Skip to content
Research Article Open access CC BY 4.0

Health Insurance and Healthcare Quality: A Comparative Study between Insured and Uninsured Patients at a Teaching Hospital in Northeast Nigeria

O. E. Daramola, A. F. Oderinde, C. M. Anene, J. M. Abu, T. M. Akande

International Journal of TROPICAL DISEASE & Health · pp. 13–19 · Published 18 Mar 2020

10.9734/ijtdh/2020/v41i230250

Abstract

Objective: Patients’ perception of the quality of care is essential in assessing health services and feedbacks from patient satisfaction surveys are useful in healthcare quality improvements. Methods: A descriptive cross-sectional study was done to evaluate satisfaction with the quality of care among insured patients under the National Health Insurance Scheme (NHIS) and uninsured (Out-of-Pocket paying) patients at University of Maiduguri Teaching Hospital (UMTH), Maiduguri, Borno State, Nigeria. Data were collected from 115 respondents from each group selected by systematic random sampling; using self-administered questionnaires. Analysis was done using IBM SPSS Statistics 20.0. Results: The overall mean satisfaction for the uninsured group (73.1 ± 7.2) was higher than that of the insured group (71.2 ± 7.5). However, the difference was not statistically significant, p = 0.063. The observed satisfaction levels in the various areas of services accessed among the insured and uninsured group in this study are comparable, except for the significant differences observed in satisfaction with hospital facilities and the availability of prescribed drugs, suggesting the need for the improvement of hospital facilities and availability of drugs. Conclusion: Despite complaints about the NHIS, it is still generally preferred to out-of-pocket payment by both groups. Therefore, more efforts should be made to expand the population coverage of health insurance to allow the inclusion of more people, while the need for continuous improvement of quality health services cannot also be overemphasized.

Health insurance quality of care insured uninsured Nigeria.

References (14)

  1. 1 The national health insurance scheme: perceptions and experiences of health care providers and clients in two districts of Ghana [DOI]
  2. 2 Perceptions of generic medication in the general population, doctors and pharmacists: a systematic review [DOI]
  3. 3 Factors That Influence Enrolment and Retention in Ghana’ National Health Insurance Scheme [DOI]
  4. 4 Operationalizing universal health coverage in Nigeria through social health insurance [DOI]
  5. 5 Patient Satisfaction with Primary Health Care – A Comparison between the Insured and Non-Insured under the National Health Insurance Policy in Ghana [DOI]
  6. 6 Does quality influence utilization of primary health care? Evidence from Haiti [DOI]
  7. 7 Provider payment in community-based health insurance schemes in developing countries: a systematic review [DOI]
  8. 8 Health insurance and quality of care: Comparing perceptions of quality between insured and uninsured patients in Ghana’s hospitals [DOI]
  9. 9 Effects of Health Insurance on Perceived Quality of Care Among Latinos in the United States [DOI]
  10. 10 Comparative study of patients' satisfaction between national health insurance scheme-insured and un-insured patients attending a Northern Nigerian tertiary hospital [DOI]
  11. 11 Evaluation of Patients' Satisfaction with Services Accessed under the National Health Insurance Scheme at a Tertiary Health Facility in North Central, Nigeria.
  12. 12 Health Services Utilization Patterns among Enrollees of the National Health Insurance Scheme at a Tertiary Health Facility in Federal Capital Territory (FCT) – Abuja, Nigeria
  13. 13 Equity of care: A comparison of National Health Insurance Scheme enrolees and fee-paying patients at a private health facility in Ibadan, Nigeria [DOI]
  14. 14 Satisfaction with quality of care: a comparative study of National Health Insurance Scheme and non-National Health Insurance Scheme patients of a tertiary hospital in South-Eastern Nigeria

Cited by 2

Patient satisfaction and associated factors among insured and uninsured patients in Deder General Hospital, eastern Ethiopia: a facility-based comparative cross-sectional study

Giduma Shure, Mulugeta Gamachu, Habtamu Mitiku · Frontiers in Medicine · 2023

Showing 1 of 2 known citations — external sources report more than can currently be individually listed.

Related research

Article metrics

Real usage data collected on this platform.

12

Page views

0

PDF downloads

0

Outbound clicks

2

Citations

Views over time

Views by country

Approximate, from request IP at view time — not citizenship or institution. Countries with fewer than 5 views are grouped as "Other".

Traffic sources

Referring site, by host.

Views and downloads exclude known bots/crawlers. Citations combines this platform's own DOI-resolved index with each external source's own reported total — see Cited by above for individually listed citing works. Last refreshed 0 seconds ago.