Abstract
Mauritius has a universal free healthcare system, based on the Beveridge model which is financed by taxpayers. There are growing considerations over improving quality of healthcare services. The purpose of the study is to employ a contingency valuation (CV) to investigate the willingness of Mauritians people to pay to improve the quality of public healthcare services and the associated determinants using the double-bounded dichotomous choice model. A drop off survey with a sample size of 974 respondents from the working population is used. The empirical analysis shows that the majority of the sample was willing to pay for improving quality of public healthcare services. Other than the conventional determinants of respondents’ demographic and socioeconomic characteristics, the findings support the assertion that psycho-social constructs such as the Theory of Planned Behaviour, Norm-Activation, Public Good Theory, and Perceived Response Efficacy are found to significantly affect Willingness-to-Pay (WTP). The results of this study might be of use to policymakers to help with both priority setting and fund allocation.
Highlights
The national healthcare system in Mauritius operates on a dual-track basis encompassing the public and the private sectors
This study focuses on individuals who are in the working population who are the income earners in Mauritius
The purpose of the study was to employ a Contingency Valuation (CV) to investigate the willingness of Mauritians people to pay to improve the quality of public healthcare services and the associated determinants using the double-bounded dichotomous choice model
Summary
The national healthcare system in Mauritius operates on a dual-track basis encompassing the public and the private sectors. Around 73% of the healthcare needs of the population are managed, free of any user cost, at the point of use, in the public sector, financed by the Beveridge system [1]. Under this model, the government raises revenue through taxes and other means, to finance the delivery of social services, including health. 27% of healthcare needs are dealt with in the private sector, on a fee basis, either through out-of-pocket payments, including deductibles or payments effected by private health insurers. It is highlighted that patients who see the public sector providers could use the private sector service, and vice versa
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