印度的健康保险意识及其普及情况：一项系统评价方案
Health insurance awareness and its uptake in India: a systematic review protocol.
作者信息
Reshmi Bhageerathy, Unnikrishnan Bhaskaran, Parsekar Shradha S, Rajwar Eti, Vijayamma Ratheebhai, Venkatesh Bhumika Tumkur
机构信息
Health Information Management, Manipal College of Health Professionals, Manipal Academy of Higher Education, Manipal, India.
Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.
出版信息
BMJ Open. 2021 Apr 15;11(4):e043122. doi: 10.1136/bmjopen-2020-043122.
INTRODUCTION
Health insurance is one of the important approaches that can help in boosting universal healthcare coverage through improved healthcare utilisation and financial protection. This objectives of this review are to identify various interventions implemented in India to promote awareness of health insurance, and to provide evidence for the effectiveness of such interventions on the awareness and uptake of health insurance by the resident Indian population.
METHODS AND ANALYSIS
A systematic review will be carried out based on the Cochrane handbook for systematic reviews of interventions. The review will include experimental and analytical observational studies that have included adult population (>18 years) in India. We will include any intervention, policy or programme that directly or indirectly affects awareness or uptake of health insurance. The following outcomes will be eligible to be included: awareness or health insurance literacy, attitude such as readiness to buy health insurance or decision making, uptake of health insurance, demand-side and supply-side factors for awareness of health insurance, and awareness as a factor for uptake and re-enrolment in health insurance. Databases such as MEDLINE (PubMed), Web of Science, Scopus, 3ie impact evaluation repository and Social Science Research Network will be searched from January 2010 to 15 July 2020. Additionally, important government websites and references of the included studies will be scanned to identify potential records. Three authors, independently, will carry out screening and data extraction. Studies will be categorised into quantitative and qualitative, and mixed-methods synthesis will be employed to analyse the findings.
ETHICS AND DISSEMINATION
This review will be based on published studies and will not recruit human participants directly, therefore, ethical clearance is not applicable. We will disseminate the final review findings in a national or international conference and publish in a peer-reviewed journal.
引言
健康保险是有助于通过改善医疗保健利用和经济保护来扩大全民医保覆盖范围的重要途径之一。本综述的目的是确定印度为提高健康保险意识而实施的各种干预措施，并为这些干预措施对印度居民健康保险意识和参保率的有效性提供证据。
方法与分析
将根据Cochrane干预措施系统评价手册进行系统综述。该综述将包括纳入印度成年人口（>18岁）的实验性和分析性观察性研究。我们将纳入任何直接或间接影响健康保险意识或参保率的干预措施、政策或项目。以下结果将符合纳入标准：健康保险意识或素养、诸如购买健康保险的意愿或决策等态度、健康保险参保率、健康保险意识的需求侧和供给侧因素，以及意识作为健康保险参保和重新参保的一个因素。将检索2010年1月至2020年7月15日期间的MEDLINE（PubMed）、科学引文索引、Scopus、3ie影响评估知识库和社会科学研究网络等数据库。此外，将扫描重要的政府网站和纳入研究的参考文献以识别潜在记录。三位作者将独立进行筛选和数据提取。研究将分为定量研究、定性研究和混合方法研究，并采用混合方法综合分析研究结果。
伦理与传播
本综述将基于已发表的研究，不会直接招募人类参与者，因此，无需伦理批准。我们将在国内或国际会议上传播最终综述结果，并发表在同行评审期刊上。
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