Victoor Aafke, Hansen Johan, van den Akker-van Marle M Elske, van den Berg Bernard, van den Hout Wilbert B, de Jong Judith D
NIVEL, Netherlands Institute for Health Services Research, P.O. Box 1568, 3500 BN Utrecht, Netherlands.
Leids Universitair Medisch Centrum, Department of Medical Decision Making, P.O. Box 9600, 2300 RC Leiden, Netherlands.
Health Policy. 2014 Aug;117(2):257-65. doi: 10.1016/j.healthpol.2014.04.017. Epub 2014 May 5.
With rising healthcare expenditure and limited budgets available, countries are having to make choices about the content of health insurance plans. The views of the general population can help determine such priorities. In this article, we investigate whether preferences of the general population regarding the content of health insurance plans could be measured with the help of a stated preference method: the Basket Method (BM). In this method, people use an online tool to include or exclude healthcare interventions from their hypothetical insurance package; this then affects their monthly premium. The study was conducted in the Netherlands. In total, 1007 members of two panels managed by the NIVEL filled out an online questionnaire that included the BM. The suitability of the BM was tested with the help of five criteria, e.g. the BM's ability to distinguish between healthcare interventions. Our results suggest that the BM is suitable for measuring preferences of the general population regarding the content of the health insurance plan, as it performs well on most criteria. Policy makers can use these preferences when deciding the content of the health insurance plan. Its contents will then be more aligned to the population's needs and preferences.
随着医疗保健支出的不断增加以及可用预算的有限,各国不得不对医疗保险计划的内容做出选择。普通民众的意见有助于确定此类优先事项。在本文中,我们研究是否可以借助一种陈述偏好方法——篮子法(BM)来衡量普通民众对医疗保险计划内容的偏好。在这种方法中,人们使用在线工具在他们假设的保险套餐中纳入或排除医疗保健干预措施;这进而会影响他们的月保费。该研究在荷兰进行。由荷兰卫生服务研究机构(NIVEL)管理的两个小组的1007名成员总共填写了一份包含篮子法的在线问卷。借助五个标准对篮子法的适用性进行了测试,例如篮子法区分医疗保健干预措施的能力。我们的结果表明,篮子法适用于衡量普通民众对医疗保险计划内容的偏好,因为它在大多数标准上表现良好。政策制定者在决定医疗保险计划的内容时可以利用这些偏好。这样其内容将更符合民众的需求和偏好。