Assessment of level of satisfaction of national health insurance scheme enrolees with services of an accredited health facility in Northern Nigerian

Michael, Godpower Chinedu; Suleiman, Hassan; Grema, Bukar Alhaji; Aliyu, Ibrahim

doi:10.4103/atmph.atmph_372_17

Cited by 10 publications

(14 citation statements)

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“…In this study, the majority (68.6%) of participants were satisfied with the services given by the hospital. This finding is similar to the study finding of Michael et al (2017) that showed around one-third (34.2%) of participants were dissatisfied with the services whereas only 23% of participants were satisfied in the study of Ahmed et al (2015). Regarding the overall satisfaction level, more than half (52.5%) of participants were satisfied and 42.9% of participants were dissatisfied with the treatment service of the hospital.…”

Section: Discussionsupporting

confidence: 90%

“…This is supported by the study findings of Ahmed et al (2015) that found half (50%) of participants felt respectful by the doctors, followed by 66% felt respectful by the registration staff and 64.6% felt respectful by the nurses and other staff of the hospital respectively whereas the insured people complained that the response that they received in health facilities was not good in the study of NHRC (2018) in Nepal. The study showed that the majority (76.6%) of participants were satisfied with the time given by health workers and doctors which is similar to the finding of Michael et al (2017) where the most (90%) of participants were satisfied with time given to discuss their health problems.…”

Section: Discussionsupporting

confidence: 75%

“…Regarding the satisfaction, the majority (71.2%) of participants were satisfied with their treatment effective and three-forth (75.4%) of participants were satisfied with the explanation of health workers or doctors about their problems in this study. This is supported by the study of Michael et al (2017) that showed most of the participants (90%) were satisfied with explanation about their disease. In this study, the majority (70.3%) of participants were satisfied with care during examination while 50% of participants were satisfied of Sarkar et al (2018).…”

Section: Discussionsupporting

confidence: 54%

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Patients’ Satisfaction regarding Treatment and Perceived Barriers: A Study of Social Health Insurance Scheme in Kaski District

Ghimire¹,

Paudel²

2019

Prithvi Acad. J.

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The main objective of this paper is to assess the level of patient satisfaction, to assess barriers faced by users of social health insurance during receiving treatment in the hospital, and to find out the relationship of participants' satisfaction with their selected demographic variables. This paper is a cross-sectional descriptive study and covers 354 samples that were selected by systematic sampling technique. The modified version of Assessment of Patients Satisfaction Scale (SAPS) consisting of seven structured items is used to collect the data through the face to face interview. The results of the study indicated that 158 (44.6%) participants are between the age group of 40-59 years and the majority of them i.e. 232 (65.5%) are females. Out of 354, most of the participants 292 (82.5%) are enrolled in the social health insurance scheme for more than 6 months. The study findings indicated that more than half 186 (52.5%) participants are satisfied, followed by 152 (42.9%) are dissatisfied, and 16(4.5%) of participants are very dissatisfied with the treatment service under the social health insurance respectively. The most common barriers faced by the participants while utilizing the health insurance services are unavailability of necessary drugs, long waiting times, limited opening hours, and complex billing system for insurance patients. Hence, the service availability time should be extended and availability of health personnel, medicines as well as other services should be improved that can increase satisfaction among users of health insurance.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 75%

Section: Discussionsupporting

confidence: 54%

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Patients’ Satisfaction regarding Treatment and Perceived Barriers: A Study of Social Health Insurance Scheme in Kaski District

Ghimire¹,

Paudel²

2019

Prithvi Acad. J.

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“…13 Health insurance reduces out-of-pocket healthcare expenditure however, high utilization results in long queues and prolonged waiting times. 13,14 Though a previous study assessed satisfaction of enrolees of the staff clinic (a subset of the NHIS clinic) in 2015, 15 no study had assessed patients' satisfaction and utilization of services of the entire hospital under the NHIS. This study became necessary because of the need to incorporate feedback from periodic patient satisfaction surveys into service improvement plans of Aminu Kano Teaching Hospital -a major referral centre located in the most populous Nigerian state inhabited by over 9 million people.…”

Section: Introductionmentioning

confidence: 99%

Assessment of satisfaction and utilization of health-care services by National Health Insurance Scheme enrolees at Aminu Kano Teaching Hospital, Kano, Nigeria

et al. 2018

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The National Health Insurance Scheme (NHIS) aims at universal health coverage through access to high-quality health-care to all enrolees. To achieve this goal, it is necessary to incorporate feedbacks from periodic patient-surveys into service improvement plans. This study therefore, assessed satisfaction and utilization of health-care services by enrolees of a Nigerian tertiary hospital. This was a crosssectional study of 399 respondents randomly selected from enrolees attending the NHIS-clinic of Aminu Kano Teaching Hospital, Kano. Using an intervieweradministered questionnaire, it assessed their sociodemographics, medical history, number of and reason for clinic visits, satisfaction with- access to care, patient-provider relationships and hospital facilities/environment. Respondents’ mean age was 38.3 ± 9.2 years and females accounted for 55.9% of respondents. Most respondents (60.4%, 69.8%, 96.0%) were satisfied with the ease of accessing care, waiting-time and hospital facilities/environment respectively. Most respondents (94.8%, 81.1%, 73.3%, 74.5%, 83.1%, 91.1%) were satisfied with their relationship with physicians, nurses, laboratory staff, pharmacists, record officers and other hospital-staff respectively. Overall, 80.5% of respondents were satisfied with the hospital’s services. All respondents had visited the clinic at least once in the preceding 12-weeks. Although 49.1% visited for non-communicable diseases, more respondents who were for antenatal-care (followed by non-communicable and communicable diseases) had had ≥ 2 clinic visits (c2 =15.5%, df=2, P=0.0001). This study observed a high utilization of and overallsatisfaction with the hospital’s services; however, there is a need for service improvement plans to address the challenges of patient access to care and waitingtime.

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“…Doctor Ratio to patients is 1:11. 9 consultants, 9 Senior Registrars, 4 Health care delivery services are from 8:00am -8:00pm daily. The clients had holistic care, equal access, opportunity and treatment by the Health Care Team.…”

Section: Methodsmentioning

confidence: 99%

Clients’ experience of the National Health Insurance Scheme (NHIS) at the University of Abuja Teaching Hospital (UATH), Gwagwalada, Abuja

Adams¹

2019

TIJPH

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Introduction: NHIS is designed to provide easy access to healthcare for all Nigerians. It was rolled out in 2006. The quality of care expected, achievement of the goals and sustainability need to be evaluated. This survey served as a measure to ascertain the expected satisfaction. Materials and Methods: A cross-sectional study of 300 respondents randomly selected from NHIS clients from 14th February-30th March 2018 with a self-administered modified questionnaire, which assessed satisfaction domains of the client. Associations between dependent and independent variables were subjected to Chi square test and Pearson's Product-Moment Correlation Coefficient (PPMC). Results: Most respondents were females 64.7 % (194), age range of 38-47 years had the highest percentage frequency distribution (33.7%). Most respondent marital status was married 244 (81.3%). They were predominantly civil servants (42.0%). The educational status shows 188 (62.7%) tertiary education. Most respondents felt waiting time was too long 39.7% (119) with health information; and 38.0% (114) with code generation unit. 169 (56.3%) respondents said that they do not get an explanation for the non-availability of the prescribed services. 33.3% respondents pay for drugs out of pockets and 37.0% (111), pay for laboratory services. Findings: NHIS is ongoing with many enrollees and the aforementioned units need improvement. Conclusion: Since Ӽ_cal^2 (138.03) is greater than Ӽ_tab^2 (7.81) at the 0.05 significant level, it can be concluded that both the observed and expected distributions differ significantly. That is, there is a significant difference in the level of satisfaction of individuals under the NHIS.

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Assessment of level of satisfaction of national health insurance scheme enrolees with services of an accredited health facility in Northern Nigerian

Cited by 10 publications

References 1 publication

Patients’ Satisfaction regarding Treatment and Perceived Barriers: A Study of Social Health Insurance Scheme in Kaski District

Patients’ Satisfaction regarding Treatment and Perceived Barriers: A Study of Social Health Insurance Scheme in Kaski District

Assessment of satisfaction and utilization of health-care services by National Health Insurance Scheme enrolees at Aminu Kano Teaching Hospital, Kano, Nigeria

Clients’ experience of the National Health Insurance Scheme (NHIS) at the University of Abuja Teaching Hospital (UATH), Gwagwalada, Abuja

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