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发布于:2018-5-24 03:26:36  访问:14 次 回复:0 篇
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And this effect consistently decreased across the range of autonomy. The
The quality of Histamine (phosphate) site facilities as perceived by the IUs is analysed in Table 6. The IUs that were ever referred for secondary or tertiary care were less likely to have perceived better quality of facilities than those who never had referral in the NHIS (p < 0.001; impact = 0.44). Here, by contrast, only IUs with visits to providers during the 12 previous months violated the proportional odds assumption.Discussion The IUs‘ experiences of the responsiveness of health care services within the NHIS were assessed in this study, according to several responsiveness domains. The performance of each domain during the implementation period (since 2005) of the NHIS was determined and the relative importance of each was also investigated. Scientifically, there is a tradition of both evaluating responsiveness and assessing the importance of its related domains when studying the health care services of any health system or program [9,10]. Impact is calculated as the absolute change in odds (e|coef.|).respective expectations, which are, in turn, contextually related to their country‘s general perception [9,10]. Furthermore, the IUs‘ factors and concerns, potentially related to responsiveness domains, were examined based on their experiences with the NHIS. Principal enrolees with more than one year in the insurance scheme were considered to have relevant experiences that could provide information on the responsiveness domains. The findings of this study are discussed according to the responsiveness domains.Prompt attentionmay be that males are given priority over females during demand for services. If this interpretation is correct, attention should be focused on females receiving equal priority in these services. We found the likelihood that, IUs who had ever been referred for secondary or tertiary care rated higher in the prompt attention domain. This may not be surprising, because a cross-countries analysis by Valentine et al. [10] suggested the possibility that people who were referred for secondary or tertiary care might have been favoured by the providers.DignityThe domain of prompt attention was poorly rated by the IUs. Valentine et al. [10] explained that this domain covers people‘s experience with access to rapid care and short waiting periods for treatment. Previous studies have shown that lack of prompt attention by providers, due to delays in administrative processes and settling of insurance claims, negatively affects the IU‘s encounter with health care services [9,10,24]. The evidence from our findings suggests that the NHIS should ensure that IUs receive the necessary healthcare within an appropriate time period, either in public or private health facilities. Active monitoring might help promote and enhance prompt attention to the IUs. Our findings are similar to those of other studies in Nigeria, Ghana and South-Africa where the type of facility was found to influence prompt attention: the public providers performed poorly in.And this effect consistently decreased across the range of autonomy. The quality of facilities as perceived by the IUs is analysed in Table 6. IUs who received care from public providers were less likely to perceive better quality of facilities than those receiving care from private providers (p < 0.001; impact = 0.40). Furthermore, IUs with relatively low education were less likely to report better quality of facilities than those with higher education (p = 0.025; impact = 0.69).
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