ArticleBMC health services research2016
Perception of quality of health delivery and health insurance subscription in Ghana.
Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Health insurance coverage and health service utilisation in Uganda: an analysis of the 2016 Uganda Demographic and Health Survey.BMC health services research · 2026Article
- Quality of care and health insurance uptake in Namibia.Journal of public health in Africa · 2026Article
- Spatial distribution and factors associated with health insurance subscription among women in Ghana.International health · 2024Article
- Impact of health system governance on healthcare quality in low-income and middle-income countries: a scoping review.BMJ open · 2023Article
- Determinants of national health insurance enrolment among people at risk of statelessness in the Awutu Senya East Municipality and Gomoa East District of Ghana.BMC health services research · 2023Article
- Competition and quality of care under regulated fees: evidence from Ghana.Health economics review · 2022Article
- Article
- An integrative review on individual determinants of enrolment in National Health Insurance Scheme among older adults in Ghana.BMC primary care · 2022Review
- Health services availability and readiness moderate cash transfer impacts on health insurance enrolment: evidence from the LEAP 1000 cash transfer program in Ghana.BMC health services research · 2022Article
- Health insurance coverage and timely antenatal care attendance in sub-Saharan Africa.BMC health services research · 2022Article
- Health insurance in private and public health facilities in Southwestern Nigeria: what determines clients´ satisfaction with quality of service?The Pan African medical journal · 2022Article
- A Study of Patients' Willingness to Pay for a Basic Outpatient Copayment and Medical Service Quality in Taiwan.International journal of environmental research and public health · 2021Article
- Socioeconomic and demographic correlates of nonenrolment onto the national health insurance scheme among children in Ghana: Insight from the 2017/18 Multiple Indicator Cluster Survey.Preventive medicine reports · 2021Article
- Quality of care in the free maternal healthcare era in sub-Saharan Africa: a scoping review of providers' and managers' perceptions.BMC pregnancy and childbirth · 2021Article
- Is the National Health Insurance Scheme helping pregnant women in accessing health services? Analysis of the 2014 Ghana demographic and Health survey.BMC pregnancy and childbirth · 2021Article
- Maternal perceptions of the quality of Care in the Free Maternal Care Policy in sub-Sahara Africa: a systematic scoping review.BMC health services research · 2020Article
- Article
- Does capitation affect patient satisfaction and prevalence of out-of-pocket payments in the insured? A propensity score analysis of Ghana's demographic and health survey data.BMC health services research · 2019Article
- Determinants of health insurance enrolment in Ghana: evidence from three national household surveys.Health policy and planning · 2019Article
- Determinants of Enrolment and Renewing of Community-Based Health Insurance in Households With Under-5 Children in Rural South-Western Uganda.International journal of health policy and management · 2019Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNational health insurance schemes (NHIS) in developing countries and perhaps in developed countries as well is a considered a pro-poor intervention by helping to bridge the financial burden of access to quality health care. Perceptions of quality of health service could have immense impacts on enrolment. This paper shows how perception of service quality under Ghana's insurance programme contributes to health insurance subscription.
methodsThe study used the 2014 Ghana Demographic and Health Survey (GDHS) dataset. Both descriptive proportions and binary logistic regression techniques were applied to generate results that informed the discussion.
resultsOur results show that a high proportion of females (33 %) and males (35 %) felt that the quality of health provided to holders of the NHIS card was worse. As a result, approximately 30 % of females and 22%who perceived health care as worse by holding an insurance card did not own an insurance policy. While perceptions of differences in quality among females were significantly different (AOR = 0.453 [95 % CI = 0.375, 0.555], among males, the differences in perceptions of quality of health services under the NHIS were independent in the multivariable analysis. Beyond perceptions of quality, being resident in the Upper West region was an important predictor of health insurance ownership for both males and females.
conclusionFor such a social and pro-poor intervention, investing in quality of services to subscribers, especially women who experience enormous health risks in the reproductive period can offer important gains to sustaining the scheme as well as offering affordable health services.
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