Skip to main content

Advertisement

Table 4 Perceived effect of capitation on health provision

From: Knowledge, perceptions and expectations of capitation payment system in a health insurance setting: a repeated survey of clients and health providers in Kumasi, Ghana

Variables Frequency Percentage
Happy with current service provision?   
– Yes 45 83.3
– No 9 16.7
Clients assessing service with NHIS card since capitation?   
– Yes 52 96.3
– No 2 3.7
How will capitation help providers?*   
– Simplifying claims processing 12 22.2
– Sharing financial risk between schemes, providers, subscribers and the introduction of managed competition for providers and choice for patients to increase responsiveness of the health system 20 37.0
– Improving efficiency and effectiveness of health services through more rational resource use and also better provider – patient relationship. 21 38.9
– Improving primary health (PHC) delivery and quality of care and promoting business growth & development 16 29.6
– Other 3 5.6
Think people like capitation?   
– Yes 3 5.6
– No 51 94.4
Turn up of clients increased under capitation as compared to the G-DRG?   
– Yes 3 5.6
– No 51 94.4
Do you think capitation is an improvement on the NHIS?   
– Yes 30 55.6
– No 24 44.4
Do you agree that an acceptable level of quality is being offered by all primary care facilities to all members  
– Yes 48 94.1
– No 3 5.9
Will providers reduce the number of request for diagnostic test for their clients?   
– Yes 9 17.7
– No 42 82.3
Please provide reasons   
– Because the provider would want to make profit out of the money given? 23 42.6
– Because the provider would want to outsmart the NHIA? 9 16.7
– Because the provider would want to save the reagents for the non NHIS clients? 14 25.9
– All of the above 8 14.8
Has capitation reduced workload in terms of claims processing   
– Yes 42 82.3
– No 9 17.7
Extent of reduction in workload   
– Up to 20% 12 28.6
– 30-50% 30 71.4
  1. (*) = multiple response.