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.

 

Disclaimer: This summary has been written by staff and volunteers of Evidence Aid in order to make the content of the original document accessible to decision makers who are searching for the available evidence on the coronavirus (COVID-19) but may not have the time, initially, to read the original report in full. This summary is not intended as a substitute for the medical advice of physicians, other health workers, professional associations, guideline developers, or national governments and international agencies. If readers of this summary think that the evidence that is presented within it is relevant to their decision-making they should refer to the content and details of the original article, and the advice and guidelines offered by other sources of expertise, before making decisions. Evidence Aid cannot be held responsible for any decisions made about the coronavirus (COVID-19) on the basis of this summary alone.

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