Online-Ressource | |
Verfasst von: | Abiiro, Gilbert Abotisem [VerfasserIn] |
De Allegri, Manuela [VerfasserIn] | |
Titel: | Eliciting community preferences for complementary micro health insurance |
Titelzusatz: | a discrete choice experiment in rural Malawi |
Verf.angabe: | Gilbert Abotisem Abiiro, Aleksandra Torbica, Kassim Kwalamasa, Manuela De Allegri |
E-Jahr: | 2014 |
Jahr: | 16 September 2014 |
Umfang: | 9 S. |
Fussnoten: | Gesehen am 08.09.2020 |
Titel Quelle: | Enthalten in: Social science & medicine |
Ort Quelle: | Amsterdam [u.a.] : Elsevier Science, 1967 |
Jahr Quelle: | 2014 |
Band/Heft Quelle: | 120(2014), Seite 160-168 |
ISSN Quelle: | 1873-5347 |
Abstract: | There is a limited understanding of preferences for micro health insurance (MHI) as a strategy for moving towards universal health coverage. Using a discrete choice experiment (DCE), we explored community preferences for the attributes and attribute-levels of a prospective MHI scheme, aimed at filling health coverage gaps in Malawi. Through a qualitative study informed by a literature review, we identified six MHI attributes (and attribute-levels): unit of enrollment, management structure, health service benefit package, copayment levels, transportation coverage, and monthly premium per person. Qualitative data was collected from 12 focus group discussions and 8 interviews in August-September, 2012. We constructed a D-efficient design of eighteen choice-sets, each comprising two MHI choice alternatives and an opt-out. Using pictorial images, trained interviewers administered the DCE in March-May, 2013, to 814 household heads and/or their spouse(s) in two rural districts. We estimated preferences for attribute-levels and relative importance of attributes using conditional and nested logit models. The results showed that all attribute-levels except management by external NGO significantly influenced respondents' choice behavior (P < 0.05). These included: enrollment as core nuclear family (odds ratio (OR) = 1.1574), extended family (OR = 1.1132), compared to individual; management by community committee (OR = 0.9494) compared to local micro finance institution; comprehensive health service package (OR = 1.4621), medium service package (OR = 1.2761), compared to basic service package; no copayment (OR = 1.1347), 25% copayment (OR = 1.1090), compared to 50% copayment; coverage of all transport (OR = 1.5841), referral and emergency transport (OR = 1.2610), compared to no transport; and premium (OR = 0.9994). The relative importance of attributes is ordered as: transport, health services benefits, enrollment unit, premium, copayment, and management. To maximize consumer utility and encourage community acceptance of MHI, potential MHI schemes should cover transport costs, offer a comprehensive benefit package, define the core family as the unit of enrollment, avoid high copayments, and be managed by a competent financial institution. |
DOI: | doi:10.1016/j.socscimed.2014.09.021 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt. Volltext: https://doi.org/10.1016/j.socscimed.2014.09.021 |
Volltext: http://www.sciencedirect.com/science/article/pii/S0277953614005887 | |
DOI: https://doi.org/10.1016/j.socscimed.2014.09.021 | |
Datenträger: | Online-Ressource |
Sprache: | eng |
Sach-SW: | Discrete choice experiment |
Malawi | |
Micro health insurance | |
Preferences | |
Rural communities | |
K10plus-PPN: | 1729103197 |
Verknüpfungen: | → Zeitschrift |