Does capitation payment under national health insurance affect subscribers’ trust in their primary care provider? a cross-sectional survey of insurance subscribers in Ghana

• DOI: 10.1186/s12913-016-1622-0
• Publication Date: 2016-08-24T09:26:57Z
• Authors: Francis-Xavier An...; Dennis Cornelissen; Felix Ankomah Asante; Ernst Spaan; Koos van der Velden
• Keywords: Affect; Capitation fee; Cross-sectional study; Health administration

Ghana introduced capitation payment for primary care in 2012 with the view to containing escalating claims expenditure. This shift provider method raised issues about its potential impact on patient-provider trust relationship and insured-patients' National Health Insurance Scheme. paper presents findings of a study that explored perception about, attitude towards Ghana; determined whether affect their preferred Scheme general.We adopted survey design study. We administered closed-ended questionnaires collect data from insurance card-bearing members aged 18 years above. performed both descriptive statistics determine proportions observations relating variables interest chi-square test differences within gender setting.Sixty-nine per cent (69 %) out 344 respondents selected hospital level as provider. The two most important motivations choice were proximity terms geographical access (40 perceived quality (38 %). Eighty-eight (88 rated (very) high. Eighty-two (82 actively providers. had no intention switch A majority (91 would renew membership when it expires. Female %; n = 281) more likely than males (87 63). Notwithstanding experience, 81 % recommend peers enrol NHIS rural dwellers 156) being do so urban (76 188). Almost all (92 good.Health subscribers have high giving them under despite negative payment. They are guided by considerations NHIA would, however, address itself perceptions policy.