Ascertaining the Interplay Between Patients’ Satisfaction of Health Care and the Type of HMOs Involved in their Health Services
The main thrust of the study was to ascertain the interplay between patients’ satisfaction of health care and the type of HMOs involved. Since patients concern themselves with the quality and affordability of health care, institutions as the HMOs have developed to manage these two variables. HMOs try to manage quality of health care and keep the cost of health services low. However, their cost control efforts have yielded some negative impacts on health care providers, patients, and government policy makers in some places. And this in turn, has resulted in poor patient’s satisfaction in health services. The essence of this work therefore, was to investigate the impact of the activities of the HMOs on patient’s satisfaction of health services. The study made use of the functionalist theory to explain the intended goal of the existence of the HMOs. It indicated that functionalism maintains that society must develop a system of medical care that would help prevent and maintain good health for people in society. Which, in turn, would lead to a healthy society. The study made use of the quantitative method to collect data from the respondents. It employed a two-phase sampling design; the simple random sampling technique and the stratified random sampling techniques. The simple random sampling technique was used to select five HMOs from the twenty-five HMOs covering two hundred and forty-four thousand, nine hundred and ninety-two NHIS lives in the FCT, while the stratified random sampling techniques was used to select the three hundred and eighty-four respondents working with eighteen public sector organizations in FCT, Abuja. This figure was broken down according to the five HMOs in the study. From the analysis, discussion and findings of this research, it was discovered that 31% of those using these five HMOs believed HMOs were working and functioning well in the NHIS to bring satisfaction to patients. Further still, in response to another question, 75.5% of the respondents indicated that they had not experienced abrupt termination of hospital admission due to previous HMOs nonpayment of hospital bills. In essence, HMOs played a significant role on the impact of patients’ satisfaction and the type of HMO involved in enrollee’s health care needs.
Keywords: Health maintenance organizations, health care, health services, patient satisfaction