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Community-based health insurance and healthcare service utilisation, North-West, Ethiopia: a comparative, cross-sectional study
OBJECTIVES: The objective of this study was to compare differences in healthcare utilisation between community-based health insurance member households and non-member households and to identify factors for community-based health insurance enrolment in South Achefer District. DESIGN: Comparative, cro...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6089309/ https://www.ncbi.nlm.nih.gov/pubmed/30093509 http://dx.doi.org/10.1136/bmjopen-2017-019613 |
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author | Atnafu, Desta Debalkie Tilahun, Hiwot Alemu, Yihun Mulugeta |
author_facet | Atnafu, Desta Debalkie Tilahun, Hiwot Alemu, Yihun Mulugeta |
author_sort | Atnafu, Desta Debalkie |
collection | PubMed |
description | OBJECTIVES: The objective of this study was to compare differences in healthcare utilisation between community-based health insurance member households and non-member households and to identify factors for community-based health insurance enrolment in South Achefer District. DESIGN: Comparative, cross-sectional study. SETTINGS: Community-based. PARTICIPANTS: A total of 652 selected households (326 insured and 326 uninsured households) participated in the study. METHODS: A two-sample t-test (for proportions) and χ(2) (for categorical data) were computed. MAIN OUTCOME MEASURE: Utilisation of healthcare. RESULTS: There was a significant difference in the rate of healthcare utilisation between insured (50.5%) and uninsured (29.3%) households (χ(2)=27.864, p<0.001). Significant variations of enrolment status in community-based health insurance were observed in the following variables: educational status, family size, occupation, marital status, travel time to the nearest health institution, perceived quality of care, first choice of place for treatment during illness and expected healthcare cost of a recent treatment. CONCLUSIONS: Utilisation of health services among insured households with community-based health insurance was higher. Educational status, family size, occupation, marital status, travel time to the nearest health institution, perceived quality of care, first choice of place for treatment during illness and expected healthcare cost of a recent treatment should be emphasised to enhance community health insurance enrolment. |
format | Online Article Text |
id | pubmed-6089309 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-60893092018-08-15 Community-based health insurance and healthcare service utilisation, North-West, Ethiopia: a comparative, cross-sectional study Atnafu, Desta Debalkie Tilahun, Hiwot Alemu, Yihun Mulugeta BMJ Open Global Health OBJECTIVES: The objective of this study was to compare differences in healthcare utilisation between community-based health insurance member households and non-member households and to identify factors for community-based health insurance enrolment in South Achefer District. DESIGN: Comparative, cross-sectional study. SETTINGS: Community-based. PARTICIPANTS: A total of 652 selected households (326 insured and 326 uninsured households) participated in the study. METHODS: A two-sample t-test (for proportions) and χ(2) (for categorical data) were computed. MAIN OUTCOME MEASURE: Utilisation of healthcare. RESULTS: There was a significant difference in the rate of healthcare utilisation between insured (50.5%) and uninsured (29.3%) households (χ(2)=27.864, p<0.001). Significant variations of enrolment status in community-based health insurance were observed in the following variables: educational status, family size, occupation, marital status, travel time to the nearest health institution, perceived quality of care, first choice of place for treatment during illness and expected healthcare cost of a recent treatment. CONCLUSIONS: Utilisation of health services among insured households with community-based health insurance was higher. Educational status, family size, occupation, marital status, travel time to the nearest health institution, perceived quality of care, first choice of place for treatment during illness and expected healthcare cost of a recent treatment should be emphasised to enhance community health insurance enrolment. BMJ Publishing Group 2018-08-08 /pmc/articles/PMC6089309/ /pubmed/30093509 http://dx.doi.org/10.1136/bmjopen-2017-019613 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Global Health Atnafu, Desta Debalkie Tilahun, Hiwot Alemu, Yihun Mulugeta Community-based health insurance and healthcare service utilisation, North-West, Ethiopia: a comparative, cross-sectional study |
title | Community-based health insurance and healthcare service utilisation, North-West, Ethiopia: a comparative, cross-sectional study |
title_full | Community-based health insurance and healthcare service utilisation, North-West, Ethiopia: a comparative, cross-sectional study |
title_fullStr | Community-based health insurance and healthcare service utilisation, North-West, Ethiopia: a comparative, cross-sectional study |
title_full_unstemmed | Community-based health insurance and healthcare service utilisation, North-West, Ethiopia: a comparative, cross-sectional study |
title_short | Community-based health insurance and healthcare service utilisation, North-West, Ethiopia: a comparative, cross-sectional study |
title_sort | community-based health insurance and healthcare service utilisation, north-west, ethiopia: a comparative, cross-sectional study |
topic | Global Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6089309/ https://www.ncbi.nlm.nih.gov/pubmed/30093509 http://dx.doi.org/10.1136/bmjopen-2017-019613 |
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