Factors Affecting Utilization of the National Health Insurance Scheme by Federal Civil Servants in Rivers State, Nigeria
| Autor: | Foluke O. Adeniji, Obelebra Adebiyi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Economic growth
National Health Programs media_common.quotation_subject 030231 tropical medicine utilization Nigeria Civil servants 03 medical and health sciences 0302 clinical medicine State (polity) Health care Humans NHIS media_common Original Research 030505 public health Insurance Health business.industry Health Policy health Cross-Sectional Studies National health insurance Federal civil servants Patient Satisfaction population characteristics Business Health Expenditures Public aspects of medicine RA1-1270 0305 other medical science |
| Zdroj: | Inquiry: The Journal of Health Care Organization, Provision, and Financing, Vol 58 (2021) Inquiry: A Journal of Medical Care Organization, Provision and Financing |
| ISSN: | 1945-7243 0046-9580 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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