IIARD International Institute of Academic Research and Development

IIARD International Journal of Economics and Business Management (IJEBM )

E-ISSN 2489-0065
P-ISSN 2695-186X
VOL. 10 NO. 10 2024
DOI: 10.56201/ijebm.v10.no10.2024.pg61.83

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Impact of OOP Expenses on NHIS Enrollee Satisfaction with Health Services in Bauchi State: An Analysis

Bello Adamu Dogoji, AbdulWahab Alhaji Garba

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Abstract

The research examined the impact of out of pocket (OOP) and its implications on satisfaction with health services in Bauchi state. with a coverage period between 2018 and 2023, with focus on primary healthcare services. The problems are the inconsistent outcomes of preceding works on out of pocket (OOP) expenses for enrollees of national health insurance scheme (NHIS) and its implications on consumer satisfaction with health services. Focus is on the formal sector. The objectives were to investigate the impact of out of pocket (OOP) and its implications on satisfaction with health services in Bauchi state. The variables were arrived at after a literature review exercise. The study adopted quantitative method of data collection via survey questionnaire, from relevant establishments and individuals. Structural functionalism was used as the theoretical framework for the research. Data was analyzed using statistical packages for social sciences (SPSS). The analysis was performed on the data collected which covers the formal sector within the primary health care centers in Bauchi State. Part of the findings indicate that Out of pocket expenses have significant impact on consumer satisfaction with health services among hospitals in Bauchi State.

keywords:

Bauchi State, Enrollee Satisfaction, Health Care, and Out of Pocket Expenses.

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References:

Abdulqadir, N. S. (2012). Knowledge, Attitude, Perception and Clients’ Satisfaction with
National Health Insurance Scheme Services (NHIS) at General Hospital Minna, Niger
State, Nigeria.
Adewole D, Bolarinwa O, & Dairo M. (2016). National Health Insurance Scheme and
Universal Health Coverage among Formal Sector Employees in Ilorin, Nigeria: Has Any
Progress Been Made? Int J Trop Dis Health. 18(4):1–10.
Adewole, D. A., & Osungbade, K. O. (2016). Nigeria National Health Insurance Scheme: A
Highly Subsidized Health Care Program for a Privileged Few. International Journal of
Tropical Disease & Health 19(3): 1-11, 2016, Article no.IJTDH.27680 ISSN: 2278-1005,
NLM ID: 101632866 Science Domain International www.sciencedomain.org
Ahmed, A. (2018). Kwara State Launches Compulsory Health Insurance. Available
https://kwarastate.gov.ng/kwara-launches-compulsory-health-insurance/
Akande, T M., Salaudeen, A.G, Babatunde, O.A., Durowade, K. A., Agbana, B. E.& Olomofe,
C. O. (2012). “National Health Insurance Scheme and Its Effect on Staff’s Financial
Burden In a Nigerian Tertiary Health Facility”. International Journal of Asian Social
Science, 22:2175-2185.
Anita, H. and Yong, L. (2015). Health Insurance. Encyclopedia of Global Bioethics. Springer
Science+Business Media Dordrecht. DOI 10.1007/978-3-319-05544-2_222-1.
Assistant Secretary for Planning and Evaluation (ASPE) (2015a). Health Insurance Coverage and
the Affordable Care Act.
Assistant Secretary for Planning and Evaluation (ASPE) (2015b). U.S. Federal Poverty
Guidelines Used to Determine Financial Eligibility for Certain Federal Programs.
Available http://aspe.hhs.gov/2015-poverty-guidelines. Accessed 18th June, 2019.
Awosusi, Folaranmi and Yates, (2015). Nigeria’s new government and public financing for
universal health coverage. The lancet Global Health.
https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(15)00088-1/fulltext
Adamu, S. G, Atsanda, N. N, Tijjani, A. O, Usur, A. M, Sule, A. G, Gulani, I. A (2016).
Epidemiological study of bovine brucellosis in three senatorial zones of Bauchi state,
Nigeria, Veterinary World 9(1): 48-52. doi: 10.14202/vetworld.2016.48-52.
Anita, H. and Yong, L. (2015). Health Insurance. Encyclopedia of Global Bioethics. Springer
Science+Business Media Dordrecht. DOI 10.1007/978-3-319-05544-2_222-1.
Awosusi, Folaranmi and Yates, (2015). Nigeria’s new government and public financing for
universal health coverage. The lancet Global Health.
https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(15)00088-1/fulltext
Barber, S., and Yao, L. (2010). Health Insurance Systems in China: A Briefing Note. World
Health Report Background Paper, 37. Geneva.
BASHCMA, (2018). Bauchi State Operational Guidelines. Bauchi State Government.
Bauchi State Government (2019). About Bauchi State. Available:
https://www.bauchistate.gov.ng/at-a-glance/
Bhargava, R. and Acharya, A. (2008). Political Theory: An Introduction. (First Edition).Pearson
Publication.
Bloom, A. (1975). John Rawls Vs the Tradition of Political Philosophy (Review). American
Political Science Review. Vol.69, No.2, pp. 648-662. Available
https://www.jstor.org/stable/1959094?seq=1#page_scan_tab_contents
Bookman, John T. 1984. “Locke's Contract: Would People Consent to It?” The American Journal
of Economics and Sociology no. 3: 43., pp. 357-368 JSTOR Journals, EBSCOhost (accessed
October 23, 2018).
Boucher, D. and Kelly, P. (2009). Political Thinkers From Socrates to the Present. Oxford
University Press.
Boyle S., (2008). The UK Health Care System, LSE Health and Social Care, London School of
Economic and Political Science.
Bump, J. B. (2010). The Long Road to Universal Health Coverage: A Century of Lessons for
Development Strategy. PATH.
Busse, R., Blümel, M., Knieps, F., & Bärnighausen, T., (2017). Statutory health insurance in
Germany: a health system shaped by 135 years of solidarity, self-governance, and
competition. Lancet. Available http://dx.doi.org/10.1016/S0140-6736(17)31280-1
Busse, R., M. Blümel. (2014). “Germany: Health System Review.” Health Systems in Transition,
(2):1–296.
http://www.euro.who.int/__data/assets/pdf_file/0008/255932/HiTGermany.pdf?ua=1.
Babbie, E. (1986). The Practice of Social Research. California: Wadsworth.
Bauchi State Government (2019). About Bauchi State. Available:
https://www.bauchistate.gov.ng/at-a-glance/
Bauchi Governor’s Office, (??). History of Bauchi State. Available
http://www.talktogovernor.com.ng/history%20of%20bauchi%20state.html
Barber, S., and Yao, L. (2010). Health Insurance Systems in China: A Briefing Note. World
Health Report Background Paper, 37. Geneva.
Braun, V., & Clarke, V. (2006). Using Thematic Analysis in Psychology. Qual Res Psychol, 3(2):
77-101.
Braun, V., & Clarke, V. (2012). Thematic Analysis. In: Cooper H, editor. APA Handbook of
Research Methods in Psychology. Vol. 2, Research Designs. Washinton (DC): American
Psychological Association.
Bump, J. B. (2010). The Long Road to Universal Health Coverage: A Century of Lessons for
Development Strategy. PATH.
Calnan, M. (1998). Towards a Conceptual Framework of Lay Evaluation of Health Care. Soc Sci
Med (27):927-33.
Centers for Medicare and Medicaid Services (CMS) (2014). National Health Expenditure 2014
Highlights,
https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and
reports/nationalhealthexpenddata/nationalhealthaccountshistorical.html.
Centers for Medicare and Medicaid Services (CMS) (2015a). National Health Expenditure Data,
https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and
reports/nationalhealthexpenddata/nhe-fact-sheet.html.
Chubike, E. (2013). Evaluation of National Health Insurance Scheme (NHIS) Awareness by
Civil Servants in Enugu and Abakaliki. Int J Med Med Sci. 5(7):356–8.
Colliers International (2017). The Pulse (7th Edition). Egypt Healthcare. colliers.com/egypt
.
Collins, S. R., Rasmussen, P.W., Doty, M.M., and Beutel, S., (2015). Americans’ Experiences
with Marketplace and Medicaid Coverage—Findings from the Commonwealth Fund
Affordable Care Act Tracking Survey, March–May 2015. New York: The Commonwealth
Fund.
Congressional Budget Office (CBO) (2015). Insurance Coverage Provisions of the Affordable
Care Act—CBO’s March 2015 Baseline, https://www.cbo.gov/sites/default/files/cbofiles/attachments/43900-2015-03
ACAtables.pdf.
Calnan, M. (1998). Towards a Conceptual Framework of Lay Evaluation of Health Care. Soc Sci
Med (27):927-33.
Chubike, E. (2013). Evaluation of National Health Insurance Scheme (NHIS) Awareness by
Civil Servants in Enugu and Abakaliki. Int J Med Med Sci. 5(7):356–8.
Cohen, A & Manion, L. (1980). Research Methods in Education. London: Croon Helm.
Chiegeonu, A. (2009). Nigeria: State by State. Available
https://books.google.com.ng/books?id=IcmwBgAAQBAJ&printsec=frontcover&source=gb
s_vpt_buy#v=onepage&q&f=false
Daramola O.E ., Maduka W.E ., Adeniran A ., Akande T.M, (2017). Evaluation of Patients'
Satisfaction with Services Accessed under the National Health Insurance Scheme at a
Tertiary Health Facility in North Central, Nigeria. Journal of Community Medicine and
Primary Health Care. 29 (1) 11-17.
Daramola O.E ., Adeniran A ., Akande T.M, (2018). Patients’ Satisfaction with the Quality of
Services accessed under the National Health Insurance Scheme at a Tertiary Health
Facility in FCT Abuja, Nigeria. Journal of Community Medicine and
Primary Health Care. 30 (2) 90-97.
Department for Professional Employees(DPE), (2016). The U.S. Health Care System: An
International Perspective. Fact Sheet. Available https://dpeaflcio.org
Doetinchem, O., Carrin, G., & Evans, D. (2010). Thinking of Introducing Social Health
Insurance? Ten Questions. World Health Report Background Paper, 26. Geneva.
Dutta, S. (2017). Rawls’ Theory of Justice: An Analysis. IOSR-JHSS J

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