Attitudes toward Health Systems Financing in Chile

Pablo A. González, Laura L. Gutiérrez, Juan Carlos Oyanedel, Héctor Sánchez-Rodríguez

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
JournalInquiry (United States)
Volume58
DOIs
Publication statusPublished - 2021

Keywords

  • Chile
  • health financing
  • health systems
  • public opinion
  • survey

ASJC Scopus subject areas

  • Health Policy

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