Comparison Of Patient Satisfaction Levels Between The Use Of National Health Insurance (Nhi) And Private Health Insurance (Phi) In Hospital Financing: A Systematic Review And Meta-Analysis

Abstract

Everyone needs access to quality healthcare to feel cared for and valued. However, in reality, the perceived disparities in coverage between National Health Insurance (NHI) and Private Health Insurance (PHI) frequently cause health services in hospitals to become a public problem. This study compares how public and private health insurance is used to pay for hospitals concerning patient satisfaction. The literature research was performed by systematically searching PubMed, ScienceDirect, Springer, and Google Scholar. The Review Manager v.5.4 and R statistical software v.3.3 are used in this study. Nine studies with 3589 patients were involved in the investigation. There was no significant difference in the proportion of satisfied patients between NHI and PHI (Prevalence odds ratio [POR] 1.18; 95% CI 0.25 – 5.47; p=0.83). There was no significant difference in patient satisfaction scores between NHI and PHI (Mean difference [MD] -0.49; 95% CI -6.79 – 5.81; p=0.88). An analysis of the tendency for publication bias was quantitatively insignificant (intercept 5,0507; 95% CI -12,37 – 22,47; P = 0,466). Patient satisfaction levels between NHI and PHI in hospital financing were not significantly different.