Predictors of Health Care Service Quality among Women Insured Under Ghana’s National Health Insurance Scheme

Background: Insured women in Ghana are more likely to use maternity care services than their uninsured counterparts. To improve service quality among insured women in Ghana, better understanding of the factors that predict quality standards of primary health care services is essential. Objective: To...

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Autores principales: Martin Amogre Ayanore, Richard Ofori-Asenso, Amos Laar
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Publicado: Ubiquity Press 2018
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spelling oai:doaj.org-article:a77bc620ef204395ba3bf5027a15511b2021-12-02T07:29:44ZPredictors of Health Care Service Quality among Women Insured Under Ghana’s National Health Insurance Scheme2214-999610.29024/aogh.2371https://doaj.org/article/a77bc620ef204395ba3bf5027a15511b2018-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2371https://doaj.org/toc/2214-9996Background: Insured women in Ghana are more likely to use maternity care services than their uninsured counterparts. To improve service quality among insured women in Ghana, better understanding of the factors that predict quality standards of primary health care services is essential. Objective: To examine predictors of health care service quality among insured women under the National Health Insurance Scheme (NHIS) in Ghana. Methods: Data from the 2014 Ghana Demographic Health Survey was analysed. Cluster analysis was applied to construct a dependent variable; service care quality. Socio-demographic/background characteristics were used as independent variables. Descriptive and inferential analyses were performed followed by multiple regression to predict service quality among the insured population of women aged 15–49 years. SPSS version 21 was used during the clustering while STATA version 14 was used to perform the inferential and regression analyses. Findings: Overall, geographical region of respondents was significant to expressions of insured service quality (χ2=495.4, p ≤ 0.001). Literacy levels were significant at χ2=69.232 and p ≤ 0.001 for service quality. On place of residence, the estimation show urban residency was more positively correlated with indicating quality ratings of health services compared to rural residency (χ2=70.29, p ≤ 0.001). Highest educational level had the highest predictive influence with a coefficient of 0.15. Conclusions:A more supportive health insurance system approach that shifts towards introducing valued-based care models for patients, insurers and health care providers could be supportive in improving quality standards among insured population groups in Ghana.Martin Amogre AyanoreRichard Ofori-AsensoAmos LaarUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 84, Iss 4 (2018)
institution DOAJ
collection DOAJ
language EN
topic Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
spellingShingle Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
Martin Amogre Ayanore
Richard Ofori-Asenso
Amos Laar
Predictors of Health Care Service Quality among Women Insured Under Ghana’s National Health Insurance Scheme
description Background: Insured women in Ghana are more likely to use maternity care services than their uninsured counterparts. To improve service quality among insured women in Ghana, better understanding of the factors that predict quality standards of primary health care services is essential. Objective: To examine predictors of health care service quality among insured women under the National Health Insurance Scheme (NHIS) in Ghana. Methods: Data from the 2014 Ghana Demographic Health Survey was analysed. Cluster analysis was applied to construct a dependent variable; service care quality. Socio-demographic/background characteristics were used as independent variables. Descriptive and inferential analyses were performed followed by multiple regression to predict service quality among the insured population of women aged 15–49 years. SPSS version 21 was used during the clustering while STATA version 14 was used to perform the inferential and regression analyses. Findings: Overall, geographical region of respondents was significant to expressions of insured service quality (χ2=495.4, p ≤ 0.001). Literacy levels were significant at χ2=69.232 and p ≤ 0.001 for service quality. On place of residence, the estimation show urban residency was more positively correlated with indicating quality ratings of health services compared to rural residency (χ2=70.29, p ≤ 0.001). Highest educational level had the highest predictive influence with a coefficient of 0.15. Conclusions:A more supportive health insurance system approach that shifts towards introducing valued-based care models for patients, insurers and health care providers could be supportive in improving quality standards among insured population groups in Ghana.
format article
author Martin Amogre Ayanore
Richard Ofori-Asenso
Amos Laar
author_facet Martin Amogre Ayanore
Richard Ofori-Asenso
Amos Laar
author_sort Martin Amogre Ayanore
title Predictors of Health Care Service Quality among Women Insured Under Ghana’s National Health Insurance Scheme
title_short Predictors of Health Care Service Quality among Women Insured Under Ghana’s National Health Insurance Scheme
title_full Predictors of Health Care Service Quality among Women Insured Under Ghana’s National Health Insurance Scheme
title_fullStr Predictors of Health Care Service Quality among Women Insured Under Ghana’s National Health Insurance Scheme
title_full_unstemmed Predictors of Health Care Service Quality among Women Insured Under Ghana’s National Health Insurance Scheme
title_sort predictors of health care service quality among women insured under ghana’s national health insurance scheme
publisher Ubiquity Press
publishDate 2018
url https://doaj.org/article/a77bc620ef204395ba3bf5027a15511b
work_keys_str_mv AT martinamogreayanore predictorsofhealthcareservicequalityamongwomeninsuredunderghanasnationalhealthinsurancescheme
AT richardoforiasenso predictorsofhealthcareservicequalityamongwomeninsuredunderghanasnationalhealthinsurancescheme
AT amoslaar predictorsofhealthcareservicequalityamongwomeninsuredunderghanasnationalhealthinsurancescheme
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