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Teferi Gedif Fenta - One of the best experts on this subject based on the ideXlab platform.

  • Willingness to pay for Social Health insurance and its determinants among public servants in Mekelle City, Northern Ethiopia: a mixed methods study
    Cost Effectiveness and Resource Allocation, 2019
    Co-Authors: Meles Tekie Gidey, Gebremedhin Beedemariam Gebretekle, Maryellen Hogan, Teferi Gedif Fenta
    Abstract:

    Background Owing to lack of adequate Healthcare financing, access to at least the basic Health services is still a problem in Ethiopia. With the intention of raising funds and ensuring universal Health coverage, a mandatory Health insurance scheme has been introduced. The Community Based Health Insurance has been implemented in all regions of the country, while implementation of Social Health insurance was delayed mainly due to resistance from public servants. This study was, therefore, aimed to assess willingness to pay for Social Health insurance and its determinant factors among public servants in Mekelle city, Northern Ethiopia. Methods A concurrent mixed approach of cross-sectional study design using double bound dichotomous choice contingent valuation method and qualitative focus group discussions was employed. A total 384 public servants were recruited from randomly selected institutions and six focus group discussions (n = 36) were carried out with purposively selected respondents. Participants’ mean willingness to pay (WTP) and independent predictors of WTP were identified using an interval data logit model. Qualitative data were analyzed using thematic analysis. Results From the 384 participants, 381 completed the interview, making a response rate of 99.2%. Among these respondents 85.3% preferred Social Health insurance and were willing to pay for the scheme. Their estimated mean WTP was 3.6% of their monthly salary. Lack of money to pay (42.6%) was the major stumbling block to enrolling in the scheme. Respondents’ WTP was significantly positively associated with their level of income but their WTP decreased with increasing age and educational status. On the other hand, a majority of focus group discussion participants were not willing to pay the 3% premium set by the government unless some preconditions were satisfied. The amount of premium contribution, benefit package and poor quality of Health service were the major factors affecting their WTP. Conclusion The majority of the public servants were willing to be part of the Social Health insurance scheme, with a mean WTP of 3.6% of their monthly salary. This was greater than the premium proposed by the government (3%). This can pave the way to start the scheme but attention should focus on improving the quality of Health services.

  • willingness to pay for Social Health insurance and its determinants among public servants in mekelle city northern ethiopia a mixed methods study
    Cost Effectiveness and Resource Allocation, 2019
    Co-Authors: Meles Tekie Gidey, Gebremedhin Beedemariam Gebretekle, Maryellen Hogan, Teferi Gedif Fenta
    Abstract:

    Owing to lack of adequate Healthcare financing, access to at least the basic Health services is still a problem in Ethiopia. With the intention of raising funds and ensuring universal Health coverage, a mandatory Health insurance scheme has been introduced. The Community Based Health Insurance has been implemented in all regions of the country, while implementation of Social Health insurance was delayed mainly due to resistance from public servants. This study was, therefore, aimed to assess willingness to pay for Social Health insurance and its determinant factors among public servants in Mekelle city, Northern Ethiopia. A concurrent mixed approach of cross-sectional study design using double bound dichotomous choice contingent valuation method and qualitative focus group discussions was employed. A total 384 public servants were recruited from randomly selected institutions and six focus group discussions (n = 36) were carried out with purposively selected respondents. Participants’ mean willingness to pay (WTP) and independent predictors of WTP were identified using an interval data logit model. Qualitative data were analyzed using thematic analysis. From the 384 participants, 381 completed the interview, making a response rate of 99.2%. Among these respondents 85.3% preferred Social Health insurance and were willing to pay for the scheme. Their estimated mean WTP was 3.6% of their monthly salary. Lack of money to pay (42.6%) was the major stumbling block to enrolling in the scheme. Respondents’ WTP was significantly positively associated with their level of income but their WTP decreased with increasing age and educational status. On the other hand, a majority of focus group discussion participants were not willing to pay the 3% premium set by the government unless some preconditions were satisfied. The amount of premium contribution, benefit package and poor quality of Health service were the major factors affecting their WTP. The majority of the public servants were willing to be part of the Social Health insurance scheme, with a mean WTP of 3.6% of their monthly salary. This was greater than the premium proposed by the government (3%). This can pave the way to start the scheme but attention should focus on improving the quality of Health services.

Elizabeth A Hahn - One of the best experts on this subject based on the ideXlab platform.

  • measuring Social Health in the patient reported outcomes measurement information system promis item bank development and testing
    Quality of Life Research, 2010
    Co-Authors: Elizabeth A Hahn, Liana D Castel, Hayden B Bosworth, Susan V Eisen, Robert F Devellis, Rita K Bode, Sofia F Garcia, Allen W Heinemann, Nan E Rothrock, David Cella
    Abstract:

    Purpose To develop a Social Health measurement framework, to test items in diverse populations and to develop item response theory (IRT) item banks.

  • content validity in the promis Social Health domain a qualitative analysis of focus group data
    Quality of Life Research, 2008
    Co-Authors: Liana D Castel, Debra E Irwin, Kelly A Williams, Hayden B Bosworth, Susan V Eisen, Elizabeth A Hahn, Morgen A R Kelly, Jennifer Q Morse, Angela Stover
    Abstract:

    Purpose Our aim was to assess the content validity of the Patient-Reported Outcomes Measurement Information System (PROMIS) Social Health item banks by comparing a prespecified conceptual model with concepts that focus-group participants identified as important Social-Health-related outcomes. These data will inform the process of improving Health-related quality-of-life measures.

  • content validity in the promis Social Health domain a qualitative analysis of focus group data
    Quality of Life Research, 2008
    Co-Authors: Liana D Castel, Debra E Irwin, Kelly A Williams, Hayden B Bosworth, Susan V Eisen, Elizabeth A Hahn, Morgen A R Kelly, Jennifer Q Morse, Angela Stover
    Abstract:

    Our aim was to assess the content validity of the Patient-Reported Outcomes Measurement Information System (PROMIS) Social Health item banks by comparing a prespecified conceptual model with concepts that focus-group participants identified as important Social-Health-related outcomes. These data will inform the process of improving Health-related quality-of-life measures. Twenty-five patients with a range of Social limitations due to chronic Health conditions were recruited at two sites; four focus groups were conducted. Raters independently classified participants’ statements using a hierarchical, nested schema that included Health-related outcomes, role performance, role satisfaction, family/friends, work, and leisure. Key themes that emerged were fulfilling both family and work responsibilities and the distinction between activities done out of responsibility versus enjoyment. Although focus-group participants identified volunteerism and pet ownership as important Social-Health-related concepts, these were not in our original conceptual model. The concept of satisfaction was often found to overlap with the concept of performance. Our conceptual model appears comprehensive but is being further refined to more appropriately (a) distinguish between responsibilities versus discretionary activities, and (b) situate the outcome of satisfaction as it relates to impairment in Social and other domains of Health.

Angela Stover - One of the best experts on this subject based on the ideXlab platform.

  • content validity in the promis Social Health domain a qualitative analysis of focus group data
    Quality of Life Research, 2008
    Co-Authors: Liana D Castel, Debra E Irwin, Kelly A Williams, Hayden B Bosworth, Susan V Eisen, Elizabeth A Hahn, Morgen A R Kelly, Jennifer Q Morse, Angela Stover
    Abstract:

    Purpose Our aim was to assess the content validity of the Patient-Reported Outcomes Measurement Information System (PROMIS) Social Health item banks by comparing a prespecified conceptual model with concepts that focus-group participants identified as important Social-Health-related outcomes. These data will inform the process of improving Health-related quality-of-life measures.

  • content validity in the promis Social Health domain a qualitative analysis of focus group data
    Quality of Life Research, 2008
    Co-Authors: Liana D Castel, Debra E Irwin, Kelly A Williams, Hayden B Bosworth, Susan V Eisen, Elizabeth A Hahn, Morgen A R Kelly, Jennifer Q Morse, Angela Stover
    Abstract:

    Our aim was to assess the content validity of the Patient-Reported Outcomes Measurement Information System (PROMIS) Social Health item banks by comparing a prespecified conceptual model with concepts that focus-group participants identified as important Social-Health-related outcomes. These data will inform the process of improving Health-related quality-of-life measures. Twenty-five patients with a range of Social limitations due to chronic Health conditions were recruited at two sites; four focus groups were conducted. Raters independently classified participants’ statements using a hierarchical, nested schema that included Health-related outcomes, role performance, role satisfaction, family/friends, work, and leisure. Key themes that emerged were fulfilling both family and work responsibilities and the distinction between activities done out of responsibility versus enjoyment. Although focus-group participants identified volunteerism and pet ownership as important Social-Health-related concepts, these were not in our original conceptual model. The concept of satisfaction was often found to overlap with the concept of performance. Our conceptual model appears comprehensive but is being further refined to more appropriately (a) distinguish between responsibilities versus discretionary activities, and (b) situate the outcome of satisfaction as it relates to impairment in Social and other domains of Health.

Ермаков, С. С. - One of the best experts on this subject based on the ideXlab platform.

Liana D Castel - One of the best experts on this subject based on the ideXlab platform.

  • measuring Social Health in the patient reported outcomes measurement information system promis item bank development and testing
    Quality of Life Research, 2010
    Co-Authors: Elizabeth A Hahn, Liana D Castel, Hayden B Bosworth, Susan V Eisen, Robert F Devellis, Rita K Bode, Sofia F Garcia, Allen W Heinemann, Nan E Rothrock, David Cella
    Abstract:

    Purpose To develop a Social Health measurement framework, to test items in diverse populations and to develop item response theory (IRT) item banks.

  • content validity in the promis Social Health domain a qualitative analysis of focus group data
    Quality of Life Research, 2008
    Co-Authors: Liana D Castel, Debra E Irwin, Kelly A Williams, Hayden B Bosworth, Susan V Eisen, Elizabeth A Hahn, Morgen A R Kelly, Jennifer Q Morse, Angela Stover
    Abstract:

    Purpose Our aim was to assess the content validity of the Patient-Reported Outcomes Measurement Information System (PROMIS) Social Health item banks by comparing a prespecified conceptual model with concepts that focus-group participants identified as important Social-Health-related outcomes. These data will inform the process of improving Health-related quality-of-life measures.

  • content validity in the promis Social Health domain a qualitative analysis of focus group data
    Quality of Life Research, 2008
    Co-Authors: Liana D Castel, Debra E Irwin, Kelly A Williams, Hayden B Bosworth, Susan V Eisen, Elizabeth A Hahn, Morgen A R Kelly, Jennifer Q Morse, Angela Stover
    Abstract:

    Our aim was to assess the content validity of the Patient-Reported Outcomes Measurement Information System (PROMIS) Social Health item banks by comparing a prespecified conceptual model with concepts that focus-group participants identified as important Social-Health-related outcomes. These data will inform the process of improving Health-related quality-of-life measures. Twenty-five patients with a range of Social limitations due to chronic Health conditions were recruited at two sites; four focus groups were conducted. Raters independently classified participants’ statements using a hierarchical, nested schema that included Health-related outcomes, role performance, role satisfaction, family/friends, work, and leisure. Key themes that emerged were fulfilling both family and work responsibilities and the distinction between activities done out of responsibility versus enjoyment. Although focus-group participants identified volunteerism and pet ownership as important Social-Health-related concepts, these were not in our original conceptual model. The concept of satisfaction was often found to overlap with the concept of performance. Our conceptual model appears comprehensive but is being further refined to more appropriately (a) distinguish between responsibilities versus discretionary activities, and (b) situate the outcome of satisfaction as it relates to impairment in Social and other domains of Health.