Financing healthcare service delivery in Asamankese Government Hospital

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A study to investigate financing of Health care delivery in Asamankese Government Hospital was conducted from March to August 2008.The study used descriptive survey design and self-made questionnaire and guided interview schedule as the main instrument for the study. The items on the instrument were made up of closed structured questions: The study sampled 150 health workers, patients and National Health Insurance Scheme workers for the study. The data collected from the respondents were coded and analysed using Excel and the results presented using frequencies and percentages. The results of the study revealed that National Health Insurance Scheme is becoming the major source of financing the health care needs of clients in the hospital out of contributions made from donor agencies, Government contributions, internally generated funds made up of NHIS card bearers and direct payments made by non-registered NHIS clients. The NHIS has enabled patients, indigents, and the aged and under aged to have access to health care specialized services and this has increased attendance of patients to hospitals and over crowding at the wards. In order to ensure efficient and quality health care to clients, the hospital has put in place keeping of adequate supplies in store, strict procurement plans, periodic inventory of stocks and internal audit units. Other mechanisms put in place were, authorizing only accounting staff to collect revenue, strict adherence to fund disbursement requirements, holding people accountable for their negligence and reward for diligent and hard working staff. * * Despite the major contribution of the NHIS to the health care needs of the people in the hospital they were faced with challenges, among which were tedious vetting of claims, inadequate skilled computer technicians, no job descriptions, no accommodation for the scheme, inadequate education of clients on their card renewal and high cost of drugs. The Hospital is faced with the challenges of inadequate human and material resources, ineffective managerial and administrative capabilities.
A Thesis submitted to the School of Business, Kwame Nkrumah University of Science and Technology in partial fulfillment of the requirements for the degree of Master of Business Administration (Banking and Finance), 2008