Preferences for health insurance and health status: does it matter whether you are Dutch or German?
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This contribution seeks to measure preferences for health insurance of individuals with and without chronic conditions in two countries, Germany and the Netherlands. The objective is to test the presumption that preferences between these two subpopulations differ and to see whether having a chronic condition has a different influence on preferences depending on the country. The evidence comes from two Discrete Choice Experiments performed in 2005 (Germany) and 2006 (the Netherlands, right after a major health reform). Results point to an even more marked resistance against restrictions of physician choice among individuals with chronic conditions in both countries. Thus, the alleged beneficiaries of Disease Management Programs would have to be highly compensated for accepting the restrictions that go with them.
KeywordsPreference measurement Health insurance Health status Discrete Choice Experiment Germany The Netherlands
Helpful suggestions and criticisms were provided by participants of the Ottobeuren 2008 workshop (in particular Stefan Felder) as well as Harry Telser and Karen Becker (Polynomics Inc.), and Stephanie Berner (University of Zurich). Financial support by the Bertelsmann Foundation and Büchner Foundation is gratefully acknowledged.
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