Measuring attitude toward social health insurance

In order to understand the health care system a country chooses to adopt or the health care reform a country decides to undertake, one must first be able to measure a country's attitude toward social health insurance. Our primary goal was to develop a construct that allows us to measure this &q...

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Bibliographic Details
Published in:The European journal of health economics 2012-12, Vol.13 (6), p.707-722
Main Authors: Loh, Chung-Ping A., Nihalani, Katrin, Schnusenberg, Oliver
Format: Article
Language:English
Subjects:
Adult
Analysis
Attitudes
Business
China
Chinese culture
Countries
Discriminant analysis
Economic Policy
Economic theory
Employees
Employer provided health insurance
Factor Analysis, Statistical
Female
Germany
Government
Health care
Health Care Management
Health care policy
Health care reform
Health Economics
Health facilities
Health insurance
Health Knowledge, Attitudes, Practice
Health services
Humans
Insurance coverage
Insurance premiums
Literature
Male
Medicine
Medicine & Public Health
National Health Programs
Original Paper
Pharmacoeconomics and Health Outcomes
Political attitudes
Public Finance
Public Health
Public Opinion
Rural areas
Social policy
Studies
Surveys and Questionnaires
Taxes
United States
Urban areas
Young Adult
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Summary:In order to understand the health care system a country chooses to adopt or the health care reform a country decides to undertake, one must first be able to measure a country's attitude toward social health insurance. Our primary goal was to develop a construct that allows us to measure this "attitude toward social health insurance". Using a sample of 724 students from the People's Republic of China, Germany, and the United States and an initial set of sixteen items, we extract a scale that measures the basic attitude toward social health insurance in the three countries. The scale is internally consistent in each of the three countries. A secondary factor labeled "government responsibility" is marginally consistent for the total sample and for the German sample. German respondents have the most favorable attitude toward social health insurance, followed by China, and then the United States. Chinese respondents have the most favorable attitude toward government responsibility in health insurance. The scale developed here can be used to further investigate and understand which health care system will succeed and which will fail in a given country, which is important from both a political and an economic perspective.
ISSN:1618-7598
1618-7601
DOI:10.1007/s10198-011-0324-0