The effects of capitation on hospital administration in some selected districts of the Ashanti Region

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JUNE, 2016
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While many countries are contemplating incentive-based health sector reform, emphasizing competition and supply-side cost-sharing, the evidence on how they work and the extent to which they succeed in achieving the goals of cost containment, quality and efficiency improvement, etc. remains limited, especially for developing countries. In this context, this study was carried out in the Ashanti Region to assess the effects of capitation on hospital administration in five selected public districts. A non-experimental, cross-sectional design was adopted for the study. Also, the purposive and simple random sampling techniques were adopted to select two hundred (200) respondents who completed the survey instrument. Hypotheses were tested using correlational and regression analytical procedures. There was a significant positive relationship between hospital administration and health care delivery. Also, the study showed a positive significant relationship between capitation and health administration. Some of the challenges affecting the capitation programme were late transfer of capitation payment, some providers are unable to get the list of people capitated to their facilities on time, the amount used for blanks are not being used by the providers for the intended purpose, NHIS subscribers are forced to pay additional amount to cover their bill (co-payment). It is recommended that monitoring and evaluation are important to ensure the proper functioning of the reform and good quality data should be collected for that purpose and funds should be transferred to the capitation hospitals on time.
A thesis submitted to the School of Graduate Studies, Kwame Nkrumah University of Science And Technology, Kumasi in partial fulfilment of the requirements for the award of Master in Public Health/Health Service Planning and Management.