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• W2158527375 abstract "Background: Out-of-pocket payments can have a large impact on the demand for healthcare. They can be essential not only to decrease unnecessary service use, but also to encourage the use of particular preventive services provided free of charge or at a lower price. Moreover, out-of-pocket payments may increase the costs of unhealthy behaviour and provide incentives for a healthier lifestyle. Method: This study systematically reviews empirical evidence on the effects of out-of-pocket payments on the use of preventive services and health-related lifestyle. All possible combinations of three key words ‘prevention’, ‘patient payment’ and ‘health-related behaviour’ were searched in PUBMED, ECONLITH, ECONPAPER and EMBASE. In total, 47 relevant publications were identified. Results: The results suggest that out-of-pocket payments can create a financial barrier and can decrease the use of preventive services and the uptake of preventive medications. A few studies (with contradicting empirical evidence) address the impact of cost sharing and reduced insurance coverage on a healthier lifestyle. Conclusion: Although the great diversity of study designs (various indicators of out-of-pocket payments and preventive/health-related behaviour) makes it difficult to offer robust policy recommendations, our findings support calls to reconsider how preventive services should be financed. More research is needed to explore the actual impact of cost sharing on different aspects of health-related lifestyles, as well as to explain the role of other relevant determinants that could impact this relationship." @default.
• W2158527375 created "2016-06-24" @default.
• W2158527375 creator A5028045262 @default.
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• W2158527375 date "2012-04-27" @default.
• W2158527375 modified "2023-10-18" @default.
• W2158527375 title "The impact of out-of-pocket payments on prevention and health-related lifestyle: a systematic literature review" @default.
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• W2158527375 doi "https://doi.org/10.1093/eurpub/cks034" @default.
• W2158527375 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/22544911" @default.
• W2158527375 hasPublicationYear "2012" @default.
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