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首页> 外文期刊>Journal of Clinical Sciences >National health insurance scheme: Are the artisans benefitting in Lagos state, Nigeria?
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National health insurance scheme: Are the artisans benefitting in Lagos state, Nigeria?

机译：国家健康保险计划：工匠在尼日利亚拉各斯州受益吗？

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Background: Health insurance (HI) can serve as a vital risk protection for families and small businesses and also increase access to priority health services. This study determined the knowledge, attitude of artisans toward HI as well as their health-seeking pattern and willingness to join the HI scheme. Methodology: This descriptive cross-sectional survey used a multistage sampling technique to recruit 260 participants, using self-designed, pretested, interviewer-administered questionnaire. Data were analyzed using Epi-info version 7.0. Chi-square test, Fisher's exact test, and logistic regression were used for associations; the level of significance was set at 5%. Results: The respondents were predominantly male, i.e., 195 (75.0%), with a mean age of 32.36 + 6.20 years and mean income of N 29,000 + 5798.5 ($1 ~ N 161). Majority of the respondents, i.e., 226 (86.9%) were not aware of HI. The overall knowledge was poor (6.5%) and the main source of information was through radio/television (41.2%). Nearly, half of the respondents (33 out of 67) identified the concept of HI as a pool of contributors' fund for only healthcare service. A high proportion of the respondents (27 out of 34) were aware of the benefits of HI, although majority, i.e., 27 (79.4%) identified access to medication as the benefit. The majority of the respondents, i.e., 228 (87.7%) expressed negative attitude toward the scheme; however, 76.5% were willing to join the HI scheme. Conclusion: The artisans had low awareness/poor knowledge of HI which translated to a negative attitude toward the scheme. There is need for an aggressive stakeholders' enlightenment campaign for increasing coverage.
机译：背景：健康保险（HI）可以为家庭和小型企业提供至关重要的风险保护，还可以增加获得优先健康服务的机会。这项研究确定了工匠对HI的知识，态度以及他们的健康寻求模式和加入HI计划的意愿。方法：本描述性横断面调查使用多阶段抽样技术，使用自行设计，预先测试，由访调员管理的问卷，招募了260名参与者。使用Epi-info 7.0版分析数据。卡方检验，费舍尔精确检验和逻辑回归用于关联;显着性水平设定为5％。结果：受访者主要是男性，即195（75.0％），平均年龄为32.36 + 6.20岁，平均收入为N 29,000 + 5798.5（$ 1〜N 161）。绝大多数受访者（226名（86.9％））不了解HI。总体知识较差（6.5％），主要信息来源是通过无线电/电视（41.2％）。几乎一半的受访者（67个中的33个）将HI的概念视为仅用于医疗保健服务的捐助者资金池。大部分受访者（34个中的27个）知道HI的益处，尽管大多数人（即27个（79.4％））将获得药物作为益处。大部分受访者，即228名（87.7％）对该计划持负面态度;但是，有76.5％的人愿意加入HI计划。结论：工匠对HI的了解/了解不足，这意味着对该方案持消极态度。需要积极的利益相关者的启蒙运动来扩大覆盖范围。

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