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Enrollees’ Satisfaction with Health Service Provision Under National Health Insurance Scheme at University of Nigeria Teaching Hospital Ituku-Ozalla

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Abstract

The cost of accessing quality healthcare is still a serious challenge to most Nigerians.  As  a means of alleviating this challenge, the Federal Government of Nigeria introduced the National Health Insurance Scheme.

The purpose of this study was to assess enrollees satisfaction with health service provision under the Formal Sector Social Health Insurance Scheme in University of Nigeria Teaching Hospital (UNTH).

The research method was a descriptive Cross-Sectional Survey design. Four hundred and seventy (470) respondents were selected using systematic random sampling.

Data were collected using semi structured Satisfaction Survey Questionnaire adapted from the Patient Satisfaction Questionnaire short form (PSQ 18) by Marshall and Hays (1994) and World Health Organization (WHO) Health System Responsive Survey Version 70 (WHO 2002).

Findings revealed that respondents were satisfied with  the  registration process into the scheme, process of getting ID card, respect from the providers, interest of the providers towards their care as well as their clarification on regimen (X ≥3.0).

Introduction

Health care financing continues to stir debates around the world. Many low and middle income countries (LMICs) keep on exploring different ways of financing their health systems because their health systems are chronically under-funded (Dalinjon &Laar 2012).

There are rising  interest of many on escalating health care costs globally and how it should be  financed.

The form and level of health care financing are now a major policy for most developing country governments.Several approaches abound in financing healthcare,  ranging  from  fees-  for- service to private insurance, general taxation, social insurance, community financing, loans and grants (Onyedibe, Goyit & Nnadi, 2012).

User fees were initially introduced at the point of service delivery in some countries in order to generate revenue for the running of their health systems (Dalinjong & Laar 2012).

While  in  some countries, the introduction of user fees led to improvement in the quality of health care services, the overwhelming evidence suggests that user fees constitute a strong barrier to the utilization of health care services, as well as preventing adherence to  long  term  treatment among poor and vulnerable groups (Onyedibe et al, 2012).

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