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Eliciting key attributes of health insurance in rural India: a qualitative analysis

Author

Listed:
  • Mohd Zuhair

    (Nirma University)

  • Fuli Zhou

    (Zhengzhou University of Light Industry)

  • Saurabh Pratap

    (Indian Institute of Technology (BHU))

  • Ram Babu Roy

    (Indian Institute of Technology Kharagpur)

Abstract

Low- and middle-income countries face challenges in healthcare financing, especially in the rural region. Till now, little research has been done to identify issues of the healthcare delivery system and to understand the preferences of the rural population to enrol in the health insurance scheme. This study investigates the ground-level issues intending to provide an empirical view of health insurance preferences for the population residing in the rural region. Data for the study were collected by conducting ten focus group discussions (FGD) and were analysed using grounded theory. 'Insight through participation' emerged as the core category that was generated from five categories: (1) quality-related issues; (2) governance issues; (3) design aspects; (4) financial support for healthcare services; (5) information, education and communication (IEC) activities; and other 17 subcategories. The finding highlights that quality-related issues represented the perceived poor quality of healthcare services and governance issues represented poor governance traits. The categories design aspects, financial support for healthcare services, and IEC activities define the need and the preferences of the people for health insurance. Understanding the issues of the healthcare delivery system and the consumers' preferences in the design of health insurance schemes may increase the enrolment rates.

Suggested Citation

  • Mohd Zuhair & Fuli Zhou & Saurabh Pratap & Ram Babu Roy, 2022. "Eliciting key attributes of health insurance in rural India: a qualitative analysis," SN Business & Economics, Springer, vol. 2(3), pages 1-28, March.
    • Handle: RePEc:spr:snbeco:v:2:y:2022:i:3:d:10.1007_s43546-021-00199-7
    DOI: 10.1007/s43546-021-00199-7
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    1. Kaushalendra Kumar & Ashish Singh & Santosh Kumar & Faujdar Ram & Abhishek Singh & Usha Ram & Joel Negin & Paul R Kowal, 2015. "Socio-Economic Differentials in Impoverishment Effects of Out-of-Pocket Health Expenditure in China and India: Evidence from WHO SAGE," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-19, August.
    2. Abhijit Banerjee & Esther Duflo, 2006. "Addressing Absence," Journal of Economic Perspectives, American Economic Association, vol. 20(1), pages 117-132, Winter.
    3. Santosh Kumar & Emily A. Dansereau & Christopher J. L. Murray, 2014. "Does distance matter for institutional delivery in rural India?," Applied Economics, Taylor & Francis Journals, vol. 46(33), pages 4091-4103, November.
    4. David Mark Dror, 2018. "What Factors Affect Voluntary Uptake of Community-based Health Insurance Schemes in Lowand Middle-Income Countries? A Systematic Review and Meta-Analysis," World Scientific Book Chapters, in: Financing Micro Health Insurance Theory, Methods and Evidence, chapter 14, pages 271-306, World Scientific Publishing Co. Pte. Ltd..
    5. Khetrapal, Sonalini & Acharya, Arnab & Mills, Anne, 2019. "Assessment of the public-private-partnerships model of a national health insurance scheme in India," Social Science & Medicine, Elsevier, vol. 243(C).
    6. Azam, Mehtabul, 2018. "Does Social Health Insurance Reduce Financial Burden? Panel Data Evidence from India," World Development, Elsevier, vol. 102(C), pages 1-17.
    7. Joanna Coast, 2001. "Citizens, their agents and health care rationing: an exploratory study using qualitative methods," Health Economics, John Wiley & Sons, Ltd., vol. 10(2), pages 159-174, March.
    8. Dror, David Mark & Radermacher, Ralf & Koren, Ruth, 2007. "Willingness to pay for health insurance among rural and poor persons: Field evidence from seven micro health insurance units in India," Health Policy, Elsevier, vol. 82(1), pages 12-27, June.
    9. De Allegri, Manuela & Sanon, Mamadou & Bridges, John & Sauerborn, Rainer, 2006. "Understanding consumers' preferences and decision to enrol in community-based health insurance in rural West Africa," Health Policy, Elsevier, vol. 76(1), pages 58-71, March.
    10. Purnamita Dasgupta & Kristie Ebi & Ishita Sachdeva, 2016. "Health sector preparedness for adaptation planning in India," Climatic Change, Springer, vol. 138(3), pages 551-566, October.
    11. Gates, Roger & McDaniel, Carl & Braunsberger, Karin, 2000. "Modeling Consumer Health Plan Choice Behavior To Improve Customer Value and Health Plan Market Share," Journal of Business Research, Elsevier, vol. 48(3), pages 247-257, June.
    12. Joanna Coast, 1999. "The appropriate uses of qualitative methods in health economics," Health Economics, John Wiley & Sons, Ltd., vol. 8(4), pages 345-353, June.
    13. van den Berg, Bernard & Van Dommelen, Paula & Stam, Piet & Laske-Aldershof, Trea & Buchmueller, Tom & Schut, Frederik T., 2008. "Preferences and choices for care and health insurance," Social Science & Medicine, Elsevier, vol. 66(12), pages 2448-2459, June.
    14. David Mark Dror, 2018. "Estimating Willingness-to-Pay for Health Insurance Among Rural Poor in India by Reference to Engel’s Law," World Scientific Book Chapters, in: Financing Micro Health Insurance Theory, Methods and Evidence, chapter 7, pages 139-149, World Scientific Publishing Co. Pte. Ltd..
    15. Dhanaraj, Sowmya, 2016. "Effects of parental health shocks on children’s schooling: Evidence from Andhra Pradesh, India," International Journal of Educational Development, Elsevier, vol. 49(C), pages 115-125.
    16. Alexander S. Preker & Guy Carrin, 2004. "Health Financing for Poor People : Resource Mobilization and Risk Sharing," World Bank Publications - Books, The World Bank Group, number 15019.
    17. Sisira Sarma, 2009. "Demand for outpatient healthcare," Applied Health Economics and Health Policy, Springer, vol. 7(4), pages 265-277, December.
    18. Pawan Kumar Taneja & Shallini Taneja, 2016. "Rashtriya Swasthya Bima Yojana (RSBY) for Universal Health Coverage," Asian Journal of Management Cases, , vol. 13(2), pages 108-124, September.
    19. Hammer, Jeffrey & Spears, Dean, 2016. "Village sanitation and child health: Effects and external validity in a randomized field experiment in rural India," Journal of Health Economics, Elsevier, vol. 48(C), pages 135-148.
    20. Criel, Bart & Waelkens, Maria Pia, 2003. "Declining subscriptions to the Maliando Mutual Health Organisation in Guinea-Conakry (West Africa): what is going wrong?," Social Science & Medicine, Elsevier, vol. 57(7), pages 1205-1219, October.
    21. Pandey, Anamika & Clarke, Lynda & Dandona, Lalit & Ploubidis, George B., 2018. "Inequity in out-of-pocket payments for hospitalisation in India: Evidence from the National Sample Surveys, 1995–2014," Social Science & Medicine, Elsevier, vol. 201(C), pages 136-147.
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    Cited by:

    1. Mohd Zuhair & Ram Babu Roy, 2022. "Eliciting relative preferences for the attributes of health insurance schemes among rural consumers in India," International Journal of Health Economics and Management, Springer, vol. 22(4), pages 443-458, December.

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