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首页> 外文期刊>BMC Health Services Research >Development of the Kisiizi hospital health insurance scheme: lessons learned and implications for universal health coverage
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Development of the Kisiizi hospital health insurance scheme: lessons learned and implications for universal health coverage

机译：基西齐医院医疗保险计划的发展：经验教训和对全民医疗保险的影响

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Kisiizi Hospital Health Insurance scheme started in 1996 to; improve access to health services, and provide a stable source of funding and reduce bad debts to Kisiizi hospital. Objectives of this study were; to describe Kisiizi Hospital Health Insurance scheme and to document lessons learned and implications for universal health coverage. This was a descriptive cross-sectional study. Data from different sources were triangulated and thematically analysed. Most households (96%) were organized in Engozi societies (e-Societies), met monthly, and made financial contributions. Cultural solidarity in e-Societies provided a platform for the Kisiizi hospital health insurance scheme establishment, operation and made it compulsory for members. e-Societies disciplinary measures and fear of high out-of-pocket payment for health care enforced enrolment, retention and increased membership. Community sensitisation and community participation in setting premiums and co-payments provided for better understanding of health insurance and rendered them acceptable, affordable and equitable. Membership increased from 330 in 1996 to 38,400 families in 2017. Kisiizi hospital health insurance scheme covered only health services obtained from Kisiizi hospital. Kisiizi hospital health insurance scheme offered no exemption, credit and referral facilities. e-Societies sometimes paid premiums for members from savings and offered them loans to. Kisiizi hospital provided good quality health services, which were easily accessed by insured members. Kisiizi hospital got a stable source of funding and reduced debt burden. Kisiizi hospital health insurance scheme improved access to health services, provided a stable source of funding and reduced bad debts to the hospital. Internal and external factors to e-Society enforced enrolment and retention of members in Kisiizi hospital health insurance scheme. Good quality health services at Kisiizi hospital demonstrated value for money and offered incentives for enrolment and retention, and coverage expansion. Community sensitization and participation in setting premiums and co-payments rendered Kisiizi hospital health insurance scheme acceptable, affordable and catered for equity. Insured members enjoyed benefits; protection against catastrophic health spending, impoverishment, and easy access to quality health care.
机译：基西兹医院健康保险计划于1996年开始实施;改善获得医疗服务的机会，并提供稳定的资金来源并减少对基西齐医院的坏账。这项研究的目的是：描述基西兹医院健康保险计划，并记录汲取的经验教训及其对全民医疗保险的影响。这是描述性的横断面研究。对来自不同来源的数据进行了三角测量并进行了主题分析。大多数家庭（96％）在恩戈兹社团（e-Societies）中组织，每月开会，并提供财政捐助。电子社会中的文化团结为基西齐医院医疗保险计划的建立，运行提供了一个平台，并使会员必须参加该计划。电子社会采取了纪律措施，并担心医疗保健会自费支付高额费用，迫使他们报名，保留和增加成员数量。通过提高社区意识和社区参与来确定保费和共付额，可以更好地了解健康保险，并使人们可以接受，负担得起并且公平。成员资格从1996年的330个增加到2017年的38,400个家庭。基西齐医院健康保险计划仅涵盖从基西齐医院获得的医疗服务。 Kisiizi医院健康保险计划未提供任何豁免，信贷和转诊服务。电子社会有时从储蓄中为会员支付保费，并向他们提供贷款。 Kisiizi医院提供了优质的健康服务，参保人员可以轻松获得这些服务。基西兹医院获得了稳定的资金来源并减轻了债务负担。 Kisiizi医院健康保险计划改善了获得医疗服务的机会，提供了稳定的资金来源并减少了医院的呆账。电子社会的内在和外在因素都迫使基西齐医院医疗保险计划的会员注册和保留。 Kisiizi医院提供的优质医疗服务证明了物有所值，并为入会和挽留以及扩大保险范围提供了激励措施。社区的关注和参与设定保费和共付额使基西齐医院的健康保险计划可以接受，负担得起并满足公平要求。受保成员享有福利;防止灾难性的医疗支出，贫困以及易于获得优质医疗保健的机会。

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