Measuring Public Preferences for Changes in the Health Insur-ance Benefit Package Policies in Iran: A Survey Approach

  • Efat MOHAMADI Health Equity Research Center (HERC), Tehran University of Medical Sciences, Tehran, Iran
  • Alireza OLYAEEMANESH 1. Health Equity Research Center (HERC), Tehran University of Medical Sciences, Tehran, Iran 2. National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran
  • Arash RASHIDIAN Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  • Abbas RAHIMI FOROUSHANI Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  • Ali HASSANZADEH Health Insurance Organization of Iran, Tehran, Iran
  • Mojtaba HASUMI Department of Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
  • Mohammadreza MOBINIZADEH National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran
  • Sara MOHAMADI Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Keywords:
Public preferences;, Benefit package;, Insurance, Survey, Iran

Abstract

Background: This study aimed to identify the public preference in health services, the principles that Iranian people consider important, and the aspects of trade-offs between different values in resource allocation practices.

Methods: This quantitative study was conducted to investigate public preferences on Health Insurance Benefit Package (HIBP) in 2017. A structured questionnaire was used for data collection, including the preferences of the people who live in Tehran, were above 18 year, and were covered by basic insurance for the HIBP contents and premium. The sample size was calculated 430 subjects and SPSS Statistics was used for data analyzing.

Results: 81.6% of the sample population agreed with government allocating more money to the health sector compared to other sectors and organizations and 55% were willing to pay higher premiums for expanding the HIBP coverage. The highest and lowest score regarding prioritization of budget allocation between health services was related to hospitalization services (28.6%) and rehabilitation services (1.6%), respectively. The first priority of respondents regarding health care and life cycle, was "prevention in newborns" (15.9%), the second priority was "prevention in children" (14.6%), the third priority was "prevention in adults" (9.5%), and the last priority was "short-term care in newborns" (0.9%).

Conclusion: Iranian people believe that not only the principle of health maximization but also equal opportunities to access health care and a fair allocation of resources should be considered by authorities for effective health insurance policymaking. In this case, given the scarcity of resources, setting priorities for alternative resources is inevitable.

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Published
2020-05-04
How to Cite
1.
MOHAMADI E, OLYAEEMANESH A, RASHIDIAN A, RAHIMI FOROUSHANI A, HASSANZADEH A, HASUMI M, MOBINIZADEH M, MOHAMADI S. Measuring Public Preferences for Changes in the Health Insur-ance Benefit Package Policies in Iran: A Survey Approach. Iran J Public Health. 49(5):940-948.
Section
Original Article(s)