Version 1
: Received: 8 June 2021 / Approved: 10 June 2021 / Online: 10 June 2021 (08:08:00 CEST)
How to cite:
Muremyi, R.; Haughton, D.; Niragire, F.; Kabano, I. Analysis of the Effect of Health Insurance on Health Care Utilization in Rwanda. Preprints2021, 2021060277. https://doi.org/10.20944/preprints202106.0277.v1
Muremyi, R.; Haughton, D.; Niragire, F.; Kabano, I. Analysis of the Effect of Health Insurance on Health Care Utilization in Rwanda. Preprints 2021, 2021060277. https://doi.org/10.20944/preprints202106.0277.v1
Muremyi, R.; Haughton, D.; Niragire, F.; Kabano, I. Analysis of the Effect of Health Insurance on Health Care Utilization in Rwanda. Preprints2021, 2021060277. https://doi.org/10.20944/preprints202106.0277.v1
APA Style
Muremyi, R., Haughton, D., Niragire, F., & Kabano, I. (2021). Analysis of the Effect of Health Insurance on Health Care Utilization in Rwanda. Preprints. https://doi.org/10.20944/preprints202106.0277.v1
Chicago/Turabian Style
Muremyi, R., François Niragire and Ignace Kabano. 2021 "Analysis of the Effect of Health Insurance on Health Care Utilization in Rwanda" Preprints. https://doi.org/10.20944/preprints202106.0277.v1
Abstract
In Rwanda, more than 90% of the population is insured for health care. Despite the comprehensiveness of health insurance coverage in Rwanda, some health services at partner institutions are not available, causing insured patients to pay unintended cost. We aimed to analyze the effect of health insurance on health care utilization and factors associated with the use of health care services in Rwanda. This is an analysis of secondary data from the Rwanda integrated living condition survey 2016-2017. The survey gathered data from 14580 households, and decision tree and multilevel logistic regression models were applied. Among 14580 households only (20%) used health services. Heads of households aged between [56-65] years (AOR=1.28, 95% CI:1.02-1.61), aged between [66-75] years (AOR=1.52, 95% CI: 1.193-1.947), aged over 76 years (AOR=1.48, 95% CI:1.137-1.947), households with health insurance (AOR=4.57, 95% CI: 3.97-5.27) displayed a significant increase in the use of health services. This study shows evidence of the effect of health insurance on health care utilization in Rwanda: a significant increase of 4.57 times greater adjusted odds of using health services compared to those not insured. The findings from our research will guide policymakers and provide useful insights within the Rwanda context as well as for other countries that are considering moving towards universal health coverage through similar models.
Keywords
health care; insurance; decision tree; Rwanda
Subject
Business, Economics and Management, Accounting and Taxation
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.