[Combining microcredit, microinsurance, and the provision of health care can improve access to quality care in urban areas of Africa: Results of an experiment in the Bandalungwa health zone in Kinshasa, the Congo]. / Le couplage microcrédit/microassurance santé/offre de soins peut améliorer l'accessibilité aux soins de santé en milieu urbain africain Résultats d'une expérience menée dans la zone de santé de Bandalungwa à Kinshasa, Congo.
Med Sante Trop
; 25(4): 381-5, 2015.
Article
em Fr
| MEDLINE
| ID: mdl-26643890
ABSTRACT
This study, based on a survey conducted in 2008, examines how combining microcredit, microinsurance, and health care provision can improve access to quality care in the health zone of Bandalungwa, in Kinshasa. The bivariate analysis showed a significant association between increased purchasing power and earnings (p = 0.001), between earnings and savings (p = 0.000), and between health insurance and improved access to health care. These results show that 68.8% of borrowers reported an increase in their purchasing power, of whom 82% reported profits. Those with savings were 24.7 times more likely to purchase health insurance than those without; and 72% of those who regularly made health insurance payments improved their access to care. Combining microcredit, health microinsurance, and health care can improve access to quality health care at lower cost. This suggests that health insurance could usefully be integrated into the primary health-care system.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
11_ODS3_cobertura_universal
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2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Crédito e Cobrança de Pacientes
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Qualidade da Assistência à Saúde
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Acessibilidade aos Serviços de Saúde
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Seguro Saúde
Aspecto:
Determinantes_sociais_saude
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Implementation_research
Limite:
Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Africa
Idioma:
Fr
Revista:
Med Sante Trop
Ano de publicação:
2015
Tipo de documento:
Article