National health insurance in the face of COVID-19: urban tendencies in South Africa

IF 1.1 4区社会学 Q3 GEOGRAPHY

South African Geographical Journal Pub Date : 2022-03-14 DOI:10.1080/03736245.2021.2020585

G. Weir-Smith, T. Mokhele, S. Dlamini

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引用次数: 5

Abstract

ABSTRACT South Africa is set to implement a universal health care system, called National Health Insurance (NHI). The country is plagued by inequality at various levels, and the NHI will attempt to provide more equitable access to health. A national online COVID-19 survey in 2020, measured respondents’ favour or not of such a system. Multivariate logistic regression identified unique determinants of perception of NHI among urban residents (total respondents 12,682) in South Africa. Data were benchmarked using 2019 mid-year population estimates. Results showed that the majority (77.5%) of urban residents were in favour of NHI in South Africa. Furthermore, township (aOR = 1.36, 95% CI [1.10–1.69], p = 0.005) and informal settlement (aOR = 1.55, 95% CI [1.09–2.20], p = 0.016) residents were significantly more likely to be in favour of NHI than those residing in inner cities. This research sheds light on urban people’s perception of the NHI system for South Africa. The findings showed, respondents were mostly in favour of the NHI. It is recommended that the question of NHI be repeated in future research, during a time when knowledge of the COVID-19 pandemic has broadened and to a population with more representative education levels.

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面对COVID-19的国民医疗保险:南非的城市趋势

南非将实施全民医疗保健系统，称为国民健康保险(NHI)。这个国家受到各级不平等现象的困扰，国民健康保险计划将努力提供更公平的保健机会。2020年的一项全国COVID-19在线调查衡量了受访者对这种制度的支持与否。多元逻辑回归确定了南非城市居民(总受访者12,682人)对国民健康保险的感知的独特决定因素。数据以2019年年中人口估计数为基准。结果显示，南非大多数城镇居民(77.5%)赞成全民健康保险。此外，城镇居民(aOR = 1.36, 95% CI [1.10-1.69]， p = 0.005)和非正式住区居民(aOR = 1.55, 95% CI [1.09-2.20]， p = 0.016)比居住在内城的居民更倾向于支持全民健康保险。这项研究揭示了城市居民对南非国民健康保险制度的看法。调查结果显示，大多数受访者支持全民健康保险。建议在未来的研究中，在对COVID-19大流行的认识扩大的时候，在更具代表性的教育水平的人群中，重复全民健康保险的问题。

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

South African Geographical Journal GEOGRAPHY-

CiteScore

3.40

自引率

7.10%

发文量

期刊介绍： The South African Geographical Journal was founded in 1917 and is the flagship journal of the Society of South African Geographers. The journal aims at using southern Africa as a region from, and through, which to communicate geographic knowledge and to engage with issues and themes relevant to the discipline. The journal is a forum for papers of a high academic quality and welcomes papers dealing with philosophical and methodological issues and topics of an international scope that are significant for the region and the African continent, including: Climate change Environmental studies Development Governance and policy Physical and urban Geography Human Geography Sustainability Tourism GIS and remote sensing