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Association between health insurance membership and cataract surgery utilization: A systematic review and meta-analysis
Farisa Shauma Fachir1, Syamsul Arifin2, Silvia KristantiTri Febriana3, Tenri Ashari Wanahari41Master of Public Health Study Program, Faculty of Medicine, Lambung Mangkurat University, Banjarbaru, Indonesia2Department of Administration and Health Policy, Faculty of Medicine, Lambung Mangkurat University, Banjarbaru, Indonesia
3Department of Psychology, Faculty of Medicine, Lambung Mangkurat University, Banjarbaru, Indonesia
4International Master/Ph.D Program In Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
PURPOSE: The purpose of this study is to determine the association between health insurance and the use of cataract surgical services.
METHODS: We conducted a systematic review and meta-analysis according to preferred reporting items for systematic review and meta-analysis guidelines. A literature search was performed on PubMed and ProQuest databases, screening all related articles in the past 10 years (2012–2022). Data were analyzed using RevMan 5.3 software, with pooled effect estimates re-ported as an odds ratio (OR) with a 95% confidence interval (CI).
RESULTS: A total of seven observational studies with a total of 27,054 patients with cataracts were identified and included in the meta-analysis. The pooling results of these studies suggest that there is a statistically significant association between health insurance membership and cataract surgery utilization. Those who have health insurance are 1.28 times more likely to use cataract surgical services (OR 1.28, 95% CI 1.18–1.39, P < 0.00001).
CONCLUSION: There is an association between health insurance membership and cataract surgery utilization. These results can guide focused interventions aimed at enhancing cataract surgery coverage.
Manuscript Language: English
