Senior onderzoeker Arbeids- en Organisatievraagstukken in de Gezondheidszorg
Publicatie
Publicatie datum
Wie komt eerst?: een vignetonderzoek naar de solidariteitsbeleving van Nederlanders met patiënten en cliënten in de gezondheidszorg.
Hansen, J., Arts, W., Muffels, R. Wie komt eerst?: een vignetonderzoek naar de solidariteitsbeleving van Nederlanders met patiënten en cliënten in de gezondheidszorg. Sociale Wetenschappen: 2005, 48(1/2), 31-60
In this article, the solidarity of the Duch population with fictitious patients (vignettes) is studied. For the explanation of people's stated solidarity principles and sentiments, we focus on the social-demographic characteristics of patients, their diseases and complaints, and how they interact. We use data from a factorial survey to test whether the solidarity principles embedded in the recently in Parliament accepted Dutch Compulsory Health Insurance Act match the views of the public as reported in a public opinion survey we held. Each respondent was asked to judge 12 vignettes of fictitious patients. Because of the multilevel structure of the data (1,597 respondents and 19,164 fictitious patients) we use an ordinal analysis with a cluster correction for the nesting of the vignette judgements within respondents. The findings show that the public's solidarity with patients appears to be quite high in the Netherlands today. In accordance with the principles as incorporated in the new Act respondents are of the opinion that solidarity should not be a one-way process but based on reciprocity. Respondents are prepared to act solidarly towards patients, but expect in turn that patients are prepared to give a financial contribution to the costs of their treatment. Contrary to the principles of the Act respondents think that especially lifestyle characteristics should be taken into account for the assessment of who pays and who gets what in terms of contributions paid and benefits received.
In this article, the solidarity of the Duch population with fictitious patients (vignettes) is studied. For the explanation of people's stated solidarity principles and sentiments, we focus on the social-demographic characteristics of patients, their diseases and complaints, and how they interact. We use data from a factorial survey to test whether the solidarity principles embedded in the recently in Parliament accepted Dutch Compulsory Health Insurance Act match the views of the public as reported in a public opinion survey we held. Each respondent was asked to judge 12 vignettes of fictitious patients. Because of the multilevel structure of the data (1,597 respondents and 19,164 fictitious patients) we use an ordinal analysis with a cluster correction for the nesting of the vignette judgements within respondents. The findings show that the public's solidarity with patients appears to be quite high in the Netherlands today. In accordance with the principles as incorporated in the new Act respondents are of the opinion that solidarity should not be a one-way process but based on reciprocity. Respondents are prepared to act solidarly towards patients, but expect in turn that patients are prepared to give a financial contribution to the costs of their treatment. Contrary to the principles of the Act respondents think that especially lifestyle characteristics should be taken into account for the assessment of who pays and who gets what in terms of contributions paid and benefits received.