南非愿意为初级保健服务付费的相关因素:对医疗计划成员的横断面调查。

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES
Health Services Insights Pub Date : 2024-09-11 eCollection Date: 2024-01-01 DOI:10.1177/11786329241274479
Evelyn Thsehla, Charles Hongoro, Jacqui Miot, Kate Kgasi, Edmore Marinda, Esnath Maramba, Alister Chabi, Barry Childs, Olurotimi Modupe, Olufunke Alaba
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引用次数: 0

摘要

医疗费用是南非医疗消费者和资助者都关心的问题。南非的医疗费用约占国内生产总值的 8%。医疗保健的资金来源是覆盖 86% 人口的公共部门和覆盖 14% 人口的私营部门。医疗计划是私营部门医疗保健资金的主要来源。医疗计划所涵盖的服务包括慢性病、急诊、诊断和治疗部分疾病。筛查等初级医疗保健服务有限。本研究旨在评估与医疗计划成员是否愿意支付私立部门初级保健套餐费用相关的因素。我们在 2020 年 7 月至 9 月期间对医疗计划的主要成员进行了横断面调查。所有可访问在线问卷的主要成员均有资格参与本研究。研究采用逻辑回归法来确定与基层医疗服务付费意愿相关的因素。共有 6512 名医疗计划成员参与了研究。35%的参与者愿意为初级保健套餐付费。影响支付意愿的因素包括婚姻状况、就业状况、收入和家庭规模。这项研究强调了政策制定者在制定医疗保健政策时考虑社会经济因素的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors Associated With Willingness to Pay for Primary Health Care Services in South Africa: A Cross-Sectional Survey of Medical Schemes Members.

The cost of healthcare is an issue of concern for both consumers and funders of healthcare in South Africa. The country spends approximately 8% of GDP on health care. Health care is financed through the public sector which covers 86% of the population and the private sector which covers 14% of the population. Medical schemes are the main source of healthcare financing in the private sector. Services covered by medical schemes include chronic diseases, emergencies, diagnosis, and treatment of a selected number of diseases. Primary health care services such as screening are limited. The aim of this study was to assess factors associated with members of medical schemes' willingness to pay for a primary health care package in the private sector. A cross-sectional survey was conducted amongst principal members of medical schemes between July and September 2020. All principal members with access to an online questionnaire were eligible to participate in this study. Logistic regression was used to identify factors associated with willingness to pay for primary health care services. A total of 6512 members of medical schemes participated in the study. Thirty-five percent of the participants were willing to pay for the primary health care package. Factors influencing willingness to pay included marital status, employment status, income and household size. The study highlights the need for policymakers to consider socioeconomic factors when designing health care policies.

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来源期刊
Health Services Insights
Health Services Insights HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.60
自引率
0.00%
发文量
47
审稿时长
8 weeks
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