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Public satisfaction with health system coverage, empirical evidence from SHARE data.
International Journal of Health Economics and Management ( IF 1.837 ) Pub Date : 2020-02-14 , DOI: 10.1007/s10754-020-09279-x
Aida Isabel Tavares 1, 2, 3 , Pedro Lopes Ferreira 1, 3
Affiliation  

People’s satisfaction with the health system, including the coverage provided, has been a concern for some years now but research into the main explanatory factors is in progress. This work focuses on European countries plus Israel, using the SHARE database to find what determines people’s satisfaction with the basic coverage provided by the health system of each country. On top of the usual individual socioeconomic characteristics, other explanatory factors were also considered. These include, at individual level, trust in others, political positioning, and risk aversion; at country level, they include access to specialist care and the type of health system financing. Estimation of an ordered logistic model found that the main predictors for satisfaction with a health system’s basic coverage include trust in others, unmet health needs, self-assessed health, free access to specialists, health system financed through social insurance, and out-of-pocket payments. These results provide the basis for possible policies designed to improve people’s satisfaction.

中文翻译:

公众对卫生系统覆盖率的满意度,来自SHARE数据的经验证据。

多年来人们一直对人们对卫生系统(包括所提供的医疗保险)的满意度感到关注,但有关主要解释因素的研究仍在进行中。这项工作着眼于欧洲国家和以色列,使用SHARE数据库来找到决定人们对每个国家卫生系统提供的基本保险的满意度的因素。除了通常的个体社会经济特征外,还考虑了其​​他解释性因素。这些包括在个人层面上对他人的信任,政治立场和风险规避;在国家一级,它们包括获得专科护理和卫生系统筹资的类型。对有序逻辑模型的估算发现,对卫生系统基本覆盖范围满意度的主要预测因素包括对他人的信任,未满足的卫生需求,自我评估的健康,免费提供专家服务,通过社会保险资助的医疗系统以及自付费用。这些结果为制定旨在提高人们满意度的政策提供了依据。
更新日期:2020-02-14
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