Socioeconomic Institute, University of Zurich, Zurich, Switzerland.
Eur J Health Econ. 2011 Feb;12(1):87-95. doi: 10.1007/s10198-010-0248-0. Epub 2010 May 6.
This contribution seeks to measure preferences for health insurance of individuals with and without chronic conditions in two countries, Germany and the Netherlands. The objective is to test the presumption that preferences between these two subpopulations differ and to see whether having a chronic condition has a different influence on preferences depending on the country. The evidence comes from two Discrete Choice Experiments performed in 2005 (Germany) and 2006 (the Netherlands, right after a major health reform). Results point to an even more marked resistance against restrictions of physician choice among individuals with chronic conditions in both countries. Thus, the alleged beneficiaries of Disease Management Programs would have to be highly compensated for accepting the restrictions that go with them.
本研究旨在衡量德国和荷兰两国的健康保险对有慢性病和无慢性病个体的偏好。研究目的是检验这样一种假设，即这两个亚群体的偏好存在差异，并观察是否存在慢性病以及国家的不同会对偏好产生不同的影响。研究证据来自于 2005 年（德国）和 2006 年（荷兰，在一项重大医疗改革之后）开展的两项离散选择实验。结果表明，两国的慢性病患者对限制医生选择的抵抗力更强。因此，接受疾病管理项目所带来的限制，需要对据称的受益者给予高度补偿。
