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Enrollees' Knowledge and Satisfaction with National Health Insurance Scheme Service Delivery in a Tertiary Hospital, South West Nigeria

BACKGROUND: Social health insurance scheme provides a platform for mobilizing revenue for health and enhances universal health-care coverage. In addition, knowledge about patients' satisfaction with health care under the scheme will help in identifying gaps and provides evidence toward strength...

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Autores principales: Adewole, David Ayobami, Adeniji, Folashayo Ikenna Peter, Adegbrioye, Susan Elemeyi, Dania, Oluyinka Motunrayo, Ilori, Temitope
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7113822/
https://www.ncbi.nlm.nih.gov/pubmed/32317818
http://dx.doi.org/10.4103/nmj.NMJ_126_18
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author Adewole, David Ayobami
Adeniji, Folashayo Ikenna Peter
Adegbrioye, Susan Elemeyi
Dania, Oluyinka Motunrayo
Ilori, Temitope
author_facet Adewole, David Ayobami
Adeniji, Folashayo Ikenna Peter
Adegbrioye, Susan Elemeyi
Dania, Oluyinka Motunrayo
Ilori, Temitope
author_sort Adewole, David Ayobami
collection PubMed
description BACKGROUND: Social health insurance scheme provides a platform for mobilizing revenue for health and enhances universal health-care coverage. In addition, knowledge about patients' satisfaction with health care under the scheme will help in identifying gaps and provides evidence toward strengthening the scheme. This study assessed enrollees' knowledge about the National Health Insurance Scheme (NHIS) and satisfaction with health services provided under the scheme. MATERIALS AND METHODS: The study was a descriptive cross-sectional survey conducted among the NHIS enrollees accessing health-care services in the University College Hospital, Ibadan. A total of 373 individuals were consecutively recruited for the study, and a semi-structured, pretested interviewer-administered questionnaire was used to obtain information from respondents. Descriptive statistics was used to present results, and Chi-square test was used to test for the association between categorical variables. The level of significance was set at P < 005. RESULTS: The mean age was 42.5 ± 10.0 years. Of the respondents, 209 (56.0%) were male and 359 (96.2%) were married. About two-thirds, 227 (60.9%), had good knowledge about the NHIS. Majority of the respondents 303 (81.2%) reported paying for some of the costs of service (drugs, laboratory tests, consultation fees, and X-ray) through out-of-pocket and of these, 218 (71.9%) reported that such payments were occasional. Overall, slightly more than half, 197 (52.8%), of the respondents were satisfied with service delivery under the scheme. Female respondents were significantly more satisfied with health-care services (χ(2) = 3.894,P = 0.048). CONCLUSION: There was good knowledge of NHIS, but the level of satisfaction with service delivery was not outstandingly appreciable. There is an urgent need to improve on all areas of quality of service to improve satisfaction with care among enrollees in the scheme.
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spelling pubmed-71138222020-04-21 Enrollees' Knowledge and Satisfaction with National Health Insurance Scheme Service Delivery in a Tertiary Hospital, South West Nigeria Adewole, David Ayobami Adeniji, Folashayo Ikenna Peter Adegbrioye, Susan Elemeyi Dania, Oluyinka Motunrayo Ilori, Temitope Niger Med J Original Article BACKGROUND: Social health insurance scheme provides a platform for mobilizing revenue for health and enhances universal health-care coverage. In addition, knowledge about patients' satisfaction with health care under the scheme will help in identifying gaps and provides evidence toward strengthening the scheme. This study assessed enrollees' knowledge about the National Health Insurance Scheme (NHIS) and satisfaction with health services provided under the scheme. MATERIALS AND METHODS: The study was a descriptive cross-sectional survey conducted among the NHIS enrollees accessing health-care services in the University College Hospital, Ibadan. A total of 373 individuals were consecutively recruited for the study, and a semi-structured, pretested interviewer-administered questionnaire was used to obtain information from respondents. Descriptive statistics was used to present results, and Chi-square test was used to test for the association between categorical variables. The level of significance was set at P < 005. RESULTS: The mean age was 42.5 ± 10.0 years. Of the respondents, 209 (56.0%) were male and 359 (96.2%) were married. About two-thirds, 227 (60.9%), had good knowledge about the NHIS. Majority of the respondents 303 (81.2%) reported paying for some of the costs of service (drugs, laboratory tests, consultation fees, and X-ray) through out-of-pocket and of these, 218 (71.9%) reported that such payments were occasional. Overall, slightly more than half, 197 (52.8%), of the respondents were satisfied with service delivery under the scheme. Female respondents were significantly more satisfied with health-care services (χ(2) = 3.894,P = 0.048). CONCLUSION: There was good knowledge of NHIS, but the level of satisfaction with service delivery was not outstandingly appreciable. There is an urgent need to improve on all areas of quality of service to improve satisfaction with care among enrollees in the scheme. Wolters Kluwer - Medknow 2020 2020-03-02 /pmc/articles/PMC7113822/ /pubmed/32317818 http://dx.doi.org/10.4103/nmj.NMJ_126_18 Text en Copyright: © 2020 Nigerian Medical Journal http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Adewole, David Ayobami
Adeniji, Folashayo Ikenna Peter
Adegbrioye, Susan Elemeyi
Dania, Oluyinka Motunrayo
Ilori, Temitope
Enrollees' Knowledge and Satisfaction with National Health Insurance Scheme Service Delivery in a Tertiary Hospital, South West Nigeria
title Enrollees' Knowledge and Satisfaction with National Health Insurance Scheme Service Delivery in a Tertiary Hospital, South West Nigeria
title_full Enrollees' Knowledge and Satisfaction with National Health Insurance Scheme Service Delivery in a Tertiary Hospital, South West Nigeria
title_fullStr Enrollees' Knowledge and Satisfaction with National Health Insurance Scheme Service Delivery in a Tertiary Hospital, South West Nigeria
title_full_unstemmed Enrollees' Knowledge and Satisfaction with National Health Insurance Scheme Service Delivery in a Tertiary Hospital, South West Nigeria
title_short Enrollees' Knowledge and Satisfaction with National Health Insurance Scheme Service Delivery in a Tertiary Hospital, South West Nigeria
title_sort enrollees' knowledge and satisfaction with national health insurance scheme service delivery in a tertiary hospital, south west nigeria
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7113822/
https://www.ncbi.nlm.nih.gov/pubmed/32317818
http://dx.doi.org/10.4103/nmj.NMJ_126_18
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