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Journal of Emerging Trends in Computing and Information Sciences >> Call for Papers Vol. 8 No. 3, March 2017

Journal of Emerging Trends in Computing and Information Sciences

An Integrated Health Management System for National Health Insurance Scheme in Nigeria

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Author T. O. Oyegoke, R. N. Ikono, H. A. Soriyan
ISSN 2079-8407
On Pages 30-40
Volume No. 8
Issue No. 1
Issue Date February 1, 2017
Publishing Date February 1, 2017
Keywords National health insurance scheme, health facility, health maintenance organization, enrollee, integrated health management system.


Abstract

The National Health Insurance Scheme (NHIS) in Nigeria is faced with diverse challenges due to the manual method of operations among the various stakeholders. The paper-based methods/processes system used have resulted in a lack of effective connectivity among the major stakeholders in the scheme and this has led to a number of problems such as delay of registration and update, corruption in the manipulation of patient data and fee payment, duplication and misrepresentation of data, delay in the delivery of reports and long waiting period in accessing quality health care due to delay in obtaining clearance. This research therefore designed a system to integrate the various processes of the major stakeholders in the scheme into a single process. With the development of the system, the entire processes become very transparent, time is gained and duplication and misrepresentation of data becomes eradicated. The system developed was furthermore tested by 80 members of the stakeholder using five (5) parameters; utility, accuracy, timeliness, user-friendliness and responsiveness. The joint analysis of the stakeholders, among the five (5) parameters shows that there is no stakeholder with a percentage level lower than 85%. This in turn shows that the system is accepted among the stakeholders giving a high usefulness level of the system.
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