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People's positions regarding social security's health insurance programs: The case of Romania
Affiliation:1. CERPPS, Université de Toulouse, Toulouse, France;2. University of Québec – TELUQ, 5800, rue Saint-Denis, Bureau 1105, Montréal, Québec H2S 3L5, Canada;3. Albany Medical College, Albany Medical Center Internal Medicine and Pediatrics, 1019 New Loudon Road, Cohoes, NY 12047, USA;4. Institute of Advanced Studies (EPHE), Paris, France;5. CLLE, Université de Toulouse, CNRS, Toulouse, France;1. UFR arts et médias, université Paris 3, 13, rue de Santeuil, 75231 Paris cedex 05, France;2. UFR de psychologie, université Paris 8, 2, rue de la Liberté, 93526 Saint-Denis cedex, France;3. CRPPC, Université Lyon 2, 5, avenue Pierre Mendès-France, 69676 Bron Cedex, France;1. Department of General Psychology, University of Padua, Padua, Italy;2. Department of Psychology, California State University, Los Angeles, USA;3. FISPPA Department, University of Padua, Padua, Italy;1. Département de psychologie, Université de Sherbrooke, Québec, Canada;2. Département de psychologie, Université d’Ottawa, Ontario, Canada;3. Département de psychologie, Université de Montréal, Québec, Canada
Abstract:BackgroundIn Romania, the passage from a culture in which healthcare were freely available to a culture in which people must contribute financially, at least in part, has generated controversies among the population. We examined and mapped the views of people living in Romania regarding social security's health insurance programs.MethodsA convenience sample of 271 adults aged 18–80 who lived in big cities in Romania or in the rural areas around these cities were presented with realistic vignettes that depicted a health insurance program and asked to rate its goodness. The vignettes were created by combining orthogonally the levels of five factors: amount of employers’ contribution to the program, amount of workers’ contribution, extent of coverage of ordinary medical and dental care, extent of coverage of chronic or severe illness, and identity of health insurance recipients.ResultsFive qualitatively different positions were found. They were called Private insurance (8%), Health insurance only for contributors (14%), Health insurance for contributors and for everyone with severe or chronic illness (12%), Health insurance for everyone (29%), and Any insurance program is better than nothing (37%).ConclusionOverall, most participants (78%) favored a health insurance program that would protect all citizens in case of severe or chronic illness or injury, and 66% favored the protection of all citizens in all cases.
Keywords:Health insurance  Public  Attitudes  Preferences  Romania  Assurance maladie  Public  Attitudes  Préférences  Roumanie
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