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Original Article
 
The influence of socio-demographic characteristics on health care access among health insurance subscribers in Ghana
Seth Christopher Yaw Appiah
M.Phil. Sociology Student and Graduate Research Assistant, Department of Sociology and Social Work, College of Art and Social Sciences, Faculty of Social Sciences, Kwame Nkrumah University of Science And Technology, Kumasi, Ghana

Article ID: 100003P16SA2015
doi:10.5348/P16-2015-3-OA-3

Address correspondence to:
Appiah Seth Christopher
M.Phil. Sociology Student and Graduate Research Assistant, Department of Sociology and Social Work
College of Art and Social Sciences, Faculty of Social Sciences
Kwame Nkrumah University of Science And Technology, Kumasi
Ghana

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How to cite this article
Appiah SCY. The influence of socio-demographic characteristics on health care access among health insurance subscribers in Ghana. Edorium J Public Health 2015;2:1–10.


Abstract
Aims: The socio-demographic characteristics of clients and their perception of quality of care play a major part in people's decision making process especially in service utilization. This study assesses the relationship between clients' socio-economic features as well as their perceived quality on health care utilization.
Methods: The study adopted a non-experimental cross sectional design in eliciting information from health clients who accessed health services in ten selected hospitals in the Kumasi Metropolis with a cluster sampling design to select 400 clients from ten health facilities which were purposely selected. The researcher used interviews and semi structured questionnaires to collect data and used SPSS version 20 for processing whiles descriptive and inferential statistics was supported with STATA 11.
Results: Perception about the quality of health provision influenced access of healthcare with NHIS cards. Clients who viewed the overall quality of health provision as good or very good were more likely to access healthcare with NHIS card as compared to those who rated the overall health provision as poor or very poor (OR=2.1; p < 0.01). Socio-demographic factors continuously play a strong role in influencing client's access to health care under the National Health Insurance Scheme (NHIS) as the high income groups still dominate in utilizing health care services under the scheme than the deprived and the poor.
Conclusion: Clients' perceptions and experiences with quality of health provision influence their utilization of healthcare under the NHIS scheme. Increased enrolment in the scheme should be supported with provision of quality services to enhance clients' satisfaction.

Keywords: Ghana, Health Insurance, Perception, Socio-demographic

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Author Contributions:
Seth Christopher Yaw Appiah – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Seth Christopher Yaw Appiah. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Author

Seth Christopher Yaw Appiah is an Mphil graduate and a Graduate Research Assistant at the Department of Sociology and Social Work / Faculty of Social Sciences / Kwame Nkrumah University of Science and Technology, Kumasi, Ghana). He earned the undergraduate degree in Bachelor of Arts Sociology and Social Work from the Department of Sociology and Social Work, Faculty of Social Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana). He has published eight(8) research papers in national and international academic journals. His research interests include (Medical Sociology, Reproductive health and Maternal and Child health related issues). He intends to pursue (PhD in Public Health or Medical Sociology in future.




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