SynthesisBMC health services research2025
Health insurance purchase intentions in the past decade: a systematic review and future research directions.
Synthesis in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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Who cites it
1 citing paper in PubMed.
- Thematic characteristics and research hot-spots of China's healthy aging policy: topic modeling study.BMC health services research · 2026Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth insurance plays a critical role in reducing financial burdens and improving healthcare access. However, misconceptions about risks and costs often lead to poor decision-making and low coverage, even in major economies. Understanding the factors influencing health insurance purchase intentions is essential for expanding coverage and addressing healthcare disparities. This study systematically reviews these factors to identify key patterns and research gaps.
methodsA systematic review was conducted using the TCM (theory-context-methodology) and ADO (antecedent-decision-outcome) frameworks. Forty-eight studies published from 2014 to 2023 were analyzed to categorize influential factors based on theoretical models, geographic contexts, methodological approaches, and behavioral antecedents, decisions, and outcomes.
resultsA total of 141 influential factors were identified across the reviewed studies, with a steady increase in publications over the decade. The TCM framework revealed the predominant use of the Theory of Planned Behavior, while research focused mainly on China, the United States, and India. The ADO framework highlighted behavioral antecedents as the most significant, followed by individual and financial factors, with purchase intention being the primary decision variable.
conclusionsThis review synthesizes current research on health insurance purchase intentions, identifying significant theoretical fragmentation and geographic disparities. It also provides recommendations for future research to explore underrepresented regions and emerging trends, with implications for expanding health insurance coverage and promoting healthcare equity.
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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.