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Community health insurance schemes & patient satisfaction: evidence from India

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Abstract
Background & objectives: Quality of care is an important determinant for utilizing health services. In India, the quality of care in most health services is poor. The government recognizes this and has been working on both supply and demand aspects. In particular, it is promoting community health insurance (CHI) schemes, so that patients can access quality services. This observational study was undertaken to measure the level of satisfaction among insured and uninsured patients in two CHI schemes in India. Methods: Patient satisfaction was measured, which is an outcome of good quality care. Two CHI schemes, Action for Community Organisation, Rehabilitation and Development (ACCORD) and Kadamalai Kalanjiam Vattara Sangam (KKVS), were chosen. Randomly selected, insured and uninsured households were interviewed. The household where a patient was admitted to a hospital was interviewed in depth about the health seeking behaviour, the cost of treatment and the satisfaction levels. Results: It was found that at both ACCORD and KKVS, there was no significant difference in the levels of satisfaction between the insured and uninsured patients. The main reasons for satisfaction were the availability of doctors and medicines and the recovery by the patient. Interpretation & conclusions: Our study showed that insured hospitalized patients did not have significantly higher levels of satisfaction compared to uninsured hospitalized patients. If CHI schemes want to improve the quality of care for their clients, so that they adhere to the scheme, the scheme managers need to negotiate actively for better quality of care with empanelled providers.
Keywords
patient satisfaction, quality of care, micro health insurance, India, Community health insurance, CARE, QUALITY, SERVICES, PRIVATE, PERCEPTIONS, SYSTEMS, SEEKING, GUINEA

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MLA
Devadasan, Narayanan, Bart Criel, Wim Van Damme, et al. “Community Health Insurance Schemes & Patient Satisfaction: Evidence from India.” INDIAN JOURNAL OF MEDICAL RESEARCH 133.1 (2011): 40–49. Print.
APA
Devadasan, N., Criel, B., Van Damme, W., Lefevre, P., Manoharan, S., & Van Der Stuyft, P. (2011). Community health insurance schemes & patient satisfaction: evidence from India. INDIAN JOURNAL OF MEDICAL RESEARCH, 133(1), 40–49.
Chicago author-date
Devadasan, Narayanan, Bart Criel, Wim Van Damme, Pierre Lefevre, S Manoharan, and Patrick Van Der Stuyft. 2011. “Community Health Insurance Schemes & Patient Satisfaction: Evidence from India.” Indian Journal of Medical Research 133 (1): 40–49.
Chicago author-date (all authors)
Devadasan, Narayanan, Bart Criel, Wim Van Damme, Pierre Lefevre, S Manoharan, and Patrick Van Der Stuyft. 2011. “Community Health Insurance Schemes & Patient Satisfaction: Evidence from India.” Indian Journal of Medical Research 133 (1): 40–49.
Vancouver
1.
Devadasan N, Criel B, Van Damme W, Lefevre P, Manoharan S, Van Der Stuyft P. Community health insurance schemes & patient satisfaction: evidence from India. INDIAN JOURNAL OF MEDICAL RESEARCH. 2011;133(1):40–9.
IEEE
[1]
N. Devadasan, B. Criel, W. Van Damme, P. Lefevre, S. Manoharan, and P. Van Der Stuyft, “Community health insurance schemes & patient satisfaction: evidence from India,” INDIAN JOURNAL OF MEDICAL RESEARCH, vol. 133, no. 1, pp. 40–49, 2011.
@article{2023802,
  abstract     = {Background & objectives: Quality of care is an important determinant for utilizing health services. In India, the quality of care in most health services is poor. The government recognizes this and has been working on both supply and demand aspects. In particular, it is promoting community health insurance (CHI) schemes, so that patients can access quality services. This observational study was undertaken to measure the level of satisfaction among insured and uninsured patients in two CHI schemes in India. 
Methods: Patient satisfaction was measured, which is an outcome of good quality care. Two CHI schemes, Action for Community Organisation, Rehabilitation and Development (ACCORD) and Kadamalai Kalanjiam Vattara Sangam (KKVS), were chosen. Randomly selected, insured and uninsured households were interviewed. The household where a patient was admitted to a hospital was interviewed in depth about the health seeking behaviour, the cost of treatment and the satisfaction levels. 
Results: It was found that at both ACCORD and KKVS, there was no significant difference in the levels of satisfaction between the insured and uninsured patients. The main reasons for satisfaction were the availability of doctors and medicines and the recovery by the patient. 
Interpretation & conclusions: Our study showed that insured hospitalized patients did not have significantly higher levels of satisfaction compared to uninsured hospitalized patients. If CHI schemes want to improve the quality of care for their clients, so that they adhere to the scheme, the scheme managers need to negotiate actively for better quality of care with empanelled providers.},
  author       = {Devadasan, Narayanan and Criel, Bart and Van Damme, Wim and Lefevre, Pierre and Manoharan, S and Van Der Stuyft, Patrick},
  issn         = {0971-5916},
  journal      = {INDIAN JOURNAL OF MEDICAL RESEARCH},
  keywords     = {patient satisfaction,quality of care,micro health insurance,India,Community health insurance,CARE,QUALITY,SERVICES,PRIVATE,PERCEPTIONS,SYSTEMS,SEEKING,GUINEA},
  language     = {eng},
  number       = {1},
  pages        = {40--49},
  title        = {Community health insurance schemes & patient satisfaction: evidence from India},
  volume       = {133},
  year         = {2011},
}

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