Attitudes toward Health Systems Financing in Chile
This article presents an exploratory model to classify public attitudes towards health systems financing and organization. It comprises 5 factors (pay-as-you-use, solidarity, willingness to contribute, mixed financing, and public provision) measured by 17 indicators, selected through Exploratory Str...
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SAGE Publishing
2021-06-01
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Series: | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
Online Access: | https://doi.org/10.1177/00469580211020187 |
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doaj-7b10313fc60a49cab7dda10304b71dc72021-06-25T02:05:12ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95801945-72432021-06-015810.1177/00469580211020187Attitudes toward Health Systems Financing in ChilePablo A. González PhD0Laura L. Gutiérrez MSc1Juan Carlos Oyanedel PhD2Héctor Sánchez-Rodríguez BSc3Universidad de Chile, Santiago, ChileUniversidad de Chile, Santiago, ChileUniversidad Andres Bello, Santiago, ChileUniversidad Andres Bello, Santiago, ChileThis article presents an exploratory model to classify public attitudes towards health systems financing and organization. It comprises 5 factors (pay-as-you-use, solidarity, willingness to contribute, mixed financing, and public provision) measured by 17 indicators, selected through Exploratory Structural Equation Modeling (ESEM) applied to a sample of Chilean adults. Based on this model, cluster analysis proposed 2 groups: “Taxes-public” and “Insurance-choice,” representing 47% and 53% of interviewees, respectively. The results show differences between groups concerning the evaluation of both health care providers and insurers. The second cluster tends to evaluate them more harshly, showing less willingness to contribute further, less solidarity, more agreement with the current financing arrangement in terms of the mixture and its insurance (as opposed to purchasing of service based on health problems), and more support for choice of provider. These results highlight the need to consider people’s attitudes in the public discussion of health systems financing.https://doi.org/10.1177/00469580211020187 |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Pablo A. González PhD Laura L. Gutiérrez MSc Juan Carlos Oyanedel PhD Héctor Sánchez-Rodríguez BSc |
spellingShingle |
Pablo A. González PhD Laura L. Gutiérrez MSc Juan Carlos Oyanedel PhD Héctor Sánchez-Rodríguez BSc Attitudes toward Health Systems Financing in Chile Inquiry: The Journal of Health Care Organization, Provision, and Financing |
author_facet |
Pablo A. González PhD Laura L. Gutiérrez MSc Juan Carlos Oyanedel PhD Héctor Sánchez-Rodríguez BSc |
author_sort |
Pablo A. González PhD |
title |
Attitudes toward Health Systems Financing in Chile |
title_short |
Attitudes toward Health Systems Financing in Chile |
title_full |
Attitudes toward Health Systems Financing in Chile |
title_fullStr |
Attitudes toward Health Systems Financing in Chile |
title_full_unstemmed |
Attitudes toward Health Systems Financing in Chile |
title_sort |
attitudes toward health systems financing in chile |
publisher |
SAGE Publishing |
series |
Inquiry: The Journal of Health Care Organization, Provision, and Financing |
issn |
0046-9580 1945-7243 |
publishDate |
2021-06-01 |
description |
This article presents an exploratory model to classify public attitudes towards health systems financing and organization. It comprises 5 factors (pay-as-you-use, solidarity, willingness to contribute, mixed financing, and public provision) measured by 17 indicators, selected through Exploratory Structural Equation Modeling (ESEM) applied to a sample of Chilean adults. Based on this model, cluster analysis proposed 2 groups: “Taxes-public” and “Insurance-choice,” representing 47% and 53% of interviewees, respectively. The results show differences between groups concerning the evaluation of both health care providers and insurers. The second cluster tends to evaluate them more harshly, showing less willingness to contribute further, less solidarity, more agreement with the current financing arrangement in terms of the mixture and its insurance (as opposed to purchasing of service based on health problems), and more support for choice of provider. These results highlight the need to consider people’s attitudes in the public discussion of health systems financing. |
url |
https://doi.org/10.1177/00469580211020187 |
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