Publication:
Satisfaction from Utilization of National Health Insurance Program in Nepal: Service User’s Perspective

creativeworkseries.issn1812-2027
dc.contributor.authorGhimire, S
dc.contributor.authorAgrawal Sagtani, R
dc.contributor.authorPaudel, S
dc.date.accessioned2026-01-13T07:11:56Z
dc.date.available2026-01-13T07:11:56Z
dc.date.issued2024
dc.descriptionGhimire S, Agrawal Sagtani R, Paudel S School of Public Health Patan Academy of Health Sciences Patan, Lalitpur, Nepal
dc.description.abstractABSTRACT Background Health insurance is recognized as a valuable resource for improving healthcare access for financially disadvantaged individuals, resulting in better health outcomes and increased productivity. The satisfaction and experiences of health insurance users are crucial for enhancing services and policies. Objective To assess the satisfaction of users within the national health insurance program. Method A household survey in Bhaktapur district of Nepal, conducted between September and November 2019, assessed satisfaction with health insurance services under the national program. Interviews were conducted with 173 individuals who had utilized the insurance scheme, using a structured questionnaire. Collected data were analyzed with STATA 13 software, and logistic regression analysis determined associations between satisfaction and independent variables. The study adhered to the STROBE Checklist guidelines for standardized reporting of results. Result The most satisfied domain was the registration and renewal process, while the least satisfied domain was the information about insurance services. In the adjusted analysis, literacy was the only variable significantly associated with satisfaction, with literate individuals (AOR 2.5, 95% CI 1.12-5.66) being more likely to be satisfied with the health insurance program compared to illiterate individuals. Conclusion The study found generally high satisfaction levels among individuals utilizing health insurance services. However, dissatisfaction was particularly linked to the information provided by health facilities about these services. Literacy was identified as a significant factor influencing satisfaction with the health insurance program. This highlights the need for an awareness program to educate the insured community about the diverse benefit packages available. KEY WORDS Health insurance, Health service users, Health service utilization, Satisfaction
dc.identifier.urihttps://hdl.handle.net/20.500.14572/4214
dc.language.isoen_US
dc.publisherKathmandu University
dc.subjectHealth insurance
dc.subjectHealth service users
dc.subjectHealth service utilization
dc.subjectSatisfaction
dc.titleSatisfaction from Utilization of National Health Insurance Program in Nepal: Service User’s Perspective
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage307
oaire.citation.startPage302
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relation.isJournalIssueOfPublication.latestForDiscovery0f5e761a-d4e3-4528-9484-8a7a1ca1d411
relation.isJournalOfPublicationa782b7ff-cf89-4178-ad1c-11ed89cfe1bd

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