Research Article

PATIENTS’ SATISFACTION AND HEALTH CARE SERVICE QUALITY IN THE NIGERIAN NATIONAL HEALTH INSURANCE SCHEME: A SYSTEMATIC REVIEW OF METHODOLOGICAL INSTRUMENTS

Babagana Mohammed1*, Najibullahi Abdallah Nuhu2, Sa’adatu Babuba Muhammad3
1 Department of Public Administration, Ramat Polytechnic Maiduguri
2 Department of Political Science, Al-Istiqama University Sumaila Kano, Kano State
3 Department of Political Science, Federal University of Education Kano
* Corresponding author: mohammedbabagana7@gmail.com
Published: Dec, 2024
DOI: 10.67894/bjpa.2024.m2ipesj4
Pages: 92-106
Views: 17
Downloads: 7

Abstract

This study presents a systematic review of methodological instruments used in assessing patient satisfaction and healthcare service quality within the Nigerian National Health Insurance Scheme (NHIS). Despite the NHIS’s objective to provide affordable and accessible healthcare to Nigerians, existing literature reveals significant methodological inconsistencies in evaluating its performance. The review critically examines data collection, processing, and analysis techniques used in selected peer-reviewed studies from 2000 to 2024, sourced from five academic databases. The findings are organized into three thematic areas: overreliance on basic descriptive and associative tools, limited application of advanced statistical techniques, and fragmented use of qualitative methods. Most studies utilize descriptive statistics and chi square tests without accounting for confounding variables or validating assumptions, thereby limiting their analytical depth. While a few studies attempt regression and mixed-methods designs, they often lack contextual adaptation and methodological rigor. Additionally, qualitative analyses frequently rely on predetermined coding frameworks, restricting the emergence of nuanced insights. The study concludes with a call for more robust, theory-driven, and integrative methodological frameworks that combine multivariate statistical modelling with inductive qualitative analysis. Such approaches are essential for producing more accurate, generalizable, and policy-relevant evaluations of patient satisfaction and service quality under the NHIS, ultimately enhancing healthcare delivery outcomes in Nigeria.

Keywords

Patients Satisfaction Healthcare Service Quality National Health Insurance Scheme Systematic Review Methodological Instrument Nigeria

References

  1. Adebisi, S. A., Odiachi, J. M. & Chikere, N. A. (2019). "The National Health Insurance Scheme (NHIS) in Nigeria: Has the Policy Achieved its Intended Objectives?," Academic Journal of Economic Studies, Faculty of Finance, Banking and Accountancy Bucharest,"Dimitrie Cantemir" Christian University Bucharest, vol. 5(3): p.97-104.
  2. Adewole, D. A., & Osungbade, K. O. (2016). "Nigeria National Health Insurance Scheme: A Highly Subsidized Health Care Program for a Privileged Few". International Journal of TROPICAL DISEASE & Health. Vol.19(3): p.1-11. https://doi.org/10.9734/IJTDH/2016/27680.
  3. Ajobiewe, J. O., Adati, W. K., Ajobiewe, H. F., Akinloye, O., Patrick, P., Victoria, P., Alau K., Salami, A., & Yashim, A. N. (2024). National Health Insurance Scheme: Effect of Out-of-Pocket Payment and Access to Health Services. A Case Study of Federal Medical Center, FMC, Jabi, Abuja. Acta Scientific Microbiology (ISSN: 2581-3226). Vol. 7 (2).
  4. Akande, T., Salaudeen, A. & Babatunde, O. (2011). The effects of national health insurance scheme on utilization of health services at Unilorin Teaching Hospital staff clinic, Ilorin, Nigeria. Health Science Journal. Vol. 5(2): p.98-106.
  5. Awojobi, O.N. (2019). A systematic review of the impact of the National Health Insurance Scheme in Nigeria. Research Journal of Health Sciences. Vol 7(1): p.1-9.
  6. Bowling, A. (2014) Research methods in health: investigating health and health services. 4th edition, Maidenhead, GB. Open University Press, p.536
  7. Creswell, J.W. (2013) Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. 4th Edition, SAGE Publications, Inc., London.
  8. Daramola O.E., Adeniran A. & Akande, T. M. (2019). Patients' Satisfaction with the Quality of Services accessed under the National Health Insurance Scheme at a Tertiary Health Facility in FCT Abuja, Nigeria. Journal of Community Medicine and Primary Health Care. Vol.30 (2): p.90-97.
  9. Enwerem, O. N-, Paul, B., Zoe, M., Pamaji N. E., Staton, C. A., Ayobami O. & Jamaji C. N. E. (2022). Patient satisfaction with the Nigerian National Health Insurance Scheme two decades since establishment: A systematic review and recommendations for improvement. African Journal of Primary Health Care and Family Medicine. Vol. 14, (1).
  10. Eyong, A. K. Peter O. A., Eyo O. A., & Chuku I. (2016). Awareness of National Health Insurance Scheme (NHIS) and Quality of Health Care Services among Civil Servants in Cross River State, Nigeria. Research on Humanities and Social Sciences. Vol. 6 (13)
  11. Ibeneme, G. C., Ugochukwu, C., Ibeneme, S. C., Nwosu, A. O., Fortwengel, G., Oko, C. C., & Okpua N. C. (2024). National Health Insurance Scheme Enrolees' Satisfaction with Quality of Care and Willingness to Retain Membership in a tertiary hospital in Nigeria: Implications for Community-Based Health Insurance uptake. BMC Public Health. P. 1-23
  12. Ibiwoye, A. & Adeleke, I.A. (2008) Does National Health Insurance Promote Access to Quality Health Care? Evidence from Nigeria. The Geneva Papers on Risk and Insurance Issues and Practice, Vol. (33), p.219-233. https://doi.org/10.1057/gpp.2008.6
  13. Ikenna K. O., Christopher D. N., Gregory E. O., Josephine C. M., Doris U. N. and Ifeanyi O. N. A. (2017). Benthic Fish Fauna and Physicochemical Parameters of Otamiri. Fisheries and Aquaculture Journal. Vol. (8)2.
  14. Johnson, R. B., Meeker, K., Loomis, E., & Onwuegbuzie, A. J. (2004). Development of the Philosophical and Methodological Beliefs Inventory. Paper presented at the annual meeting of the American Educational Research Association, San Diego, CA.
  15. Kofoworola, A. A., Ekiye, A., Adesina O. M., Adedeji T. A. & Makinde R. A. (2020). National Health Insurance Scheme: An Assessment of Service Quality and Clients' Dissatisfaction. Ethiopian Journal of Health Sciences. Vol. 30(5). P. 795
  16. Mustapha K, M., Hussaini, A., I., & Author, C. (2017). C. A study on clients' satisfaction on the national health insurance scheme among staff of Usmanu Danfodiyo University Sokoto. IOSR J Econ Finance, Vol. (8), p.44-52
  17. Ndung, K. L. & Matthew, O. O. (2019). Impact of National Health Insurance Scheme policy on enrolees in Federal medical centre keffi Nasarawa state Nigeria. International Journal of innovative research and Development. Vol. 8 (3): p. 38-45
  18. Noyes, J., Booth, A., Moore, G., Flemming, K., Tuncalp, O. & Shakibazadeh, E. (2019). Synthesising quantitative and qualitative evidence to inform guidelines on complex interventions: clarifying the purposes, designs and outlining some methods. BMJ Global Health Vol.4.
  19. Odo, E. & Ukawuilulu, J. O. (2021). Evaluation of the Impacts of National Health Insurance Scheme on the Civil Servants' Health Status in Abuja, Nigeria. Journal of Good Governance and Sustainable Development in Africa, 5(2), 50-63.
  20. Okpani, A.I. and Abimbola, S. (2015) Operationalizing Universal Health Coverage in Nigeria through Social Health Insurance. Nigerian Medical Journal, Vol. 56, p.305-310. https://doi.org/10.4103/0300-1652.170382
  21. Pascal, J. P., kelvin, F., Karen M. F., Jack, C., Julie, D., Alan, H., Doug, P., Steven R. P., & Paul C. W. (2011). Structural and Reliability Analysis of a Patient Satisfaction with Cancer-Related Care Measure: A Multi-Site Patient Navigation Research Program Study. p.1-13.
  22. Polit D, & Beck C (2017). Nursing research: Genterating and assessing evidence for nursing practice (Tenth ed.). Wolters Kluwer Health.
  23. Uguru, N., Ogu, U., Uguru, C. & Ibe, O. (2024). Is the national health insurance scheme a pathway to sustained access to medicines in Nigeria? BMC Health Services Research. Vol. 24 (403). p.1-10
  24. Ware, J. I. & Snyder, M. K. (2008). Dimension of patience attitude regarding doctors and medical care service. Journal of medical education. Vol. 50.
  25. Yusuf, T. O. & Akinmola, O. O. (2015) Investigating the Effectiveness of the Nigerias National Health Insurance Scheme on the Health Care Delivery System. Unilag Journal of Humanities, Vol. 3 (1).
How to Cite

Mohammed, B., Nuhu, N. A., & Muhammad, S. B. (2024). PATIENTS’ SATISFACTION AND HEALTH CARE SERVICE QUALITY IN THE NIGERIAN NATIONAL HEALTH INSURANCE SCHEME: A SYSTEMATIC REVIEW OF METHODOLOGICAL INSTRUMENTS. Bayero Journal of Public Administration, 4(1), 92-106. https://doi.org/10.67894/bjpa.2024.m2ipesj4

B. Mohammed, N. A. Nuhu, and S. B. Muhammad, "PATIENTS’ SATISFACTION AND HEALTH CARE SERVICE QUALITY IN THE NIGERIAN NATIONAL HEALTH INSURANCE SCHEME: A SYSTEMATIC REVIEW OF METHODOLOGICAL INSTRUMENTS," Bayero Journal of Public Administration, vol. 4, no. 1, pp. 92-106, December 2024. doi: 10.67894/bjpa.2024.m2ipesj4

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