Does lifestyle matter when deciding on copayment for health care? A survey of the general public
Does lifestyle matter when deciding on copayment for health care? A survey of the general public
复制标题
在决定医疗保健自付费用时，生活方式重要吗？
DOI：
10.1007/s10389-014-0634-7
复制
发表时间：
2014
影响因子：
4.4
通讯作者：
Winkelhage
中科院分区：
文献类型：
--
作者：
Diederich;Schwettmann;Winkelhage
在决定卫生保健分配和相应费用时，经常讨论个人对健康的责任。我们解决两个问题：（1）在德国公众看来，哪些与健康有关的行为有资格获得私人对治疗费用的贡献？(2)共同负担费用的接受率是否取决于公民的具体特征？主题和方法的调查结果是一个更大的代表性调查的一部分，从德国。在一次面对面的访谈（CAPI）中，参与者陈述了他们对有危险健康行为的患者的共同负担的态度。应用非参数统计和回归模型来分析data.ResultsThe大多数受访者同意共同负担的吸烟者，吸毒者，和病人谁参加了极限运动，消耗更高的酒精量，经常日光浴或使用日光浴室。不健康饮食或缺乏体育锻炼的共同负担被拒绝。年龄较大的参与者、男性和来自东德德国的人更经常地同意额外捐款。对于一些健康行为，态度似乎是由自我利益驱动的。然而，有趣的是，吸烟者和酗酒者并没有表现出这种行为。此外，我们观察到的团结和竞争，这些群体的受访者谁会受到负面影响的copayments为不同的潜在不健康的生活方式在questionnaire.ConclusionHealth政策制定者可能会注意到，在调查中描述的几个，但不是所有的不健康行为的标准，被接受的引入copayments。此外，某些社会群体可能比其他群体更强烈地反对有关政策措施。
AimPersonal responsibility for one’s health is frequently discussed when deciding on health-care allocation and corresponding costs. We address two questions: (1) Which health-related behavior qualifies for private contributions to treatment costs in the view of the German public? (2) Do acceptance rates for copayments depend on specific characteristics of the citizens?Subjects and methodsThe findings are part of a larger representative survey from Germany. In a face-to-face interview (CAPI), participants stated their attitudes towards copayments for patients with risky health behaviors. Nonparametric statistics and regression models were applied to analyze the data.ResultsThe majority of respondents agreed to copayments for smokers, drug users, and patients who took part in extreme sports, consumed higher quantities of alcohol, sunbathed frequently or used a solarium. Copayments for an unhealthy diet or lack of physical exercise were rejected. Older participants, men, and people from East Germany agreed to additional contributions more often. For some health behaviors, attitudes seem to be driven by self-interest. Interestingly, however, smokers and heavy drinkers did not show this behavior. Furthermore, we observed both solidarity and competition between those groups of respondents who would be negatively affected by copayments for different potentially unhealthy lifestyles proposed in the questionnaire.ConclusionHealth policy makers may notice that several but not all unhealthy behaviors described in the survey are criteria that are accepted for the introduction of copayments. Furthermore, some groups of society may be more strongly opposed to respective policy measures than others.
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德国肥胖及其并发症的经济负担
DOI：
--
发表时间：
2003
期刊：
The European Journal of Health Economics, formerly: HEPAC
影响因子：
--
作者：
B. Sander;R. Bergemann
通讯作者：
R. Bergemann
影响因子：
3.7
作者：
Diederich A;Swait J;Wirsik N
通讯作者：
Wirsik N
国际卫生公平杂志 卫生保健开放获取优先事项设置：挑战八个国家的经验教训
DOI：
--
发表时间：
--
期刊：
影响因子：
--
作者：
Lindsay M Sabik;R. Lie
通讯作者：
R. Lie
我应该为自己的健康欠佳负责是什么意思
DOI：
--
发表时间：
2009
期刊：
影响因子：
--
作者：
Nicole A. Vincent
通讯作者：
Nicole A. Vincent
影响因子：
9.8
作者：
Brosig-Koch, Jeannette;Helbach, Christoph;Weimann, Joachim
通讯作者：
Weimann, Joachim