Determinants of Willingness to Pay for Health Insurance in Germany—Results of the Population-Based Health Study of the Leipzig Research Centre for Civilization Diseases (LIFE-Adult-Study)

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dc.citation.volume8
dc.contributor.authorHajek A
dc.contributor.authorEnzenbach C
dc.contributor.authorStengler K
dc.contributor.authorGlaesmer H
dc.contributor.authorHinz A
dc.contributor.authorRöhr S
dc.contributor.authorStein J
dc.contributor.authorRiedel-Heller SG
dc.contributor.authorKönig H-H
dc.coverage.spatialSwitzerland
dc.date.accessioned2023-11-23T00:13:20Z
dc.date.accessioned2024-07-25T06:37:47Z
dc.date.available2020-08-28
dc.date.available2023-11-23T00:13:20Z
dc.date.available2024-07-25T06:37:47Z
dc.date.issued2020
dc.description.abstractObjective: To investigate which factors are associated with the willingness to pay (WTP) for health insurance. Methods: The analysis (n = 1,248 individuals) is based on data of a large population-based study—the Health Study of the Leipzig Research Centre for Civilization Diseases (LIFE-Adult-Study). With regard to WTP for health insurance, a contingent valuation method with a payment card was used. Several explanatory variables were included. For example, personality factors (in terms of agreeableness, conscientiousness, extraversion, neuroticism, and openness to experience) were assessed using the NEO-16 Adjective Measure. Results: Average WTP for health insurance per month equaled about €240 which corresponds to ~14% of household net equivalent income. Multiple regressions showed that an increased WTP was associated with lower age (β = −1.7, p < 0.001), higher (log) household net equivalent income (β = 153.6, p < 0.001), higher social support (β = 2.0, p < 0.05), and private health insurance (β = 131.1, p < 0.001). Furthermore, an increased WTP for health insurance was associated with higher openness to experience (β = 10.1, p < 0.05), whereas it was not associated with agreeableness, conscientiousness, extraversion, and neuroticism. Conclusion: The quite large amount of average WTP for health insurance may suggest that individuals accept current contributions to health insurances and would probably accept higher contributions. While previous studies mainly focused on individuals in late life, we identified a link between socioeconomic, health-related factors, and personality factors (in terms of openness to experience) and WTP in the general adult population.
dc.format.pagination456-
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/32984246
dc.identifier.citationHajek A, Enzenbach C, Stengler K, Glaesmer H, Hinz A, Röhr S, Stein J, Riedel-Heller SG, König H-H. (2020). Determinants of Willingness to Pay for Health Insurance in Germany-Results of the Population-Based Health Study of the Leipzig Research Centre for Civilization Diseases (LIFE-Adult-Study).. Front Public Health. 8. (pp. 456-).
dc.identifier.doi10.3389/fpubh.2020.00456
dc.identifier.eissn2296-2565
dc.identifier.elements-typejournal-article
dc.identifier.issn2296-2565
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/70578
dc.languageeng
dc.publisherFrontiers Media S.A
dc.relation.isPartOfFront Public Health
dc.rights(c) 2020 The Author/s
dc.rightsCC BY
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectLIFE-Adult-Study
dc.subjectbig five
dc.subjecthealth insurance
dc.subjectpersonality
dc.subjectwillingness to pay
dc.subjectAdult
dc.subjectCivilization
dc.subjectFinancing, Personal
dc.subjectGermany
dc.subjectHumans
dc.subjectInsurance, Health
dc.subjectSocioeconomic Factors
dc.titleDeterminants of Willingness to Pay for Health Insurance in Germany—Results of the Population-Based Health Study of the Leipzig Research Centre for Civilization Diseases (LIFE-Adult-Study)
dc.typeJournal article
pubs.elements-id455098
pubs.organisational-groupOther
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