TY - JOUR
T1 - Do prevailing theories sufficiently explain perceptions and health-seeking behavior of Ghanaians?
AU - Fenenga, Christine J.
AU - Boahene, Kwasi
AU - Arhinful, Daniel
AU - de Wit, Tobias Rinke
AU - Hutter, Inge
PY - 2014
Y1 - 2014
N2 - The challenges faced by African countries that have pioneered a national health insurance scheme (NHIS) and the lessons learned can be of great value to other countries, contemplating the introduction of such a health financing system. In 2003, Ghana initiated the NHIS to provide access to healthcare for people in both the formal and informal sectors. The paper assesses the applicability of four theoretical models to explain the perceptions and decisions of Ghanaians to participate in the NHIS. To contextualize these models, we used qualitative data from individual and group interviews of Ghanaians. These interviews form part of the study "towards a client-oriented health insurance system in Ghana" to explain the uptake of the Ghanaian social health insurance. The paper argues for a new integrated model to provide a better understanding of clients' perceptions on illness, healthcare and health insurance. Such a model should highlight trust as a fundamental factor influencing the decision of Ghanaians to enroll in the NHIS. Copyright (c) 2013 John Wiley & Sons, Ltd
AB - The challenges faced by African countries that have pioneered a national health insurance scheme (NHIS) and the lessons learned can be of great value to other countries, contemplating the introduction of such a health financing system. In 2003, Ghana initiated the NHIS to provide access to healthcare for people in both the formal and informal sectors. The paper assesses the applicability of four theoretical models to explain the perceptions and decisions of Ghanaians to participate in the NHIS. To contextualize these models, we used qualitative data from individual and group interviews of Ghanaians. These interviews form part of the study "towards a client-oriented health insurance system in Ghana" to explain the uptake of the Ghanaian social health insurance. The paper argues for a new integrated model to provide a better understanding of clients' perceptions on illness, healthcare and health insurance. Such a model should highlight trust as a fundamental factor influencing the decision of Ghanaians to enroll in the NHIS. Copyright (c) 2013 John Wiley & Sons, Ltd
U2 - https://doi.org/10.1002/hpm.2159
DO - https://doi.org/10.1002/hpm.2159
M3 - Article
C2 - 23303726
SN - 0749-6753
VL - 29
SP - 26
EP - 42
JO - International journal of health planning and management
JF - International journal of health planning and management
IS - 1
ER -