marginally significantp = 0.07
The interaction between the ICD-11 dummy and social health insurance system type is positive and marginally significant for the policy frame ratio ( β = 0.05, SE = 0.03, p = 0.07), suggesting a tendency—though not conclusively established at conventional thresholds—for countries with pluralistic healthcare systems to be somewhat more responsive to WHO-level institutional signals in their policy frame coverage than NHS-type or market-oriented systems.