Voluntary private health insurance and cancer screening utilisation in Europe.

IF 1.9 4区医学 Q3 HEALTH POLICY & SERVICES

International Journal of Health Planning and Management Pub Date : 2024-09-19 DOI:10.1002/hpm.3852

A Isabel Tavares

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引用次数: 0

Abstract

Background: Cancer is a leading cause of death in Europe and prevention measures, like screening, are therefore becoming increasingly important. Although European countries provide universal health coverage, including cancer screenings, many people also have private health insurance.

Aim: The aim of this study is to analyse the relationship between Voluntary private health insurance (VPHI) and cancer screening, specifically breast and colorectal cancer screening.

Method: Using data from SHARE, the Survey of Health, Ageing and Retirement in Europe, different logistic and multilevel regressions were estimated.

Results: The major finding shows a positive correlation between people being screened for cancer and having VPHI.

Conclusions: Three conclusions can be drawn: advantageous selection may exist in private health insurance; spillover effects may exist from the public sector into the private sector, which in turn may result in a lower insurance premium; and there may be a perpetuation of inequalities in health service utilisation. Several policy implications can be drawn from this result, but the most relevant concerns narrowing the inequities that could potentially arise between those who have private health insurance and those who do not.

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欧洲的自愿私人医疗保险和癌症筛查利用率。

背景：癌症是欧洲人的主要死因，因此，筛查等预防措施变得越来越重要。目的：本研究旨在分析自愿私人医疗保险（VPHI）与癌症筛查（尤其是乳腺癌和结直肠癌筛查）之间的关系：方法：利用欧洲健康、老龄和退休调查（SHARE）的数据，对不同的逻辑和多层次回归进行估计：主要结果显示，接受癌症筛查的人群与 VPHI 患者之间存在正相关关系：可以得出三个结论：私人医疗保险中可能存在优势选择；可能存在从公共部门向私人部门的溢出效应，这反过来可能导致保险费降低；可能存在医疗服务利用不平等的长期存在。从这一结果中可以得出一些政策含义，但最相关的是缩小那些拥有私人医疗保险的人与那些没有私人医疗保险的人之间可能出现的不平等。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Health Planning and Management Multiple-

CiteScore

4.50

自引率

3.70%

发文量

197

期刊介绍： Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.