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Private Hospital Accreditation and Inducement of Care under the Ghanaian National Health Insurance Scheme. Eugenia Amporfu Kwame Nkrumah University of Science and Technology, Ghana.

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Eugenia Amporfu Kwame Nkrumah University of Science and Technology, Ghana

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Eugenia amporfu kwame nkrumah university of science and technology ghana
Private Hospital Accreditation and Inducement of Care under the Ghanaian National Health Insurance Scheme

Eugenia Amporfu

Kwame Nkrumah University of Science and Technology, Ghana


Eugenia amporfu kwame nkrumah university of science and technology ghana


Eugenia amporfu kwame nkrumah university of science and technology ghana


Eugenia amporfu kwame nkrumah university of science and technology ghana

  • Given the asymmetric information that exists between the physician and the patient, with the physician being better informed than the patient, the physician has influence on the quantity of health care that the patient consumes. If this influence moves a patient towards the optimal level of consumption we have useful agency (Fuchs, 1978).


Eugenia amporfu kwame nkrumah university of science and technology ghana

  • Supplier induced demand (SID) in the physician and the patient, with the physician being better informed than the patient, the physician has influence on the quantity of health care that the patient consumes. If this influence moves a patient towards the optimal level of consumption we have useful agency (Fuchs, 1978).

    health care market refers to a

    situation in which the physician

    influences demand for his/her services in

    a way, according to the physician’s

    interpretation, that is not in the best

    interest of the patient (McGuire, 2000).


Eugenia amporfu kwame nkrumah university of science and technology ghana


The nhis and the possibility of inducement
The NHIS and the Possibility of Inducement estimation to test for SID in the Ghanaian National Health Insurance Scheme (NHIS).

  • The NHIS was initially valid only in public facilities and this led to overcrowding in the public facilities, as membership of the Scheme increased.

  • Private hospitals were therefore given accreditation to provide care to NHIS patients.


Eugenia amporfu kwame nkrumah university of science and technology ghana


Eugenia amporfu kwame nkrumah university of science and technology ghana


The model
The Model with mild malaria in the public and private health facilities.

A two stage estimation procedure is used. First stage: obtain predicted values for choice hospital by the logit estimation

Travel time was used as an instrument.

Second stage: Use Poisson regression:


Data description
Data Description with mild malaria in the public and private health facilities.


Table 3 results from poisson regressions
Table 3: Results from Poisson Regressions with mild malaria in the public and private health facilities.


Conclusion
Conclusion with mild malaria in the public and private health facilities.

  • Inducement exists in the private hospitals for patients in the active age.

  • Number of visits increases 12.7 percent as a patient within the active age group moves from public to a private facility.

  • Physicians incur psychic cost from inducement.


Eugenia amporfu kwame nkrumah university of science and technology ghana


Eugenia amporfu kwame nkrumah university of science and technology ghana


Policy recommendation
Policy Recommendation the increase in cost from inducement could be neutralized by the fall in cost due to rationing.

  • Prospective payment scheme could be used for private hospitals.

  • Need to do more research in the area with more data.


Eugenia amporfu kwame nkrumah university of science and technology ghana

THANK YOU the increase in cost from inducement could be neutralized by the fall in cost due to rationing.


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