ArticleBMC health services research2023
Factors affecting health insurance utilization among insured population: evidence from health insurance program of Bhaktapur district of Nepal.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Disparities in modern health service utilization between community-based health insurance member and non-member households in Ethiopia: a meta-analysis.BMC public health · 2026Pooled it
- What factors influence enrolment in Nepal's National Health Insurance Program? A community-based cross-sectional study using the Health Belief Model.BMJ public health · 2026Article
- Health insurance coverage among men and women in six countries within the Southeast Asia Region (2015-2022): a multilevel analysis of DemographicThe Lancet regional health. Southeast Asia · 2025Article
- Exploring Service Users' Experiences of a Community-Based Intervention to Improve Follow-Up at Bharatpur Eye Hospital in Nepal: Qualitative Study.JMIR pediatrics and parenting · 2025Article
- Patient satisfaction with the components of the National Health Insurance Program of Nepal: a cross-sectional study.BMC health services research · 2025Article
- Navigating Nepal's health financing system: A road to universal health coverage amid epidemiological and demographic transitions.PloS one · 2025Article
- The mental health effects of critical illness insurance: Evidence from China's aging population.PloS one · 2025Article
- Article
- Evaluating Service Satisfaction and Sustainability of the Afya Insurance Scheme in Kuwait: An Exploratory Analysis.ClinicoEconomics and outcomes research : CEOR · 2024Article
- User satisfaction with the National Health Insurance Program: A community-based survey from the Ilam district of Nepal.PloS one · 2024Article
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Authors and funding
5 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Government of Nepal introduced the family-based health insurance program in 2016 to increase financial protection and improve access to health care services. The study aimed to assess factors associated with the utilization of health insurance among the insured population in an urban district of Nepal.
methodsA cross-sectional survey using face-to-face interviews was conducted in 224 households in the Bhaktapur district of Nepal. Household heads were interviewed using a structured questionnaire. Logistic regression with weighted analysis was done to identify predictors of service utilization among the insured residents.
resultsThe prevalence of health insurance service utilization at the household level in the Bhaktapur district was 77.2% (n = 173/224). The number of elder members in the family (AOR 2.7, 95% CI 1.09-7.07), having a family member with chronic illness (AOR 5.10, 95% CI 1.48-17.56), willingness to continue health insurance (AOR 2.18, 95% CI 1.47-3.25) and membership duration (AOR 1.14, 95% CI 1.05-1.24) were significantly associated with the utilization of the health insurance at the household level.
conclusionThe study identified a particular group of the population who were more likely to utilize health insurance services, including the chronically ill and elderly. Health insurance program in Nepal would benefit from strategies to increase population coverage in health insurance, improve the quality of health services, and retain members in the program.
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