Healthcare Consumers and Providers’ Perspectives on Implementation of Ghana’s National Health Insurance Scheme
Journal Title: Journal of Quality in Health Care & Economics (JQHE) - Year 2024, Vol 7, Issue 6
Abstract
Background: Health care consumers and providers’ behaviors can negatively affect the delivery and demand of health care, and adversely affect a well-functioning social health insurance scheme. Purpose: The study aimed to assess the effects of health care consumers’ and providers’ perspectives and behaviours on the implementation of Ghana’s National Health Insurance Scheme (NHIS). Material and Methods: The study used a cross-sectional exploratory qualitative approach guided by Grounded Theory for data collection and analysis. Twelve focus group discussions with insured and uninsured in urban and rural communities, 23 in-depth interviews with private and public providers’ staff, managers, directors of NHIS, and a desk review of relevant grey literature were conducted, and analyzed using thematic content analysis, triangulation, and synthesis. Results: Providers and health care consumers, wholly embraced the NHIS and capitation payment system as a good and efficient system. It could improve health care access, delivery, and outcomes, and quality of care, especially for the poor and vulnerable. However, negative behaviors of consumers such as impersonation, provider shopping, and negative provider behaviors, including poor attitudes, undercover charges, unapproved co-payments, moonlighting, unnecessary and delayed hospitalization of patients, and poor quality of care, were found to affect the effective and efficient implementation of the NHIS. Perception of being healthy, poverty, lack of solidarity, and poor quality of health care services were the main reasons for enrollment hesitancies.
Authors and Affiliations
Anarwat SG*, Assan JK and Shepard DS
Keywords
Related Articles
- EP ID EP759160
- DOI 10.23880/jqhe-16000427
- Views 20
- Downloads 0
Health Care System Decentralization, the Case of Venezuela Historic Evolution, Results, and Consequences of its Institutional Reversal
The author exposes the political, social, and technical foundations that motivate and justify the decentralization of health care services, as a means, not as an end. He highlights the Venezuelan constitutional and legal...
Generative AI and Patient Care: A Systematic Review Examining Applications, Limitations, and Future Directions for ChatGPT in Healthcare
Background: Generative artificial intelligence (AI) tools like ChatGPT have emerged as potentially valuable technologies to augment human expertise in healthcare. However, uncertainties remain regarding appropriate clini...
Covid-19, Socio-Economic Impact and the Nigerian Government: An Overview
The outbreak of Covid-19 has both local and global implications with the response at both levels. However, national governments are the major player and device strategy and measures to lessen the negative impact on their...
Prioritize Placating Panicky Parents of Paediatric Pyrexial Seizure
A febrile seizure is a convulsion in a toddler or a child that's caused by a fever, from an explicit or implicit infection. Febrile seizures occur in young, healthy children who have normal development and haven't had an...
Virtual Reality: A Tool for Managing and Mitigating the Nursing Fatigue
Background and Aim: Nurses' fatigue risks are on the rise. The implications include a rise in nurse's dissatisfaction, a decline in nurses' health, and a rise in the risk of medical errors. There is a need to counter fa...