalence of fatigue and perceived fatigability in older adults: a systematic review and meta-analysis.Scientific reports · 2025Pooled it
- Domestic resources for surgical care financing: a descriptive analysis of global health expenditure trends and illustrative case studies on fiscal mechanisms in LMICs.BMJ global health · 2026Article
- A qualitative study of stakeholders' perceptions towards the implementation of the National Health Insurance Scheme in Zambia: equity and financial sustainability in question.Health policy and planning · 2026Article
- Co-payments for healthcare by insured clients of Ghana's National Health Insurance Scheme: evidence from the 2022 Ghana Demographic and Health Survey.BMC health services research · 2026Article
- Converting donor dependence to domestic ownership: The realignment of tuberculosis financing for sustainability.PLOS global public health · 2026Article
- Integrating telemedicine and community support to enhance healthcare access for people with disabilities: a SANRA-aligned narrative review.Frontiers in public health · 2026Review
- Trust in the integrity of a micro health insurance scheme and its determinants in two rural districts of Ethiopia.BMC health services research · 2025Article
- Charting the path to the implementation of universal health coverage policy in Nigeria through the lens of Delphi methodology.BMC health services research · 2025Article
- Factors associated with the dental service utilization by enrollees on the Lagos State health insurance scheme, Nigeria.BMC health services research · 2025Article
- Article
- Impact of Enhanced Outpatient Pooling Level on Healthcare Utilization, Costs and Fund Expenditures in China: An Interrupted Time Series Analysis.Risk management and healthcare policy · 2025Article
- Health insurance's contribution to reducing the financial burden of tuberculosis in Guizhou Province, China.Epidemiology and infection · 2024Article
- Using artificial intelligence to improve human performance: efficient retinal disease detection training with synthetic images.The British journal of ophthalmology · 2024Article
- Changes of equality of medical service utilization in China between 1993 and 2018: findings from six waves of nationwide household interview survey.International journal for equity in health · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Social health insurance (SHI) is a form of health finance mechanism that had been implemented in many countries to achieve universal health care (UHC). To emulate the successes of SHI in many developed countries, many developing and middle-income countries (MICs) have attempted to follow suit. However, the SHI implementation has problems and obstacles. Many more obstacles were observed despite some successes. This scoping review aimed to study the various developments of SHI globally in its uses, implementation, successes, and obstacles within the last 5 years from 2017 to 2021. Using three databases (i.e., PubMed, EBSCO, and Google Scholar), we reviewed all forms of articles on SHI, including gray literature. The PRISMA-ScR protocol was adapted as the guideline. We used the following search terms: social health insurance, national health insurance, and community health insurance. A total of 57,686 articles were screened, and subsequently, 46 articles were included in the final review. Results showed that the majority of SHI studies were in China and African countries, both of which were actively pursuing SHI programs to achieve UHC. China was still regarded as a developing country. There were also recent experiences from other Asian countries, but only a few from South America. Implementing SHI to achieve UHC was desirable but will need to consider several factors and issues. This was especially the case in developing and MICs. Eventually, full UHC would only be possible with a combination of general taxation and SHI.
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