The Malaysian community's acceptance and willingness to pay for a National Health Financing Scheme

Noor, A Azimatun; Saperi, S; Aljunid, Syed Mohamed

doi:10.1016/j.puhe.2019.07.008

Cited by 7 publications

(8 citation statements)

References 27 publications

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“…Table 3 shows that the predicted WTP for protesters is on average TND 51.82, leading to a sample mean WTP of TND 38.2 once null and protest answers are accounted for, 14% more than the observed TND 33.59. When expressed as a fraction of 2013 Tunisian gross national income per capita, 48 our sample showed an average WTP of 2.13%, in the range 0.35%–6.07% found over 11 LMICs 12,49 . Finally, it is worth noting that the mean predicted WTP for protesters is higher than for non‐protesters.…”

Section: Resultsmentioning

confidence: 62%

Estimating willingness to pay for public health insurance while accounting for protest responses: A further step towards universal health coverage in Tunisia?

Abu‐Zaineh

Chanel

Makhloufi

2022

Health Planning & Management

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Introduction: Developing countries face major challenges in implementing universal health coverage (UHC): a widespread informal sector, general discontent with rising economic insecurity and inequality and the rollback of state and public welfare. Under such conditions, estimating the demand for a health insurance scheme (HIS) on voluntary basis can be of interest to accelerate the progress of UHC-oriented reforms. However, a major challenge that needs to be addressed in such context is related to protest attitudes that may reflect, inter alia, a null valuation of the expected utility or unexpressed demand. Methods: We propose to tackle this by applying a contingent valuation survey to a non-healthcare-covered Tunisian sample vis-à-vis joining and paying for a formal HIS. Our design pays particular attention to identifying the nature of the willingness-to-pay (WTP) values obtained, distinguishing genuine null values from protest values. To correct for potential selection issues arising from protest answers, we estimate an ordered-Probit-selection model and compare it with the standard Tobit and Heckman sample selection models.

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Section: Resultsmentioning

confidence: 62%

Estimating willingness to pay for public health insurance while accounting for protest responses: A further step towards universal health coverage in Tunisia?

Abu‐Zaineh

Chanel

Makhloufi

2022

Health Planning & Management

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“…The pooled odds ratio (OR = 0.99, 95% CI: 0.75-1.23) also showed no difference between males and females in the WTP for NHI. Some studies indicated that households headed by females had a higher likelihood of WTP for NHI (85,86,90,94), whereas other studies found that males were more inclined to pay (91,97,100,101), which was similar to an original study in Burkina Faso showing that men were more willing to pay to join health insurance than women (176).…”

Section: Socio-demographic Factorsmentioning

confidence: 52%

“…This systematic review found that age was a consistent negative predictor of WTP for NHI (84,86,87,90,94,95,99); that is, WTP for the NHI scheme consistently decreased with increasing age. This dictates that the slightly higher WTP for NHI in Africa may be due to the continent's youngest population, with 70% of SSA under 30 years old (154).…”

Section: Socio-demographic Factorsmentioning

confidence: 91%

“…Regarding the influence of marital status on the WTP for NHI, married households were less likely to pay compared to their single or unmarried counterparts (85,86,95). A study in SSA also revealed that married women's health insurance coverage is only 21.3%, with the highest and lowest coverage in Ghana (66.7%) and Burkina Faso (0.5%).…”

Section: Socio-demographic Factorsmentioning

confidence: 99%

“…The report on the included studies concerning the influence of place of residence on WTP for NHI was inconsistent, similar to that of family size and gender, as evidenced by the pooled odds ratio (OR = 1.03, 95% CI: 0.09-1.98). Some of the included studies showed that the WTP for the scheme was negatively related to urban residence (86,94), while some studies showed the reverse (89), and the other one found an inconclusive finding (90). In another study, health insurance coverage is generally higher in urban areas (177).…”

Section: Socio-demographic Factorsmentioning

confidence: 99%

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Willingness to pay for National Health Insurance Services and Associated Factors in Africa and Asia: a systematic review and meta-analysis

Bayked,

Assfaw,

Toleha

et al. 2024

Front. Public Health

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BackgroundUniversal health coverage (UHC) is crucial for public health, poverty eradication, and economic growth. However, 97% of low- and middle-income countries (LMICs), particularly Africa and Asia, lack it, relying on out-of-pocket (OOP) expenditure. National Health Insurance (NHI) guarantees equity and priorities aligned with medical needs, for which we aimed to determine the pooled willingness to pay (WTP) and its influencing factors from the available literature in Africa and Asia.MethodsDatabase searches were conducted on Scopus, HINARI, PubMed, Google Scholar, and Semantic Scholar from March 31 to April 4, 2023. The Joanna Briggs Institute’s (JBI’s) tools and the “preferred reporting items for systematic reviews and meta-analyses (PRISMA) 2020 statement” were used to evaluate bias and frame the review, respectively. The data were analyzed using Stata 17. To assess heterogeneity, we conducted sensitivity and subgroup analyses, calculated the Luis Furuya-Kanamori (LFK) index, and used a random model to determine the effect estimates (proportions and odds ratios) with a p value less than 0.05 and a 95% CI.ResultsNineteen studies were included in the review. The pooled WTP on the continents was 66.0% (95% CI, 54.0–77.0%) before outlier studies were not excluded, but increased to 71.0% (95% CI, 68–75%) after excluding them. The factors influencing the WTP were categorized as socio-demographic factors, income and economic issues, information level and sources, illness and illness expenditure, health service factors, factors related to financing schemes, as well as social capital and solidarity. Age has been found to be consistently and negatively related to the WTP for NHI, while income level was an almost consistent positive predictor of it.ConclusionThe WTP for NHI was moderate, while it was slightly higher in Africa than Asia and was found to be affected by various factors, with age being reported to be consistently and negatively related to it, while an increase in income level was almost a positive determinant of it.

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Willingness to Pay for National Health Insurance: A Contingent Valuation Study Among Patients Visiting Public Hospitals in Melaka, Malaysia

Tan

Rasid

Ismail

et al. 2021

Appl Health Econ Health Policy

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The Malaysian community's acceptance and willingness to pay for a National Health Financing Scheme

Cited by 7 publications

References 27 publications

Estimating willingness to pay for public health insurance while accounting for protest responses: A further step towards universal health coverage in Tunisia?

Estimating willingness to pay for public health insurance while accounting for protest responses: A further step towards universal health coverage in Tunisia?

Willingness to pay for National Health Insurance Services and Associated Factors in Africa and Asia: a systematic review and meta-analysis

Willingness to Pay for National Health Insurance: A Contingent Valuation Study Among Patients Visiting Public Hospitals in Melaka, Malaysia

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