Administrative efficiency | Active monitoring mechanisms | Provider payment mechanisms | Benefit package | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Prompt arrival of insurance funds | Promptness of referral system | Claims review | Capitation payment | Fee-for-service payment | Benefit package inclusions | |||||||||||||
P-value OR | (95% CI) | P-value OR | (95% CI) | P-value OR | (95% CI) | P-value OR | (95% CI) | P-value OR | (95% CI) | P-value OR | (95% CI) | |||||||
Providers profession | 0.05 | |||||||||||||||||
Non-medical | Ref. | |||||||||||||||||
Medical | 1.67 | 1.02 | 2.78 | |||||||||||||||
Number of enrolees in providers facility | 0.005 | 0.01 | ||||||||||||||||
>1000 | Ref | Ref | ||||||||||||||||
≤1000 | 0.28 | 0.11 | 0.68 | 2.40 | 1.20 | 4.80 | ||||||||||||
12-month contacts with enrolees | 0.014 | 0.008 | ||||||||||||||||
Every 2 weeks | Ref. | Ref. | ||||||||||||||||
Weekly | 0.46 | 0.25 | 0.85 | 4.48 | 1.47 | 13.68 | ||||||||||||
Improved waiting times of enrolees | 0.03 | 0.03 | 0.002 | |||||||||||||||
No | Ref. | Ref. | Ref. | |||||||||||||||
Yes | 2.47 | 1.07 | 5.69 | 1.81 | 1.05 | 3.11 | 5.53 | 1.84 | 16.59 | |||||||||
Receive enrolees list quarterly | 0.05 | |||||||||||||||||
No | Ref. | |||||||||||||||||
Yes | 0.55 | 0.32 | 0.98 | |||||||||||||||
Overall annual inspection | <0.0001 | <0.0001 | ||||||||||||||||
No | Ref. | Ref. | ||||||||||||||||
Yes | 4.42 | 2.02 | 9.68 | 4.37 | 2.57 | 7.43 | ||||||||||||
12-month contact with referral | 0.005 | |||||||||||||||||
≥ 2 months | Ref. | |||||||||||||||||
Monthly | 2.13 | 1.25 | 3.63 | |||||||||||||||
12-month funds available | 0.005 | |||||||||||||||||
Every 4 months | Ref. | |||||||||||||||||
Monthly | 3.50 | 1.46 | 8.36 | |||||||||||||||
3-year funds available | 0.05 | 0.031 | ||||||||||||||||
Every 4 months | Ref. | Ref. | ||||||||||||||||
Monthly | 2.43 | 1.02 | 5.89 | 2.71 | 1.10 | 6.68 | ||||||||||||
Information on entitlement available | <0.0001 | <0.0001 | ||||||||||||||||
Disagree | Ref. | Ref. | ||||||||||||||||
Agree | 82.99 | 37.46 | 183.85 | 4.63 | 2.56 | 8.36 | ||||||||||||
NHIS to revise capitation payment | <0.0001 | 0.004 | ||||||||||||||||
Disagree | Ref. | Ref. | ||||||||||||||||
Agree | 0.15 | 0.06 | 0.35 | 0.16 | 0.05 | 0.57 | ||||||||||||
Providers ratings of capitation amounts | 0.002 | 0.002 | <0.0001 | |||||||||||||||
Bad | Ref. | Ref. | Ref. | |||||||||||||||
Good | 3.40 | 1.55 | 7.47 | 2.22 | 1.34 | 3.69 | 7.13 | 2.70 | 18.86 | |||||||||
n | 466 | 466 | 466 | 466 | 466 | 466 | ||||||||||||
R2 | 0.213 | 0.118 | 0.424 | 0.142 | 0.161 | 0.123 | ||||||||||||
Model test: LR χ2 | 50.74; p < 0.001 | 54.55; p < 0.001 | 260.41; p < 0.001 | 25.23; p < 0.001 | 99.53; p < 0.001 | 15.46; p < 0.001 | ||||||||||||
log likelihood | −93.81 | −204.24 | −177.17 | −76.024 | −259.65 | −55.13 |