Evidence map›Paper›PMID 38166821›Full record

ArticleBMC public health2024

What influences the public's willingness to report health insurance fraud in familiar or unfamiliar healthcare settings? a cross-sectional study of the young and middle-aged people in China.

Jinpeng Xu, Ting Zhang, Hongyu Zhang, Fangmin Deng, Qi Shi, Jian Liu, Fangting Chen, Jingran He, Qunhong Wu, Zheng Kang and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Review
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

11 authors.

Jinpeng Xu *School of Health Management, Harbin Medical University, Harbin, Heilongjiang, China.
Ting Zhang *School of Health Management, Harbin Medical University, Harbin, Heilongjiang, China.
Hongyu Zhang *School of Health Management, Harbin Medical University, Harbin, Heilongjiang, China.
Fangmin DengSchool of Health Management, Harbin Medical University, Harbin, Heilongjiang, China.
Qi ShiSchool of Health Management, Harbin Medical University, Harbin, Heilongjiang, China.
Jian LiuSchool of Health Management, Harbin Medical University, Harbin, Heilongjiang, China.
Fangting ChenSchool of Health Management, Harbin Medical University, Harbin, Heilongjiang, China.
Jingran HeSchool of Health Management, Harbin Medical University, Harbin, Heilongjiang, China.
Qunhong WuSchool of Health Management, Harbin Medical University, Harbin, Heilongjiang, China.
Zheng KangSchool of Health Management, Harbin Medical University, Harbin, Heilongjiang, China. kangzheng@hrbmu.edu.cn.
Guomei TianDepartment of Nuclear Medicine, The Fourth Hospital of Harbin Medical University, Harbin, Heilongjiang, China.

Funding

National Natural Science Foundation of China 72074064National Social Science Fund of China 19AZD013
6 · The paper itself

Abstract

introductionYoung and middle-aged people are important participants in the fight against health insurance fraud. The study aims to investigate the differences in their willingness to report health insurance fraud and the factors influencing it when it occurs in familiar or unfamiliar healthcare settings.

methodsData were obtained from a validated questionnaire from 828 young and middle-aged people. McNemar's test was used to compare the public's willingness to report under the two scenarios. Chi-square tests and multiple logistic regression analysis were used to analyze the determinants of individuals' willingness to report health insurance fraud in different scenarios.

resultsYoung and middle-aged people were more likely to report health insurance fraud in a familiar healthcare setting than in an unfamiliar one (McNemar's χ²=26.51, P < 0.05). Their sense of responsibility for maintaining the security of the health insurance fund, the government's openness about fraud cases, and the perception of their ability to report had significant positive effects on the public's willingness to report in both settings (P < 0.05). In a familiar healthcare setting, the more satisfied the public is with government measures to protect whistleblowers, the more likely they are to report (OR = 1.44, P = 0.025). Those who perceive the consequences of health insurance fraud to be serious are more likely to report than those who perceive the consequences to be less serious (OR = 1.61, P = 0.042).

conclusionIndividuals are more likely to report health insurance fraud in familiar healthcare settings than in unfamiliar ones, in which their awareness of the severity of the consequences of health insurance fraud and their perceived risk after reporting it play an important role. The government's publicizing of fraud cases and enhancing the public's sense of responsibility and ability to maintain the safety of the health insurance fund may be a way to increase their willingness to report, regardless of whether they are familiar with the healthcare setting or not.

Indexed as

FraudInsurance, HealthChinaCross-Sectional StudiesDelivery of Health CareHealth FacilitiesHumansMiddle AgedSurveys and QuestionnairesFamiliar or notHealthcare settingHealth Insurance FraudWillingness to Report

Identifiers

PMID38166821
PMCPMC10763160

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LicenceCC BY
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Registered trials

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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.