Abstract:The pandemic has been a challenge for many public health systems worldwide. Several health measures and innovations have been implemented to help in reducing COVID-19 spread and to avoid healthcare system overwhelming. During the pandemic emergency, the need for social protection and social distancing scenario has provided the push for healthcare stakeholders to innovate, and telemedicine has emerged as an efficient and effective way to provide care while reducing hospital overload and COVID-19 spread. The pan… Show more
“…However, with the ADM strategy, is likely that a large pool of informal sector enrollees would be retained in the scheme provided their annual premiums are renewed. Such successful experiences with similar implementation features had been reported elsewhere (14,27,28).…”
Section: Discussionsupporting
confidence: 72%
“…There is limited empirical evidence on the implementation of ADM in health insurance. However, existing literature shows that an end-to-end (E2E) innovation adoption model for the telemedicine process had been implemented in COVID-19 pandemic control in Brazil ( 14 ). Evidence indicated that the E2E model yielded a faster and more efficient outcome and, consequently, an optimization of the adoption process of telemedicine innovation ( 14 ).…”
BackgroundEnrollment in sub-national social health insurance schemes (SSHIS) can be challenging in developing countries like Nigeria, particularly among people in the informal sector. This could be due to a lack of knowledge on its mode of operation and benefits, distrust in government, inimical religious and traditional beliefs, as well as constraining economic factors. A complementary and innovative financing strategy such as the philanthropist adoption model (ADM) could be beneficial in improving SSHIS coverage and financial resources among persons in the informal sector. The study provides new evidence on how ADM influenced health insurance coverage and resources within SSHIS among informal settings in Nigeria. It also highlights contextual factors influencing the implementation of ADM.MethodsThis study employed a mixed-methods case-study approach undertaken in Anambra State, Southeast Nigeria. Data were collected through in-depth interviews (n = 14), document review (n = 12), and quantitative (enrollment data) methods. The respondents were purposively selected based on their involvement with the implementation of the SSHIS. Data analysis for qualitative data was done using the manual thematic framework approach while descriptive analysis was performed for the quantitative data.ResultsThe implementation of ADM was a valuable and effective strategy for improving knowledge, coverage, and resource mobilization (annual premium pool) within the SSHIS in the informal sector. The main enablers of the implementation of ADM include strong political will and commitment, wider stakeholders' consultation and collaboration, numerous public-spirited philanthropists, and legal institutionalization of health insurance. Other enablers include organizational factors like good teamwork among Anambra State Health Insurance Agency (ASHIA) staff, enabling work environment (incentives, supervision, office space), and experienced marketers in the agency. However, ADM had several barriers that affected its implementation—acceptability issues due to distrust for government and the health system, health systems barriers including substandard health facilities and equipment, and inimical cultural and religious beliefs about health insurance.ConclusionThe study demonstrates a case for the implementation of innovative ADM as a strategy for enhancing SSHIS financial sustainability and coverage of persons in the informal sector. Hence, the strategy should be adopted in settings where philanthropy abounds for increasing access to quality healthcare delivery to poor beneficiaries toward achieving universal health coverage in developing countries.
“…However, with the ADM strategy, is likely that a large pool of informal sector enrollees would be retained in the scheme provided their annual premiums are renewed. Such successful experiences with similar implementation features had been reported elsewhere (14,27,28).…”
Section: Discussionsupporting
confidence: 72%
“…There is limited empirical evidence on the implementation of ADM in health insurance. However, existing literature shows that an end-to-end (E2E) innovation adoption model for the telemedicine process had been implemented in COVID-19 pandemic control in Brazil ( 14 ). Evidence indicated that the E2E model yielded a faster and more efficient outcome and, consequently, an optimization of the adoption process of telemedicine innovation ( 14 ).…”
BackgroundEnrollment in sub-national social health insurance schemes (SSHIS) can be challenging in developing countries like Nigeria, particularly among people in the informal sector. This could be due to a lack of knowledge on its mode of operation and benefits, distrust in government, inimical religious and traditional beliefs, as well as constraining economic factors. A complementary and innovative financing strategy such as the philanthropist adoption model (ADM) could be beneficial in improving SSHIS coverage and financial resources among persons in the informal sector. The study provides new evidence on how ADM influenced health insurance coverage and resources within SSHIS among informal settings in Nigeria. It also highlights contextual factors influencing the implementation of ADM.MethodsThis study employed a mixed-methods case-study approach undertaken in Anambra State, Southeast Nigeria. Data were collected through in-depth interviews (n = 14), document review (n = 12), and quantitative (enrollment data) methods. The respondents were purposively selected based on their involvement with the implementation of the SSHIS. Data analysis for qualitative data was done using the manual thematic framework approach while descriptive analysis was performed for the quantitative data.ResultsThe implementation of ADM was a valuable and effective strategy for improving knowledge, coverage, and resource mobilization (annual premium pool) within the SSHIS in the informal sector. The main enablers of the implementation of ADM include strong political will and commitment, wider stakeholders' consultation and collaboration, numerous public-spirited philanthropists, and legal institutionalization of health insurance. Other enablers include organizational factors like good teamwork among Anambra State Health Insurance Agency (ASHIA) staff, enabling work environment (incentives, supervision, office space), and experienced marketers in the agency. However, ADM had several barriers that affected its implementation—acceptability issues due to distrust for government and the health system, health systems barriers including substandard health facilities and equipment, and inimical cultural and religious beliefs about health insurance.ConclusionThe study demonstrates a case for the implementation of innovative ADM as a strategy for enhancing SSHIS financial sustainability and coverage of persons in the informal sector. Hence, the strategy should be adopted in settings where philanthropy abounds for increasing access to quality healthcare delivery to poor beneficiaries toward achieving universal health coverage in developing countries.
“…Pandemi COVID-19 membuat perlunya inovasi, termasuk di sektor kesehatan, baik dalam proteksi terhadap infeksi, pelayanan dan keselamatan pasien, akses terhadap pelayanan, maupun pada strategi pemasaran. Pandemi COVID-19 juga menjadi katalisator pertumbuhan solusi inovatif, khususnya berupa perkembangan teknologi digital (10).…”
Latar Belakang: Pandemi COVID-19 menyebabkan penurunan drastis pada kunjungan pasien ke rumah sakit (RS). Bauran pemasaran dapat menjadi alat bagi RS untuk mencapai jumlah kunjungan yang ditargetkan.
Tujuan: Penelitian ini bertujuan untuk mengetahui implementasi bauran pemasaran RS di era pandemi COVID-19 dan dampaknya terhadap RS.
Metode: Pencarian literatur dilakukan melalui empat database: Garba Rujukan Digital, Research Gate, Google Scholar, dan Proquest. Kriteria kelayakan yang digunakan adalah artikel penelitian asli yang dapat diakses secara lengkap tanpa berbayar, tentang implementasi bauran pemasaran RS di era pandemi COVID-19, artikel berbahasa Indonesia atau Inggris, dan artikal yang dipublikasikan tahun 2020-2021.
Hasil: Empat artikel memenuhi kriteria kelayakan. Pemanfaatan bauran pemasaran secara simultan meningkatkan jumlah kunjungan pasien, minat kunjungan ulang, dan minat melahirkan di RS. RS yang menekankan produk yang mendukung pelaksanaan protokol kesehatan, pembedaan akses pasien COVID-19 dan non-COVID-19, penerapan physical distancing serta penyediaan fasilitas cuci tangan di ruang tunggu berdampak pada jumlah kunjungan pasien rawat jalan dan minat kunjungan ulang yang lebih tinggi. Pemasaran digital mempunyai peluang untuk dapat lebih dioptimalkan di era pandemi COVID-19.
Kesimpulan: Pemanfaatan bauran pemasaran secara simultan khususnya yang menonjolkan penerapan protokol kesehatan di RS bermanfaat dalam meningkatkan kunjungan pasien di era pandemi COVID-19.
“…Innovation can be considered preventive when it has future benefits or when it intends to avoid a negative consequence (Overstreet et al, 2013). Adopting telemedicine (Guarcelo & Raupp, 2021) and masks to prevent the spreading of COVID-19 (Howard et al, 2021) exemplify the second case. Rogers (1988; argues that there are three main obstacles to adopting preventive innovation: generally, the motivation to adopt is not related to profit, there is often a need for professional training before the adoption, and future-only benefits can discourage early adopters.…”
Section: Theoretical Background and Proposed Hypotheses Preventive An...mentioning
The use of masks to prevent COVID-19 infections generated much controversy and disagreements among the population, infectious disease specialists, and government representatives. Western countries were not used to using facial masks, and their adoption can be considered a non-technological innovation. This article explores the determinants of the intention to adopt, the actual use, and the continued intention to use a facemask to prevent COVID-19 infections in Brazil. Through structural equation modeling (SEM), relationships between constructs from the theory of planned behavior (TPB) and the construct of trust in the authorities were applied to test the study's hypotheses. The results suggest that perceived behavior control, subjective norms, and trust in the authorities are significant motivators for the actual use and continued intention to use facial masks in Brazil.
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