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Attitudes toward Health Systems Financing in Chile
This article presents an exploratory model to classify public attitudes towards health systems financing and organization. It comprises 5 factors (pay-as-you-use, solidarity, willingness to contribute, mixed financing, and public provision) measured by 17 indicators, selected through Exploratory Str...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8236835/ https://www.ncbi.nlm.nih.gov/pubmed/34166144 http://dx.doi.org/10.1177/00469580211020187 |
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author | González, Pablo A. Gutiérrez, Laura L. Oyanedel, Juan Carlos Sánchez-Rodríguez, Héctor |
author_facet | González, Pablo A. Gutiérrez, Laura L. Oyanedel, Juan Carlos Sánchez-Rodríguez, Héctor |
author_sort | González, Pablo A. |
collection | PubMed |
description | This article presents an exploratory model to classify public attitudes towards health systems financing and organization. It comprises 5 factors (pay-as-you-use, solidarity, willingness to contribute, mixed financing, and public provision) measured by 17 indicators, selected through Exploratory Structural Equation Modeling (ESEM) applied to a sample of Chilean adults. Based on this model, cluster analysis proposed 2 groups: “Taxes-public” and “Insurance-choice,” representing 47% and 53% of interviewees, respectively. The results show differences between groups concerning the evaluation of both health care providers and insurers. The second cluster tends to evaluate them more harshly, showing less willingness to contribute further, less solidarity, more agreement with the current financing arrangement in terms of the mixture and its insurance (as opposed to purchasing of service based on health problems), and more support for choice of provider. These results highlight the need to consider people’s attitudes in the public discussion of health systems financing. |
format | Online Article Text |
id | pubmed-8236835 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-82368352021-07-08 Attitudes toward Health Systems Financing in Chile González, Pablo A. Gutiérrez, Laura L. Oyanedel, Juan Carlos Sánchez-Rodríguez, Héctor Inquiry Original Research This article presents an exploratory model to classify public attitudes towards health systems financing and organization. It comprises 5 factors (pay-as-you-use, solidarity, willingness to contribute, mixed financing, and public provision) measured by 17 indicators, selected through Exploratory Structural Equation Modeling (ESEM) applied to a sample of Chilean adults. Based on this model, cluster analysis proposed 2 groups: “Taxes-public” and “Insurance-choice,” representing 47% and 53% of interviewees, respectively. The results show differences between groups concerning the evaluation of both health care providers and insurers. The second cluster tends to evaluate them more harshly, showing less willingness to contribute further, less solidarity, more agreement with the current financing arrangement in terms of the mixture and its insurance (as opposed to purchasing of service based on health problems), and more support for choice of provider. These results highlight the need to consider people’s attitudes in the public discussion of health systems financing. SAGE Publications 2021-06-24 /pmc/articles/PMC8236835/ /pubmed/34166144 http://dx.doi.org/10.1177/00469580211020187 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research González, Pablo A. Gutiérrez, Laura L. Oyanedel, Juan Carlos Sánchez-Rodríguez, Héctor Attitudes toward Health Systems Financing in Chile |
title | Attitudes toward Health Systems Financing in Chile |
title_full | Attitudes toward Health Systems Financing in Chile |
title_fullStr | Attitudes toward Health Systems Financing in Chile |
title_full_unstemmed | Attitudes toward Health Systems Financing in Chile |
title_short | Attitudes toward Health Systems Financing in Chile |
title_sort | attitudes toward health systems financing in chile |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8236835/ https://www.ncbi.nlm.nih.gov/pubmed/34166144 http://dx.doi.org/10.1177/00469580211020187 |
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