Ghana's National Health Insurance Scheme: Insights from Members, Administrators and Health Care Providers
Ghana's National Health Insurance Scheme: Insights from Members, Administrators and Health Care Providers
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DOI：
10.1353/hpu.2013.0144
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发表时间：
2013-08-01
影响因子：
1.4
通讯作者：
Mensah, Joseph
中科院分区：
文献类型：
--
作者：
Barimah, Kofi Bobi;Mensah, Joseph
加纳国家健康保险计划是作为减贫战略的一部分建立的，目的是使加纳人更能负担得起医疗保健。预计该系统最终将取代现有的现购自运系统。本文探讨了NHIS管理人员，成员/注册者和医疗服务提供者对该计划在实践中如何运作的意见。这是比尔及梅林达·盖茨基金会和全球发展网络赞助的一个更大的加纳国家卫生系统评价项目的一部分，是一项为期两年的全球研究的一部分。我们主要依靠定性数据，分别在布朗阿哈福和上东地区的焦点小组讨论。我们的研究结果表明，NHIS改善了加纳许多人获得负担得起的医疗保健服务和处方药的机会。然而，如果该计划在财政上可行，就必须解决人们对欺诈和腐败的关切。
The Ghana National Health Insurance Scheme (NHIS) was established as part of a poverty reduction strategy to make health care more affordable to Ghanaians. It is envisaged that it will eventually replace the existing cash-and-carry system. This paper examines the views of NHIS administrators, members/enrollees, and health care providers on how the Scheme operates in practice. It is part of a larger evaluation project on Ghana's NHIS, sponsored by the Bill and Melinda Gates Foundation and the Global Development Network as part of a two-year global research. We rely primarily on qualitative data from focus group discussion in the Brong Ahafo and the Upper East regions respectively. Our findings suggest that the NHIS has improved access to affordable health care services and prescription drugs to many people in Ghana. However, there are concerns about fraud and corruption that must be addressed if the Scheme is to be financially viable.