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The national health insurance scheme: perceptions and experiences of health care providers and clients in two districts of Ghana

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  • Philip Dalinjong
  • Alexander Laar

Abstract

The perceived opportunistic behavior of the insured by providers was responsible for the difference in the behavior of providers favoring the uninsured. Besides, the delay in reimbursement also accounted for providers’ negative attitude towards the insured. There is urgent need to address these issues in order to promote confidence in the NHIS, as well as its sustainability for the achievement of universal coverage. Copyright Dalinjong and Laar; licensee Springer. 2012

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  • Philip Dalinjong & Alexander Laar, 2012. "The national health insurance scheme: perceptions and experiences of health care providers and clients in two districts of Ghana," Health Economics Review, Springer, vol. 2(1), pages 1-13, December.
    • Handle: RePEc:spr:hecrev:v:2:y:2012:i:1:p:1-13:10.1186/2191-1991-2-13
    DOI: 10.1186/2191-1991-2-13
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    References listed on IDEAS

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    1. William C. Hsiao & R. Paul Shaw, 2007. "Social Health Insurance for Developing Nations," World Bank Publications - Books, The World Bank Group, number 6860, December.
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    4. Asenso-Okyere, W. Kwadwo & Osei-Akoto, Isaac & Anum, Adote & Appiah, Ernest N., 1997. "Willingness to pay for health insurance in a developing economy. A pilot study of the informal sector of Ghana using contingent valuation," Health Policy, Elsevier, vol. 42(3), pages 223-237, December.
    5. Allan P. O. Williams, 2006. "Impact of Strategies," Palgrave Macmillan Books, in: The Rise of Cass Business School, chapter 13, pages 167-181, Palgrave Macmillan.
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    Cited by:

    1. Maxwell Ayindenaba Dalaba & Paul Welaga & Abraham Oduro & Laata Latif Danchaka & Chieko Matsubara, 2018. "Cost of malaria treatment and health seeking behaviour of children under-five years in the Upper West Region of Ghana," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-14, April.
    2. Heath, Rachel, 2017. "Fertility at work: Children and women's labor market outcomes in urban Ghana," Journal of Development Economics, Elsevier, vol. 126(C), pages 190-214.
    3. Edmund Wedam Kanmiki & Ayaga A Bawah & James F Phillips & John Koku Awoonor-Williams & S Patrick Kachur & Patrick O Asuming & Caesar Agula & James Akazili, 2019. "Out-of-pocket payment for primary healthcare in the era of national health insurance: Evidence from northern Ghana," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-11, August.
    4. Vincent Ekow Arkorful & Benjamin Kweku Lugu & Anastasia Hammond & Ibrahim Basiru & Frederick Appiah Afriyie & Bobita Mohajan, 2021. "Examining Quality, Value, Satisfaction and Trust Dimensions: An Empirical Lens to Understand Health Insurance Systems Actual Usage," Public Organization Review, Springer, vol. 21(3), pages 471-489, September.
    5. Ikechukwu Vincent Obi & Ijeoma Lewechi Okoronkwo & Emmanuel Chukwunonye Azuike & Kamtoochukwu Maduneme Obi & Ifunanya Rosemary Obi, 2019. "Extent of Healthcare Provider Adherence to National Health Insurance Scheme (NHIS) Operational Guidelines: The Nigeria Experience," Journal of Public Administration and Governance, Macrothink Institute, vol. 9(3), pages 239-251, December.
    6. Robert Kaba Alhassan & Edward Nketiah-Amponsah & Daniel Kojo Arhinful, 2016. "A Review of the National Health Insurance Scheme in Ghana: What Are the Sustainability Threats and Prospects?," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-16, November.
    7. Grace Spencer & Ernestina Dankyi & Jill Thompson & Faye Acton & Stephen Owusu Kwankye, 2022. "The Health Experiences of Young Internal Migrants in Ghana—Identifying Priorities for Sustainable Health Promotion," IJERPH, MDPI, vol. 19(22), pages 1-14, November.
    8. Nugroho Mardi Wibowo & Woro Utari & Yuyun Widiastuti & Abdul Muhith & Dyah Eko Setyowati, 2020. "Building Patient Trust in the Era of National Health Insurance: Consequences of Healthcare Service Quality, Satisfaction and Health Conditions," Review of European Studies, Canadian Center of Science and Education, vol. 12(3), pages 1-75, September.
    9. Stephen K.O. Duku & Edward Nketiah-Amponsahd & Christine J. Fenenga & Daniel K. Arhinful & Wendy (W.) Janssens & Menno (M.) Pradhan, 2018. "The Effect of Community Engagement on Healthcare Utilization and Health Insurance Enrolment in Ghana Results from a Randomized Experiment," Tinbergen Institute Discussion Papers 18-017/V, Tinbergen Institute.
    10. Robert Kaba Alhassan & Stephen Opoku Duku & Wendy Janssens & Edward Nketiah-Amponsah & Nicole Spieker & Paul van Ostenberg & Daniel Kojo Arhinful & Menno Pradhan & Tobias F Rinke de Wit, 2015. "Comparison of Perceived and Technical Healthcare Quality in Primary Health Facilities: Implications for a Sustainable National Health Insurance Scheme in Ghana," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-19, October.
    11. Maia Sieverding & Cynthia Onyango & Lauren Suchman, 2018. "Private healthcare provider experiences with social health insurance schemes: Findings from a qualitative study in Ghana and Kenya," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-22, February.
    12. Igna Bonfrer & Lyn Breebaart & Ellen Van de Poel, 2016. "The Effects of Ghana’s National Health Insurance Scheme on Maternal and Infant Health Care Utilization," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-13, November.
    13. Alagidede, Paul & Baah-Boateng, William & Nketiah-Amponsah, Edward, 2013. "The Ghanian economy: and Overview," MPRA Paper 109687, University Library of Munich, Germany.
    14. Rabbani, Atonu & Mehareen, Jeenat & Chowdhury, Imran Ahmed & Sarker, Malabika, 2022. "Mandatory employer-sponsored health financing scheme for semiformal workers in Bangladesh: An experimental assessment," Social Science & Medicine, Elsevier, vol. 292(C).
    15. P. M. Amegbor, 2017. "An Assessment of Care-Seeking Behavior in Asikuma-Odoben-Brakwa District: A Triple Pluralistic Health Sector Approach," SAGE Open, , vol. 7(2), pages 21582440177, June.

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