Does healthcare regime affiliation influence the clinical outcomes of patients with rheumatoid arthritis?

Barahona-Correa, Julián E.; Flórez-Suárez, Jorge Bruce; Coral-Alvarado, Paola; Méndez-Patarroyo, Paul; Quintana-López, Gerardo

doi:10.1007/s10067-020-05347-2

Cited by 7 publications

(5 citation statements)

References 32 publications

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“…The included studies contain information from 1993 to 2021; 42 articles were obtained from indexed databases [ 18 – 59 ]. Of these, four have a retrospective design [ 24 , 32 , 33 , 53 ], two are case series [ 40 , 56 ], and there is one case-control study [ 39 ], five cohort studies [ 25 , 30 , 38 , 52 , 54 ], 27 prevalence studies (cross-sectional) [ 18 , 20 – 22 , 26 , 27 , 29 , 31 , 34 – 37 , 41 – 49 , 51 , 55 , 57 , 58 , 60 ], one descriptive study [ 19 ], and two ecological studies [ 23 , 50 ]. Through Google Scholar, there are 20 references [ 61 – 80 ], 155 annual reports from the Colombian National Institute of Health (INS) [ 81 – 228 ], two reports from R4V [ 229 , 230 ], one report from the website of the Ministry of Health and Social Protection [ 231 ], and two from the “Cuenta de Alto Costo” [ 232 , 233 ].…”

Section: Resultsmentioning

confidence: 99%

“…The data related to the incidence of the disease comprised 25 reports [ 100 – 102 , 116 – 118 , 130 , 132 , 137 , 146 , 147 , 149 , 150 , 154 , 194 , 232 , 233 , 276 , 277 ] and 33 with data on the distribution of diseases in morbid groups of patients [ 20 , 26 , 30 , 32 , 35 – 38 , 41 , 48 , 52 , 54 , 61 , 62 , 65 , 66 , 70 , 73 , 235 – 237 , 249 , 251 , 256 , 266 , 268 , 270 , 272 , 274 , 275 , 278 , 279 , 292 ].…”

Section: Resultsmentioning

confidence: 99%

“…Eight articles [ 19 , 21 , 23 , 29 , 33 , 41 , 47 , 50 ] were considered of high concern due to the risk of bias mainly because of the lack of information regarding the subject’s settings and the sample size. Three [ 32 , 52 , 54 ] out of seven cohort studies were flagged as being of high concern because of the risk of bias due to unclear information about exposure measures, whether control or exposed groups. One [ 56 ] study was evaluated with a case series tool and this was considered to be of low concern in terms of risk of bias.…”

Section: Resultsmentioning

confidence: 99%

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Characterization of the population affiliated to the subsidized health insurance scheme in Colombia: a systematic review and meta-analysis

Mora-Moreo

Estrada-Orozco

Espinosa

et al. 2023

Int J Equity Health

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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.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Characterization of the population affiliated to the subsidized health insurance scheme in Colombia: a systematic review and meta-analysis

Mora-Moreo

Estrada-Orozco

Espinosa

et al. 2023

Int J Equity Health

View full text Add to dashboard Cite

show abstract

“…The limited use of biologics was attributed to a low/difficult access to specialists and the cost of biologics, which contributes to restrictive guidelines for their use and administrative constraints, most likely related to the gross domestic product in each country, 23 but also to the type of healthcare regimen. 24 A review on the healthcare quality in SLE carried out in USA showed that access to care, health insurance, and financial and organisational arrangements of the health…”

Section: Margherita Zen Mariele Gatto Andrea Doriamentioning

confidence: 99%

“…In RA, it was shown that the macroeconomic environment is an important determinant of the access to biological disease-modifying antirheumatic drugs. The limited use of biologics was attributed to a low/difficult access to specialists and the cost of biologics, which contributes to restrictive guidelines for their use and administrative constraints, most likely related to the gross domestic product in each country,23 but also to the type of healthcare regimen 24. A review on the healthcare quality in SLE carried out in USA showed that access to care, health insurance, and financial and organisational arrangements of the health system represent relevant determinants of different disease outcomes in SLE, including disease activity and damage 25.…”

mentioning

confidence: 99%