A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Private health insurance in the universal public healthcare system : The role of healthcare provision in Finland (2023)

Lavaste, K. (2023). Private health insurance in the universal public healthcare system : The role of healthcare provision in Finland. Health Policy, 132, Article 104820. https://doi.org/10.1016/j.healthpol.2023.104820

JYU-tekijät tai -toimittajat

Julkaisun tiedot

Julkaisun kaikki tekijät tai toimittajat: Lavaste, Konsta

Lehti tai sarja: Health Policy

ISSN: 0168-8510

eISSN: 1872-6054

Julkaisuvuosi: 2023

Ilmestymispäivä: 06.04.2023

Volyymi: 132

Artikkelinumero: 104820

Kustantaja: Elsevier BV

Julkaisumaa: Alankomaat

Julkaisun kieli: englanti

DOI: https://doi.org/10.1016/j.healthpol.2023.104820

Julkaisun avoin saatavuus: Avoimesti saatavilla

Julkaisukanavan avoin saatavuus: Osittain avoin julkaisukanava

Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/86371

Tiivistelmä

Voluntary private health insurance (VPHI) has gained popularity in universal public healthcare systems. We studied how the local provision of healthcare services correlated with VPHI take-up in Finland. Nationwide register data from a Finnish insurance company was aggregated to the local level and augmented with high-quality data on public and private primary care providers’ geographical closeness and fees. We found that the sociodemographic characteristics explained the VPHI take-up more than public or private healthcare provision. The VPHI take-up was negatively associated with distance to the nearest private clinic, while the associations with distance to public health stations were statistically weak. Fees and co-payments for healthcare services were not associated with insurance take-up, meaning that the geographical closeness of providers explained the take-up more than the price of services. On the other hand, we found that VPHI take-up was higher when local employment, income and education levels were higher.

YSO-asiasanat: vapaaehtoinen vakuutus; sairausvakuutus; terveydenhuolto; terveyspalvelut; julkiset palvelut; yksityiset palvelut; alueelliset erot; sosiodemografiset tekijät

Vapaat asiasanat: private health insurance; voluntary health insurance; primary healthcare; universal healthcare; Finland; access to healthcare

Liittyvät organisaatiot

OKM-raportointi: Kyllä

VIRTA-lähetysvuosi: 2023

JUFO-taso: 2