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Consumer preferences in social health insurance.

Kerssens JJ, Groenewegen PP

Netherlands Institute for Health Services Research NIVEL, PO Box 1568, 3500 BN Utrecht, The Netherlands. j.kerssens@nivel.nl

Allowing consumers greater choice of health plans is believed to be the key to high quality and low costs in social health insurance. This study investigates consumer preferences (361 persons, response rate 43%) for hypothetical health plans which differed in 12 characteristics (premium, deductibles, no-claim discount, extension of insurance and financial services, red tape involved, medical help-desk, choice of family physicians and hospitals, dental benefits, physical therapy benefits, benefits for prescription drugs and homeopathy). In 90% the health plan with the most attractive characteristics was preferred, indicating a predominantly rational kind of choice. The most decisive characteristics for preference were: complete dental benefits, followed by zero deductibles, and free choice of hospitals.

Published 17 March 2005 in Eur J Health Econ, 6(1): 8-15.
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