Display options
Share it on

Galen Med J. 2019 Oct 14;8:e1411. doi: 10.31661/gmj.v8i0.1411. eCollection 2019.

The Effect of Health Insurance on the Utilization of Health Services: A Systematic Review and Meta-Analysis.

Galen medical journal

Elham Shami, Jafar Sadegh Tabrizi, Shirin Nosratnejad

Affiliations

  1. Iranian Center of Excellence for Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
  2. Department of Health Services Management, Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
  3. Iranian Center of Excellence in Health Services Management, Department of Health Management and Economics, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.

PMID: 34466508 PMCID: PMC8343501 DOI: 10.31661/gmj.v8i0.1411

Abstract

Insurance organizations are among the most influential organizations in the health system, which can lead to healthcare efficiency and patient satisfaction in case they are increasingly accessed. The main purpose of the present systematic review was to examine the effect of health insurance on the utilization of health services and also to examine the factors affecting it. The present study was a systematic review that aimed to examine the effect of health insurance on the utilization of health care services. The study was conducted in 2016 using Scopus, PubMed, Web of Science, Science Direct, and ProQuest databases. We examined the utilization rate of health insurance in insured people. The inclusion and exclusion criteria were included based on review and meta-analysis purposes. The utilization of health services increased for inpatient and outpatient services. The utilization rate of inpatient services increased by 0.51% whereas the utilization rate of outpatient services increased by 1.26%. We classified the variables affecting the utilization rate of insurance into three main categories and sub-categories: demographic variables of the household, socioeconomic status, and health status. Our study showed that insured people increased the utilization rate of health services, depending on the type of health services. Thus, health policymakers should consider the community's health insurance as a priority for health programs. For now, implementing universal health insurance is a good solution.

Copyright© 2019, Galen Medical Journal.

Keywords: Health Care Utilization; Health Insurance; Inpatient; Outpatient Care

References

  1. J Immigr Health. 2005 Apr;7(2):65-74 - PubMed
  2. JAMA. 1997 Jul 9;278(2):89-93 - PubMed
  3. Acad Emerg Med. 2000 Jun;7(6):637-46 - PubMed
  4. Am J Public Health. 2010 Aug;100(8):1454-61 - PubMed
  5. Acad Emerg Med. 2001 Nov;8(11):1051-5 - PubMed
  6. Health Policy. 2012 Jun;106(1):60-75 - PubMed
  7. N Engl J Med. 1997 Jan 16;336(3):218-21 - PubMed
  8. N Am J Med Sci. 2010 Feb;2(2):71-80 - PubMed
  9. J Rural Health. 2003 Fall;19(4):511-3 - PubMed
  10. Am J Public Health. 2013 Dec;103 Suppl 2:S294-301 - PubMed
  11. Health Policy. 2013 Nov;113(1-2):69-76 - PubMed
  12. Am Econ Rev. 2008 Dec;98(5):2242-2258 - PubMed
  13. Health Econ. 2010 Sep;19(9):1048-62 - PubMed
  14. Ambul Pediatr. 2008 Sep-Oct;8(5):321-8 - PubMed
  15. N Engl J Med. 1998 Jun 11;338(24):1734-40 - PubMed
  16. Med Care. 1994 Mar;32(3):227-39 - PubMed
  17. J Gen Intern Med. 2006 Jan;21(1):71-7 - PubMed
  18. Asia Pac J Public Health. 2016 Jan;28(1 Suppl):77S-85S - PubMed
  19. Health Policy. 2007 May;81(2-3):166-82 - PubMed
  20. Int J Health Serv. 2007;37(1):89-109 - PubMed
  21. J Health Econ. 2013 Sep;32(5):757-67 - PubMed
  22. J Health Care Poor Underserved. 2006 Feb;17(1):180-99 - PubMed
  23. Eur J Epidemiol. 1997 Feb;13(2):223-8 - PubMed

Publication Types