Table 2 GRADE evidence profile: Healthcare service utilization for people with private insurance and without private insurance
Certainty assessment | ā of patients | Effect | Certainty | Importance | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
ā of studies | Study design | Risk of bias | Inconsistency | Indirectness | Imprecision | Other considerations | [PI] | [NPI] | Relative (95% CI) | Absolute (95% CI) | ||
Percentage of ED visits | ||||||||||||
5 | observational studies | serious a | serious b | not serious | not serious | none | 47,085/263309 (17.9%) | 8507/32261 (26.4%) | OR 0.65 (0.27 to 1.60) | 75 fewer per 1000 (from 176 fewer to 101 more) | āØāØāÆāÆ LOW | IMPORTANT |
Rate of ED visits | ||||||||||||
12 | observational studies | serious c | serious b | not serious | not serious | none | 69,093,411/484565590 (14.3%) | 18,060,477/104113489 (17.3%) | OR 1.01 (0.58 to 1.76) | 1 more per 1000 (from 65 fewer to 96 more) | āØāØāÆāÆ LOW | IMPORTANT |
Rate of outpatient visits | ||||||||||||
10 | observational studies | serious c | not serious | not serious | not serious | none | 46,584 | 74,303 | ā | MD 0.19 lower (0.29 lower to 0.09 lower) | āØāØāØāÆ MODERATE | IMPORTANT |
Inpatient length of say | ||||||||||||
5 | observational studies | serious a | serious b | not serious | not serious | none | 28,323 | 276,108 | ā | MD 2.01 higher (0.15 lower to 4.17 higher) | āØāØāÆāÆ LOW | IMPORTANT |
Rates of hospitalization | ||||||||||||
13 | observational studies | serious c | serious b | not serious | not serious | none | 29,037,397/484545600 (6.0%) | 7,218,894/104024265 (6.9%) | OR 1.00 (0.58 to 1.70) | 0 fewer per 1000 (from 28 fewer to 43 more) | āØāØāÆāÆ LOW | IMPORTANT |