The Impact of Unified Medical Insurance System Implementation (Nphies) on Healthcare Service Quality: Applied Research Case Study in Arrawdha General Hospital Dammam, Saudi Arabi
DOI:
https://doi.org/10.54536/ajmsi.v3i1.2630Keywords:
Healthcare Service Quality, Medical Insurance System, NPHIES, Saudi Arabia, Unified Medical Insurance System, Vision 2030Abstract
Ensuring high-quality healthcare services is crucial for the well-being of individuals and the overall development of societies. In Saudi Arabia, healthcare reform efforts under Vision 2030 emphasize the importance of enhancing healthcare service quality. One key aspect of these reforms is implementing the unified medical insurance system, NPHIES. This system aims to improve access to healthcare and enhance the quality of services provided. However, there is a lack of research examining the specific impact of NPHIES on healthcare service quality, particularly in hospitals like Arrawdha General Hospital in Dammam. This study aims to investigate the impact of NPHIES implementation on healthcare service quality at Arrawdha General Hospital in Dammam, Saudi Arabia. By examining the relationship between NPHIES and healthcare service quality, the study seeks to provide valuable insights that can inform healthcare policies and practices in the region. The study has adopted a quantitative approach, collecting data through a questionnaire administered to physicians and administrators at Arrawdha General Hospital. Statistical analysis (descriptive statistics, t-tests, ANOVA, and Pearson’s correlation coefficient) have been used to analyze the data. Statistical analysis showed no significant differences in NPHIES implementation or healthcare service quality based on demographics suggesting a consistent perception across different demographic groups. The study also identified a statistically significant positive effect of NPHIES on healthcare service quality, emphasizing its role in improving healthcare services. Future research should examine the impact of the Unified Medical Insurance System (NPHIES) implementation on elderly patient satisfaction and health outcomes in Saudi Arabia.
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Agustina, R., & Handayani, S. (2023). HHC RSPP Patient Satisfaction and the Impact of Reliability, Assurance, Tangible, Empathy, and Responsiveness. East Asian Journal of Multidisciplinary Research, 2(2), 799-810.
Al-Hanawi, M. K., Khan, S. A., & Al-Borie, H. M. (2019). Healthcare human resource development in Saudi Arabia: emerging challenges and opportunities—a critical review. Public health reviews, 40, 1-16.
Al-Hanawi, M. K., Mwale, M. L., & Qattan, A. (2021). Health insurance and out-of-pocket expenditure on health and medicine: heterogeneities along income. Frontiers in Pharmacology, 12, 638035.
Al-Hanawi, M. K., Vaidya, K., Alsharqi, O., & Onwujekwe, O. (2018). Investigating the willingness to pay for a contributory National Health Insurance Scheme in Saudi Arabia: a cross-sectional stated preference approach. Applied health economics and health policy, 16, 259-271.
Al-luhaym, A. N., & Alshagrawi, S. (2023). Factors Associated with Access to the Saudi Primary Healthcare in Light of Vision 2030. Sudan Journal of Medical Sciences, 18(3), 391–401-391–401.
AlJohani, B. A., & Bugis, B. A. (2024). Advantages and Challenges of Implementation and Strategies for Health Insurance in Saudi Arabia: A Systemic Review. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 61, 00469580241233447.
Alkhamis, A., Ali Miraj, S. S., Al Qumaizi, K. I., & Alaiban, K. (2021). Privatization of Healthcare in Saudi Arabia: Opportunities and Challenges. Handbook of Healthcare in the Arab World, 1865-1907.
Alkhamis, A., & Miraj, S. A. (2021). Access to health care in Saudi Arabia: development in the context of vision 2030. In Handbook of Healthcare in the Arab World (pp. 1629-1660). Springer.
Almalki, M., FitzGerald, G., & Clark, M. (2011). Health care system in Saudi Arabia: an overview. EMHJ-Eastern Mediterranean Health Journal, 17(10), 784-793, 2011.
Alrowes, K. M. M. (2023). Evaluation of the impact of health policies on the provision of health. المجلة العربية للعلوم الإنسانية والاجتماعية(20).
Bagnoli, L. (2019). Does health insurance improve health for all? Heterogeneous effects on children in Ghana. World development, 124, 104636.
Bentum-Micah, G., Ma, Z., Wang, W., Atuahene, S. A., & Bondzie-Micah, V. (2020). Perceived service quality, a key to improved patient satisfaction and loyalty in healthcare delivery: the servqual dimension approach. Journal of Health and Medical Sciences, 3(2).
Djahini-Afawoubo, D. M., & Aguey, S. T. (2022). Mandatory health insurance and health care utilization in Togo. BMC Health Services Research, 22(1), 1520.
Elena Nebolsina, R. Z. (2018). The USA on the World Insurance Market. Russia and America in the 21st Century. https://doi.org/10.18254/S0000023-2-1
Erlangga, D., Suhrcke, M., Ali, S., & Bloor, K. (2019). The impact of public health insurance on health care utilisation, financial protection and health status in low-and middle-income countries: a systematic review. PloS one, 14(8), e0219731.
Farghaly Abdelaliem, S. M., Alharbi, K. M., Baghdadi, N. A., & Malki, A. (2023). Exploring the impact of private companies’ participation in health-related programs through corporate sustainable reporting. Sustainability, 15(7), 5906.
Fatima, T., Malik, S. A., & Shabbir, A. (2018). Hospital healthcare service quality, patient satisfaction and loyalty: An investigation in context of private healthcare systems. International journal of quality & Reliability Management, 35(6), 1195-1214.
Haque, M., Islam, T., Rahman, N. A. A., McKimm, J., Abdullah, A., & Dhingra, S. (2020). Strengthening primary health-care services to help prevent and control long-term (chronic) non-communicable diseases in low-and middle-income countries. Risk management and healthcare policy, 409-426.
Li, Q., Zhang, L., & Jian, W. (2023). The impact of integrated urban and rural resident basic medical insurance on health service equity: Evidence from China. Frontiers in Public Health, 11, 1106166.
Manzoor, F., Wei, L., Hussain, A., Asif, M., & Shah, S. I. A. (2019). Patient satisfaction with health care services; an application of physician’s behavior as a moderator. International journal of environmental research and public health, 16(18), 3318.
Mazurenko, O., Balio, C. P., Agarwal, R., Carroll, A. E., & Menachemi, N. (2018). The effects of Medicaid expansion under the ACA: a systematic review. Health Affairs, 37(6), 944-950.
Meesala, A., & Paul, J. (2018). Service quality, consumer satisfaction and loyalty in hospitals: Thinking for the future. Journal of Retailing and Consumer Services, 40, 261-269.
Moshashai, D., Leber, A. M., & Savage, J. D. (2020). Saudi Arabia plans for its economic future: Vision 2030, the National Transformation Plan and Saudi fiscal reform. British Journal of Middle Eastern Studies, 47(3), 381-401.
Ng, J. H., & Luk, B. H. (2019). Patient satisfaction: Concept analysis in the healthcare context. Patient education and counseling, 102(4), 790-796.
Pongpiachan, S., & Hashmi, M. Z. (2020). Parameters Affecting Stakeholder’s Satisfaction Level Towards the Service Quality of the Bangkok Metropolitan Administration Under the Context of United Nations-Sustainable Development Goals (UN-SDGs). Asia-Pacific Social Science Review(2), 119-135.
Puteh, S. E. W., Aizuddin, A. N., & Al Salem, A. A. (2020). Renewal of Healthcare Funding Systems by National Health Insurance in the Kingdom of Saudi Arabia (NHI). Haya: The Saudi Journal of Life Sciences, 5, 236-245.
Puteh, S. E. W., Aizuddin, A. N., & Al Salem, A. A. (2022). Feasibility of National Health Insurance for Saudi healthcare services: qualitative study. Inf Sci Lett, 11(2), 427-437.
Rahman, R., & Qattan, A. (2021). Vision 2030 and sustainable development: state capacity to revitalize the healthcare system in Saudi Arabia. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 58, 0046958020984682.
Reibling, N., Ariaans, M., & Wendt, C. (2019). Worlds of healthcare: a healthcare system typology of OECD countries. Health Policy, 123(7), 611-620.
Sajjad, R., & Qureshi, M. O. (2020). An assessment of the healthcare services in the Kingdom of Saudi Arabia: an analysis of the old, current, and future systems. International Journal of Healthcare Management, 13(sup1), 109-117.
Setiono, B. A., & Hidayat, S. (2022). Influence of Service Quality with the Dimensions of Reliability, Responsiveness, Assurance, Empathy and Tangibles on Customer Satisfaction. International Journal of Economics, Business and Management Research, 6(09), 330-341.
Singh, H. P., Singh, A., Alam, F., & Agrawal, V. (2022). Impact of sustainable development goals on economic growth in Saudi Arabia: Role of education and training. Sustainability, 14(21), 14119.
Swain, S., & Kar, N. C. (2018). Hospital service quality as antecedent of patient satisfaction–a conceptual framework. International Journal of Pharmaceutical and Healthcare Marketing, 12(3), 251-269.
Zhou, H. (2023). A comparison of healthcare service for international students in United States and United Kingdom: A perspective of institutional complexity. SHS Web of Conferences,
Zhou, Y., Wushouer, H., Vuillermin, D., Ni, B., Guan, X., & Shi, L. (2020). Medical insurance and healthcare utilization among the middle-aged and elderly in China: evidence from the China health and retirement longitudinal study 2011, 2013 and 2015. BMC health services research, 20, 1-9.
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