Knowledge, perceptions and expectations of capitation payment system in a health insurance setting: a repeated survey of clients and health providers in Kumasi, Ghana.
Knowledge, perceptions and expectations of capitation payment system in a health insurance setting: a repeated survey of clients and health providers in Kumasi, Ghana.
复制标题
DOI：
10.1186/1471-2458-13-1220
复制
发表时间：
2013-12-21
影响因子：
4.5
通讯作者：
Boateng D
中科院分区：
文献类型：
--
作者：
Agyei-Baffour P;Oppong R;Boateng D
健康保险正在改善加纳获得高质量保健的机会。然而，在执行方面存在挑战，需要对现行医疗保险制度进行改革。毫无疑问，由于误解和错误信息，加纳目前的医疗保险改革面临着无数问题。本研究探讨了客户和医疗服务提供者对库马西大都会按人头付费制度的看法和理解。本研究采横断面设计，每次以422名18-69岁健保投保人为研究对象，进行重复调查。调查每三个月进行一次。还采访了来自十三（13）家医院、七（7）家产科医院和二十（20）家诊所的卫生服务提供者和客户。数据收集与采访者管理的问卷调查。使用STATA软件（第11版）对数据进行清理、标准化和分析。大多数受访客户（97.9%）听说过按人头付费，但这并没有转化为他们的理解水平。约三分之二（61.2%）的受访者透露，按人头收费对他们来说并不重要，因为客户在很长一段时间内都只限于一个首选主要供应商（PPP）。大约94%的医疗服务提供者还认为，人们不喜欢按人头付费的制度，因为他们错误地认为这种制度被政治化了（34%）;没有让客户自由选择提供者（26%），按人头付费不包括大多数药物（17%）。虽然客户对按人头付费的认识很高，但对按人头付费制度的态度有些差。对按人头付费系统的良好理解是确保客户和供应商接受并顺利实施该系统的关键。
Health insurance is improving access to quality health care in Ghana. However, there are implementation challenges which call for reform of the current health insurance system. There is no doubt that reforming the current health insurance in Ghana is besieged with a myriad of problems due to misconceptions and misinformation. This study explored the perceptions and understanding of clients and health providers on the capitation payment system in the Kumasi metropolis. The study employed a cross - sectional design and repeated surveys were conducted with a cohort of 422 NHIS policy holders aged 18–69 years in each survey. The surveys were conducted in every three months. Health service providers and clients from thirteen (13) Hospitals, seven (7) Maternity homes and twenty (20) Clinics were also interviewed. Data was collected with interviewer–administered questionnaires. STATA software (version 11) was used for cleaning, standardizing and analysing data. A majority, 97.9% of the clients interviewed had heard of capitation payment although this did not translate into their level of understanding. About two-thirds, 61.2% disclosed that capitation was not important to them as clients are restricted to one Preferred Primary Provider (PPP) for a long period of time. About 94% of health providers also believed that people did not like the capitation payment system due to their misconception that it has been politicized (34%); does not give clients free choice of providers (26%) and capitation not covering most drugs (17%). Although awareness of the capitation was high among clients, attitudes towards the capitation payment system were somewhat poor. A good understanding of the capitation payment system is key to ensuring client and provider acceptance and smooth implementation of the system.
登录
查看更多内容
影响因子：
3
作者：
Bazzoli, GJ;Dynan, L;Lindrooth, R
通讯作者：
Lindrooth, R
影响因子：
4.8
作者：
Boateng, Daniel;Awunyor-Vitor, Dadson
通讯作者：
Awunyor-Vitor, Dadson
影响因子：
5.4
作者：
Jehu-Appiah, Caroline;Aryeetey, Genevieve;Baltussen, Rob
通讯作者：
Baltussen, Rob
影响因子：
2.5
作者：
Hellinger, FJ
通讯作者：
Hellinger, FJ
影响因子：
6.6
作者：
Robinson, JC
通讯作者：
Robinson, JC