scholarly journals Factors Associated With Willingness To Join a Health Insurance Scheme Among Females in Uganda

2021 ◽  
Author(s):  
Douglas Andabati Candia
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Secondary Data ◽  
Health Insurance Scheme ◽  
The Internet ◽  
Insurance Scheme ◽  
Human Right ◽  
Factors Associated ◽  
Health Related ◽  
The Government

Abstract Background Access to quality and affordable health services is a fundamental human right. Therefore, there is a need for more reliable, affordable, and sustainable approaches to financing health services. This study sought to identify factors associated with willingness to join a health insurance scheme among females in Uganda. Methods The assessment was done using a logistic regression model and secondary data from the 2016 Uganda Demographic and Health Survey. Results The majority of females were willing to join health insurance schemes (85.28%). The willingness to join health insurance schemes increased among females with primary or secondary education as well as among females who used the internet less than once a week or almost every day. Conclusion There is a need for government to increase literacy among women since it will have an implication on their understanding of health insurance information and subsequently influence their willingness to join and pay. There is a need for the government of Uganda to revise the tax on the internet and internet-enabled devices to increase affordability and access to the internet which provides a cheaper and faster way to disseminate health-related information.

PERLINDUNGAN HUKUM BAGI RSUD DR. MOEWARDI SURAKARTA TERHADAP KETERLAMBATAN PEMBAYARAN KLAIM OLEH BPJS KESEHATAN

2020 ◽  
Vol 8 (1) ◽  
pp. 42
Author(s):  
Asna Zamharira ◽  
Arief Suryono
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Research Method ◽  
Legal Protection ◽  
Secondary Data ◽  
Primary Data ◽  
Cooperation Agreement ◽  
Insurance Program ◽  
Health Insurance Program ◽  
The Government

<p>Abstract<br />This articles aims to find out how legal protection for health facilities is towards late payment of claims by BPJS Health. The research method used in writing this law is a normative juridical research method that is research that uses secondary data or literature that is supported by primary data in the field as supporting data. Analysis of data using qualitative analysis. The results of the study revealed that health services in implementing the Health Insurance program between RSUD Dr. Moewardi Surakarta with BPJS Health is based on a collaboration agreement between RSUD Dr. Moewardi Surakarta with BPJS Kesehatan about Advanced Level Referral Health Services for Participants in the Health Insurance Program, one of which is the contents of a cooperation agreement regarding the payment system of claims. The claim system is carried out by referring to the agreement. In the system of claims there were still obstacles that is the delay in the payment of claims by BPJS Kesehatan to the hospital. As a form of legal protection, to resolve the problem of late payment of claims made in accordance with the cooperation agreement and Perpres No. 82 Tahun 2018 concerning Health Insurance. The Government and BPJS Kesehatan are expected to be able to make claims payments in accordance with the terms or agreed cooperation agreements.<br />Keywords: Cooperation agreement; Claim; BPJS Kesehatan; Hospital.</p><p>Abstrak<br />Artikel ini bertujuan untuk mengetahui bagaimana perlindungan hukum bagi fasilitas kesehatan tehadap keterlambatan pembayaran klaim oleh BPJS Kesehatan. Metode penelitian yang digunakan dalam penulisan hukum ini adalah metode penelitian yuridis normatif yaitu penelitian yang menggunakan bahan-bahan hukum sekunder atau kepustakaan yang ditunjang dengan data primer di lapangan sebagai data pendukung. Data diolah dan dianalisis secara kualitatif. Hasil penelitian diketahui bahwa pelayanan kesehatan dalam melaksanakan program Jaminan Kesehatan antara RSUD DR. Moewardi  Surakarta dengan BPJS Kesehatan didasarkan pada perjanjian kejasama antara RSUD Dr. Moewardi Surakarta dengan BPJS Kesehatan tentang Pelayanan Kesehatan Rujukan Tingkat Lanjutan bagi Peserta Program Jaminan Kesehatan yang salah satu isi perjanjiannya mengenai sistem pembayaran klaim. Sistem pembayaran klaim dilakukan dengan berpedoman pada perjanjian kerjasama. Dalam sistem klaim masih ditemui hambatan yaitu terjadinya keterlambatan pembayaran klaim oleh BPJS Kesehatan kepada rumah sakit. Sebagai bentuk perlindungan hukum, untuk penyelesaian permasalahan keterlambatan pembayaran klaim dilakukan sesuai dengan perjanjian kerjasama dan Perpres No. 82 Tahun 2018 tentang Jaminan Kesehatan. Pemerintah dan BPJS Kesehatan diharapkan dapat melaksanan pembayaran klaim sesuai dengan ketentuan atau perjanjian kerjasama yang telah disepakati.<br />Kata Kunci: Perjanjian Kerjasam; Klaim; BPJS Kesehatan; Rumah Sakit.</p>

Coverage of the poor—innovative health financing in Ghana

2015 ◽  
Author(s):  
Frank Nyonator
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
National Health Insurance ◽  
National Health Insurance Scheme ◽  
Health Financing ◽  
Insurance Scheme ◽  
Community Based ◽  
The Poor ◽  
The Government ◽  
National Framework

Chapter 19 describes the journey that Ghana has been on since 2003 as it sought to bring together existing community based health insurance schemes of many sorts within a single national framework, which offered a package of care to all its citizens—however poor and from whatever background. It covers the challenges in integrating the existing schemes, in applying different aspects of the policy, in funding, and in reaching the poorest. It also discusses how the government has changed and with it some aspects of policy, and how, after 10 years, around a third of the population are active members of the National Health Insurance Scheme and there is a foundation in place for continuing the journey to ensure that health services are available to everyone as the country continues to grow and prosper.

scholarly journals Willingness to Join and Pay for Social Health Insurance Scheme Among employees in Debere Berhan Town, Ethiopia

2019 ◽  
Author(s):  
Wassie Negash Mekonnen ◽  
Mesfin Wondaferew ◽  
Adugnaw Birhane Mekonen
Keyword(s):  
Health Insurance ◽  
Willingness To Pay ◽  
Contingent Valuation Method ◽  
Social Health Insurance ◽  
Health Insurance Scheme ◽  
Social Health ◽  
P Value ◽  
Multivariable Logistic Regression Analysis ◽  
Insurance Scheme ◽  
The Government

Abstract Back ground: Social Health Insurance improves access to health services among civil servants by removing catastrophic health expenditure. In Ethiopia, only 7.3% of the population covered by health insurance. Due to this fact the government of Ethiopia initiated Social Health Insurance scheme to be applied in the formal employers and employees with compulsory membership of the scheme. This study therefore aimed to assess willingness to join and pay for social health insurance scheme among government and private employees in Debere Berhan Town, Ethiopia .Methods: Cross-sectional study was conducted .At mean time Stratified sampling technique was used to select 619 employees. A modified dichotomous contingent valuation method (CVM) was applied to elicit employees’ willingness to pay. Bi-variant and multivariable logistic regression analysis was done . Then the result at 95% CI and P value <0.05 was declared as variables have statistically significant association. Results: A total of 619 employees with response rate of 97.8% were participated in the study. About 406 (65%) of the respondents were willing to join to Social Health Insurance scheme. Of which 113 (27.8%) of employees were willing to pay the government proposed 3% premium. The employee’s average willingness to pay for social health insurance scheme was 1.88% of their monthly salary. In this study the odds of respondents who had degree and above (AOR=3.608, 95%CI 1.177-11.061), employees good perception on quality health service (AOR=3.150, 95% CI 1.140-8.699) and employees who perceive benefit packages of social health insurance as enough (AOR=5.229, 95%CI: 2.230-12 .594) were higher than the counter parts. Conclusion: Employees willingness to join of the Social Health Insurance scheme(SHIS) is low and very low number of employees agree to pay the government proposed premium for SHIS. So decision-makers should emphasize to revise the benefit packages and the premiums to be contributed. likewise insurance agency and all responsible bodies should aware the society about the importance of social health insurance for the employees.

scholarly journals Factors associated with self-medication in users of drugstores and pharmacies in Peru: an analysis of the National Survey on User Satisfaction of Health Services, ENSUSALUD 2015

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 23
Author(s):  
Diego Urrunaga-Pastor ◽  
Vicente A. Benites-Zapata ◽  
Edward Mezones-Holguín
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Health System ◽  
National Survey ◽  
User Satisfaction ◽  
Multinomial Logistic Regression ◽  
Secondary Data ◽  
Male Gender ◽  
Self Medication ◽  
Factors Associated

Background: Irresponsible self-medication is a problem for health systems in developing countries. We aimed to estimate the frequency of self-medication and associated factors in users of drugstores and pharmacies in Peru. Methods: We performed a secondary data analysis of the 2015 National Survey on User Satisfaction of Health Services (ENSUSALUD), a two-stage probabilistic sample of all regions of Peru. Non self-medication (NSM), responsible self-medication (RSM) and irresponsible self-medication (ISM) were defined as the outcome categories. Demographic, social, cultural and health system variables were included as covariates. We calculated relative prevalence ratios (RPR) with their 95% confidence intervals (95%CI) using crude and adjusted multinomial logistic regression models for complex samples with NSM as the referent category. Results: 2582 participants were included. The average age was 41.4 years and the frequencies of NSM, RSM and ISM were 25.2%, 23.8% and 51.0%; respectively. The factors associated with RSM were male gender (RPR: 1.35; 95%CI: 1.06-1.72), being between 40 and 59 years old (RPR: 0.53; 95%IC: 0.39-0.72), being 60 or older (RPR: 0.39; 95%IC: 0.25-0.59), not having health insurance (RPR: 1.89; 95%CI: 1.31-2.71) and living in the Highlands region (RPR: 2.27; 95%CI: 1.23-4.21). The factors associated with ISM were male gender (RPR: 1.41; 95%CI: 1.16-1.72), being between 40 and 59 years old (RPR: 0.68; 95%IC: 0.53-0.88), being 60 or older (RPR: 0.65; 95%IC: 0.48-0.88) and not having health insurance (RPR: 2.03; 95%CI: 1.46-2.83). Conclusion: Around half of the population practiced ISM, which was associated with demographic and health system factors. These outcomes are the preliminary evidence that could contribute to the development of health policies in Peru.

scholarly journals Health Personnel and the Implementation of National Health Insurance Scheme (NHIS) in Federal Capital Territory, Abuja, Nigeria

2021 ◽  
Author(s):  
Ikechukwu Joseph Okafor ◽  
Abdulhamid Ozohu-Suleiman
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Health Personnel ◽  
Healthcare Workers ◽  
National Health Insurance Scheme ◽  
Health Insurance Scheme ◽  
Healthcare Personnel ◽  
Insurance Scheme ◽  
The Government

Acknowledged as a policy target for the government of Nigeria, healthcare provision represents an important preoccupation for the government. As with other public policies, the achievement of policy goals in Nigeria is usually encumbered by numerous factors of implementation across various sectors. In the health sector, factors such as inadequate physical infrastructure, shortage of healthcare personnel, limited medical supplies etc. have hindered the implementation of several health policies. National Health Insurance Scheme (NHIS) is one of such policies and this study examined the effects of shortage of healthcare personnel on the implementation of NHIS policy in FCT, Abuja. Specifically, the study evaluated the opinions of health workers as well as enrollees of NHIS in four purposively chosen Area Councils of the six Area Councils in FCT. This study adopted a survey research design with Rensis Likert’s five-point scale questionnaire instrument administered to both categories of respondents. The data were analyzed using the Statistical Package for Social Sciences (SPSS Version 25) and the T-tested statistical tool was used to test the hypothesis. The study found out that shortage of health personnel is a major barrier to the effective implementation of NHIS in the FCT, Abuja. Consequently, the study recommends that there should be massive recruitment of qualified healthcare personnel; training and retraining of healthcare workers; and timely and adequate remuneration for the healthcare workers in FCT, Abuja.

scholarly journals Factors associated with self-medication in users of drugstores and pharmacies in Peru: an analysis of the National Survey on User Satisfaction of Health Services, ENSUSALUD 2015

F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 23
Author(s):  
Diego Urrunaga-Pastor ◽  
Vicente A. Benites-Zapata ◽  
Edward Mezones-Holguín
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Health System ◽  
National Survey ◽  
User Satisfaction ◽  
Multinomial Logistic Regression ◽  
Secondary Data ◽  
Male Gender ◽  
Self Medication ◽  
Factors Associated

Background: Irresponsible self-medication is a problem for health systems in developing countries. We aimed to estimate the frequency of self-medication and associated factors in users of drugstores and pharmacies in Peru. Methods: We performed a secondary data analysis of the 2015 National Survey on User Satisfaction of Health Services (ENSUSALUD), a two-stage probabilistic sample of all regions of Peru. Non self-medication (NSM), responsible self-medication (RSM) and irresponsible self-medication (ISM) were defined as the outcome categories. Demographic, social, cultural and health system variables were included as covariates. We calculated relative prevalence ratios (RPR) with their 95% confidence intervals (95%CI) using crude and adjusted multinomial logistic regression models for complex samples with NSM as the referent category. Results: 2582 participants were included. The average age was 41.4 years and the frequencies of NSM, RSM and ISM were 25.2%, 23.8% and 51.0%; respectively. The factors associated with RSM were male gender (RPR: 1.35; 95%CI: 1.06-1.72), being between 40 and 59 years old (RPR: 0.53; 95%IC: 0.39-0.72), being 60 or older (RPR: 0.39; 95%IC: 0.25-0.59), not having health insurance (RPR: 1.89; 95%CI: 1.31-2.71) and living in the Highlands region (RPR: 2.27; 95%CI: 1.23-4.21). The factors associated with ISM were male gender (RPR: 1.41; 95%CI: 1.16-1.72), being between 40 and 59 years old (RPR: 0.68; 95%IC: 0.53-0.88), being 60 or older (RPR: 0.65; 95%IC: 0.48-0.88) and not having health insurance (RPR: 2.03; 95%CI: 1.46-2.83). Conclusion: Around half of the population practiced ISM, which was associated with demographic and health system factors. These outcomes are the preliminary evidence that could contribute to the development of health policies in Peru.

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