Acceptance for Social Health Insurance among Health Professionals in Government Hospitals, Mekelle City, North Ethiopia
| Autor: | Adane Kebede, Mezgebu Yitayal, Alemtsehay Tewele |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Government
Article Subject business.industry 030503 health policy & services media_common.quotation_subject Public Health Environmental and Occupational Health Systematic sampling Odds ratio Payment Logistic regression 03 medical and health sciences 0302 clinical medicine Environmental health Health care 030212 general & internal medicine Social determinants of health Salary Public aspects of medicine RA1-1270 0305 other medical science business Psychology media_common |
| Zdroj: | Advances in Public Health, Vol 2020 (2020) |
| ISSN: | 2356-6868 |
| DOI: | 10.1155/2020/6458425 |
| Popis: | Background. Ethiopia is one of the countries with high out-of-pocket payments leading to catastrophic health expenditure. The government of Ethiopia introduced social health insurance (SHI) scheme with the overall objective of achieving universal health care access. Studying health professionals’ acceptance to pay for social health insurance is crucial for the successful implementation of the scheme. Therefore, this study aimed to assess the acceptance of social health insurance and its associated factors among health professionals in government hospitals, Mekelle city, North Ethiopia. Methods. An institution-based cross-sectional study design was used. The study participants were selected using systematic random sampling. Data were collected using a structured interviewer-administered questionnaire and analyzed using SPSS version 20. Bivariable and multivariable logistic regression models at a 5% level of significance, and odds ratios with 95% CI level were used to determine the association between the health professionals’ acceptance of health insurance and explanatory variables. Results. The study revealed that 62.5% of the respondents were willing to participate in the SHI scheme in which 74.9% were willing to pay 3% or more of their monthly salary. Health professionals’ acceptance for SHI significantly associated with monthly salary (AOR = 9.49; 95% CI: 2.51, 35.86), awareness about SHI (AOR = 3.89; 95% CI: 1.05, 14.28), history of difficulty in covering medical bills (AOR = 6.2; 95% CI: 2.42, 15.87), attitudes towards social health insurance (AOR = 7.57; 95% CI: 3.14, 18.21), and perceived quality of health care services if SHI implemented (AOR = 2.89; 95% CI: 1.18, 7.07). Conclusion. The study indicated that there were still a high proportion of health professionals who were not willing to pay for SHI. Therefore, strengthening awareness creation, creating awareness about SHI, promoting the scheme using the different channels of communication to bring about favorable attitude, and providing health care services with required standard quality could help to increase the acceptance of SHI by health professionals. |
| Databáze: | OpenAIRE |
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