IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0127160.html
   My bibliography  Save this article

Perceptions and Attitudes of Health Professionals in Kenya on National Health Care Resource Allocation Mechanisms: A Structural Equation Modeling

Author

Listed:
  • Patrick Opiyo Owili
  • Yi-Hsin Elsa Hsu
  • Jin-Yuan Chern
  • Chiung-Hsuan Megan Chiu
  • Bill Wang
  • Kuo-Cherh Huang
  • Miriam Adoyo Muga

Abstract

Background: Health care resource allocation is key towards attaining equity in the health system. However, health professionals’ perceived impact and attitude towards health care resource allocation in Sub-Saharan Africa is unknown; furthermore, they occupy a position which makes them notice the impact of different policies in their health system. This study explored perceptions and attitudes of health professionals in Kenya on health care resource allocation mechanism. Method: We conducted a survey of a representative sample of 341 health professionals in Moi Teaching and Referral Hospital from February to April 2012, consisting of over 3000 employees. We assessed health professionals’ perceived impact and attitudes on health care resource allocation mechanism in Kenya. We used structural equation modeling and applied a Confirmatory Factor Analysis using Robust Maximum Likelihood estimation procedure to test the hypothesized model. Results: We found that the allocation mechanism was negatively associated with their perceived positive impact (-1.04, p

Suggested Citation

  • Patrick Opiyo Owili & Yi-Hsin Elsa Hsu & Jin-Yuan Chern & Chiung-Hsuan Megan Chiu & Bill Wang & Kuo-Cherh Huang & Miriam Adoyo Muga, 2015. "Perceptions and Attitudes of Health Professionals in Kenya on National Health Care Resource Allocation Mechanisms: A Structural Equation Modeling," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-22, June.
    • Handle: RePEc:plo:pone00:0127160
    DOI: 10.1371/journal.pone.0127160
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0127160
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0127160&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0127160?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Sharma, Subhash & Mukherjee, Soumen & Kumar, Ajith & Dillon, William R., 2005. "A simulation study to investigate the use of cutoff values for assessing model fit in covariance structure models," Journal of Business Research, Elsevier, vol. 58(7), pages 935-943, July.
    2. Gross, Revital & Tabenkin, Hava & Brammli-Greenberg, Shuli, 2007. "Factors affecting primary care physicians' perceptions of health system reform in Israel: Professional autonomy versus organizational affiliation," Social Science & Medicine, Elsevier, vol. 64(7), pages 1450-1462, April.
    3. Andrew M. Jones (ed.), 2006. "The Elgar Companion to Health Economics," Books, Edward Elgar Publishing, number 3572, March.
    4. Stuckler, D. & Basu, S. & McKee, M., 2011. "Health care capacity and allocations among South Africa's provinces: Infrastructure-inequality traps after the end of apartheid," American Journal of Public Health, American Public Health Association, vol. 101(1), pages 165-172.
    5. Teekens, R & Koerts, J, 1972. "Some Statistical Implications of the Log Transformation of Multiplicative Models," Econometrica, Econometric Society, vol. 40(5), pages 793-819, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Patrick Opiyo Owili & Miriam Adoyo Muga & Ya-Ting Yang & Yi-Hsin Elsa Hsu, 2019. "Perceived Impact of Taiwan’s National Health Insurance Allocation Strategy: Health Professionals’ Perspective," IJERPH, MDPI, vol. 16(3), pages 1-12, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Eric French & Elaine Kelly & Richard Cookson & Carol Propper & Miqdad Asaria & Rosalind Raine, 2016. "Socio‐Economic Inequalities in Health Care in England," Fiscal Studies, Institute for Fiscal Studies, vol. 37, pages 371-403, September.
    2. Marc Fleurbaey & Stéphane Luchini & Christophe Muller & Erik Schokkaert, 2013. "Equivalent Income And Fair Evaluation Of Health Care," Health Economics, John Wiley & Sons, Ltd., vol. 22(6), pages 711-729, June.
    3. Meyer, Sophie-Charlotte, 2016. "Maternal employment and childhood overweight in Germany," Economics & Human Biology, Elsevier, vol. 23(C), pages 84-102.
    4. Paul Contoyannis & John Wildman, 2007. "Using relative distributions to investigate the body mass index in England and Canada," Health Economics, John Wiley & Sons, Ltd., vol. 16(9), pages 929-944, September.
    5. Thomas Barnay, 2016. "Health, work and working conditions: a review of the European economic literature," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 17(6), pages 693-709, July.
    6. Trinh Le Tan & Khanh Nguyen Chau Ngoc & Hien Le Thi Thanh & Hoai Nguyen Thi Thu & Uyen Vo Truong Hoang, 2024. "Enhancing Repurchase Intention on Digital Platforms Based on Shopping Well-Being Through Shopping Value, Trust and Impulsive Buying," SAGE Open, , vol. 14(3), pages 21582440241, September.
    7. Galina Besstremyannaya, 2015. "Measuring the effect of health insurance companies on the quality of healthcare systems with kernel and parametric regressions," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 38(2), pages 3-20.
    8. Andrea Lučić, 2020. "Measuring Sustainable Marketing Orientation—Scale Development Process," Sustainability, MDPI, vol. 12(5), pages 1-22, February.
    9. Jasjeet Singh Sekhon & Richard D. Grieve, 2012. "A matching method for improving covariate balance in cost‐effectiveness analyses," Health Economics, John Wiley & Sons, Ltd., vol. 21(6), pages 695-714, June.
    10. Carol Propper & Deborah Wilson & Simon Burgess, 2005. "Extending Choice In English Health Care: The implications of the economic evidence," The Centre for Market and Public Organisation 05/133, The Centre for Market and Public Organisation, University of Bristol, UK.
    11. Katharina Hauck & Aki Tsuchiya, 2010. "Health mobility: implications for efficiency and equity in priority setting," Monash Econometrics and Business Statistics Working Papers 6/10, Monash University, Department of Econometrics and Business Statistics.
    12. Petri Böckerman & Edvard Johansson & Satu Helakorpi & Ritva Prättälä & Erkki Vartiainen & Antti Uutela, 2007. "Does a slump really make you thinner? Finnish micro‐level evidence 1978–2002," Health Economics, John Wiley & Sons, Ltd., vol. 16(1), pages 103-107, January.
    13. Emmanouil Mentzakis & Mandy Ryan & Paul McNamee, 2011. "Using discrete choice experiments to value informal care tasks: exploring preference heterogeneity," Health Economics, John Wiley & Sons, Ltd., vol. 20(8), pages 930-944, August.
    14. Chen, Feiqiong & Liu, Huiqian & Ge, Yuhao, 2021. "How does integration affect industrial innovation through networks in technology-sourcing overseas M&A? A comparison between China and the US," Journal of Business Research, Elsevier, vol. 122(C), pages 281-292.
    15. Edwards, Ryan, 2008. "Who is hurt by procyclical mortality?," Social Science & Medicine, Elsevier, vol. 67(12), pages 2051-2058, December.
    16. Dumont, Etienne & Fortin, Bernard & Jacquemet, Nicolas & Shearer, Bruce, 2008. "Physicians' multitasking and incentives: Empirical evidence from a natural experiment," Journal of Health Economics, Elsevier, vol. 27(6), pages 1436-1450, December.
    17. Tor Iversen & Eline Aas & Gunnar Rosenqvist & Unto Häkkinen & on behalf of the EuroHOPE study group, 2015. "Comparative Analysis of Treatment Costs in EUROHOPE," Health Economics, John Wiley & Sons, Ltd., vol. 24(S2), pages 5-22, December.
    18. Mark Dusheiko & Maria Goddard & Hugh Gravelle & Rowena Jacobs, 2008. "Explaining trends in concentration of healthcare commissioning in the English NHS," Health Economics, John Wiley & Sons, Ltd., vol. 17(8), pages 907-926, August.
    19. Fiebig, Denzil G. & Haas, Marion & Hossain, Ishrat & Street, Deborah J. & Viney, Rosalie, 2009. "Decisions about Pap tests: What influences women and providers?," Social Science & Medicine, Elsevier, vol. 68(10), pages 1766-1774, May.
    20. Aysun Ata Aktürk & Hasibe Özlen Demircan, 2018. "Development of Preschool Children Sibling Rivalry Scale (PSRS)," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 11(1), pages 117-136, February.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0127160. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.