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Has public support for solidarity in healthcare financing in the Netherlands changed over time? A repeated cross-sectional study

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  • Meijer, Marloes A.
  • Brabers, Anne E.M.
  • de Jong, Judith D.

Abstract

It is argued that solidarity-based healthcare systems are under pressure and that public support is decreasing. It can, therefore, be expected that support for solidarity in healthcare financing has diminished over time. However, little research has been conducted into this. To fill this gap, we used survey data from 2013, 2015, 2017, 2019, and 2021 to examine changes in public support for solidarity in healthcare financing in the Netherlands over time. This was operationalised as the own willingness and the expected willingness of others to contribute to other people's healthcare costs. Using logistic regression analysis, we found that the own willingness to contribute has slightly increased among the general population over time, although this was not observed in all subgroups. No change in the expected willingness of others to contribute was observed. Our results suggest that the willingness to contribute to other people's healthcare costs has, at least, not decreased over time. A majority of the Dutch population remains willing to share the burden of healthcare costs, indicating support for the principles of the solidarity-based healthcare system. However, not all people are willing to contribute to the healthcare costs of others. In addition, we do not know how much people want to pay. Further research into these topics is necessary.

Suggested Citation

  • Meijer, Marloes A. & Brabers, Anne E.M. & de Jong, Judith D., 2023. "Has public support for solidarity in healthcare financing in the Netherlands changed over time? A repeated cross-sectional study," Health Policy, Elsevier, vol. 131(C).
    • Handle: RePEc:eee:hepoli:v:131:y:2023:i:c:s0168851023000659
    DOI: 10.1016/j.healthpol.2023.104762
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    References listed on IDEAS

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    1. Gevers, J.M.P. & Gelissen, J.P.T.M. & Arts, W.A. & Muffels, R.J.A., 1999. "Public health care in balance : Exploring popular support for health care systems in the European Union," WORC Paper 99.12.04, Tilburg University, Work and Organization Research Centre.
    2. van Oorschot, W.J.H., 1998. "Shared identity and shared utility. On solidarity and its motives," WORC Paper 98.11.008/2, Tilburg University, Work and Organization Research Centre.
    3. Groenewegen, Peter P. & Hansen, Johan & de Jong, Judith D., 2019. "Trust in times of health reform," Health Policy, Elsevier, vol. 123(3), pages 281-287.
    4. repec:dau:papers:123456789/10510 is not listed on IDEAS
    5. Van der Aa, Maartje J. & Paulus, Aggie T.G. & Klosse, Saskia & Evers, Silvia M.A.A. & Maarse, Johannes A. M., 2019. "The impact of reforms of national health insurance on solidarity in the Netherlands: comparing health care insurance and long-term care insurance," LSE Research Online Documents on Economics 106225, London School of Economics and Political Science, LSE Library.
    Full references (including those not matched with items on IDEAS)

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