Role of Health Insurance Policies in Access to Healthcare Services in Bangladesh

Authors

  • Samira Haque

DOI:

https://doi.org/10.47604/jppa.2899

Keywords:

Health Insurance Policies Healthcare Services

Abstract

Purpose: To aim of the study was to analyze the role of health insurance policies in access to healthcare services in Bangladesh.

Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.

Findings: The role of health insurance policies in Bangladesh is crucial in improving access to healthcare services, particularly for low-income populations. Health insurance has been found to reduce the financial barriers to accessing care, leading to increased utilization of essential health services. However, challenges such as limited coverage, awareness, and administrative inefficiencies persist, hindering the full potential of these policies. Expanding and refining health insurance schemes could significantly enhance healthcare accessibility and reduce out-of-pocket expenditures, ultimately contributing to better health outcomes across the country.

Unique Contribution to Theory, Practice and Policy: The health belief model (HBM), the theory of planned behavior (TPB) & Andersen’s behavioral model of health services may be used to anchor future studies on the role of health insurance policies in access to healthcare services in Bangladesh. Health insurance providers should develop targeted outreach and education programs to inform underserved populations about available health insurance options and their benefits. Policymakers should consider implementing universal health insurance coverage mandates to ensure that all individuals, regardless of socioeconomic status, have access to healthcare services.

Downloads

Download data is not yet available.

References

Ahmed, S., Alam, B. B., Anwar, I., Begum, T., Huque, R., Khan, J. A., ... & Islam, Z. (2019). Bangladesh health system review. Health Systems in Transition, 9(2), 1-184. https://apps.who.int/iris/handle/10665/330379

Ajzen, I. (2020). The theory of planned behavior: Frequently asked questions. Human Behavior and Emerging Technologies, 2(4), 314-324.

Amo-Adjei, J., & Adjei, J. K. (2018). The National Health Insurance Scheme and health services utilization in Ghana: a cross-sectional study. International Journal of Health Services, 48(4), 623-641. https://doi.org/10.1177/0020731418791955

Andersen, R. M. (2018). Revisiting the behavioral model and access to medical care: Does it matter?. Journal of Health and Social Behavior, 36(1), 1-10.

Anell, A., Glenngård, A. H., & Merkur, S. (2018). Sweden: Health system review. Health Systems in Transition, 14(5), 1-159. https://apps.who.int/iris/handle/10665/330193

Ataguba, J. E., & Akazili, J. (2020). Health care financing in South Africa: Moving towards universal coverage. Continuing Medical Education, 28(2), 74-78. https://doi.org/10.7196/SAMJ.2020.v110i2.14417

Barasa, E., Rogo, K., Mwaura, N., & Chuma, J. (2018). Kenya National Hospital Insurance Fund reforms: implications and lessons for universal health coverage. Health Systems & Reform, 4(4), 346-361. https://doi.org/10.1080/23288604.2018.1513267

Berchick, E. R., Barnett, J. C., & Upton, R. D. (2019). Health insurance coverage in the United States: 2018. Current Population Reports, P60-267(RV), U.S. Government Printing Office, Washington, DC.

Borghi, J., Chalabi, Z., & Haro, M. A. (2018). Modelling the implications of moving towards universal coverage in Tanzania. Health Policy and Planning, 33(3), 366-378. https://doi.org/10.1093/heapol/czy012

Busse, R., Blümel, M., Knieps, F., & Bärnighausen, T. (2018). Statutory health insurance in Germany: A health system shaped by 135 years of solidarity, self-governance, and competition. The Lancet, 390(10097), 882-897. https://doi.org/10.1016/S0140-6736(17)31280-1

Champion, V. L., & Skinner, C. S. (2018). The Health Belief Model. Health Behavior: Theory, Research, and Practice.

Champion, V. L., & Skinner, C. S. (2018). The Health Belief Model. Health Behavior: Theory, Research, and Practice.

Chemouni, B. (2018). The political path to universal health coverage: Power, ideas and community-based health insurance in Rwanda. World Development, 106, 87-98. https://doi.org/10.1016/j.worlddev.2018.01.023

Chemouni, B. (2018). The political path to universal health coverage: Power, ideas and community-based health insurance in Rwanda. World Development, 106, 87-98. https://doi.org/10.1016/j.worlddev.2018.01.023

Chen, L., Yip, W., & Chang, M. (2020). Evaluating Taiwan's National Health Insurance: Achievements and challenges. Journal of Global Health, 10(1), 010314.

Chen, L., Yip, W., Chang, M. C., Lin, H. S., Lee, S. D., Chiu, Y. L., & Lin, Y. H. (2020). The effects of Taiwan’s National Health Insurance on access and health status of the elderly. Health Economics, 29(5), 565-580. https://doi.org/10.1002/hec.4012

Collins, S. R., Gunja, M. Z., Aboulafia, G. N., & McEvoy, S. (2020). New survey finds Americans struggle with affordability of employer health coverage. The Commonwealth Fund. https://www.commonwealthfund.org/publications/2020/sep/new-survey-finds-americans-struggle-affordability-employer-health-coverage

Dayrit, M. M., Lagrada, L. P., Picazo, O. F., Pons, M. C., & Villaverde, M. C. (2018). The Philippines health system review. Health Systems in Transition, 8(2), 1-192. https://apps.who.int/iris/handle/10665/274579

Dewar, D. M. (2021). Essentials of health economics. Jones & Bartlett Learning.

Duckett, S., & Willcox, S. (2020). The Australian health care system. Oxford University Press. https://doi.org/10.1016/j.healthpol.2018.06.012

Fekadu, G., Tewabe, T., Alemu, Y., Desta, A., & Bayu, H. (2020). Community-Based Health Insurance and Out-of-Pocket Healthcare Payments in Ethiopia. PLOS ONE, 15(1), e0225634. https://doi.org/10.1371/journal.pone.0225634

Ghosh, S., & Dubey, M. (2019). The effect of health insurance on institutional deliveries and maternal and child health in India. BMC Health Services Research, 19(1), 879. https://doi.org/10.1186/s12913-019-4663-8

Ghosh, S., & Dubey, R. (2019). Rashtriya Swasthya Bima Yojana and maternal healthcare services in India: A quasi-experimental analysis. Health Policy and Planning, 34(3), 204-213.

Ikegami, N. (2019). Financing health care in Japan: Lessons for the United States. Health Affairs, 38(4), 635-641. https://doi.org/10.1377/hlthaff.2018.05451

Knaul, F. M., González-Pier, E., Gómez-Dantés, O., García-Junco, D., Arreola-Ornelas, H., Barraza-Lloréns, M., & Frenk, J. (2018). The quest for universal health coverage: Achieving social protection for all in Mexico. The Lancet, 380(9849), 1259-1279. https://doi.org/10.1016/S0140-6736(12)61068-X

Kruk, M. E., Pate, M., & Mullan, Z. (2018). Ghana's National Health Insurance Scheme: Achievements and challenges. Lancet Global Health, 6(7), e736-e737.

Kruk, M. E., Pate, M., & Mullan, Z. (2018). Introducing the Lancet Global Health Commission on High-Quality Health Systems in the SDG Era. The Lancet Global Health, 6(8), e800-e801. https://doi.org/10.1016/S2214-109X(18)30315-2

Kumar, R., Sharma, A., & Aggarwal, A. K. (2020). Financial risk protection and universal health coverage in India: a case for Ayushman Bharat. Journal of Global Health, 10(1), 010301. https://doi.org/10.7189/jogh.10.010301

Kwon, S. (2020). Thirty years of national health insurance in South Korea: Lessons for achieving universal health coverage. Health Policy and Planning, 35(3), 294-302. https://doi.org/10.1093/heapol/czaa040

Maina, T., Akumu, A. O., Muchiri, S., & Ikiara, G. (2020). An evaluation of the Kenya National Hospital Insurance Fund reforms for universal health coverage. PLOS ONE, 15(1), e0228468. https://doi.org/10.1371/journal.pone.0228468

Marchildon, G. P. (2020). Canada: Health system review. Health Systems in Transition, 22(1), 1-194. https://apps.who.int/iris/handle/10665/330259

Masiye, F., Kaonga, O., & Kirigia, J. M. (2020). Does user fee removal policy provide financial protection from catastrophic health care payments? Evidence from Zambia. PLOS ONE, 15(1), e0225743. https://doi.org/10.1371/journal.pone.0225743

Nabyonga-Orem, J., Asbu, E. Z., & Kirigia, J. M. (2019). Implementation of health financing reforms in Africa: Successes, challenges, and implications. BMC Health Services Research, 19(1), 816. https://doi.org/10.1186/s12913-019-4605-2

Nguyen, H., Sommers, B. D., & Blendon, R. J. (2019). Medicaid expansion under the ACA: Significant increases in coverage and access to care for adults with chronic conditions. Health Affairs, 38(2), 198-209.

Nguyen, K. H., Sommers, B. D., & Blendon, R. J. (2019). The impact of the Affordable Care Act on health care access and utilization among low-income adults: Evidence from the Health Reform Monitoring Survey. Health Services Research, 54(3), 489-497. https://doi.org/10.1111/1475-6773.13203

Nguyen, T. H., Tran, B. X., Hoang, C. D., & Nguyen, H. D. (2018). Impact of health insurance on health care utilisation and out-of-pocket payments in a developing country: Evidence from Vietnam. Applied Health Economics and Health Policy, 16(6), 859-872. https://doi.org/10.1007/s40258-018-0423-4

OECD (2019). Health at a Glance 2019: OECD Indicators. Organisation for Economic Co-operation and Development. https://doi.org/10.1787/4dd50c09-en

Paim, J., Travassos, C., Almeida, C., Bahia, L., & Macinko, J. (2018). The Brazilian health system: history, advances, and challenges. The Lancet, 377(9779), 1778-1797. https://doi.org/10.1016/S0140-6736(11)60054-8

Rafeh, N., Arfa, C., & Mataria, A. (2019). Egypt: Health system review. Health Systems in Transition, 21(8), 1-240. https://apps.who.int/iris/handle/10665/330260

Rao, M., Rao, K. D., Kumar, S., Chatterjee, M., & Sundararaman, T. (2019). Human resources for health in India. The Lancet, 377(9765), 587-598. https://doi.org/10.1016/S0140-6736(10)61888-0

Robertson, R., Appleby, J., Evans, H., & Hemmings, N. (2019). Public satisfaction with the NHS and social care in 2019: Results and trends from the British Social Attitudes survey. King's Fund. https://doi.org/10.37829/KF-2020-RC1151

Rotermann, M., Sanmartin, C., & Hennessy, D. (2018). The impact of public health insurance on healthcare access and utilization in Canada: A longitudinal survey. Healthcare Policy, 13(4), 35-49.

Rotermann, M., Sanmartin, C., Hennessy, D., & Arthur, M. (2018). Longitudinal health insurance and access to healthcare in Canada: Results from the National Population Health Survey. Canadian Medical Association Journal, 190(30), E887-E894. https://doi.org/10.1503/cmaj.170947

Roth, G. A., Johnson, C., Abajobir, A., Abd-Allah, F., Abera, S. F., Abyu, G., & Murray, C. J. L. (2018). Global, regional, and national burden of cardiovascular diseases for 10 causes, 1990 to 2015. Journal of the American College of Cardiology, 70(1), 1-25. https://doi.org/10.1016/j.jacc.2017.04.052

Shaikh, B. T., Hatcher, J., & Mahaini, R. (2020). Health systems in Pakistan. Health Systems in Transition, 22(4), 1-122. https://doi.org/10.1056/NEJMra1601591

Sommers, B. D., Gunja, M. Z., Finegold, K., & Musco, T. (2019). Changes in self-reported insurance coverage, access to care, and health under the Affordable Care Act. JAMA, 314(4), 366-374. https://doi.org/10.1001/jama.2015.8421

Tangcharoensathien, V., Mills, A., & Palu, T. (2018). Universal health coverage: Time to deliver on the promises. Bulletin of the World Health Organization, 96(11), 713-714.

Tangcharoensathien, V., Mills, A., & Palu, T. (2018). Universal health coverage: Time to deliver on the promises. Bulletin of the World Health Organization, 96(11), 713-714. https://doi.org/10.2471/BLT.18.220840

Tangcharoensathien, V., Tisayaticom, K., Suphanchaimat, R., & Patcharanarumol, W. (2018). Universal health coverage and primary care, Thailand. Bulletin of the World Health Organization, 96(6), 415-422. https://doi.org/10.2471/BLT.17.199687

Thabrany, H., & Setiawan, S. (2018). Challenges in the transition to JKN: The Indonesia health insurance scheme. The Lancet, 393(10166), 1561-1562. https://doi.org/10.1016/S0140-6736(18)30796

Welcome, M. O. (2018). The Nigerian health care system: Need for integrating adequate medical intelligence and surveillance systems. Journal of Pharmacy & Bioallied Sciences, 3(4), 470-478. https://doi.org/10.4103/0975-7406.90100

Downloads

Published

2024-08-28

How to Cite

Haque, S. (2024). Role of Health Insurance Policies in Access to Healthcare Services in Bangladesh . Journal of Public Policy and Administration, 9(2), 51 – 63. https://doi.org/10.47604/jppa.2899

Issue

Section

Articles