earticle

영어

Objectives: This study aims to analyze the behavioral factors shaping patients’ intention to accept a co-payment system in Russian healthcare by applying the Theory of Planned Behavior (TPB). It focuses on attitudes, subjective norms, perceived behavioral control, contextual barriers, and facilitators. Methods: A structured questionnaire was administered to 141 Russian patients. Based on the literature and TPB constructs, data were analyzed using SPSS 27.0 to examine the relationships between behavioral variables and intention. Results: Attitude and perceived behavioral control had significant positive effects on intention, whereas subjective norms did not. Higher intentions were found among those with secondary-vocational education and an income of over 50,000 rubles. Age, gender, marital status, health status, and out-of-pocket expenses had no significant effects. Conclusions: Targeted education is needed to address misconceptions regarding co-payment. Clarifying cofinancing and service coverage may increase public acceptance and support sustainable cost containment in healthcare.