Evidence map›Paper›PMID 40627310›Full record

ArticleInternational journal of health economics and management2025

Is there a link between self-reported unmet needs and healthcare expenditure?

Liliane Bonnal, Pascal Favard, Thomas Laurent

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Article in International journal of health economics and management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Liliane BonnalUFR Sciences Économiques, Batiment A1, 2 rue Jean Carbonnier TSA 81100, Poitiers Cedex 9, 86073, France.
Pascal FavardUFR de Droit, d'Économie et des Sciences Sociales, 50 avenue Jean Portalis - B.P. 0607, Tours Cedex 3, 37206, France. pascal.favard@univ-tours.fr.ORCID http://orcid.org/0000-0001-5011-8777
Thomas LaurentUFR de Droit, d'Économie et des Sciences Sociales, 50 avenue Jean Portalis - B.P. 0607, Tours Cedex 3, 37206, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to investigate the factors associated with self-reported unmet healthcare needs among individuals aged 65 and older in France, as well as to determine whether healthcare expenditure and its determinants differ based on self-reported unmet needs. We use data from the 2012 Health and Welfare Survey, matched with health insurance records. Healthcare expenditure for ambulatory care-excluding inpatient care-is modeled using a regime-switching regression approach. Our findings highlight that social and behavioral disparities are the primary factors influencing self-reported unmet needs. The determinants of healthcare expenditure are generally similar, regardless of whether individuals report unmet needs, except for pre-frailty and the number of medical conditions. Surprisingly, we do not find a significant marginal effect of self-reported unmet needs on healthcare expenditure. In our view, this challenges the use of self-reported unmet needs as an indicator of access to care.

Indexed as

Health ExpendituresHealth Services Needs and DemandSelf ReportAgedAged, 80 and overFemaleFranceHealth Services AccessibilityHumansMaleSocioeconomic FactorsCore indicatorHealthcare expenditureOlder adultsSelf-reported unmet needsSwitching model

Identifiers

PMID40627310

What OpenQuestion holds

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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.