埃塞俄比亚西南部吉马镇社区中参与健康保险服务意愿的预测因素
Predictors of willingness to participate in health insurance services among the community of jimma town, southwest ethiopia.
作者信息
Molla Ashagre, Fentahun Netsanet
机构信息
Lecturer, Department of Nursing, Jimma University, Jimma, Oromia Regional State, Ethiopia.
Assistant Professor, Department of Health Education and Behavioral Sciences, Jimma University, Jimma, Oromia Regional State, Ethiopia.
出版信息
Health Serv Insights. 2014 Oct 23;7:31-7. doi: 10.4137/HSI.S18046. eCollection 2014.
Health insurance schemes are increasingly recognized as tools to finance health care provision in low-income countries. The main objective of this study was to find out the awareness of and demand for health insurance and to identify those reasons that influence the demand in Jimma town, southwest Ethiopia. We conducted a community-based cross-sectional quantitative study on 741 households from December 1 to December 31, 2012. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 16. Presence of chronic illness in the family was the predictor of the willingness to take part in health insurance. Most of the participants have awareness about insurance, but they did little and/or gave unrelated explanation about health insurance. Only half of the participants (51.5%) wanted to have health insurance. Major reasons for not being willing to participate in health insurance were religious values and beliefs, ability to pay for their health-care cost, and feeling of being unable to pay the premium because of low income.
健康保险计划日益被视为低收入国家医疗保健筹资的工具。本研究的主要目的是了解对健康保险的认知和需求，并找出影响埃塞俄比亚西南部吉马镇需求的因素。2012年12月1日至12月31日，我们对741户家庭进行了一项基于社区的横断面定量研究。使用社会科学统计软件包（SPSS）16版对数据进行分析。家庭中存在慢性病是参与健康保险意愿的预测因素。大多数参与者了解保险，但他们对健康保险了解甚少和/或给出无关的解释。只有一半的参与者（51.5%）希望拥有健康保险。不愿意参与健康保险的主要原因是宗教价值观和信仰、支付医疗费用的能力以及因收入低而感觉无力支付保费。
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