Adewole David Ayobami, Adeniji Folashayo Ikenna Peter, Adegbrioye Susan Elemeyi, Dania Oluyinka Motunrayo, Ilori Temitope
Department of Health Policy and Management, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.
National Health Insurance Scheme, Agodi, Ibadan, Nigeria.
Niger Med J. 2020 Jan-Feb;61(1):27-31. doi: 10.4103/nmj.NMJ_126_18. Epub 2020 Mar 2.
Social health insurance scheme provides a platform for mobilizing revenue for health and enhances universal health-care coverage. In addition, knowledge about patients' satisfaction with health care under the scheme will help in identifying gaps and provides evidence toward strengthening the scheme. This study assessed enrollees' knowledge about the National Health Insurance Scheme (NHIS) and satisfaction with health services provided under the scheme.
The study was a descriptive cross-sectional survey conducted among the NHIS enrollees accessing health-care services in the University College Hospital, Ibadan. A total of 373 individuals were consecutively recruited for the study, and a semi-structured, pretested interviewer-administered questionnaire was used to obtain information from respondents. Descriptive statistics was used to present results, and Chi-square test was used to test for the association between categorical variables. The level of significance was set at < 005.
The mean age was 42.5 ± 10.0 years. Of the respondents, 209 (56.0%) were male and 359 (96.2%) were married. About two-thirds, 227 (60.9%), had good knowledge about the NHIS. Majority of the respondents 303 (81.2%) reported paying for some of the costs of service (drugs, laboratory tests, consultation fees, and X-ray) through out-of-pocket and of these, 218 (71.9%) reported that such payments were occasional. Overall, slightly more than half, 197 (52.8%), of the respondents were satisfied with service delivery under the scheme. Female respondents were significantly more satisfied with health-care services (χ = 3.894,P = 0.048).
There was good knowledge of NHIS, but the level of satisfaction with service delivery was not outstandingly appreciable. There is an urgent need to improve on all areas of quality of service to improve satisfaction with care among enrollees in the scheme.
社会医疗保险计划为筹集医疗资金提供了一个平台，并提高了全民医疗覆盖水平。此外，了解该计划下患者对医疗保健的满意度将有助于找出差距，并为加强该计划提供证据。本研究评估了参保人对国家医疗保险计划（NHIS）的了解情况以及对该计划提供的医疗服务的满意度。
本研究是一项描述性横断面调查，在伊巴丹大学学院医院接受医疗服务的NHIS参保人中进行。共有373人连续入选本研究，并使用一份经过预测试的半结构化访谈式问卷从受访者那里获取信息。描述性统计用于呈现结果，卡方检验用于检验分类变量之间的关联。显著性水平设定为<0.05。
平均年龄为42.5±10.0岁。在受访者中，209人（56.0%）为男性，359人（96.2%）已婚。约三分之二，即227人（60.9%）对NHIS有良好的了解。大多数受访者，即303人（81.2%）报告通过自掏腰包支付部分服务费用（药品、实验室检查、会诊费和X光检查），其中218人（71.9%）报告此类支付是偶尔的。总体而言，略超过一半，即197人（52.8%）的受访者对该计划下的服务提供感到满意。女性受访者对医疗服务的满意度明显更高（χ²=3.894，P=0.048）。
对NHIS有较好的了解，但服务提供的满意度水平并非特别可观。迫切需要在服务质量的各个方面加以改进，以提高该计划参保人的护理满意度。
