Household Satisfactionof Health Care: With Nsuredand Non-Insured under Community based Health Insurances in Mahal Sayent District South Wollo, Ethiopia
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Date
2021-02
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Addis Abeba University
Abstract
Background: Community-based health insurance is recognized as a promising tool for health system improvement and financial protection for low-income individuals that improves the health status of enrollees and enhances productivity and labor supply. The program is implemented in several districts, however, studies focusing on clients’ satisfaction provided by the health insurance scheme are still limited. The aim of this study was, therefore, to assess individuals’ satisfaction of utilizing health care service with insured and non-insured under community-based health insurance in Mahal Sayent district, South Wollo.
Methods: Community-based comparative cross-sectional study was conducted among 346 households who are both enrolled and non-insured to the community-based health insurance in south Wollo, Mahal Sayent district from December 1 to April 20, 2021. The data was collected using a structured questionnaire and checked for completeness, entered, edited, cleaned by Epi-data version 3.1 and analyzed by SPSS version 20. Descriptive statistics were used to present the variables. Multivariable logistic regression was fitted to examine the relationship between outcome variable and independent variables. Finding was reported using adjusted odds ratios with 95% confidence interval and statistical difference was declared at P-value <0.05.
Result: From the total of 346 respondents took part in this study, only 125 (36.1%) of the participants were insured under CBHI. Overall satisfaction of CBHI members 77.6% while for non-CBHI members were 42.1%. Moreover, insurance status (AOR = 4.23; 95% CI: 2.32–87.70), educational status (AOR = 3.12; 95% CI: 1.35–7.22), satisfaction with waiting time (AOR = 3.41; 95% CI: 1.27–9.18) and appropriateness of the time to diagnosis a problem (AOR = 41.61; 95% CI: 12.34–140.38) were found to be significantly associated with overall patient satisfaction.
Conclusion and Recommendation: The study showed that insured patients have a higher level of overall satisfaction score. The key determinants of overall satisfaction were educational status, insurance status, waiting time and appropriateness of the time to diagnose a problem. To improve patient satisfaction and in turn to increase the quality of health care; CBHI program should be promoted and encouraged by the government. Moreover, policy makers, health system managers, and health professionals should work to minimize the waiting time of service provision.
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Keywords
CBHI, household satisfaction, health service utilization