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ID: 163336

Demand for social health insurance: evidence from the Chinese New Rural Cooperative Medical Scheme / Yang, Miaoqing

Yang, Miaoqing	Journal Article
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Summary/Abstract

This paper assesses the determinants of the enrolment in the New Rural Cooperative Medical Scheme (NRCMS), a heavily subsidized voluntary health insurance scheme in rural China. The analyses focus on the relationship between insurance purchase and health facility choice based on data drawn from the China Health and Nutrition Survey (CHNS). The results show that households from villages that reported use of village clinics are more likely to be insured compared with households from villages that reported use of county hospitals. The results indicate that the perception of quality of care is an important factor affecting people's enrolment decisions. The NRCMS is expected to help patients obtain better quality health services from higher-tier of the healthcare system that are unaffordable otherwise. However, given the prevailing fee-for-service payment mechanism for health care, the insurance may also drive up the healthcare cost and direct patients to use more expensive and unnecessary hospital care.

Key Words

China ; Social Health Insurance ; Health Facility Choice ; Quality of Care

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ID: 167113

Quality healthcare service assessment under Ghana’s National Health Insurance Scheme / Kodom, Michael; Owusu, Adobea Yaa; Kodom, Perpetual Nancy Baidoo

Kodom, Michael	Journal Article
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Ghana implemented the National Health Insurance Scheme (NHIS) in 2005 with the intention of providing residents with quality affordable healthcare. Over the past few years, concerns have been raised about the quality of healthcare clients receive. This study assesses the experiences of NHIS subscribers with the quality of care they receive under the scheme by both private and public hospitals. The results from the 56 interviews show that the majority of the subscribers were dissatisfied with the overall quality of healthcare they received in both private and public hospital because of the long waiting hours, the poor attitude of nurses and the demand for payment of additional money. Even though clients who visited the private hospital paid for all services, excluding consultation, their level of satisfaction with the quality of healthcare was relatively higher than those who visited the public hospital. The paper concludes that NHIS clients do not receive the quality of healthcare the scheme promised, and this has implications for premium renewals and health-seeking behaviour.

Key Words

Ghana ; Qualitative Research ; Healthcare ; Quality of Care ; National Health Insurance Scheme ; Satisfaction with Healthcare

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