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01.12.2017 | Original research article | Ausgabe 1/2017 Open Access

Israel Journal of Health Policy Research 1/2017

A national survey of ethnic differences in knowledge and understanding of supplementary health insurance

Zeitschrift:
Israel Journal of Health Policy Research > Ausgabe 1/2017
Autoren:
Manfred S. Green, Samah Hayek, Jalal Tarabeia, Mohammad Yehia, Neta HaGani
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s13584-017-0137-4) contains supplementary material, which is available to authorized users.

Abstract

Background

Knowledge and understanding of what health insurance covers is an important public health issue. In Israel, whereas national health insurance covers all residents, optional supplemental health insurance (SHI) can be purchased from the healthcare providers, for additional, special services. The purpose of this study was to identify disparities between Jews and Arabs in their knowledge and understanding of SHI.

Methods

National, cross-sectional, telephone survey using a structured questionnaire, among random samples of 814 Jews and 800 Arabs. Knowledge and understanding of health insurance was assessed by a score based on correct answers to 8 questions. Log-linear regression was used to estimate association between health insurance knowledge and population group, after controlling for potential confounding independent variables.

Results

Ninety one percent of Jews and 62% of Arabs reported owning SHI. Among both groups, knowledge levels were low on a 0–8 scale. However, the average score for Jews was statistically higher (Mean = 3.50, S.D = 1.69) as compared with Arabs (Mean = 2.78, S.D = 1.70) (p < 0.001). The adjusted health insurance knowledge score was significantly higher among Jews than Arabs (Prevalence ratio = 1.10; 95% CI = 1.06–1.13), indicating that differences remain even after controlling for socio-demographic characteristics and SHI ownership.

Conclusions

There is a large gap between the public’s understanding of what is covered by SHI and the services that it covers in practice. Low SHI knowledge and understanding may lead to frustration, and limit access to additional health care among populations that suffer from socio-economic inequalities. These findings emphasize the need to provide clearer and more culturally sensitive information on health insurance coverage.
Zusatzmaterial
Additional file 1: Health Insurance Questionnaire. (DOC 109 kb)
13584_2017_137_MOESM1_ESM.doc
Literatur
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