People's willingness to pay for health insurance in rural Vietnam

Löfgren, Curt; Thanh, Nguyen Xuan; Chuc, Nguyen Tk; Emmelin, Anders; Lindholm, Lars

doi:10.1186/1478-7547-6-16

Cited by 65 publications

(100 citation statements)

References 27 publications

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“…The unadjusted mean amount to pay for VCHI per household was Int$114.38. This is far higher than the amount reported in other studies (Asenso-Okyere, Osei-Akoto, Anum, & Appiah, 1997; Binam, Nkama, & Nkendah, 2004;Dong, Kouyate, Cairns, Mugisha, & Sauerborn, 2003;Dror, Radermacher, & Koren, 2007;Lofgren et al, 2008;Onwujekwe et al, 2009) but comparable to the national average premium of VPHI, which is Int$109.36. Assuming that the probability of health care use is 0.5 and the annual expenditure per capita is Int$1360.37 (World Bank, 2012, this amount might be sufficient to cover the health care cost per 1000 individual population with a minimum of 25% paying participants.…”

Section: Discussioncontrasting

confidence: 38%

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Willingness to pay for voluntary community-based health insurance: Findings from an exploratory study in the state of Penang, Malaysia

Shafie

Hassali

2013

Social Science & Medicine

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Health care in Malaysia is funded primarily through taxation and is no longer sustainable. One funding option is voluntary community-based health insurance (VCHI), which provides insurance coverage for those who are unable to benefit immediately from either a social or private health insurance plan. This study is performed to assess the willingness of Malaysians to participate in a VCHI plan. A cross-sectional study was performed in the state of Penang between August and mid-September 2009 with 472 randomly selected respondents. The respondents were first asked to select their preferred health financing plan from three plans (out-of-pocket payment, compulsory social health insurance and VCHI). The extent of the household's willingness to pay for the described VCHI plan was later assessed using the contingent valuation method in an ex-ante bidding game approach until the maximum amount they would be willing to pay to obtain such a service was agreed upon. Fifty-four per cent of the participants were female, with a mean age of 34 years (SD = 11.9), the majority of whom had a monthly income of Int$1157-2312. The results indicated that more than 63.1% of the respondents were willing to join and contribute an average of Int$114.38 per month per household towards VCHI. This amount was influenced by ethnicity, educational level, household monthly income, the presence of chronic disease and the presence of private insurance coverage (p < 0.05). In conclusion, our study findings suggest that most Malaysians are willing to join the proposed VCHI and to pay an average of Int$114.38 per month per household for the plan.

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Section: Discussioncontrasting

confidence: 38%

“…This preference is higher than is found in Vietnam (20%) (Lofgren et al, 2008). Other studies did not compare the preferences between financing plans, and none were conducted in an upper-middle income country such as Malaysia.…”

Section: Discussionmentioning

confidence: 64%

Willingness to pay for voluntary community-based health insurance: Findings from an exploratory study in the state of Penang, Malaysia

Shafie

Hassali

2013

Social Science & Medicine

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“…Other studies have also shown that as the education level increases, the demand for health insurance increases [15,[18][19][20][21]. In our study, households whose heads have tertiary education were more likely to be covered under health insurance than those whose heads are in other education groups.…”

Section: Discussionsupporting

confidence: 58%

Demand for Self-Employed Health Insurance

2017

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Objective: Health insurance provides financial support for health care expenditures. There are two types of health insurance: compulsory and voluntary. Voluntary health insurance can be divided into two categories: self-employed and supplementary. In this study, the main factors that affect the demand for self-employed health insurance in Iran were determined. Materials and Methods:In this cross-sectional study, data were derived from the 2013 Household Income and Expenditure Survey from the Statistical Center of Iran. Then, a logistic regression model was designed to determine the factors influencing health insurance demand. Results:The age, income, and education level of the head of the household directly correlated with the demand for self-employed health insurance. There was no significant relationship between the demand for health insurance and the gender or marital status of the head of the household. In addition, there were no significant relationships between occupation or house ownership and the demand for health insurance in rural households. Conclusion:To promote voluntary health insurance, it is helpful to identify effective factors that stimulate the health insurance demand.

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“…Moreover, providers are often reluctant to accept referred patients due to high and complicated transaction costs involved in being reimbursed [12]. These barriers to access may explain why willingness to pay for health insurance is found to be relatively low in a recent study in one rural district in Vietnam [13]. They may also explain partly why Vietnam's insurance schemes are found to have small or negligible impact on out-of-pocket health care spending [14].…”

Section: Introductionmentioning

confidence: 98%