Critical Determinants of Supply of Services in the Nigeria Formal Sector Social Health Insurance Programme

Obi Ikechukwu Vincent; Okoronkwo Ijeoma Lewechi; Adi Jesse Ashumate

doi:doi:10.11648/j.ejcbs.20190506.12

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Critical Determinants of Supply of Services in the Nigeria Formal Sector Social Health Insurance Programme

Obi Ikechukwu Vincent, Okoronkwo Ijeoma Lewechi, Adi Jesse Ashumate

Published in European Journal of Clinical and Biomedical Sciences (Volume 5, Issue 6)

Received: 21 November 2019 Accepted: 13 December 2019 Published: 24 December 2019

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Abstract

Introduction: The principle underpinning the Supply of health insurance services in Nigeria is that as prices increases, the healthcare provider makes more profit and will be motivated to provide more health insurance services to the enrollees. These supplies of health insurance services are therefore influenced by critical determinants that will either make the provider to supply health insurance services or withhold it. Therefore, there is a need to look at those critical factors that can hinder the supply of services in the programme. This study sets out to examine the effect of identified critical determinants on supply of services and also show how much these critical determinants can collectively predict this supply of services. Design/Methodology: This is a cross sectional study using a quantitative approach. Sample size was determined using Cochran formular and calculated sample size was forty six (46). Multistage sampling technique was adopted. Variables were analyzed using descriptive statistics and linear regression method with SPSS version 11. Result: The critical determinants of reimbursement structure, tariff structure, facility number of enrollees and cost of hospital consumables studied had positive impact on the supply of service but the impact of cost of hospital consumable was insignificant (>0.5). Similarly, 95% of changes in the supply of services can be accounted for significantly by the independent variables in this study (p=0.000). Conclusion: Evidences from this study have shown that most of the identified critical determinants studied had significant effect and also collectively could account significantly for changes in the supply of services and so therefore there is a need to properly address these factors so as to achieve the set out objectives in the programme.

Published in	European Journal of Clinical and Biomedical Sciences (Volume 5, Issue 6)
DOI	10.11648/j.ejcbs.20190506.12
Page(s)	79-84
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Supply of Health Insurance Services, Reimbursement Structure, Tariff Structure, Hospital Consumables, Facility Enrollee Number

References

[1]	Riley, G. (2016). Theory of supply. Sourced at https//tutor2u.net/economics/reference/theory-of-supply. Accessed on 14/7/2019.
[2]	Eteng, I. E., & Utibe, E. E. (2015). The national health insurance scheme and its implication for elderly care in Nigeria. International Journal of Science and Research, 4, 2.
[3]	Evans, D. B. & Etienne, C. (2010). Health systems financing and the path to universal coverage. Bulletin of the World Health Organization, 88, 402-403.
[4]	Aina, O. S., Olowa, O. W., Ibrahim, I. & Asana, S. O. (2015). Determinants of demand for healthcare services among rural households in Ekiti state, Nigeria. Journal of Biology, Agriculture and Healthcare, 5, 7.
[5]	Gustafsson-Wright, E. & Schellekens, O. (2013). Achieving universal health coverage in Nigeria: one state at a time. Global Economy & Development, Brooke Shearer Working Paper Series. 4 (9), 5-10.
[6]	FMOH. (2006). Health care in Nigeria. Annual bulletin of the federal ministry of health Nigeria, Abuja Nigeria. Federal Ministry of Health.
[7]	FMOH. (2013). Joint Annual Review of the National Strategic Health Development Plan (2009-2013), Draft Report. Abuja, Nigeria: Federal Ministry of Health.
[8]	Adefolaju T. (2014). Repositioning Health Insurance in Nigeria: prospects and challenges. International Journal of Health Sciences, 2 (2), 151-162.
[9]	Arigbagbuwo, A. J. (2013). Synopsis of evolution of Healthcare Providers' Association of Nigeria. The Nigerian Lancet (Quarterly Newsletter). Lagos: Healthcare Providers Association of Nigeria.
[10]	Kelland, K. (2012). Doctor brain drain costs Africa $2 Billion. BMC Health Services Research, 17 (5), 19-24.
[11]	Oyewumi, O. A. & Oyewumi, A. E. (2014). Collective bargaining in Nigeria’s public health sector: evidences for an inclusive approach. Research on Humanities and Social Sciences, 4 (23). 20-26.
[12]	NHIS. (2015). Annual report of the national health insurance scheme, Abuja, Nigeria. National Health Insurance Scheme.
[13]	Obi, I, V, C., Okoronkwo, I, L., Azuike, E. C., Obi, K. M, & Obi, I. R. (2019). Extent of healthcare provider adherence to national health insurance scheme (NHIS) operational guidelines: The Nigerian experience. Journal Public Administration and Governance, 1, 3.
[14]	Dalinjong, P. A., & Laar, A. S. (2012). The national health insurance scheme: perceptions and experiences of healthcare providers and clients in two districts of Ghana. Health Economic Review, 2, 13-16.
[15]	Onoka, C. A., Hanson, K., & Mills, A. (2014). Growth of health maintenance organization in Nigeria and the potential for a role in promoting universal coverage efforts. Social Science and Medicine, 58, 70-74.
[16]	NHIS. (2015). National health insurance scheme operational guidelines. Abuja, Nigeria: NHIS.
[17]	Cochran, W. G. (1977). Sampling technique (3rded). New York: John Wiley & Sons.
[18]	Gertler, P., Locay, L & Sanderson, P. (1987). Are user fees regressive? The welfare implications of health care financing proposals in Peru’. Journal of Econometrics, 36, 67–88.
[19]	Ayorinde, F. O. (2009). Determination of modern healthcare facility utilization in Oyo State, Nigeria In: Applied Econometrics and Macro econometric modelling in Nigeria. Ibadan: University press University of Ibadan.
[20]	Daramola, O. E., Maduka, W. E., Adeniran, A. & Akande, T. M. (2017). Evaluation of patients, satisfaction with service accessed under the national health insurance scheme at a tertiary facility in North Central, Nigeria. Journal of Community Medicine and Primary Health Care, 29, 1.
[21]	Wangen, K. R. & Grepperud, S. (2018). Factors as determinants of treatment costs: clinicians’ assessmens of a given set of referrals to community mental health centers in Norway. BMC Health Services Research, 18, 60.
[22]	Haddad, G. K & Anbaji. (2010). Analysis of adverse selection and moral hazard in the health insurance market of Iran. The International Association for the study of Insurance Economics, 35, 581-599. Health Economics, 18 (2), 141-52.
[23]	Ali, K. J. & Norman, A. N. K. (2013). Determinants of demand for healthcare in Bangladesh: an econometric analysis. World Journal of Social Sciences, 3 (6), 153-163.
[24]	Oluwatayo, I. B. (2015). Healthcare service delivery system and households’ welfare status in urban Southwest Nigeria. Journal of Human Ecology, 50 (2), 181-187.
[25]	Ankomah, M. (2009). Reforms in the provider tariff for the NHIS: Key implementation issues. NBER working paper series, 12 (3), 7206-7209.
[26]	Sleverding, M., Onyango, C. & Suchman, L. (2011). Private healthcare provider experiences with social health insurance schemes: findings from a qualitative study in Ghana and Kenya. BMC Health Services Research, 11, 1.
[27]	Spaan, E., Mathijssen, J., Tromp, N., Mcbain, F., Ten Have, A. & Baltussen, R. (2012). The impact of health insurance in Africa and Asia: a systematic review. Bull World Health Organ, 90, 685-92.
[28]	Sodzi-Tettey, S., Aikins, M., Awoonor-william, J. K. & Agyepong, I. A. (2012). Challenges in provider payment under the Ghana medical health insurance scheme: a case study of claims management in two districts. Ghana Medical Journal, 48 (4), 189-199.

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APA Style

Obi Ikechukwu Vincent, Okoronkwo Ijeoma Lewechi, Adi Jesse Ashumate. (2019). Critical Determinants of Supply of Services in the Nigeria Formal Sector Social Health Insurance Programme. European Journal of Clinical and Biomedical Sciences, 5(6), 79-84. https://doi.org/10.11648/j.ejcbs.20190506.12

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ACS Style

Obi Ikechukwu Vincent; Okoronkwo Ijeoma Lewechi; Adi Jesse Ashumate. Critical Determinants of Supply of Services in the Nigeria Formal Sector Social Health Insurance Programme. Eur. J. Clin. Biomed. Sci. 2019, 5(6), 79-84. doi: 10.11648/j.ejcbs.20190506.12

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AMA Style

Obi Ikechukwu Vincent, Okoronkwo Ijeoma Lewechi, Adi Jesse Ashumate. Critical Determinants of Supply of Services in the Nigeria Formal Sector Social Health Insurance Programme. Eur J Clin Biomed Sci. 2019;5(6):79-84. doi: 10.11648/j.ejcbs.20190506.12

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@article{10.11648/j.ejcbs.20190506.12,
  author = {Obi Ikechukwu Vincent and Okoronkwo Ijeoma Lewechi and Adi Jesse Ashumate},
  title = {Critical Determinants of Supply of Services in the Nigeria Formal Sector Social Health Insurance Programme},
  journal = {European Journal of Clinical and Biomedical Sciences},
  volume = {5},
  number = {6},
  pages = {79-84},
  doi = {10.11648/j.ejcbs.20190506.12},
  url = {https://doi.org/10.11648/j.ejcbs.20190506.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20190506.12},
  abstract = {Introduction: The principle underpinning the Supply of health insurance services in Nigeria is that as prices increases, the healthcare provider makes more profit and will be motivated to provide more health insurance services to the enrollees. These supplies of health insurance services are therefore influenced by critical determinants that will either make the provider to supply health insurance services or withhold it. Therefore, there is a need to look at those critical factors that can hinder the supply of services in the programme. This study sets out to examine the effect of identified critical determinants on supply of services and also show how much these critical determinants can collectively predict this supply of services. Design/Methodology: This is a cross sectional study using a quantitative approach. Sample size was determined using Cochran formular and calculated sample size was forty six (46). Multistage sampling technique was adopted. Variables were analyzed using descriptive statistics and linear regression method with SPSS version 11. Result: The critical determinants of reimbursement structure, tariff structure, facility number of enrollees and cost of hospital consumables studied had positive impact on the supply of service but the impact of cost of hospital consumable was insignificant (>0.5). Similarly, 95% of changes in the supply of services can be accounted for significantly by the independent variables in this study (p=0.000). Conclusion: Evidences from this study have shown that most of the identified critical determinants studied had significant effect and also collectively could account significantly for changes in the supply of services and so therefore there is a need to properly address these factors so as to achieve the set out objectives in the programme.},
 year = {2019}
}

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TY  - JOUR
T1  - Critical Determinants of Supply of Services in the Nigeria Formal Sector Social Health Insurance Programme
AU  - Obi Ikechukwu Vincent
AU  - Okoronkwo Ijeoma Lewechi
AU  - Adi Jesse Ashumate
Y1  - 2019/12/24
PY  - 2019
N1  - https://doi.org/10.11648/j.ejcbs.20190506.12
DO  - 10.11648/j.ejcbs.20190506.12
T2  - European Journal of Clinical and Biomedical Sciences
JF  - European Journal of Clinical and Biomedical Sciences
JO  - European Journal of Clinical and Biomedical Sciences
SP  - 79
EP  - 84
PB  - Science Publishing Group
SN  - 2575-5005
UR  - https://doi.org/10.11648/j.ejcbs.20190506.12
AB  - Introduction: The principle underpinning the Supply of health insurance services in Nigeria is that as prices increases, the healthcare provider makes more profit and will be motivated to provide more health insurance services to the enrollees. These supplies of health insurance services are therefore influenced by critical determinants that will either make the provider to supply health insurance services or withhold it. Therefore, there is a need to look at those critical factors that can hinder the supply of services in the programme. This study sets out to examine the effect of identified critical determinants on supply of services and also show how much these critical determinants can collectively predict this supply of services. Design/Methodology: This is a cross sectional study using a quantitative approach. Sample size was determined using Cochran formular and calculated sample size was forty six (46). Multistage sampling technique was adopted. Variables were analyzed using descriptive statistics and linear regression method with SPSS version 11. Result: The critical determinants of reimbursement structure, tariff structure, facility number of enrollees and cost of hospital consumables studied had positive impact on the supply of service but the impact of cost of hospital consumable was insignificant (>0.5). Similarly, 95% of changes in the supply of services can be accounted for significantly by the independent variables in this study (p=0.000). Conclusion: Evidences from this study have shown that most of the identified critical determinants studied had significant effect and also collectively could account significantly for changes in the supply of services and so therefore there is a need to properly address these factors so as to achieve the set out objectives in the programme.
VL  - 5
IS  - 6
ER  -

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Author Information

Obi Ikechukwu Vincent

Department of Health Management and Administration, University of Nigeria, Enugu, Nigeria
Okoronkwo Ijeoma Lewechi

Department of Health Management and Administration, University of Nigeria, Enugu, Nigeria; Department of Nursing Services, University of Nigeria, Enugu, Nigeria
Adi Jesse Ashumate

Department of Health Services, Federal University Wukari, Jalingo, Nigeria

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APA Style

Obi Ikechukwu Vincent, Okoronkwo Ijeoma Lewechi, Adi Jesse Ashumate. (2019). Critical Determinants of Supply of Services in the Nigeria Formal Sector Social Health Insurance Programme. European Journal of Clinical and Biomedical Sciences, 5(6), 79-84. https://doi.org/10.11648/j.ejcbs.20190506.12

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ACS Style

Obi Ikechukwu Vincent; Okoronkwo Ijeoma Lewechi; Adi Jesse Ashumate. Critical Determinants of Supply of Services in the Nigeria Formal Sector Social Health Insurance Programme. Eur. J. Clin. Biomed. Sci. 2019, 5(6), 79-84. doi: 10.11648/j.ejcbs.20190506.12

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AMA Style

Obi Ikechukwu Vincent, Okoronkwo Ijeoma Lewechi, Adi Jesse Ashumate. Critical Determinants of Supply of Services in the Nigeria Formal Sector Social Health Insurance Programme. Eur J Clin Biomed Sci. 2019;5(6):79-84. doi: 10.11648/j.ejcbs.20190506.12

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@article{10.11648/j.ejcbs.20190506.12,
  author = {Obi Ikechukwu Vincent and Okoronkwo Ijeoma Lewechi and Adi Jesse Ashumate},
  title = {Critical Determinants of Supply of Services in the Nigeria Formal Sector Social Health Insurance Programme},
  journal = {European Journal of Clinical and Biomedical Sciences},
  volume = {5},
  number = {6},
  pages = {79-84},
  doi = {10.11648/j.ejcbs.20190506.12},
  url = {https://doi.org/10.11648/j.ejcbs.20190506.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20190506.12},
  abstract = {Introduction: The principle underpinning the Supply of health insurance services in Nigeria is that as prices increases, the healthcare provider makes more profit and will be motivated to provide more health insurance services to the enrollees. These supplies of health insurance services are therefore influenced by critical determinants that will either make the provider to supply health insurance services or withhold it. Therefore, there is a need to look at those critical factors that can hinder the supply of services in the programme. This study sets out to examine the effect of identified critical determinants on supply of services and also show how much these critical determinants can collectively predict this supply of services. Design/Methodology: This is a cross sectional study using a quantitative approach. Sample size was determined using Cochran formular and calculated sample size was forty six (46). Multistage sampling technique was adopted. Variables were analyzed using descriptive statistics and linear regression method with SPSS version 11. Result: The critical determinants of reimbursement structure, tariff structure, facility number of enrollees and cost of hospital consumables studied had positive impact on the supply of service but the impact of cost of hospital consumable was insignificant (>0.5). Similarly, 95% of changes in the supply of services can be accounted for significantly by the independent variables in this study (p=0.000). Conclusion: Evidences from this study have shown that most of the identified critical determinants studied had significant effect and also collectively could account significantly for changes in the supply of services and so therefore there is a need to properly address these factors so as to achieve the set out objectives in the programme.},
 year = {2019}
}

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TY  - JOUR
T1  - Critical Determinants of Supply of Services in the Nigeria Formal Sector Social Health Insurance Programme
AU  - Obi Ikechukwu Vincent
AU  - Okoronkwo Ijeoma Lewechi
AU  - Adi Jesse Ashumate
Y1  - 2019/12/24
PY  - 2019
N1  - https://doi.org/10.11648/j.ejcbs.20190506.12
DO  - 10.11648/j.ejcbs.20190506.12
T2  - European Journal of Clinical and Biomedical Sciences
JF  - European Journal of Clinical and Biomedical Sciences
JO  - European Journal of Clinical and Biomedical Sciences
SP  - 79
EP  - 84
PB  - Science Publishing Group
SN  - 2575-5005
UR  - https://doi.org/10.11648/j.ejcbs.20190506.12
AB  - Introduction: The principle underpinning the Supply of health insurance services in Nigeria is that as prices increases, the healthcare provider makes more profit and will be motivated to provide more health insurance services to the enrollees. These supplies of health insurance services are therefore influenced by critical determinants that will either make the provider to supply health insurance services or withhold it. Therefore, there is a need to look at those critical factors that can hinder the supply of services in the programme. This study sets out to examine the effect of identified critical determinants on supply of services and also show how much these critical determinants can collectively predict this supply of services. Design/Methodology: This is a cross sectional study using a quantitative approach. Sample size was determined using Cochran formular and calculated sample size was forty six (46). Multistage sampling technique was adopted. Variables were analyzed using descriptive statistics and linear regression method with SPSS version 11. Result: The critical determinants of reimbursement structure, tariff structure, facility number of enrollees and cost of hospital consumables studied had positive impact on the supply of service but the impact of cost of hospital consumable was insignificant (>0.5). Similarly, 95% of changes in the supply of services can be accounted for significantly by the independent variables in this study (p=0.000). Conclusion: Evidences from this study have shown that most of the identified critical determinants studied had significant effect and also collectively could account significantly for changes in the supply of services and so therefore there is a need to properly address these factors so as to achieve the set out objectives in the programme.
VL  - 5
IS  - 6
ER  -

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