Add wos sample results library

02-data/intermediate/wos_sample/c50e0b6fbe4d20b00dfca5c6bad7ac1d-suchman-lauren/info.yaml

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+abstract: 'Background: Small private providers in low- and middle-income countries
+
+  (LMICs) are well positioned to fill gaps in services to low-income
+
+  populations using Social Health Insurance (SHI) schemes. However, we
+
+  know little about the practical challenges both private providers and
+
+  patients face in the context of SHI that may ultimately limit access to
+
+  quality services for low-income populations. In this paper, we pull
+
+  together data collected from private providers, patients, and SHI
+
+  officials in Kenya and Ghana to answer the question: does participation
+
+  in an SHI scheme affect private providers'' ability to serve poorer
+
+  patient populations with quality health services?
+
+  Methods: In-depth interviews were held with 204 providers over three
+
+  rounds of data collection (2013, 2015, 2017) in Kenya and Ghana. We also
+
+  conducted client exit interviews in 2013 and 2017 for a total of 106
+
+  patient interviews. Ten focus group discussions (FGDs) were conducted in
+
+  Kenya and Ghana respectively in 2013 for a total of 171 FGD
+
+  participants. A total of 13 in-depth interviews also were conducted with
+
+  officials from the Ghana National Health Insurance Agency (NHIA) and the
+
+  Kenya National Hospital Insurance Fund (NHIF) across four rounds of data
+
+  collection (2013, 2014, 2016, 2017). Provider interviews covered reasons
+
+  for (non) enrollment in the health insurance system, experiences with
+
+  the accreditation process, and benefits and challenges with the system.
+
+  Client exit interviews covered provider choice, clinic experience, and
+
+  SHI experience. FGDs covered the local healthcare landscape. Interviews
+
+  with SHI officials covered officials'' experiences working with private
+
+  providers, and the opportunities and challenges they faced both
+
+  accrediting providers and enrolling members. Transcripts were coded in
+
+  Atlas.ti using an open coding approach and analyzed thematically.
+
+  Results: Private providers and patients agreed that SHI schemes are
+
+  beneficial for reducing out-of-pocket costs to patients and many
+
+  providers felt they had to become SHI-accredited in order to keep their
+
+  facilities open. The SHI officials in both countries corroborated these
+
+  sentiments. However, due to misunderstanding of the system providers
+
+  tended to charge clients for services they felt were above and beyond
+
+  reimbursable expenses. Services were sometimes limited as well.
+
+  Significant delays in SHI reimbursement in Ghana exacerbated these
+
+  problems and compromised providers'' abilities to cover basic expenses
+
+  without charging patients. While patients recognized the potential
+
+  benefits of SHI coverage and many sought it out, a number of patients
+
+  reported allowing their enrollment to lapse for cost reasons or because
+
+  they felt the coverage was useless when they were still asked to pay for
+
+  services out-of-pocket at the health facility.
+
+  Conclusions: Our data point to several major barriers to SHI access and
+
+  effectiveness for low-income populations in Ghana and in Kenya, in
+
+  addition to opportunities to better engage private providers to serve
+
+  these populations. We recommend using fee-for-service payments based on
+
+  Diagnosis Related Group rather than a capitation payment system, as well
+
+  as building more monitoring and accountability mechanisms into the SHI
+
+  systems in order to reduce requests for informal out-of-pocket payments
+
+  from patients while also ensuring quality of care. However, particularly
+
+  in Ghana, these reforms should be accompanied by financial reform within
+
+  the SHI system so that small private providers can be adequately funded
+
+  through government financing.'
+affiliation: 'Suchman, L (Corresponding Author), Univ Calif San Francisco, Inst Global
+  Hlth Sci, San Francisco, CA 94143 USA.
+
+  Suchman, Lauren, Univ Calif San Francisco, Inst Global Hlth Sci, San Francisco,
+  CA 94143 USA.'
+article-number: '179'
+author: Suchman, Lauren
+author-email: Lauren.Suchman@ucsf.edu
+author_list:
+- family: Suchman
+  given: Lauren
+da: '2023-09-28'
+doi: 10.1186/s12939-018-0893-y
+eissn: 1475-9276
+files: []
+journal: INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
+keywords: 'Social health insurance; Healthcare access; Private providers;
+
+  Low-income; Kenya; Ghana'
+keywords-plus: 'DEVELOPING-COUNTRIES; COVERAGE; SECTOR; SCHEME; CARE; SERVICES;
+
+  ACCOUNTABILITY; ENROLLMENT; AFRICA; ACCESS'
+language: English
+month: DEC 5
+number-of-cited-references: '72'
+orcid-numbers: Suchman, Lauren/0000-0002-3684-0314
+papis_id: a3002bce2095943b11c223004c3bd585
+ref: Suchman2018accreditingprivate
+times-cited: '9'
+title: 'Accrediting private providers with National Health Insurance to better serve
+  low-income populations in Kenya and Ghana: a qualitative study'
+type: Article
+unique-id: WOS:000452324900001
+usage-count-last-180-days: '1'
+usage-count-since-2013: '4'
+volume: '17'
+web-of-science-categories: Public, Environmental \& Occupational Health
+year: '2018'