{"id":13246,"date":"2025-01-13T13:35:16","date_gmt":"2025-01-13T13:35:16","guid":{"rendered":"https:\/\/www.mmj.mw\/?p=13246"},"modified":"2025-01-13T13:35:17","modified_gmt":"2025-01-13T13:35:17","slug":"quality-of-hypertension-management-and-health-insurance-impact-an-assessment-of-insured-and-uninsured-patients-with-systemic-hypertension-in-a-teaching-hospital-in-ilorin-nigeria","status":"publish","type":"post","link":"https:\/\/www.mmj.mw\/?p=13246","title":{"rendered":"Quality of hypertension management and health insurance impact: an assessment of insured and uninsured patients with systemic hypertension in a teaching Hospital in Ilorin, Nigeria"},"content":{"rendered":"\n

Olalekan Agede1,2,6<\/sup>*, Oluwaseun Daramola3<\/sup>, Anthony Joseph4<\/sup>, Maryam Jimoh5<\/sup>, Selimat Ibrahim6<\/sup>, Matthew Bojuwoye2<\/sup>, Nasiru Sanni2<\/sup>, Tanimola Akande5<\/sup><\/strong><\/p>\n\n\n\n

  1. Department of Pharmacology and Therapeutics, University of Ilorin, Ilorin, Nigeria<\/li>
  2. Department of Medicine, University of Ilorin and University of Ilorin Teaching Hospital, Ilorin, Nigeria<\/li>
  3. AiicoMultishield Healthcare (HMO), Abuja, Nigeria.<\/li>
  4. Department of Family Medicine, Kwara State University Teaching Hospital, Ilorin, Nigeria<\/li>
  5. Department of Epidemiology and Community Health, University of Ilorin and University of Ilorin Teaching Hospital, Nigeria<\/li>
  6. Center for Malaria and other Tropical diseases, University of Ilorin Teaching Hospital, Nigeria<\/li><\/ol>\n\n\n\n

    *Corresponding Author:<\/strong> Olalekan Agede; Email:<\/strong> agede.oa@unilorin.edu.ng or niffynimmy@gmail.com<\/p>\n\n\n\n

    Abstract
    Background<\/strong>
    Patient satisfaction is an important indicator used to measure quality of care and the performance of healthcare services. This study assessed patient satisfaction with the quality of hypertension care received by both insured and uninsured patients with systemic hypertension.
    Methods<\/strong>
    This comparative cross-sectional study was conducted among insured and uninsured patients with systemic hypertension attending the Medical Outpatient Department clinics of the University of Ilorin Teaching Hospital, Kwara State, Nigeria, from May to July, 2023. Data were collected from 95 patients from each group, selected by systematic random sampling; using an interviewer-administered, anonymous, structured close ended questionnaire. Different aspects of the healthcare services were assessed; these include patient registration process, waiting time, staff attitudes, laboratory services, availability and cost of prescribed drugs etc. Data analysis was done using Statistical Package for the Social Sciences (SPSS) version 27.0 software.
    Results<\/strong>
    The insured patients with systemic hypertension had a higher overall mean satisfaction (74.1\u00b120.8) compared to the uninsured group (69.3\u00b123.2), though this was not statistically significant (p value = 0.417). However, the insured patients with systemic hypertension had significant satisfaction scores compared to uninsured hypertensive group in the domains of waiting time (63.6\u00b1 24.9 vs 48.0 \u00b1 25.8, p=0.000), drug cost and availability (73.9 \u00b1 24.1 vs 56.2 \u00b1 25.0, p=0.000), and cost of service and care (74.1\u00b124.0 vs 59.8\u00b126.0, p=0.000).
    Conclusions<\/strong>
    This study concluded that both insured and uninsured patients with systemic hypertension had comparable treatment, though the insured group had some better satisfaction scores in some of the assessed healthcare domains. The healthcare policy makers should endeavour to improve health insurance coverage, and utilize identified factors in policy formulation and implementation to encourage utilization of health insurance among patients.<\/p>\n\n\n\n

    Keywords:<\/strong> Hypertension management, Insurance, Quality of care, Teaching hospital, Uninsured<\/p>\n\n\n\n

    \n
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    Olalekan Agede1,2,6*, Oluwaseun Daramola3, Anthony Joseph4, Maryam Jimoh5, Selimat Ibrahim6, Matthew Bojuwoye2, Nasiru Sanni2, Tanimola Akande5 Department of Pharmacology and Therapeutics, University of Ilorin, Ilorin, Nigeria Department of Medicine, University of Ilorin and University of Ilorin Teaching Hospital, Ilorin, Nigeria AiicoMultishield Healthcare (HMO), Abuja, Nigeria. Department of Family Medicine, Kwara State University Teaching Hospital, Ilorin, […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[131],"tags":[66],"_links":{"self":[{"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/posts\/13246"}],"collection":[{"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=13246"}],"version-history":[{"count":1,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/posts\/13246\/revisions"}],"predecessor-version":[{"id":13247,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/posts\/13246\/revisions\/13247"}],"wp:attachment":[{"href":"https:\/\/www.mmj.mw\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=13246"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=13246"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=13246"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}