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Public satisfaction with health system coverage, empirical evidence from SHARE data

Author

Listed:
  • Aida Isabel Tavares

    (CEISUC, Centre of Research in Health of the University of Coimbra
    University of Lisbon
    Universidade de Coimbra)

  • Pedro Lopes Ferreira

    (CEISUC, Centre of Research in Health of the University of Coimbra
    Universidade de Coimbra)

Abstract

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.

Suggested Citation

  • Aida Isabel Tavares & Pedro Lopes Ferreira, 2020. "Public satisfaction with health system coverage, empirical evidence from SHARE data," International Journal of Health Economics and Management, Springer, vol. 20(3), pages 229-249, September.
  • Handle: RePEc:kap:ijhcfe:v:20:y:2020:i:3:d:10.1007_s10754-020-09279-x
    DOI: 10.1007/s10754-020-09279-x
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    1. Calnan, Michael & Almond, Stephen & Smith, Nick, 2003. "Ageing and public satisfaction with the health service: an analysis of recent trends," Social Science & Medicine, Elsevier, vol. 57(4), pages 757-762, August.
    2. Maarten L. Buis, 2013. "OPARALLEL: Stata module providing post-estimation command for testing the parallel regression assumption," Statistical Software Components S457720, Boston College Department of Economics, revised 13 Jun 2019.
    3. Sitzia, John & Wood, Neil, 1997. "Patient satisfaction: A review of issues and concepts," Social Science & Medicine, Elsevier, vol. 45(12), pages 1829-1843, December.
    4. van der Schee, Evelien & Braun, Bernard & Calnan, Michael & Schnee, Melanie & Groenewegen, Peter P., 2007. "Public trust in health care: A comparison of Germany, The Netherlands, and England and Wales," Health Policy, Elsevier, vol. 81(1), pages 56-67, April.
    5. Renato Santos De Almeida & Stéphane Bourliataux-Lajoinie & Mônica Martins, 2015. "Satisfaction measurement instruments for healthcare service users: a systematic review," Post-Print hal-03165065, HAL.
    6. Footman, Katharine & Roberts, Bayard & Mills, Anne & Richardson, Erica & McKee, Martin, 2013. "Public satisfaction as a measure of health system performance: A study of nine countries in the former Soviet Union," Health Policy, Elsevier, vol. 112(1), pages 62-69.
    7. Richard Williams, 2006. "Generalized ordered logit/partial proportional odds models for ordinal dependent variables," Stata Journal, StataCorp LP, vol. 6(1), pages 58-82, March.
    8. Udo Schneider & Christian Pfarr & Brit Schneider & Volker Ulrich, 2012. "I feel good! Gender differences and reporting heterogeneity in self-assessed health," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(3), pages 251-265, June.
    9. Ali, Faleh Mohamed Hussain & Nikoloski, Zlatko & Reka, Husein, 2015. "Satisfaction and responsiveness with health-care services in Qatar—evidence from a survey," Health Policy, Elsevier, vol. 119(11), pages 1499-1505.
    10. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    11. Shmueli, Amir, 2003. "Israelis evaluate their health care system before and after the introduction of the national health insurance law," Health Policy, Elsevier, vol. 63(3), pages 279-287, March.
    12. Elias Mossialos, 1997. "Citizens' Views on Health Care Systems in the 15 Member States of The European Union," Health Economics, John Wiley & Sons, Ltd., vol. 6(2), pages 109-116, March.
    13. Hall, Judith A. & Dornan, Michael C., 1990. "Patient sociodemographic characteristics as predictors of satisfaction with medical care: A meta-analysis," Social Science & Medicine, Elsevier, vol. 30(7), pages 811-818, January.
    14. Hekkert, Karin Dorieke & Cihangir, Sezgin & Kleefstra, Sophia Martine & van den Berg, Bernard & Kool, Rudolf Bertijn, 2009. "Patient satisfaction revisited: A multilevel approach," Social Science & Medicine, Elsevier, vol. 69(1), pages 68-75, July.
    15. Manning, Willard G. & Marquis, M. Susan, 1996. "Health insurance: The tradeoff between risk pooling and moral hazard," Journal of Health Economics, Elsevier, vol. 15(5), pages 609-639, October.
    16. Kersnik, Janko, 2001. "Determinants of customer satisfaction with the health care system, with the possibility to choose a personal physician and with a family doctor in a transition country," Health Policy, Elsevier, vol. 57(2), pages 155-164, August.
    17. Richard Williams, 2005. "Gologit2: Generalized Logistic Regression Models for Ordinal Dependent Variables," North American Stata Users' Group Meetings 2005 21, Stata Users Group.
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    Blog mentions

    As found by EconAcademics.org, the blog aggregator for Economics research:
    1. Chris Sampson’s journal round-up for 7th September 2020
      by Chris Sampson in The Academic Health Economists' Blog on 2020-09-07 11:00:07

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    Cited by:

    1. Tavares, Aida Isabel, 2021. "Public satisfaction with health care services provided during covid-19 pandemic, evidence from share," MPRA Paper 117148, University Library of Munich, Germany, revised 2022.
    2. Xinxin Peng & Xiaolei Tang & Yijun Chen & Jinghua Zhang, 2021. "Ranking the Healthcare Resource Factors for Public Satisfaction with Health System in China—Based on the Grey Relational Analysis Models," IJERPH, MDPI, vol. 18(3), pages 1-13, January.

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    More about this item

    Keywords

    Satisfaction; Determinants; Health system coverage; SHARE; Ordered logistic regression;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private

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