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Table 2 Characteristics and experiences of HCPs * to investigate health insurance optimal-resource-use activities

From: Performance evaluation of a health insurance in Nigeria using optimal resource use: health care providers perspectives

Independent variables

Categories

Number

Percentage

Total cases

 

466

100%

Providers profession1

Medical

293

63%

Non-medical

173

37%

Type of facility

Public

281

60%

Private

185

40%

Number of enrolees in providers* facility

1000 or less

63

14%

More than 1000

403

86%

Last 1 month contact with enrolees by providers

Weekly

389

85%

Every two weeks

77

15%

Last 12 months contact with enrolees by providers

Weekly

395

83%

Every two weeks

71

17%

Improvement in waiting times of enrolees

Yes

370

79%

No

96

21%

Providers received enrolees* list quarterly2

Yes

324

70%

No

142

30%

Facility inspection in the last 12 months3

≤2 times

377

81%

>2 times

89

19%

Overall annual inspection3

Yes

142

30%

No

324

70%

Providers 12 months contact with referral

Monthly

213

46%

≥2 months

253

54%

12 months availability of insurance funds

Monthly

366

79%

Every four months

100

21%

3 years availability of insurance funds

Monthly

370

79%

Every four months

96

21%

Information on full entitlement made available by NHIS*

Agree

119

26%

Disagree

347

74%

Health insurance to revise capitation payment4

Agreed

435

93%

Disagree

31

7%

Overall capitation payment amounts ratings

Good

339

73%

 

Bad

127

27%

  1. *Abbreviations: NHIS national health insurance scheme regulatory agency.
  2. 1Profession means the assigned duties and responsibilities of providers. Again, non-medical is administration personnel including record officers with no medical responsibility, but involved in resource use activities.
  3. 2Quarterly means every three months of a year instalmentally.
  4. 3Inspection means quality assurance checks of providers’ activities conducted by external monitors.
  5. 4Providers opinion on capitation payment per enrolee to be revised by the NHIS regulatory agency.