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Table 4 Results of multinomial logistic regression for hospital outpatient services

From: Preferences of healthcare workers for provider payment systems in The Gambia’s National Health Insurance Scheme

 

Line-item budget

Capitation

Case-based (DRG)

Fee-for-service

Per-diem

RRR (95% CI)

P

RRR (95% CI)

P

RRR (95% CI)

P

RRR (95% CI)

P

RRR (95% CI)

P

Gender

 Male (ref)

          

 Female

1.3 (0.7, 2.3)

0.39

0.9 (0.4, 1.9)

0.78

0.8 (0.5, 1.3)

0.35

1.1 (0.7, 1.8)

0.65

0.6 (0.3, 1.2)

0.14

Professional cadre

 Other cadre (ref)

          

 Physician

3.9 (1.2, 12.0)

0.02

1.4 (0.3, 6.9)

0.68

6.0 (1.9, 18.7)

< 0.01

1.1 (0.4, 3.6)

0.83

1.6 (0.3, 7.7)

0.57

 Nurse/midwife

1.6 (0.8, 3.2)

0.21

1.1 (0.4, 2.6)

0.91

2.0 (1.0,3.8)

0.05

1.2 (0.7, 2.1)

0.52

1.0 (0.4, 2.3)

0.94

Facility level

 Minor H.C (ref)

          

 Dist. Hos. / M.H.C

1.4 (0.6, 3.0)

0.42

1.0 (0.4, 3.1)

0.94

0.6 (0.3, 1.1)

0.09

0.8 (0.4, 1.4)

0.40

0.9 (0.4, 2.5)

0.90

 Hospital

0.9 (0.4, 2.0)

0.87

1.6 (0.6, 4.3)

0.36

0.3 (0.2, 0.6)

< 0.01

1.0 (0.5, 1.8)

0.96

0.8 (0.3, 2.0)

0.66

Region

 Rural (ref)

          

 Urban

2.1 (1.0, 4.4)

0.05

0.8 (0.3, 1.8)

0.54

1.2 (0.7, 2.2)

0.54

0.8 (0.5, 1.5)

0.54

1.8 (0.7, 4.7)

0.26

  1. Global budget Base reference, Ref Reference, RRR Relative risk ratio, CI Confidence interval, P P-value, significant = 0.05, Dist. Hos. District hospital, M.H.C Major health centre