scholarly journals Taiwan's National Health Insurance: A Decade of Change in Health Care Policy and Management Responses

2005 ◽  
pp. 211-244
Author(s):  
James C. Romeis ◽  
Shuen-Zen Liu ◽  
Michael A. Counte
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Health Care Policy ◽  
Care Policy

scholarly journals Comparing How Ghana and Canada Succeeded in the adoption of the National Health Insurance (NHI): A Multiple Streams Approach

2016 ◽  
Vol 6 (2) ◽  
pp. 150
Author(s):  
Issaka Sayi Abdul Hamid
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Health Care Policy ◽  
Policy Reforms ◽  
Multiple Streams ◽  
Care Policy ◽  
Health Care Reforms ◽  
Multiple Streams Framework

 This paper examines the development of National Health Insurance (NHI) policy in Ghana and Canada using the multiple streams framework (MSF) as the theoretical lens. It undertakes a diachronic case study by comparing how Ghana and Canada eventually adopted national health insurance as a health care policy reform. The two countries introduced universal health care policy reforms, which, in the case of Ghana, necessitated the advent of the NHI policy in 2003. Though the two countries have different institutional settings, they both succeeded in their health care reforms. The study contends that the multiple streams framework is useful for explaining policy change in both developed and developing countries. 

scholarly journals Factors Affecting Utilization of the National Health Insurance Scheme by Federal Civil Servants in Rivers State, Nigeria

2021 ◽  
Vol 58 ◽  
pp. 004695802110176
Author(s):  
Obelebra Adebiyi ◽  
Foluke Olukemi Adeniji
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
National Health Insurance Scheme ◽  
Health Workers ◽  
Civil Servants ◽  
Health Insurance Scheme ◽  
Insurance Scheme ◽  
Rivers State

The National Health Insurance Scheme (NHIS) of Nigeria was established in 2005. This study assessed the utilization of health care and associated factors amongst the federal civil servants using the NHIS in Rivers state. This was a descriptive cross-sectional study using self-administered questionnaires. Data were collated and analyzed using SPSS version 21.0. A Chi-square test was carried out. The level of Confidence was set at 95%, and the P-value ≤ .05. Out of a total of 334 respondents, 280 (83.8%) were enrolled for NHIS, 203 (72.5%) utilized the services of the scheme. Most 181 (82.1%) of the respondents who utilized visited the facility at least once in the preceding year. Although, 123 (43.9%) of the respondents made payments at a point of access to health care services, overall there was a reduction in out of pocket payment. Possession of NHIS card, the attitude of health workers, and patients’ satisfaction were found to significantly affect utilization P ≤ .05. Regression analysis shows age and income to be a predictor of utilization of the NHIS. Though utilization is high, effort should be made to remove payment at the point of access and improving the harsh attitude of some of the health workers.

scholarly journals Patient’s Satisfaction With Quality of Care at a National Health Insurance Clinic at a Tertiary Center, South-South Nigeria

2021 ◽  
Vol 8 ◽  
pp. 237437352098147
Author(s):  
Temitope Esther Olamuyiwa ◽  
Foluke Olukemi Adeniji
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Quality Of Care ◽  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Bivariate Analysis ◽  
P Value ◽  
Tertiary Center

Introduction: Patient satisfaction is a commonly used indicator for measuring the quality of health care. This study assessed patients’ satisfaction with the quality of care at the National Health Insurance Scheme (NHIS) clinic in a tertiary facility. Methods: It was a descriptive cross-sectional study in which 379 systematically selected participants completed an interviewer-administered, semi-structured questionnaire. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 23. Bivariate analysis was performed using Pearson χ2 with a P value set at ≤ .05. Results: The study found out that about half (193, 50.9%) of the respondents were satisfied with the availability of structure. Patients were not satisfied with waiting time in the medical records, account, laboratory, and pharmacy sections. Overall, 286 (75.5%) of the respondents were satisfied with the outcome of health care provided at the NHIS clinic. A statistically significant association ( P = .00) was observed between treatment outcome and patient satisfaction. Conclusion: There is a need to address structural deficiencies and time management at the clinic.

scholarly journals Health Insurance Cards and Health Care Services Utilization: Evidence From Children in Mountainous Regions of Vietnam

2019 ◽  
Vol 6 ◽  
pp. 2333794X1984391 ◽  
Author(s):  
Nhu Van Ha ◽  
Van Thi Anh Nguyen ◽  
Bui Thi My Anh ◽  
Thanh Duc Nguyen
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Associated Factors ◽  
Health Care Services ◽  
Health Care Policy ◽  
Care Policy ◽  
Insurance Reform ◽  
Care Services ◽  
Free Health Care ◽  
Services Use

Health insurance reform for children younger than 6 years of age was implemented in 2005. The study aimed to describe the health insurance card status, health care services use, and associated factors. The cross-sectional study was conducted with 210 Hmong mothers of children younger than 6 years of age, and of those, 118 mothers having an ill child in the previous 4 weeks were selected in this study. Descriptive statistics and multiple logistic regression were applied to predict the associated factors. In all, 42.9% of children had health insurance cards and 45.8% ill children accessed public health facilities. The factors included children’s age, mothers’ knowledge of the free health care policy, mothers’ knowledge about one sign of lung infection of their children associated with health insurance status, and health care services use. In conclusion, the 2005 reform of child health insurance policy has brought a modest impact on insurance coverage of children younger than 6 years of age and health care services use. Mothers’ knowledge of free health care policy should be improved.

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