Evaluation of Patients’ Satisfaction on National Health Insurance Scheme among Private Hospitals in Ado-Ekiti, South West, Nigeria
Abstract:
Patient satisfaction is a useful measure in
assessing the quality of health care service received by patients. Patient
satisfaction may influence healthcare utilization and can be a predictor of
subsequent health-related behaviour regarding patients’ willingness to
recommend their healthcare provider(s). This study therefore evaluated patient
satisfaction with the National Health Insurance Scheme (NHIS) among accredited
private hospitals in Ado-Ekiti, Ekiti state, South West Nigeria, as many
earlier studies focused primarily on clients attending government-owned
hospitals. A descriptive cross-sectional study among enrollees of NHIS-accredited
private hospitals in Ado-Ekiti between July and September 2023 with the use of a
semi-structured questionnaire. A multi-stage sampling technique was used to select
respondents for the study. Data was analyzed using SPSS version 25. Both
descriptive and inferential statistics were carried out and the level of
significance was taken at P<0.05. A total of 316 were included in the study.
The majority were married (85.2%), in secondary education (48.1%), and registered
on government-organized care (67.1%), female respondents (52.2%) were more than
male respondents (47.8%). About 89.9% of respondents were willing to re-use the
facility and recommend the health-care scheme to a friend. About 70.6% of respondents
scored high (>60%) on patient satisfaction with mean satisfaction score±(SD)
of 71.3±16.4. Identified predictors of patient satisfaction include female sex,
having tertiary education, and belonging to government-organized care as a type
of health insurance. The study concluded that the majority of the registered
patients were satisfied with the services at NHIS-accredited private hospitals
and were willing to recommend the health facility.
References:
[1] Noun
Satisfaction Definition. Oxford Advanced Learners Dictionary. Available at: https://www.oxfordlearnersdictionaries.com/definition/english/satisfaction?q=satisfaction.
Accessed May 5, 2024.
[2] Deshwal, P., Ranjan, V., Mittal G.,2014, College clinic
service quality and patient satisfaction. Int J Health Care Qual Assur, 27(6), 519–30.
[3] Emelumadu, O.F., Ndulue,
C.N., 2012, Patients characteristics and perception of quality of care in a
teaching hospital in Anambra State, Nigeria, Nigerian Journal of Medicine. 21(1),
16-20.
[4] National Health
Insurance Scheme, 2005, Operational Guidelines.
[5] Makinde, O.A., Sule, A., Ayankogbe O, Boone, D., 2018, Distribution
of health facilities in Nigeria: Implications and options for Universal Health
Coverage, Int Journal of Health Planning Management, 33(4), e1179–92, https://onlinelibrary.wiley.com/doi/full/10.1002/hpm.2603.
[6] Uzochukwu, B.S.C., Ughasoro, M.D., Etiaba, E., Okwuosa, C.,
Envuladu, E., Onwujekwe, O.E., 2015, Health care financing in Nigeria:
Implications for achieving universal health coverage, Niger J Clin Pract, 18(4),
437–44.
[7] Iloh, G., Ofoedu, J., Njoku P., Odu, F., Ifedigbo, C.,
Iwuamanam, K., 2013, Evaluation of patients’ satisfaction with the quality of
care provided at the National Health Insurance Scheme clinic of a tertiary
hospital in South-Eastern Nigeria. Nigeria Journal of Clinical Practice, 15(4),
469–74, https://www.ajol.info/index.php/njcp/article/view/84294
[8] McCullough, K., Andrew,
L., Genoni, A., Dunham, M., Whitehead, L., Porock, D., 2023, An examination of
primary health care nursing service evaluation using the Donabedian model: A
systematic review, Research in nursing & health, 46(1), 159-76.
[9] Ekiti State Website, Official Website of the Government of Ekiti
State, https://www.ekitistate.gov.ng/
[10] National Bureau of Statistics, Population 2006 – 2016, nigerianstat.gov.ng/elibrary/read/474.
[11] Bolarinwa, O.A., 2020, Sample size estimation for health and
social science researchers: The principles and considerations for different
study designs, Nigeria Postgraduate Med J, 27(2),67–75, https://journals.lww.com/npmj/fulltext/2020/27020/sample_size_estimation_for_health_a
[12]
Adebobola, A.Z., Olomofe, C.I., Akinwumi, A.A., Adebobola, O.,
2023, Service Utilization and Client Satisfaction with Quality of Healthcare
among Enrollees of Health Insurance Attending a Tertiary Hospital in
South-Western Nigeria, Asian Journal of Medical Principles and Clinical
Practice, 6(1), 12-25.
[13]
Daramola, O.E., Maduka, W.E., Adeniran, A., Akande, T.M.,
2017, Evaluation of Patients' Satisfaction with Services Accessed under the
National Health Insurance Scheme at a Tertiary Health Facility in North
Central, Nigeria, Journal of Community Medicine and Primary Health Care, 29(1),
11-7.
[14]
Iliyasu, Z., Abubakar, I.S., Abubakar, S., Lawan, U.M.,
Gajida, A.U., 2010, Patients' satisfaction with services obtained from Aminu
Kano Teaching Hospital, Kano, Northern Nigeria, Nigerian journal of clinical
practice,13(4).
[15] Ofili, A.N., Ofovwe, C.E.,
2005, Patients’ assessment of efficiency of services at a teaching hospital in
a developing country, Ann Afr Med, 4(4), 150-3.
[16] Emelumadu, O.F., Ndulue,
C.N., 2012, Patients characteristics and perception of quality of care in a
teaching hospital in Anambra State, Nigeria, Nigerian Journal of Medicine,
21(1), 16-20.
[17]
Daramola, O.E., Adeniran, A., Akande, T.M., 2018, Patients’
satisfaction with the quality of services accessed under the National Health
Insurance Scheme at a Tertiary Health Facility in FCT Abuja, Nigeria. Journal
of Community Medicine and Primary Health Care 30(2), 90-7.
[18]
Akande, R.O., Abodunrin, O.L., Olarewaju, S.O., Adeomi, A.A.,
Akande, J.O., Faramade, I.O., 2022, Health insurance in private and public
health facilities in Southwestern Nigeria: what determines clients satisfaction
with the quality of service? Pan African Medical Journal, 41(1).
[19]
Osungbade, K.O., Obembe, T.A., Oludoyi, A., 2014, Users’
satisfaction with services provided under National Health Insurance Scheme in southwestern
Nigeria, International Journal of Tropical Disease & Health, 4(5), 595-607.
[20]
Oppong, K., Prince, A.O., Genevieve, A.C., Aikins, M.,
Sraku-Lartey, K., 2020, Predictors of Patient Satisfaction with Ophthalmic
Services: A Case Study at Sunyani Municipal Hospital, Ghana, Public Health Res,
10(3), 103-9.