Title |
Advancing the application of systems thinking in health: provider payment and service supply behaviour and incentives in the Ghana National Health Insurance Scheme – a systems approach
|
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Published in |
Health Research Policy and Systems, August 2014
|
DOI | 10.1186/1478-4505-12-35 |
Pubmed ID | |
Authors |
Irene A Agyepong, Geneieve C Aryeetey, Justice Nonvignon, Francis Asenso-Boadi, Helen Dzikunu, Edward Antwi, Daniel Ankrah, Charles Adjei-Acquah, Reuben Esena, Moses Aikins, Daniel K Arhinful |
Abstract |
Assuring equitable universal access to essential health services without exposure to undue financial hardship requires adequate resource mobilization, efficient use of resources, and attention to quality and responsiveness of services. The way providers are paid is a critical part of this process because it can create incentives and patterns of behaviour related to supply. The objective of this work was to describe provider behaviour related to supply of health services to insured clients in Ghana and the influence of provider payment methods on incentives and behaviour. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | 8% |
South Africa | 1 | 8% |
Sweden | 1 | 8% |
Bangladesh | 1 | 8% |
United States | 1 | 8% |
Unknown | 7 | 58% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 10 | 83% |
Scientists | 2 | 17% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 2 | <1% |
Kenya | 1 | <1% |
Ghana | 1 | <1% |
Belgium | 1 | <1% |
Unknown | 271 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 57 | 21% |
Researcher | 45 | 16% |
Student > Ph. D. Student | 31 | 11% |
Student > Doctoral Student | 16 | 6% |
Student > Postgraduate | 15 | 5% |
Other | 45 | 16% |
Unknown | 67 | 24% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 62 | 22% |
Social Sciences | 41 | 15% |
Nursing and Health Professions | 36 | 13% |
Business, Management and Accounting | 10 | 4% |
Economics, Econometrics and Finance | 9 | 3% |
Other | 41 | 15% |
Unknown | 77 | 28% |