Differential user fees for primary and secondary care: effects are uncertain

Added May 10, 2020

Citation: Hone T, Lee JT, Majeed A, et al. Does charging different user fees for primary and secondary care affect first-contacts with primary healthcare? A systematic review. Health Policy and Planning 2017; 32: 723-31

What is this? The COVID-19 pandemic is placing a strain on healthcare services and resources. Existing research on the effects of strategies that might change how people use primary and secondary care may provide useful information for policy makers.

What was found: There is very weak evidence that higher secondary care user charges can shift use from secondary to primary care.

The impact of differential user charges for secondary and primary care on the use of primary care by patients or on switching of use between primary and secondary, is uncertain.


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