Document Detail

Municipal governments' role in averting access problems associated with market reform.
MedLine Citation:
PMID:  19770112     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The 2006 health insurance legislation obligates each resident to purchase a basic health policy. If a person fails to purchase a basic health plan, (s)he is by implication uninsured. An assumption underpinning the new legislation is that consumers must take responsibility for themselves and can make informed choices. In the view of municipal governments, social security recipients in their community often are not competent enough to do so and for that reason need support. The study investigates how municipal governments provided them with administrative support to prevent them becoming uninsured. METHODS: Empirical data for this research were collected by desk research. RESULTS: Municipal governments actively support social security recipients. Individual responsibility and consumer choice are good for the great majority of the population, but may entail problems for social security recipients. To avoid that they are uninsured or become a defaulter, municipal governments conclude a group contract with health insurers. There are clear indications that this strategy has been effective to reduce the number of uninsured people. CONCLUSION: Health insurance legislation based on the principle of individual responsibility requires a policy to support social security recipients in society. Such a policy may imply restrictions to individual responsibility.
Yvette Bartholom?e; Hans Maarse
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-09-21
Journal Detail:
Title:  Journal of health services research & policy     Volume:  15     ISSN:  1758-1060     ISO Abbreviation:  J Health Serv Res Policy     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-14     Completed Date:  2010-03-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9604936     Medline TA:  J Health Serv Res Policy     Country:  England    
Other Details:
Languages:  eng     Pagination:  36-40     Citation Subset:  H    
Department of Health Organisation, Policy and Economics, Maastricht University, Maastricht, The Netherlands.
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MeSH Terms
Community-Institutional Relations*
Empirical Research
Health Care Reform / legislation & jurisprudence*
Health Care Sector / legislation & jurisprudence
Health Services Accessibility
Health Services for the Aged / legislation & jurisprudence*
Insurance Coverage / legislation & jurisprudence*
Insurance, Health / legislation & jurisprudence*
Local Government*
Medically Uninsured / statistics & numerical data
Professional Role
Social Responsibility
Social Security / economics,  legislation & jurisprudence
Social Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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