Cargando…
Demand-side Interventions to Control Moral Hazard in Health Systems, Beneficial or Detrimental: A Systematic Review Study
Background: Moral hazard is one of the main reasons for health market failure where supply-side and demand-side interventions are used for its control and prevention. This study aimed to identify the effects of demand-side interventions on moral hazards in health systems. Methods: For this systemati...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Iran University of Medical Sciences
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9448464/ https://www.ncbi.nlm.nih.gov/pubmed/36128264 http://dx.doi.org/10.47176/mjiri.36.69 |
_version_ | 1784784067377496064 |
---|---|
author | Koohi Rostamkalaee, Zohreh Jafari, Mehdi Gorji, Hasan Abolghasem |
author_facet | Koohi Rostamkalaee, Zohreh Jafari, Mehdi Gorji, Hasan Abolghasem |
author_sort | Koohi Rostamkalaee, Zohreh |
collection | PubMed |
description | Background: Moral hazard is one of the main reasons for health market failure where supply-side and demand-side interventions are used for its control and prevention. This study aimed to identify the effects of demand-side interventions on moral hazards in health systems. Methods: For this systematic review, electronic databases, including Scopus, PubMed, Web of Science, Embase, ProQuest, Google Scholar’s search engine, and Iranian databases such as SID and Magiran, were investigated. No time limitation was considered in the search process. The narrative synthesis approach was used for data analysis. Results: Out of 7484 retrieved papers, 61 papers were included in the study. The Identified effects were divided into 2 categories: health services consumption effects and financial effects, which were summarized in the form of advantages and disadvantages. The most important advantages included a decrease in the utilization of different services and a reduction in health expenditures. Also, the most important disadvantages included lower quality of care, shifting financing burden to the consumers, and limited access to necessary care. Conclusion: The results showed that the most benefits of interventions, especially in cost-sharing and waiting list interventions, are for insurance organizations, where the disadvantages also affect consumers more. Therefore, it is necessary to pay more attention to these effects and their management because a lack of attention in this regard may impair the performance of insurance financial protection and health provision as one of the major goals of the health system. |
format | Online Article Text |
id | pubmed-9448464 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Iran University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-94484642022-09-19 Demand-side Interventions to Control Moral Hazard in Health Systems, Beneficial or Detrimental: A Systematic Review Study Koohi Rostamkalaee, Zohreh Jafari, Mehdi Gorji, Hasan Abolghasem Med J Islam Repub Iran Review Article Background: Moral hazard is one of the main reasons for health market failure where supply-side and demand-side interventions are used for its control and prevention. This study aimed to identify the effects of demand-side interventions on moral hazards in health systems. Methods: For this systematic review, electronic databases, including Scopus, PubMed, Web of Science, Embase, ProQuest, Google Scholar’s search engine, and Iranian databases such as SID and Magiran, were investigated. No time limitation was considered in the search process. The narrative synthesis approach was used for data analysis. Results: Out of 7484 retrieved papers, 61 papers were included in the study. The Identified effects were divided into 2 categories: health services consumption effects and financial effects, which were summarized in the form of advantages and disadvantages. The most important advantages included a decrease in the utilization of different services and a reduction in health expenditures. Also, the most important disadvantages included lower quality of care, shifting financing burden to the consumers, and limited access to necessary care. Conclusion: The results showed that the most benefits of interventions, especially in cost-sharing and waiting list interventions, are for insurance organizations, where the disadvantages also affect consumers more. Therefore, it is necessary to pay more attention to these effects and their management because a lack of attention in this regard may impair the performance of insurance financial protection and health provision as one of the major goals of the health system. Iran University of Medical Sciences 2022-06-27 /pmc/articles/PMC9448464/ /pubmed/36128264 http://dx.doi.org/10.47176/mjiri.36.69 Text en © 2022 Iran University of Medical Sciences https://creativecommons.org/licenses/by-nc-sa/1.0/This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial-ShareAlike 1.0 License (CC BY-NC-SA 1.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly. |
spellingShingle | Review Article Koohi Rostamkalaee, Zohreh Jafari, Mehdi Gorji, Hasan Abolghasem Demand-side Interventions to Control Moral Hazard in Health Systems, Beneficial or Detrimental: A Systematic Review Study |
title | Demand-side Interventions to Control Moral Hazard in Health Systems, Beneficial or Detrimental: A Systematic Review Study |
title_full | Demand-side Interventions to Control Moral Hazard in Health Systems, Beneficial or Detrimental: A Systematic Review Study |
title_fullStr | Demand-side Interventions to Control Moral Hazard in Health Systems, Beneficial or Detrimental: A Systematic Review Study |
title_full_unstemmed | Demand-side Interventions to Control Moral Hazard in Health Systems, Beneficial or Detrimental: A Systematic Review Study |
title_short | Demand-side Interventions to Control Moral Hazard in Health Systems, Beneficial or Detrimental: A Systematic Review Study |
title_sort | demand-side interventions to control moral hazard in health systems, beneficial or detrimental: a systematic review study |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9448464/ https://www.ncbi.nlm.nih.gov/pubmed/36128264 http://dx.doi.org/10.47176/mjiri.36.69 |
work_keys_str_mv | AT koohirostamkalaeezohreh demandsideinterventionstocontrolmoralhazardinhealthsystemsbeneficialordetrimentalasystematicreviewstudy AT jafarimehdi demandsideinterventionstocontrolmoralhazardinhealthsystemsbeneficialordetrimentalasystematicreviewstudy AT gorjihasanabolghasem demandsideinterventionstocontrolmoralhazardinhealthsystemsbeneficialordetrimentalasystematicreviewstudy |