Accrediting private providers with National Health Insurance to better serve low-income populations in Kenya and Ghana
A qualitative study
Bibliographic Data
| ID | 15396085 |
|---|---|
| Authors | Lauren Suchman (0000-0002-3684-0314, University of California, San Francisco, corresponding author) |
| Year | 2018 |
| Volume | 17 |
| Issue | 1 |
| Pages | 179-179 |
| Publication date | 2018-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal for Equity in Health (JOURNAL) |
| Journal identifiers | ISSN: 1475-9276 • E-ISSN: 1475-9276 |
| Publisher | BioMed Central (PUBLISHER • GB) |
| DOI | 10.1186/s12939-018-0893-y |
| PMID | 30518378 |
| OpenAlex | W2902824949 |
| Language | EN |
| Citations received | 7 |
| References cited | 53 |
Our data point to several major barriers to SHI access and effectiveness for low-income populations in Ghana and in Kenya, in addition to opportunities to better engage private providers to serve these populations. We recommend using fee-for-service payments based on Diagnosis Related Group rather than a capitation payment system, as well as building more monitoring and accountability mechanisms into the SHI systems in order to reduce requests for informal out-of-pocket payments from patients while also ensuring quality of care. However, particularly in Ghana, these reforms should be accompanied by financial reform within the SHI system so that small private providers can be adequately funded through government financing
Business · Economic growth · Economics · Environmental health · Health care · Health insurance · Health services research · Low income · Political science · Public health · Qualitative research · Social policy · Social science · Socioeconomics · Sociology · Healthcare Quality and Management · Healthcare Systems and Reforms · Medicine · Nursing · Primary Care and Health Outcomes · Health Policy
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| Unique citing works | 7 |
|---|---|
| Citations per year | 1,17 |
| Citation span | 2020 - 2026 (7) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 7 |