A Systematic review of macro - and meso - determinants of national health insurance enrolment among older adults in Ghana
Abstract: Achieving universal health coverage (UHC) through the National Health Insurance Scheme (NHIS) has been a priority for Ghanaian governments. Despite the plethora of studies conducted to explore the various factors that influence enrolment into the scheme, there remains a dearth in the liter...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Cogent Public Health |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/27707571.2023.2217546 |
| _version_ | 1797402961862721536 |
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| author | Anthony Kwame Morgan Dina Adei Williams Agyemang-Duah Prince Peprah Anthony Acquah Mensah |
| author_facet | Anthony Kwame Morgan Dina Adei Williams Agyemang-Duah Prince Peprah Anthony Acquah Mensah |
| author_sort | Anthony Kwame Morgan |
| collection | DOAJ |
| description | Abstract: Achieving universal health coverage (UHC) through the National Health Insurance Scheme (NHIS) has been a priority for Ghanaian governments. Despite the plethora of studies conducted to explore the various factors that influence enrolment into the scheme, there remains a dearth in the literature with regards to a systematic review of the health- and system-level determinants of NHIS enrolment among older adults in Ghana. This study aimed to synthesize evidence on macro- and meso-level determinants of NHIS enrolment among older adults in Ghana. With literature from data repositories including Wiley Web of Science, PubMed, PsycINFO, Scopus, Ovid, Science Direct and Sage, we performed a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Out of 124 studies screened, the systematic review included 11 articles. The study identified 4 macro- and 3 meso-determinants of national health insurance enrolment among older adults in Ghana. Macro-determinants identified were perceived scheme benefits, affordability, proximity to NHIS offices, quality of administrative service delivery. Physical accessibility, quality of care, and staff attitude were identified as meso-determinants. The study recommends improving physical accessibility, quality of care, and staff attitude. Additionally, it suggests addressing perceived scheme benefits and improving the quality of administrative service delivery. |
| first_indexed | 2024-03-09T02:31:45Z |
| format | Article |
| id | doaj.art-91c370a43f6f4e58b843e50b94a98e1d |
| institution | Directory Open Access Journal |
| issn | 2770-7571 |
| language | English |
| last_indexed | 2024-03-09T02:31:45Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Cogent Public Health |
| spelling | doaj.art-91c370a43f6f4e58b843e50b94a98e1d2023-12-06T12:15:33ZengTaylor & Francis GroupCogent Public Health2770-75712023-12-0110110.1080/27707571.2023.2217546A Systematic review of macro - and meso - determinants of national health insurance enrolment among older adults in GhanaAnthony Kwame Morgan0Dina Adei1Williams Agyemang-Duah2Prince Peprah3Anthony Acquah Mensah4Department of Planning, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Planning, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Geography and Planning, Queen’s University, Kingston, CanadaSocial Policy Research Centre/Centre for Primary HealthCare and Equity, University of New South Wales, Sydney, AustraliaDepartment of Planning, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaAbstract: Achieving universal health coverage (UHC) through the National Health Insurance Scheme (NHIS) has been a priority for Ghanaian governments. Despite the plethora of studies conducted to explore the various factors that influence enrolment into the scheme, there remains a dearth in the literature with regards to a systematic review of the health- and system-level determinants of NHIS enrolment among older adults in Ghana. This study aimed to synthesize evidence on macro- and meso-level determinants of NHIS enrolment among older adults in Ghana. With literature from data repositories including Wiley Web of Science, PubMed, PsycINFO, Scopus, Ovid, Science Direct and Sage, we performed a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Out of 124 studies screened, the systematic review included 11 articles. The study identified 4 macro- and 3 meso-determinants of national health insurance enrolment among older adults in Ghana. Macro-determinants identified were perceived scheme benefits, affordability, proximity to NHIS offices, quality of administrative service delivery. Physical accessibility, quality of care, and staff attitude were identified as meso-determinants. The study recommends improving physical accessibility, quality of care, and staff attitude. Additionally, it suggests addressing perceived scheme benefits and improving the quality of administrative service delivery.https://www.tandfonline.com/doi/10.1080/27707571.2023.2217546National Health Insurance Schemeolder adultsenrolmentGhanascheme factorshealth system factors |
| spellingShingle | Anthony Kwame Morgan Dina Adei Williams Agyemang-Duah Prince Peprah Anthony Acquah Mensah A Systematic review of macro - and meso - determinants of national health insurance enrolment among older adults in Ghana Cogent Public Health National Health Insurance Scheme older adults enrolment Ghana scheme factors health system factors |
| title | A Systematic review of macro - and meso - determinants of national health insurance enrolment among older adults in Ghana |
| title_full | A Systematic review of macro - and meso - determinants of national health insurance enrolment among older adults in Ghana |
| title_fullStr | A Systematic review of macro - and meso - determinants of national health insurance enrolment among older adults in Ghana |
| title_full_unstemmed | A Systematic review of macro - and meso - determinants of national health insurance enrolment among older adults in Ghana |
| title_short | A Systematic review of macro - and meso - determinants of national health insurance enrolment among older adults in Ghana |
| title_sort | systematic review of macro and meso determinants of national health insurance enrolment among older adults in ghana |
| topic | National Health Insurance Scheme older adults enrolment Ghana scheme factors health system factors |
| url | https://www.tandfonline.com/doi/10.1080/27707571.2023.2217546 |
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