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Table 2 Characteristics and experiences of HCPs * to investigate health insurance optimal-resource-use activities

From: Performance evaluation of a health insurance in Nigeria using optimal resource use: health care providers perspectives

Independent variables Categories Number Percentage
Total cases   466 100%
Providers profession1 Medical 293 63%
Non-medical 173 37%
Type of facility Public 281 60%
Private 185 40%
Number of enrolees in providers* facility 1000 or less 63 14%
More than 1000 403 86%
Last 1 month contact with enrolees by providers Weekly 389 85%
Every two weeks 77 15%
Last 12 months contact with enrolees by providers Weekly 395 83%
Every two weeks 71 17%
Improvement in waiting times of enrolees Yes 370 79%
No 96 21%
Providers received enrolees* list quarterly2 Yes 324 70%
No 142 30%
Facility inspection in the last 12 months3 ≤2 times 377 81%
>2 times 89 19%
Overall annual inspection3 Yes 142 30%
No 324 70%
Providers 12 months contact with referral Monthly 213 46%
≥2 months 253 54%
12 months availability of insurance funds Monthly 366 79%
Every four months 100 21%
3 years availability of insurance funds Monthly 370 79%
Every four months 96 21%
Information on full entitlement made available by NHIS* Agree 119 26%
Disagree 347 74%
Health insurance to revise capitation payment4 Agreed 435 93%
Disagree 31 7%
Overall capitation payment amounts ratings Good 339 73%
  Bad 127 27%
  1. *Abbreviations: NHIS national health insurance scheme regulatory agency.
  2. 1Profession means the assigned duties and responsibilities of providers. Again, non-medical is administration personnel including record officers with no medical responsibility, but involved in resource use activities.
  3. 2Quarterly means every three months of a year instalmentally.
  4. 3Inspection means quality assurance checks of providers’ activities conducted by external monitors.
  5. 4Providers opinion on capitation payment per enrolee to be revised by the NHIS regulatory agency.