Barimah Kofi Bobi, Mensah Joseph
J Health Care Poor Underserved. 2013 Aug;24(3):1378-90. doi: 10.1353/hpu.2013.0144.
The Ghana National Health Insurance Scheme (NHIS) was established as part of a poverty reduction strategy to make health care more affordable to Ghanaians. It is envisaged that it will eventually replace the existing cash-and-carry system. This paper examines the views of NHIS administrators, members/enrollees, and health care providers on how the Scheme operates in practice. It is part of a larger evaluation project on Ghana's NHIS, sponsored by the Bill and Melinda Gates Foundation and the Global Development Network as part of a two-year global research. We rely primarily on qualitative data from focus group discussion in the Brong Ahafo and the Upper East regions respectively. Our findings suggest that the NHIS has improved access to affordable health care services and prescription drugs to many people in Ghana. However, there are concerns about fraud and corruption that must be addressed if the Scheme is to be financially viable.
加纳国家医疗保险计划（NHIS）作为减贫战略的一部分而设立，旨在使加纳人能够更负担得起医疗保健。预计该计划最终将取代现有的自费医疗体系。本文探讨了NHIS管理人员、成员/参保者以及医疗服务提供者对该计划在实际运作中的看法。它是由比尔及梅琳达·盖茨基金会和全球发展网络赞助的关于加纳NHIS的一个更大评估项目的一部分，是为期两年的全球研究的一部分。我们主要依赖分别在布朗阿哈福地区和上东部地区进行的焦点小组讨论的定性数据。我们的研究结果表明，NHIS已使加纳许多人能够更方便地获得负担得起的医疗保健服务和处方药。然而，如果该计划要在财务上可行，就必须解决对欺诈和腐败的担忧。
