Bakai Tchaa Abalo, Ekouevi Didier Koumavi, Beweli Essotoma, Iwaz Jean, Thomas Anne, Khanafer Nagham, Goilibe Kariyiare, Sewu Esseboe, Kassankogno Yao, Voirin Nicolas
Centre Africain de Recherche en Épidémiologie et en Santé Publique (CARESP), Lomé, Togo.
Hospices Civils de Lyon, Pôle Santé Publique, Service de Biostatistique- Bioinformatique, Lyon, France.
Pan Afr Med J. 2019 May 15;33:29. doi: 10.11604/pamj.2019.33.29.17291. eCollection 2019.
In February 2011, the Togolese Government established a compulsory health insurance for public officials and assimilated employees. Four years later, this study investigated the satisfaction of beneficiaries of this insurance plan in Lomé.
The survey was conducted among a sample of beneficiaries using an anonymous face to face questionnaire outside eight health care facilities. The analysis of survey responses allowed measuring the degree of satisfaction. Quantitative data were described using median and extended interquartile range (IQR) and qualitative data were transcribed verbatim.
Out of 288 subjects invited to participate, 279 agreed to participate of whom 58% were women and 88% were officials in active employment. The average age of the participants was 38 years (IQR: 30-47). A very large majority of respondents (93.5%) considered this health insurance "satisfactory". The mean overall satisfaction score was 6/10 (min: 5, max: 9). The main elements of dissatisfaction involved the refusal of care to those people with long-term illnesses (84% dissatisfied), the complexity of administrative formalities (84% dissatisfied) and care delays (67% dissatisfied).
The very high level of satisfaction promotes the maintenance and the development of this health insurance in Togo. However, the elements of dissatisfaction should receive prompt attention and genuine efforts should be made to correct them.
2011年2月，多哥政府为公职人员及类似雇员设立了强制医疗保险。四年后，本研究调查了洛美地区该保险计划受益人的满意度。
在八家医疗机构外，采用匿名面对面问卷调查的方式，对部分受益人样本进行了调查。通过对调查回复的分析来衡量满意度。定量数据用中位数和扩展四分位距（IQR）描述，定性数据逐字转录。
在受邀参与的288名受试者中，279人同意参与，其中58%为女性，88%为在职官员。参与者的平均年龄为38岁（IQR：30 - 47）。绝大多数受访者（93.5%）认为这种医疗保险“令人满意”。总体满意度平均得分为6/10（最低分：5，最高分：9）。不满的主要因素包括拒绝为慢性病患者提供治疗（84%不满意）、行政手续复杂（84%不满意）以及治疗延误（67%不满意）。
极高的满意度有助于多哥维持和发展这种医疗保险。然而，不满因素应得到及时关注，并应切实努力加以纠正。
