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Public satisfaction with health system coverage, empirical evidence from SHARE data


  • Aida Isabel Tavares

    (CEISUC, Centre of Research in Health of the University of Coimbra
    University of Lisbon
    Universidade de Coimbra)

  • Pedro Lopes Ferreira

    (CEISUC, Centre of Research in Health of the University of Coimbra
    Universidade de Coimbra)


People’s satisfaction with the health system, including the coverage provided, has been a concern for some years now but research into the main explanatory factors is in progress. This work focuses on European countries plus Israel, using the SHARE database to find what determines people’s satisfaction with the basic coverage provided by the health system of each country. On top of the usual individual socioeconomic characteristics, other explanatory factors were also considered. These include, at individual level, trust in others, political positioning, and risk aversion; at country level, they include access to specialist care and the type of health system financing. Estimation of an ordered logistic model found that the main predictors for satisfaction with a health system’s basic coverage include trust in others, unmet health needs, self-assessed health, free access to specialists, health system financed through social insurance, and out-of-pocket payments. These results provide the basis for possible policies designed to improve people’s satisfaction.

Suggested Citation

  • Aida Isabel Tavares & Pedro Lopes Ferreira, 2020. "Public satisfaction with health system coverage, empirical evidence from SHARE data," International Journal of Health Economics and Management, Springer, vol. 20(3), pages 229-249, September.
  • Handle: RePEc:kap:ijhcfe:v:20:y:2020:i:3:d:10.1007_s10754-020-09279-x
    DOI: 10.1007/s10754-020-09279-x

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    Blog mentions

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    1. Chris Sampson’s journal round-up for 7th September 2020
      by Chris Sampson in The Academic Health Economists' Blog on 2020-09-07 11:00:07


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    More about this item


    Satisfaction; Determinants; Health system coverage; SHARE; Ordered logistic regression;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private


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