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Characterization of the population affiliated to the subsidized health insurance scheme in Colombia: a systematic review and meta-analysis
BACKGROUND: Some reports suggest there are differences in health needs between the population affiliated to the subsidized health insurance scheme (SS) and those affiliated to the contributory health insurance scheme (CS) in Colombia. The objective of this study was to identify the epidemiological p...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9903445/ https://www.ncbi.nlm.nih.gov/pubmed/36747197 http://dx.doi.org/10.1186/s12939-022-01818-x |
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author | Mora-Moreo, Laura Estrada-Orozco, Kelly Espinosa, Oscar Melgarejo, Lorena Mesa |
author_facet | Mora-Moreo, Laura Estrada-Orozco, Kelly Espinosa, Oscar Melgarejo, Lorena Mesa |
author_sort | Mora-Moreo, Laura |
collection | PubMed |
description | BACKGROUND: Some reports suggest there are differences in health needs between the population affiliated to the subsidized health insurance scheme (SS) and those affiliated to the contributory health insurance scheme (CS) in Colombia. The objective of this study was to identify the epidemiological profile of the population affiliated to the SS in Colombia and to compare the main epidemiological features of the SS to the CS. METHODS: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) methodology, the search was carried out from 1993, with no other restriction. The information was synthesized into five categories according to the most important risk populations. We estimated combined incidences from epidemiological surveillance data, prevalence ratio, and other measures to estimate the difference between the studied groups. A 95% confidence interval was considered. A random effects model was used weighted by the inverse of the variance of the cumulative incidence calculated for each disease. The risk of bias was assessed using the Joanna Briggs Institute’s critical appraisal tools. RESULTS: A total of 16,236 articles were identified; 14,972 were excluded after title and abstract screening, 725 articles were verified as full text, and finally 268 articles were included. The relative risk of non-communicable and communicable diseases was lower in the SS than in the CS (RR: 0.37 and 0.72, respectively, p-value < 0.05). However, the risk of presenting obstetric and maternal conditions in the SS versus the CS was RR 1.55 for frequent conditions during early childhood, and for other diseases it was RR 1.28 with a p-value of < 0.05. The use of health services was different by scheme, with less demand, access, and provision being found in health services in the SS. CONCLUSIONS: This study allowed us to conclude that there are differences in the incidence, prevalence, and use of health services between health affiliation schemes (SS and CS) in Colombia, thereby assisting in decision-making for stakeholders. TRIAL REGISTRATION: PROSPERO Registration number CRD42021279234. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12939-022-01818-x. |
format | Online Article Text |
id | pubmed-9903445 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-99034452023-02-08 Characterization of the population affiliated to the subsidized health insurance scheme in Colombia: a systematic review and meta-analysis Mora-Moreo, Laura Estrada-Orozco, Kelly Espinosa, Oscar Melgarejo, Lorena Mesa Int J Equity Health Systematic Review BACKGROUND: Some reports suggest there are differences in health needs between the population affiliated to the subsidized health insurance scheme (SS) and those affiliated to the contributory health insurance scheme (CS) in Colombia. The objective of this study was to identify the epidemiological profile of the population affiliated to the SS in Colombia and to compare the main epidemiological features of the SS to the CS. METHODS: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) methodology, the search was carried out from 1993, with no other restriction. The information was synthesized into five categories according to the most important risk populations. We estimated combined incidences from epidemiological surveillance data, prevalence ratio, and other measures to estimate the difference between the studied groups. A 95% confidence interval was considered. A random effects model was used weighted by the inverse of the variance of the cumulative incidence calculated for each disease. The risk of bias was assessed using the Joanna Briggs Institute’s critical appraisal tools. RESULTS: A total of 16,236 articles were identified; 14,972 were excluded after title and abstract screening, 725 articles were verified as full text, and finally 268 articles were included. The relative risk of non-communicable and communicable diseases was lower in the SS than in the CS (RR: 0.37 and 0.72, respectively, p-value < 0.05). However, the risk of presenting obstetric and maternal conditions in the SS versus the CS was RR 1.55 for frequent conditions during early childhood, and for other diseases it was RR 1.28 with a p-value of < 0.05. The use of health services was different by scheme, with less demand, access, and provision being found in health services in the SS. CONCLUSIONS: This study allowed us to conclude that there are differences in the incidence, prevalence, and use of health services between health affiliation schemes (SS and CS) in Colombia, thereby assisting in decision-making for stakeholders. TRIAL REGISTRATION: PROSPERO Registration number CRD42021279234. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12939-022-01818-x. BioMed Central 2023-02-07 /pmc/articles/PMC9903445/ /pubmed/36747197 http://dx.doi.org/10.1186/s12939-022-01818-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Systematic Review Mora-Moreo, Laura Estrada-Orozco, Kelly Espinosa, Oscar Melgarejo, Lorena Mesa Characterization of the population affiliated to the subsidized health insurance scheme in Colombia: a systematic review and meta-analysis |
title | Characterization of the population affiliated to the subsidized health insurance scheme in Colombia: a systematic review and meta-analysis |
title_full | Characterization of the population affiliated to the subsidized health insurance scheme in Colombia: a systematic review and meta-analysis |
title_fullStr | Characterization of the population affiliated to the subsidized health insurance scheme in Colombia: a systematic review and meta-analysis |
title_full_unstemmed | Characterization of the population affiliated to the subsidized health insurance scheme in Colombia: a systematic review and meta-analysis |
title_short | Characterization of the population affiliated to the subsidized health insurance scheme in Colombia: a systematic review and meta-analysis |
title_sort | characterization of the population affiliated to the subsidized health insurance scheme in colombia: a systematic review and meta-analysis |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9903445/ https://www.ncbi.nlm.nih.gov/pubmed/36747197 http://dx.doi.org/10.1186/s12939-022-01818-x |
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