Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

HEALTH INSURANCE AS THE FACTOR THAT INFLUENCES UTILIZATION AND TYPE OF HEALTHCARE FACILITIES

Author

Baloul I. E , Dahlui M, Bulgiba A

Institution

Julius Centre, Department of Social and Preventive Medicine, Faculty of Medicine, University Malaya

Abstract

Objectives: The study aimed to look at the health status, utilization rate of outpatient cares and the type of providers utilized by those insured and non- insured.

Methods: The National Health Expenditure Survey data of 2009 was used whereby households were randomly selected and their insurance and health status, visits for outpatient care and type of providers utilized were analyzed. Chi square and Bivariate analysis is performed when comparing the groups of insured and non-insured, and factors associate with the insurance status.

Results: From a total of 75,469 of selected households in Sudan, 14% (10319 respondents) and 6.4 % (4820 respondents) reported to had acute illness and chronic conditions, respectively. Among those who had acute conditions, only 66% (6402) had utilized the outpatient care for treatment, while the rest did not. It was observed that those who had insurance had utilized the outpatient care for acute illness more than those who had no insurance (p<0.05); OR=1.36; (95% CI 1.278-1.452), while the visits to the private providers for acute illness was slightly more in the non-insured compared to those insured, (p<0.05); OR= 1.149 (95% 1.062-1.244)

Conclusion: Having health insurance can influence the utilization of private healthcare facilities for treatment of acute illness.