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Title |
Health worker preferences for community-based
health insurance payment mechanisms: a discrete
choice experiment |
Author(s) |
Paul Jacob Robyn, Till Bärnighausen,Aurélia Souares, et al - Personal Name
|
Subject |
Health Economy |
Publisher |
BioMed Central Ltd. |
Publishing Year |
2012 |
Specific Detail Info |
Background: In 2004, a community-based health insurance scheme (CBI) was introduced in Nouna health district,
Burkina Faso. Since its inception, coverage has remained low and dropout rates high. One important reason for low
coverage and high dropout is that health workers do not support the CBI scheme because they are dissatisfied
with the provider payment mechanism of the CBI.
Methods: A discrete choice experiment (DCE) was used to examine CBI provider payment attributes that influence
health workers’ stated preferences for payment mechanisms. The DCE was conducted among 176 health workers
employed at one of the 34 primary care facilities or the district hospital in Nouna health district. Conditional logit
models with main effects and interactions terms were used for analysis.
Results: Reimbursement of service fees (adjusted odds ratio (aOR) 1.49, p |
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