A research directory of Client Perceptions of Medical care insurance Systems in Ghana has requested improvement from the performance in the scheme to guarantee client satisfaction.

It also recommends improvement within the areas of networking, communication, client centeredness, service management and exemptions from the scheme.

The report says, “There can also be the necessity to intensify client education and balanced persistence for technical and perceived quality improvement effort and will also help enhance client confidence in Ghana’s healthcare system, stimulate active participation inside national insurance coverage, increase heath care treatment utilisation and eventually improve public health outcomes”.

Speaking at a two-day dissemination workshop in Accra, Dr Daniel Kojo Arhinful of the Epidemiology Department, Noguchi Memorial Institute for Scientific research (NMIMR), said the analysis was conducted on account of feedback from clients that NHIS services were minimal and insufficient, which would not reflect in the current implementation in the NHIS.

The research was titled, “Comparison of Perceived and Technical Healthcare Quality in Primary Health Facilities: Implications for your Sustainable National Medical health insurance Scheme in Ghana.

The workshop, which provided the means for participants comprising Ghana Health Service and medical health insurance experts, providers and consumers that use services, was organised via the Client Oriented Insurance coverage (COHEiSION) Project go over policy direction towards sustaining the NHIS in Ghana.

The COHEiSION project was initiated in the year 2011 in Western and Greater Accra that will help identify some of the critical barriers to enrolment and retention of membership in the insurance programme in an effort to design and implement interventions to cope with them.

It is really a collaborative research relating to the NMIMR, Amsterdam Institute for Global Health insurance Development (AIGHD) of your University of Amsterdam, University of Groningen, as well as the Vrije University of Amsterdam.

The project is additionally implemented together with the nation’s Health care insurance Authority (NHIA) of Ghana; Secretary of state for Health (MoH)/ Ghana Health Service (GHS) as well as Christian Health Association of Ghana (CHAG) with financial support with the Netherlands Government.

Dr Arhinful explained that your research considered the variations in perceptions of clients and health staff on quality healthcare and determined in case the perceptions were connected to technical quality proxies in health facilities.

Dr Arhinful who had been even the Co-Project Investigator, said although the NHIS reached major achievements of 65 per-cent enrolment by 2009, it faced various challenges, including securing sustained quality of health, retention of clients while in the insurance programme and adequate claims handling systems.

These challenges, he said, posed potential risks towards the financial sustainability in the programme.

He said him, “Placing your customer in a very central position for this research suggests that we try to grasp the clients’ perception and practices of heath care treatment damaging credit the community whereby they live.”

The Research, he stated, has shown which the NHIS was attracted to outcomes of clients’ perceptions and capable to create improvements towards the system.

The report thus recommends that your Ministry of Health should mandate the National Health insurance coverage Authority to exempt the over 60’s from payment of annual registration fees and ought to be registered at registration centers, quite as is now being in hot water expectant mothers within the free maternal health policy.

Ms Adelaide Akowuah-Bunatal, a Deputy Director, Provider and Clients Relations Department of your NHIS, said the NHIS had acknowledged the challenges and was working at decreasing the bottlenecks which confronted the smooth operation of the scheme.

She explained that NHIS, that was introduced in Ghana in 2003 to better entry to quality healthcare services for the entire population, although reached major achievements with almost 70 percent cumulative enrolment rate by December 2010, was facing challenges.

She listed most of the challenges as retaining clients inside the insurance programme; cumbersome claims handling systems; too generous benefit package; and ensuring excellent of heath care treatment; who had resulted in potential risk towards sustainability in the programme.

“To make sure clients get optimum service, the NHIS will by December this year deploy some personnel to research some facilities to ensure that they’re doing the best things,” she said.


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