Cochrane · systematic review · CD009094
The impact of user fees on access to health services in low‐ and middle‐income countries
Lagarde, M, Palmer, N · Cochrane Database of Systematic Reviews · 2011 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 8 · 100%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Summary of Findings ‐ Introducing user fees
Population: Anyone using any type of health service in low‐ and middle‐income countries
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health utilisation ‐ preventive care | no estimate extracted | NR | Very low Downgraded: imprecision |
Health utilisation ‐ curative care | no estimate extracted | NR | Very low Downgraded: imprecision |
Equity outcome ‐ health utilisation by quartile | no estimate extracted | NR | Very low Downgraded: imprecision |
Summary of Findings ‐ Increasing user fees
Population: Anyone using any type of health service in low‐ and middle‐income countries
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health utilisation ‐ curative care | no estimate extracted | NR | Very low |
Health utilisation ‐ preventive care | no estimate extracted | NR | Very low |
Summary of Findings ‐ Removing user fees
Population: Anyone using any type of health service in low‐ and middle‐income countries
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health service utilisation ‐ preventive care | no estimate extracted | NR | Very low |
Health service utilisation ‐ curative care | no estimate extracted | NR | Very low |
Summary of Findings ‐ Decreasing user fees
Population: Anyone using any type of health service in low‐ and middle‐income countries
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health service utilisation ‐ curative and preventive care | no estimate extracted | NR | Very low |