对社区医疗保险福利套餐的偏好：尼日利亚的一项探索性研究。
Preferences for benefit packages for community-based health insurance: an exploratory study in Nigeria.
机构信息
Health Policy Research Group, Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria, Enugu-Campus, Enugu.
出版信息
BMC Health Serv Res. 2010 Jun 12;10:162. doi: 10.1186/1472-6963-10-162.
BACKGROUND
It is important that community-based health insurance (CBHI) schemes are designed in such a way as to ensure the relevance of the benefit packages to potential clients. Hence, this paper provides an understanding of the preferred benefit packages by different economic status groups as well as urban and rural dwellers for CBHI in Southeast Nigeria.
METHODS
The study took place in rural, urban and semi-urban communities of south-east Nigeria. A questionnaire was used to collect information from 3070 randomly picked household heads. Focus group discussions were used to collect qualitative data. Data was examined for links between preferences for benefit packages with SES and geographic residence of the respondents.
RESULTS
Respondents in the rural areas and in the lower SES preferred a comprehensive benefit package which includes all inpatient, outpatient and emergencies services, while those in urban areas as well as those in the higher SES group showed a preference for benefit packages which will cover only basic disease control interventions.
CONCLUSION
Equity concerns in preferences for services to be offered by the CBHI scheme should be addressed for CBHI to succeed in different contexts.
背景
社区为基础的健康保险（CBHI）计划的设计方式非常重要，需要确保其福利套餐与潜在客户的相关性。因此，本文旨在了解尼日利亚东南部不同经济地位群体以及城乡居民对 CBHI 的首选福利套餐。
方法
该研究在尼日利亚东南部的农村、城市和半城市社区进行。采用问卷从 3070 名随机抽取的户主那里收集信息。采用焦点小组讨论收集定性数据。检查了受访者的 SES 和地理居住位置与福利套餐偏好之间的关系。
结果
农村地区和 SES 较低的受访者更喜欢包括所有住院、门诊和急诊服务的综合福利套餐，而城市地区和 SES 较高的受访者则更倾向于仅覆盖基本疾病控制干预的福利套餐。
结论
为了使 CBHI 在不同背景下取得成功，应解决在 CBHI 计划中提供的服务偏好方面的公平性问题。
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