Willingness to accept capitation payment system under the Ghana National Health Insurance Policy: do income levels matter?

Health Economics Review
Frank Gyimah Sackey, Peter N Amponsah

Abstract

This research was set to examine the factors influencing the willingness and the likelihood of Ghanaians to accept the capitation payment system under the National Health Insurance Scheme. Data was collected through the random sampling method in all the ten regions of Ghana. A probit estimation with marginal effects was adopted to examine the factors influencing the willingness and the likelihood while the generalized Blinder-Oaxaca decomposition was used to examine the extent to which individual characteristics influence the acceptance gap between high income and low-income earners. Our results indicated that, at the individual level, high income, being employed, awareness and smaller household size were the significant factors influencing the willingness and the likelihood to accept capitation. We also observed that the acceptance gap between high income and low-income earners was largely influenced by unexplained factors other than individual characteristics of high income earners. Since the willingness and the likelihood to accept capitation are mixed across regions and largely dependent on high incomes, the intention to roll out and implement the capitation system should be as a complementary payment system to the already ...Continue Reading

References

Mar 29, 2014·International Journal of Health Care Finance and Economics·Marie AllardPierre-Thomas Léger
Aug 22, 2014·International Journal of Health Care Finance and Economics·Stephen O AbrokwahEdward C Norton

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Citations

Sep 19, 2018·Health Economics Review·Dosse Mawussi Djahini-Afawoubo, Esso-Hanam Atake
Aug 24, 2019·Health Research Policy and Systems·Yewande Kofoworola OgundejiAzara Agidani
Oct 17, 2020·Risk Management and Healthcare Policy·Christmal Dela Christmals, Kizito Aidam

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