Second opinion utilization by healthcare insurance type in a mixed private-public healthcare system: a population-based study.

ABSTRACT:

Objectives

To evaluate the utilisation (overall and by specialty) and the characteristics of second-opinion seekers by insurance type (either health fund or supplementary insurance) in a mixed private-public healthcare.

Design

An observational study.

Setting

Secondary care visits provided by a large public health fund and a large supplementary health insurance in Israel.

Participants

The entire sample included 1 392 907 patients aged 21 years and above who visited at least one specialist over an 18 months period, either in the secondary care or privately via the supplementary insurance.

Outcomes measures

An algorithm was developed to identify potential second-opinion instances in the dataset using visits and claims data. Multivariate logistic regression

SUBMITTER: Shmueli L 

PROVIDER: S-EPMC6661653 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature