一项关于尼日利亚医疗保险覆盖和医疗服务的准实验性研究
Shailender Singh1, Meenakshi Kaul, Muhammad M Bala
1Symbiosis Centre for Management Studies, Symbiosis International Deemed University, Noida. reshu111us@yahoo.com.
African journal of primary health care & family medicine
|February 1, 2024
概括
医疗保险在尼日利亚显著增加了以设施为基础的分娩,特别是在私人设施. 扩大覆盖范围可以降低孕产妇死亡率,并改善妇女的卫生服务.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 孕产妇健康 孕产妇健康
背景情况:
- 尼日利亚的孕产妇死亡率在撒哈拉以南非洲是最高的.
- 全民医疗保险是改善低收入和中等收入国家人口健康的策略.
- 医疗保险对尼日利亚医疗设施供应利用的影响仍未得到充分研究.
研究的目的:
- 调查尼日利亚的医疗保险覆盖和设施级交付利用之间的联系.
- 检查医疗保险对公共部门和私营部门医疗服务的差异性影响.
主要方法:
- 准实验性研究使用倾向性得分匹配.
- 最新的尼日利亚人口与健康调查 (2020) 数据的分析.
- 对尼日利亚人口应用的横截面研究设计.
主要成果:
- 与没有保险的母亲相比,有保险的母亲使用设施级分娩的概率高出25%.
- 私营部门的设施交付与医疗保险覆盖率相比,私营部门的设施交付与医疗保险覆盖率的关联率高出31% (21%的概率).
结论:
- 扩大尼日利亚的医疗保险覆盖范围对于增加设施为基础的分娩至关重要.
- 更多地利用设施分娩可以显著降低孕产妇和新生儿死亡率.
- 尼日利亚政府应该监测和改革医疗保险政策,以加强服务提供.
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