Health insurance is a financial mechanism that pools risk across a population to fund the cost of medical care, protecting individuals from the often unpredictable and substantial expense of illness and injury. It may be provided publicly, through government-sponsored or social-insurance schemes, or privately, and t…
Health insurance is a financial mechanism that pools risk across a population to fund the cost of medical care, protecting individuals from the often unpredictable and substantial expense of illness and injury. It may be provided publicly, through government-sponsored or social-insurance schemes, or privately, and typically covers services such as outpatient consultations, hospital admission, medicines, and preventive care, with the precise benefits, cost-sharing, and eligibility shaping access and out-of-pocket spending. Coverage and its design are central concerns of health-systems and health-services research because they influence equity, utilisation, and financial protection, particularly for vulnerable and ageing populations. Research in this area examines government-sponsored health insurance coverage and out-of-pocket spending among the elderly, ethical guidance on whether living kidney donors should receive donor health insurance, and the development of a disease-severity classification system using a health-insurance claims database. Further studies address horizontal inequities in the uptake of hospital delivery and social determinants, factors associated with uncontrolled hypertension and with caesarean section, community health-needs assessment, the use of employment-based insurance claims data in cancer-incidence research, correlates of congenital syphilis, socioeconomic factors and depression, prescribing and dispensing practices, and the ethics of organ sale. The journal publishes peer-reviewed research on health policy, financing, and the delivery of care.
12 peer-reviewed articles, ranked by relevance. Each links to its DOI.
The 12 articles above have been cited 61 times in the scholarly literature. Citation data via OpenAlex and Crossref, updated Jun 2026.
A sample of recent works citing this journal's research on Health Insurance, linking to each citing work.