Tag Archives: Health Insurance

An Ex-Ante Evaluation of Technical Efficiency of Ghana’s Public Hospital to Support National Health Insurance Scheme Implementation in Ghana (Published)

This paper assessed whether the public district hospitals in Ghana are technically efficient to meet the challenge of possible increase in health care demand by Ghanaians that might result from the introduction of the National Health Insurance Scheme.The Data Envelopment Analysis (DEA) approach was used to estimate the efficiency of 51 Public District Hospitals. The results show an average overall Technical Efficiency of 77.6%, pure Technical Efficiency of 84.5% and Scale Efficiency of 92.1%. Out of the 51 public district hospitals used in the study, 30 of them were purely technically inefficient. The results also indicate that in general a total of 102 Medical and Pharmacy Staff, 530 General Administrative Staff, 462 Nursing Staff and 830 beds are wasted or not utilized in health care delivery by the public district hospitals. This indicates that any immediate increase in health care demand as a result of the National Health Insurance Scheme will not necessitate an increase in health care expenditure by the government but instead health care management should be called upon to operate more efficiently. The study concludes that there is potential to improve access and/quality of care without injecting additional resources into the health sector.

Keywords: Allocative Efficiency, Health Insurance, Hospitals, Technical Efficiency, input slacks

Healthcare Delivery as Public Good: An Evaluation of the NHIS as an Option in Healthcare Management in Nigeria (Published)

The health of members of any society affects the overall efficiency and effectiveness of the entire society and as such should not be the sole responsibility of the individuals concerned. Currently, health insurance has dominated government efforts in providing healthcare to her citizens but the extent to which this option actually meets the needs of all segments of the society is questionable especially in predominantly poor societies where economic situations and poverty has fundamentally limited accessibility to healthcare based on contribution. This study explored the National Health Insurance Scheme in Nigeria (NHIS) with a view to examining how much it has achieved in providing health for ALL Nigerians since its inception over eighteen years ago. The study employed questionnaire and interview in its research to a sample size of 348 respondents in Enugu state. The findings show that the Scheme fell short of its objectives. The study recommended government direct budgetary allocation to healthcare services in general as a public good and not regard healthcare as the responsibility of the individual directly affected by health challenges. This is predicated on the fact that the health of any society is the basic social responsibility of government and should be publicly funded as public good.

Keywords: Health Insurance, Healthcare, National Health Insurance Scheme (NHIS), Public good