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The importance of information on enrollment in a health insurance system: an employee survey in Senegal

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Listed:
  • Samuel Monteiro

    (I&P - Investisseurs et Partenaires)

Abstract

Using a unique database of 204 employees in Senegal, this paper seeks to understand the determinants leading to the choice to enroll (or not) in a health insurance plan. To answer this question, we created three surveys to test certain preferences (time preference and risk aversion) and the role of information. In this paper, we show that Senegalese employees have a very strong preference for the present and a low aversion to loss, which could cause them to not take out insurance. We find that access to information on health insurance plays an essential role in the willingness to enroll. While 12% of employees who received no information about health insurance said they would not want to be insured if they could choose, this proportion dropped to 2% among employees who received positive information about health insurance. These results are econometrically confirmed when controlling for other factors such as gender, age and education. These results show the importance of information on people's perception of health insurance. It is therefore essential to communicate on the functioning of health insurance and the benefits of being covered in order to strengthen adherence to a health insurance system.

Suggested Citation

  • Samuel Monteiro, 2019. "The importance of information on enrollment in a health insurance system: an employee survey in Senegal," Working Papers hal-02493397, HAL.
  • Handle: RePEc:hal:wpaper:hal-02493397
    Note: View the original document on HAL open archive server: https://hal.science/hal-02493397
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    References listed on IDEAS

    as
    1. Liu, Kai, 2016. "Insuring against health shocks: Health insurance and household choices," Journal of Health Economics, Elsevier, vol. 46(C), pages 16-32.
    2. Office of Health Economics, 2007. "The Economics of Health Care," For School 001490, Office of Health Economics.
    3. Nandakumar, A. K. & Chawla, Mukesh & Khan, Maryam, 2000. "Utilization of Outpatient Care in Egypt and its Implications for the Role of Government in Health Care Provision," World Development, Elsevier, vol. 28(1), pages 187-196, January.
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    More about this item

    Keywords

    Health insurance; Risk aversion; Time preferences; Information; Africa;
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