Utilization of the Ghana National Health Insurance Scheme and its association with patient perceptions on healthcare quality

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Nel Jason L Haw

Abstract

To determine the association between the utilization of the Ghana National Health Insurance Scheme (NHIS) and patient perceptions of quality of care. Ghana Demographic and Health Survey (GDHS) 2014 had 19 questions on perceptions of quality of care received during the last reported health visit (n = 4332). These questions were summarized into an overall 100-point perception score using item response theory (IRT). Patients were divided into three utilization categories: those paying with their NHIS card fully, those paying with their card and out-of-pocket (OOP), and those paying fully OOP. A multiple linear regression model was used to measure the association between NHIS utilization and overall perception. In general, NHIS utilization was negatively associated with overall perception, and the difference across utilization categories was higher among private facility users than public facility users. Among private facilities, those who paid fully with NHIS reported five points lower than those who paid fully OOP (P = 0.005). Among public facilities, the difference is only 1.7 (P = 0.4342). NHIS utilization was a negative predictor for patient perceptions, but the differences are more nuanced according to type of facility. Futur...Continue Reading

References

Apr 21, 2011·Health Policy and Planning·Caroline Jehu-AppiahRob Baltussen
Jan 18, 2015·International Journal for Equity in Health·Anthony KusiFelix A Asante
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Jan 18, 2018·PloS One·Stephen Kwasi Opoku DukuMenno Pradhan

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Citations

Dec 26, 2019·Bioscience Trends·Mi TangJiangjiang He

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