Evidence map›Paper›PMID 39526091›Full record

ArticleSAGE open medicine2024

Determinants of satisfaction with community-based health insurance schemes among beneficiaries with chronic diseases in selected public hospitals in Eastern Ethiopia: A multicenter study.

Yoniso Mohammed, Simon Birhanu, Kadir Abdu, Nesredin Ahmed, Shiferaw Letta

Abstract read
In one paragraph

Article in SAGE open medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yoniso MohammedDepartment of Nursing, Deder General Hospital, Oromia, Deder, Ethiopia.
Simon BirhanuDepartment of Nursing, College of Health Sciences, Debark University, Gondar, Ethiopia.ORCID https://orcid.org/0000-0002-7852-5902
Kadir AbduDepartment of Nursing, College of Health Sciences, Oda Bultum University, Chiro, Ethiopia.
Nesredin AhmedSchool of Nursing, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.ORCID https://orcid.org/0000-0002-0921-3825
Shiferaw LettaSchool of Nursing, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.ORCID https://orcid.org/0000-0002-0648-4662

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Community-based health insurance is a voluntary scheme where community members pool resources to cover healthcare costs. Assessing beneficiary satisfaction with chronic disease management is crucial for the program's long-term viability. Therefore, this study aimed to assess determinants of satisfaction with community-based health insurance among beneficiaries with chronic diseases in selected public hospitals in the Hararghe Zones of Eastern Ethiopia. Methods: An institution-based cross-sectional study was conducted among randomly selected 416 chronic disease beneficiaries of community-based health insurance from 30 July to 30 August 2023. Data were collected through a pre-tested and structured face-to-face interview questionnaire. The data were entered into Epi-Data 3.1 and then exported to STATA 17.0 for analysis. Bivariate and multivariate logistic regression analyses were performed to identify determinants of satisfaction with community-based health insurance. Significance was set at a Results: The mean age of the study participants was 48.10 ± 15.8 years. The study revealed that 55.1% (95% CI: 50.2%-59.8%) of beneficiaries with chronic diseases were satisfied with community-based health insurance. Beneficiaries aged over 55 years (AOR = 0.27; 95% CI: 0.08-0.91), experiencing delayed community-based health insurance opening times (AOR = 0.35; 95% CI: 0.17-0.73), preferring hospitals for future services (AOR = 4.13; 95% CI: 1.14-14.85), shorter waiting times (<60 min) (AOR = 8.8; 95% CI: 4.39-17.72), availability of drugs (AOR = 2.67; 95% CI: 1.30-5.45), availability of laboratory services (AOR = 5.5; 95% CI: 2.83-10.84), and knowledge of community-based health insurance benefit packages (AOR = 2.8; 95% CI: 1.47-5.43) were significant determinants associated with satisfaction to the community-based health insurance service. Conclusion: About half of the community-based health insurance beneficiaries with chronic diseases were satisfied, indicating that a considerable number of them were dissatisfied with the services. The age of the participants, office opening time, waiting times, laboratory services, pharmacy services, and knowledge of community-based health insurance benefit packages were significant determinants of satisfaction with community-based health insurance schemes. Therefore, the government and other stakeholders need to enhance service quality, increase awareness, and address both supply and demand-side factors. These key strategies can lead to higher satisfaction with and ensure the sustainability of community-based health insurance schemes.

Indexed as

BeneficiaryCBHIchronic diseasesEastern EthiopiaHararghesatisfaction

Identifiers

PMID39526091
PMCPMC11549700

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.