Recipients Of Health Services Research Articles

Health Care Utilization and Perceived Quality of Care in a Colombian Indigenous Health Organization.

Indigenous governance of health care has increasingly been advocated among Indigenous peoples in many countries. However, there is limited research that has empirically examined its benefits. In 2020/21, we conducted a survey of 2113 Indigenous Wayuu individuals in Colombia who received services from the Indigenous Wayuu led health care insurance organization Anas Wayuu and its network of service providers, and Wayuu individuals who received services from non-Indigenous health insurance organizations. We compared their health care utilization and perception of quality of care. A main finding of the study was that Anas Wayuu enrollees were more than twice as likely to access health care than enrollees from non-Indigenous health insurance organizations, even when controlling for the demographic and health characteristics. The study provided compelling evidence suggesting that Anas Wayuu, being an Indigenous led health organization improves access to, and quality of care, among Indigenous health service recipients.

Factors that Influence the Satisfaction of Health Service Recipients in Hospitals: Systematic Literature Review

One of the challenges in hospital health services is patient dissatisfaction. Patient satisfaction relates to their feelings about the health services received compared to their expectations. Improving the quality of hospital services is crucial for enhancing patient satisfaction.This study aims to find out the factors that can influence the satisfaction of health service recipients in hospitals. The literature review method was used for journals related to client satisfaction factors and health services in hospitals limited to the years 2019-2024. This research method includes 7 international journals, 4 international journals indexed by Scopus, and 5 national journals, 4 journals certified by Sinta (S3:1 S4: 3). Based on the results of the review, it was found that satisfaction with health services in hospitals was influenced by the following factors: physical evidence (2 journals), reliability (2 journals), responsiveness (2 journals), health insurance (2 journals), empathy (2 journals), religion (1 journal), respondent satisfaction (1 journal), assessment of health services (1 journal), health services (1 journal), limiting the number of patients (1 journal), and standard prevention (1 journal). In conclusion, factors that influence the satisfaction of health service recipients in hospitals include physicality, reliability, responsiveness, health insurance, and empathy.

Dilemma of Local Health Service Policy in the Era of National Health Insurance: A Political Perspective Analysis

The strengthening of political priorities in terms of developing health policies for various parties needs to be carried out both for the doctor and for the recipients of health services. Various health policies are influenced by various things based on certain contextual factors. In the Minister of Health Number 59 of 2014, it is stated that the amount of capitation funds is for first-level dental health services in independent practices, but it is not stated how much the capitation rate is for dental health services at community health centers. This research uses quantitative descriptive methods. The calculation method used is the Activity-Based Costing (ABC) method. The results of this study show that the average unit cost of dental health services at the Community Health Center is IDR. 104714. The largest unit cost is the GIC patching action. By using the activity-based cost calculation method, it can be seen that the largest costs for dental health services at the Community Health Center come from employee costs. And this shows that the situation is not fair for various parties. This raises a dilemma that is important to be discussed. The capitation rates set by the government are considered inappropriate for dentists in first-level health facilities. This can cause a decrease in the quality of health services provided by dentists at community health centers.

Exploring Inpatients' Perspective: A Cross-Sectional Survey on Satisfaction and Experiences in Greek Hospitals.

The aim of this study was to identify and evaluate patient-relevant experiences that fulfill the expectations and demands of society in Greece and those that could be improved by offering a better quality of care. The satisfaction of health service recipients is one of the key elements of the success of a health system. A cross-sectional survey was conducted to obtain data on satisfaction with hospitalization from patients admitted to 10 public hospitals in Athens between June 2019 and December 2021. Statistical analysis was applied to 57 items and 7 dimensions of patient satisfaction, namely waiting-arrival-admission, nursing staff, medical staff, other staff, service and quality of food, interior environment, and procedures. A total of 3724 patients, aged ≥ 18 years, who had experienced hospitalization and agreed to participate in the study were included, the response rate of which was 93%. Patient satisfaction and experience with healthcare services provided by hospitals is moderate, with almost two-thirds of patients (67.38%) satisfied with the care they received. The encounter with the medical-nursing personnel (3.75/5) and other staff (4/5) were factors that positively affected patients' overall satisfaction with hospitalization. However, there were some causes of dissatisfaction, mainly associated with waiting hours, easy access to medical services or services received in emergencies, delays of planned procedures (3.50/5), or problems with old facilities and equipment (3.56/5). Based on the patients' judgment, the performance of hospitals was rated at a 'tolerable' level. Professionalism and the education of personnel led to a positive treatment outcome and improved the experience of patients to a good level. However, public hospitals continued to be underfunded and lacked strong support, which affected staff communication and responsiveness to patients' requirements, while smart technologies and the simplification of procedures were not adopted to help staff provide a better quality of healthcare. The results suggest that there is plenty of room for improvement.

Patients’ acceptability of self-selected digital health services to support diet and exercise among people with complex chronic conditions: Mixed methods study

Objective The acceptability of being offered a choice from a suite of digital health service options to support optimal diet and exercise behaviors in adults with complex chronic conditions was evaluated. This study sought to understand many areas of acceptability including satisfaction, ease of use, usefulness and user appropriateness and perceived effectiveness. Methods This mixed-methods study was embedded within a randomized-controlled feasibility trial providing digital health services managing diet and exercise for adults from specialist kidney and liver disease clinics. Post study surveys and semistructured interviews were used to determine patients’ acceptability of the trial interventions. Quantitative (surveys) and qualitative (surveys and interviews) results were merged using integrative analysis and mapped to each construct of the modified version of the Theoretical Framework of Acceptability. Results Seventeen interviews (intervention group) and 50 surveys ( n = 24 intervention, n = 26 comparator) completed from a possible 67 participants were analyzed. In the intervention group, the survey results revealed high areas of acceptability for the digital health services including overall support received, ease of use, timely advice and feeling safe. The interviews also revealed high areas of acceptability including convenience, ability to adopt healthier behaviors and having regular interactions with health professionals. However, the interviews also revealed lower areas of acceptability as a result of absence of individualization, low digital literacy, and limitations from life circumstances. Conclusions Recipients of digital health services that supported diet and exercise interventions found these useful, effective, and safe. Individualized care, technical support and patient confidence remain important to improve the acceptability of digital health service interventions.

Sosialisasi Upaya Perlindungan Hukum Atas Hak-Hak Pasien dan Tenaga Medis di Puskesmas Sukamaju Kota Bandar Lampung

Health law essentially provides legal certainty and protection, both for providers of health services and for recipients of health services, requiring a dynamic health law. For example, such as health workers who commit errors or negligence in carrying out their profession may be subject to disciplinary action determined by the Health Workers Disciplinary Council (Jo: Article 54 paragraphs 1 and 2 of Law No.23 of 1992 concerning health Jo. P No.32 of 1996 concerning health workers). Based on the results of a social approach to several communities in the inpatient health center of Sukamaju Village, East Bay Betung Subdistrict, Bandar Lampung City, they have never known the existence of Law No.36 of 2009 concerning Health, and do not understand about health services, patient protection, environmental health, health provision regulated in Law No.36 of 2009 concerning Health, so in this case socialization is needed as an effort to instill knowledge about the legal protection they have as patients. The methods considered relevant to achieve the above objectives are the lecture method and the discussion method, which are methods used to convey material about Law No.36 of 2009 concerning Health. The results showed that an understanding of the rights of patients and medical personnel in accordance with applicable legal procedures makes the community know what rights can be received based on the legal procedures in force.

Gap Analysis of Providing Primary Health Care in Comprehensive Rural Health Centers of Iran

Background: The lack of primary health care (PHC) assessment will lead to the lack of knowledge of the final client's needs and to deviation from the mission of the health system. This study was conducted to compare the understanding and experience of PHC providers and recipients regarding the principles of PHC in Iran.
 Methods: This cross-sectional descriptive-analytical study was conducted on Comprehensive Rural Health Centers (CRHCs) in 2022. The research population consisted of health service providers and recipients in rural areas. A Primary Care Assessment Tool (PCAT) was used. 410 child/ adolescent and 402 adult PCAT were completed by stratified cluster sampling method and 413 service providers were randomly selected. This questionnaire had 6 core domains and 3 ancillary domains. After collection and entering the Excel; data were analyzed by inferential statistics tests including Independent T-test and one-way ANOVA, by SPSS26 and STATA16 at the significant level of P>0.05.
 Results: Except for the Cultural Competence and Services Available domains, in the rest of the domains, there was not the same understanding between the service provider and recipient regarding PHC services. Also. child/adolescent PHC recipients had the same understanding as adult PHC recipients in the domains of Cultural Competence, Family Centeredness, Information System, Ongoing Care, and Access. But a significant difference was between the two groups in other domains, Primary Care Score, and Primary Care Expanded scores (P >0.05).
 Conclusions: For the common understanding between all three compared groups, cultural competence was the strongest component, and coordination-referral system, services provided, and community orientation were the weakest components. To fill this gap, increasing the health literacy of service recipients, real needs assessment, and providing services based on the needs of the community, reforming the processes of the referral system, and the commitment of the government to implement the processes seem necessary.

A Service-Learning Project Based on a Community-Oriented Intelligent Health Promotion System for Postgraduate Nursing Students: Mixed Methods Study.

Service learning (SL) is a pedagogical approach that combines community service with cognitive learning for professionals. Its efficacy in promoting community health has gained broad recognition in nursing education. The application of postgraduate nursing SL programs in community-based intelligent health remains underexplored. Thus, additional investigation is necessary to assess the influence of the SL project based on a community-oriented intelligent health promotion system (SLP-COIHPS) on postgraduate nursing students and health service recipients. This study aims to assess how SLP-COIHPS influences the scientific awareness and research innovation abilities of postgraduate nursing students. In addition, the study sought to examine the experiences of both participating students and health service recipients. We conducted a mixed methods investigation by using web-based surveys and conducting interviews. The web-based surveys aimed to explore the differences in scientific awareness and research innovation capabilities between 2 distinct groups: an experimental group of 23 postgraduate nursing students actively participated in SLP-COIHPS, while 23 postgraduate students (matched one-to-one with the experimental group in terms of grade, sex, and research methods) served as control participants. Semistructured interviews were conducted with 65% (15/23) of postgraduate students and 3% (12/405) of community residents who received health services, aiming to assess the project's impact on them. The community-based intelligent health promotion system installed in intelligent health cabins can be conceptualized as an expert system providing valuable references for student health education. It has the capability to generate comprehensive assessments and personalized health guidance plans. Following training, students were involved in offering health assessments, health education, and related services. Subsequently, after the web-based surveys and semistructured interviews, quantitative data were analyzed using the SPSS (IBM Corp) software package, using 2-tailed t tests and Mann-Whitney U tests; qualitative data underwent analysis using the constructivist grounded theory approach. Postgraduate nursing students participating in this program scored 12.83 (Cohen d>0.8; P<.001) and 10.56 (Cohen d>0.8; P=.004) points higher than postgraduate students in the control group in research awareness and research innovation capability, respectively. On the basis of the qualitative results, postgraduate students reported improvement in this program. Analysis of the interviews revealed a total of 12 subcategories across three primary domains: (1) specialized skills, (2) scientific research ability, and (3) comprehensive qualities. Community residents reported high satisfaction and positive experiences. Analysis of the interviews with community residents identified two primary categories: (1) satisfaction and (2) perceived benefits. SLP-COIHPS had a positive impact on students' development of scientific awareness and research innovation ability. Qualitative study findings also support the further development of practical programs that integrate intelligent health and SL theories in the field of medical education. This includes exploring the potential factors influencing postgraduate nursing students' research capabilities or investigating the long-term effects of the project.

Satisfaction of Physiotherapy Services and Socio-Demographic Associates among Individuals with Low Back Pain Attending Outpatient Physiotherapy Unit in Kano State, Nigeria

Patients’ satisfaction is an important indicator of the quality of care provided to recipients of health services. It is imperative to evaluate patients’ satisfaction to physiotherapy services, so that patients’ needs are better catered for, as well as to improve the services. This study assessed satisfaction of physiotherapy services among patients with Low Back Pain (LBP) in an outpatient physiotherapy unit in kano, Nigeria. The study was a cross sectional survey involving 202 LBP patients receiving physiotherapy treatment. MedRisk Patient Satisfaction Questionnaire was used to assess their satisfaction. Descriptive statistics was used to summarize the participants’ characteristics. Chi-square test analyzed the association between participants’ characteristics and satisfaction, statistical level of significance was defined as p≤0.05. A total of 186 participants completed the questionnaires, a response rate of 92%. Among all the participants; hundred (53.8%) were females, most of them fall within the age ranges of 30-39years (30.1%) and 40-49 (28.5%), 83% are married and 48% have attained a tertiary education level. Majority (86.0%) of the participants are Muslims and Hausa by tribe. Satisfaction level was reported to be high in 167 of the participants (90%). Demographic data of; age (40-49), female gender, married status, 4 visits, tertiary education, Islam and Hausa have the highest satisfaction. However, only number of visits (p=0.01) and educational level (p=0.04) have significant association with satisfaction. Conclusively, satisfaction was high among LBP patients attending an out-patient physiotherapy unit in Kano, Nigeria. Education level and number of visits are associated with patients’ level of satisfaction.

The Relationship of the Level of Pharmacy's Knowledge in Telepharmacy on Pharmaceutical Services in Pharmacy in Denpasar City Bali Indonesia

Telepharmacy is a subset of telemedicine practices that refers to the provision of pharmaceutical services by pharmacists. This service is provided digitally between pharmacists and patients as recipients of health services. The important role of pharmacists in supporting telepharmacy to provide online services and consultations. This research aims to see the relationship between knowledge in telepharmacy and pharmaceutical services (Rahayu et al., 2023). The design of this research is a prospective analytical descriptive study with sampling using cluster sampling. The research instrument uses a questionnaire filled in by respondents. Data were analyzed using the Chi Square Test to see the relationship between knowledge in the application of telepharmacy to pharmaceutical services at the Denpasar Bali Pharmacy (Ajie &amp; Prameswari, 2022). The description of pharmacists' knowledge regarding telepharmacy in pharmaceutical services in pharmacies is in the good category. There is a relationship between pharmacist knowledge and the application of telepharmacy in pharmaceutical services at the Denpasar Pharmacy with a p-value (p&lt;0.05).

The Leadership Network in Public Service Assurance at Kedawung Community Health Center, Sragen Regency

The leadership is an important and needed factor in health services, therefore, the purpose of this study is to analyze the influence of leadership in health services at the Kedawung Community Health Center (Puskemas) on public service assurance for the community. Methods used quantitative research approaches and data were collected using questionnaires, observations, and literature studies. Data analysis was used SEM (Structural Equation Modeling) with a study population of 857 people, so that the research sample was 273 respondents. To strengthen the research used triangulation approach. The results showed that leadership has a significant influence on health services categorized as significant and positive with a pathway value of 0.59 greater than 0.5 and a t_value value of 4.49 greater than 1.96. The leadership has a dominant influence in health services at the Kedawung Puskemas is a relationship-oriented leadership dimension including indicators of patient protection, patient/patient family guidance, cooperation in serving patients, and increasing satisfaction of health service recipients. The existence of leadership has a significant effect on health services at the Kedawung Puskemas showing the importance of relationship-oriented leadership in achieving satisfactory health service performance for the community

Referral System Challenges of the Family Physician Program in Iran: A Systematic Review.

Iran has implemented the Family Physician Program (FPP) in 2005 in 4 provinces. This program was supposed to be expanded across the country; however, it faced various challenges. Considering the impact of the referral system on the quality of the FPP implementation, different studies were conducted to evaluate the performance of this system. Therefore, this systematic review of the literature was conducted to investigate the challenges of the referral system of the FPP in Iran. All published original articles, reviews, or case studies published in English or Persian related to the challenges in the referral system FPP in Iran from 2011 to September 2022 were included in this study. International credible scholarly databases were searched. The search strategy was defined based on keywords and the search syntax. Out of 3910 articles identified by the search strategy, considering the inclusion and exclusion criteria and relevance of the study, and accreditation of the studies, 20 studies were included. The referral system suffers from different challenges in the areas associated with policy and planning, management, referral process, and health service recipients. The inefficient gatekeeping role of family physicians was one of the most important challenges of the referral system. The referral system should be improved by having evidence-based guidelines and policy documents, unified stewardship, integrated insurance schemes, and effective communication between different levels of care.

Relationship between Patient Satisfaction and Hospital Brand Image: A Meta-Analytic Study

Aims: In this meta-analytic study, the relationship between satisfaction and brand image variables was investigated from the perspectives of patients and hospitals. &#x0D; Methods: After our review of the literature which covered 2010 and 2021, 19 studies that met the inclusion criteria were analyzed with the meta-analysis method. The Comprehensive Meta-Analysis package program was used in the analysis of the data. &#x0D; Findings: The total number of the participants in the samples within the scope of the studies was 6,038. It was determined that 100% of the studies were published as articles, 68.4% were in English, and while 31.6% were published between 2010 and 2015, 68.4% were published between 2016 and 2021. According to the random effect model, a statistically significant, positive and strong relationship (r: ~0.50) was determined between patient satisfaction and hospital brand image variables. &#x0D; Conclusion: In other words, it was revealed that of the patients who were satisfied with the results of the health service they received, those whose satisfaction level was high perceived the brand image of the hospital more successfully. In this context, it can be recommended that hospital administrators who want their hospitals' brand image to be perceived by health service recipients as high should attach more importance to patient satisfaction.

Prevalence and Correlates of Four Social Determinants in a Statewide Survey of Licensed Mental Health Services.

This analysis examined the distribution of four social determinants of health among recipients of state-licensed mental health services and analyzed relationships between determinants and individuals' clinical and demographic characteristics. With data from the New York State Office of Mental Health 2017 Patient Characteristics Survey (N=103,416), prevalences of four social determinants (education, employment, housing, and criminal legal involvement) among mental health service recipients were described. Results were stratified to explore differences by diagnosis, gender, race and ethnicity, and region of residence. High proportions had low education (20.9%), unemployment (79.1%), homelessness (8.2%), and criminal legal involvement (12.2%), surpassing statistics for the general state population. Prevalences of alcohol-related, drug-related, and psychotic disorders were higher among these groups than were prevalences of other diagnoses. People of color and male recipients were overrepresented among those with adverse social determinants. Results highlight the magnitude of social adversity among those receiving mental health services, as well as potential inequities.

Kepastian Hukum Penyelesaian Sengketa Medis Melalui Mediasi di Luar Pengadilan

The provisions of Article 29 of Law Number 36 of 2009 concerning Health states that, in the event that a health worker is suspected of negligence in carrying out his profession, the negligence must be resolved first through mediation. The explanation of the article states that, Mediation is carried out when a dispute arises between health workers providing health services and patients as recipients of health services. Mediation is carried out with the aim of resolving disputes out of court by a mediator agreed by the parties. This type of research is normative juridical. Normative law research uses normative case studies in the form of products of legal behavior, for example reviewing laws. Based on the research, it can be concluded that mediation efforts to resolve media disputes outside the court are more flexible regarding the time and place of implementation. and is considered capable of maintaining the confidentiality of the disputing parties. The peace agreement resulting from mediation of medical disputes outside the court which has been determined by the Court as a deed of peace (acte van dading) has the same power as a court decision which has permanent legal force (incracht van gewijsde), so it has binding and final force (final and binding). ), perfect evidentiary power as well as executorial power.

The Effects of Empowerment on Health Care Worker Performance During the COVID-19 Pandemic in Saudi Arabia.

Background and Objectives:In this study, we assessed the potential impact of employee empowerment on health care workers' performance during the novel coronavirus SARS-CoV-2 (COVID-19) pandemic. In particular, we aimed to determine the empowerment practices that would have the greatest positive effect on employee performance. Understanding the relationship between performance and empowerment can help health care providers better manage worker stress during any global crisis. This understanding is crucial in guiding policies and interventions aimed at maintaining health care workers' psychological well-being and their overall performance.Methods:This cross-sectional study evaluated the relationship between employee empowerment and performance, determining the best empowerment practices for health care leaders to utilize. Frontline health care workers (n = 100) selected using convenience and snowball sampling completed the survey between March 15 and 31, 2020. This is the period when the pandemic just started to accelerate in Saudi Arabia. We conducted Pearson's correlation analysis to assess whether there was a relationship between performance and health care workers' empowerment practice, and stepwise linear regression analysis to investigate the impact each of these empowerment practices on health care workers' performance.Results:Our results indicate that health care workers' performance can be expected to increase the most through 2 empowerment practices: giving employees the discretion to change work processes and offering performance-based rewards (R2 = 0.301, P < .05).Conclusion:Our findings suggest that health care leaders must invest in these 2 practices to better equip frontline health care workers. During a global crisis, additional discretion granted to employees helps reduce their anxiety and burnout and hence empowers them with the flexibility to adapt to unforeseen circumstances and improve the quality of their interactions with health service recipients.

The Associated Factors Due Satisfaction of BPJS Services in Hospital Hikmah of Makassar

Health care facilities are expected to provide satisfactory services in hospitals. Have not being able to provide the maximum service expected by service users is the problem often faced by hospitals. Where the main assessment of the quality of health services is patient satisfaction. Based on a preliminary study at the RS Hikmah Makassar, it was found that more people were dissatisfied with health services. The purpose of this study was to find out the factors related to BPJS service satisfaction in BPJS Health participants at Hospital Hikmah of Makassar. The research design used Cross-Sectional. The population is 426 people. The sample in this study were some participants who used BPJS cards in Hospital Hikmah Of Makassar as many as 81 people, taking samples by purposive sampling technique. This research was conducted in May - June 2019. Data was collected with Questioner and analysed with the Chi-Square test. The results showed that there was a relationship between BPJS administration services, doctors and nurses services, supporting examination services and drug services with the satisfaction of BPJS services for BPJS Health participants in Hospital Hikmah of Makassar. The study suggested to health workers provide patients with a more friendly attitude and attention to patients recipients of health services.

Analysis of Medical Legal Order as A Basis For Settlement of Medical Malpractice Disputes

This study aims to determine whether the medical legal order can provide a solution for resolving medical disputes carried out by doctors against health service recipients in hospitals. The absence of a malpractice law creates confusion in decision making when doctors become involved in medical disputes. As primary legal material, is has a strong legal basis in making decisions on sanctions that can be imposed on doctors who commit malpractice by violating the professional code of ethics or working not according to standard operating procedures. The methods used are normative legar research methods and library legal research by conducting critical analysis on primary and secondy legal materials. The results of the study have shown that malpractice acts committed by doctors have a clear legal accountability mechanism ,as regulated in Health law number 36 of 2009, law number 29 of 2004 concerning medical practice.Administratively all forms of malpractice committed by docors can be threatened with criminal,civil,administrative sanctions an fines. At a more final level, administrative sanctions from malpractice acts committed by doctors can lead to on revocation of practice license.

The difference in the number of complaints from patient health services using national health insurance at regional general hospitals

ObjectiveHealth services can cause different perceptions of each patient as recipients of health services. This study aims to determine the difference in the number of complaints in several regional general hospitals in Gorontalo Province. MethodThe method used in this research is interviewing and collecting data in situ at the Gorontalo provincial health office. Data analysis used a one-way analysis of variance. The research sample consisted of seven regional public hospitals in Gorontalo Province. ResultsThe results showed that the average number of complaints was 15–22 complaints per month in seven hospitals in Gorontalo Province. The average number of health services complaints in several Gorontalo Provincial Hospitals is at the Aloe Saboe Regional General Hospital, 22 complaints per month. ConclusionsThe results showed significant differences in the number of complaints about health services at seven regional general hospitals in Gorontalo Province.

Willingness to Pay for Universal Health Coverage Scheme for Maternal and Child Health Care and Services in Benin

Enrolment in a universal health coverage scheme is a way to access health care and services and to reduce the catastrophic health expenditures that plunge already vulnerable populations into extreme poverty. As part of the analysis of the availability and operational capacity of health services in Benin (SARA 2018), an analysis of recipients’ satisfaction and their willingness to pay for Universal Health Coverage scheme was carried out in 2018. This is a cross-sectional study with an analytical focus that covered 475 health facilities and 956 recipients of health care and services selected at random in health care structures and in the community. The dependent variable studied was the willingness to pay for Universal Health Coverage scheme and the explanatory variables were those relating to socio-cultural and economic factors and the reception of the recipient in the care environment. The hybrid bidding game technique was used to estimate the amount to be paid for the Universal Health Coverage scheme. Univariate and multivariate analyses were carried out to analyse the data. The data showed that Beninese people do not have a culture of early care-seeking; they get care when the episode of illness induces a temporary incapacity for work. The results observed showed that the following factors significantly influenced willingness to pay: being able to talk to the doctor, the feeling of being valued and treated with respect, the individual’s ability to pay, access to pain management and temporary incapacity. In conjunction with the willingness to pay for Universal Health Coverage scheme, the payment amount, determined using the contingent valuation method, was 767 FCFA or US$1.43 per month per individual. In view of these results and taking into account the socio-economic realities of the country where approximately 38.5% of the population is poor according to monetary poverty (Benin 2020), the pooling of health insurance coverage appears to be the solution to eliminate the financial barrier and the risks of catastrophic health expenditure. State subsidies for the contributions of populations in extreme poverty also appear necessary to ensure the sustainability, equity and sustainability of the health insurance scheme.