肯尼亚全民医疗保险的创新与实现:以国家医院保险基金为例

Ahmed A. Abdille, P. Waithaka
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引用次数: 0

摘要

目的:国家医院保险基金发挥保健筹资的作用,这是肯尼亚全民保健覆盖的一个关键支柱。然而,截至2014年,肯尼亚的全民医疗保健(UHC)指数为[52%],而2019年为[55.0%],这表明在6年的时间里,获得健康的机会仅提高了[3%]。因此,在确保每个人都能获得负担得起的优质保健服务方面,还有很多工作要做。虽然创新是一个重要的结构,但很少有文献和证据将其与经济中全民医疗覆盖的实现联系起来。由此,探讨创新对实现全民健康覆盖的影响。具体而言,确定了与全民健康覆盖实现相关的工艺创新和技术创新。创新扩散理论和技术接受模型理论指导了研究。方法:采用针对[155]受访者的解释性描述性调查设计。总共有[112]名受访者是通过分层随机方法抽取的。初级模式的信息是通过带有半结构化项目的问卷获得的。问卷在从研究样本中抽取的[12]受访者中进行试点测试。对收集到的视图进行描述和推理处理。表格和图表被用来展示分析的结果。结果发现:流程创新和技术创新对医院保险基金实现全民医保均有显著影响。该研究得出结论,创新显著预测实现全民医疗保健。建议:该研究建议,国家医院保险基金的决策者应定期审查现有政策和会员特别是个体经营者缴纳的保费金额,以使其能够负担得起。国民医院保险基金的信息通信技术管理人员应该投资于最新和现代的最先进的技术,取代现有的和过时的技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Innovation and Realization of Universal Health Care Coverage in Kenya: A Case of National Hospital Insurance Fund
Purpose: The National Hospital Insurance Fund (NHIF) plays a role of health financing which is a key pillar of universal health care coverage in Kenya. However, as of 2014, the Universal Health Care (UHC) index in Kenya was at [52%] compared to [55.0%] in 2019, which represent a mere improvement in access to health by [3%] in a span of 6 years. Thus, a lot has to be done in ensuring that everybody has access to affordable and quality health care services. Although innovation is an important construct, there is scanty of literature and evidence to link it with realization of universal health care coverage in the economy. Thus, the effect of innovation on realization of UHC Coverage by NHIF was explored. Specifically, process innovation and technological innovation in relation to realization of UHC by NHIF was determined. Diffusion of innovation theory and the technology acceptance model theory guided the inquiry. Methodology: Explanatory descriptive survey design was embraced targeting [155] respondents. In total, [112] respondents were selected through stratified random technique.  Information in primary mode was obtained through questionnaire that had semi-structured items. The questionnaire was pilot tested among [12] respondents selected away from the study sample. Processing of the gathered views was done descriptively and inferentially. Tables and figures were used in presenting the analyzed findings. Findings: It was noted that process innovation and technological innovation all have significant influence on realization of Universal Health Care coverage by National Hospital Insurance Fund. The study concludes that innovation significantly predicts realization of universal health care. Recommendations: The study recommends that policy makers at National Hospital Insurance Fund should regularly review the existing policies and amount of premiums contributed by members especially the self-employed people so that the same is affordable. Information and communication technology managers working at National Hospital Insurance Fund should invest in latest and modern state of the art technologies and replace the existing and obsolete ones.  
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