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Table 4 Characteristics and objective quality of care by insurance status

From: Does enrollment status in community-based insurance lead to poorer quality of care? Evidence from Burkina Faso

Reason for visit, cost of care, diagnostic indicators

Uninsured

Insured

Test statistic

P-value

Reason for visit

Number

%

Number

%

Pearson X 2

 

Nature of illness

81

31.2

19

14.1

107.037

<0.001

Enrolled in CBIa

4

1.5

52

38.5

 

Appreciation for health care provider’s quality of care

61

23.5

29

21.5

 

Advice from friend/relative

42

16.2

9

6.7

 

Close proximity

27

10.4

12

8.9

 

Confidence in modern medicine

39

15.0

14

10.4

 

Other

6

2.3

0

0.0

 

Days between onset of illness symptoms and seeking facility care

Number

%

Number

%

Pearson X 2

0

19

0.1

3

0.0

21.056

0.277

1-2

109

0.4

59

0.4

3-5

87

0.3

48

0.4

5+

45

0.2

25

0.2

Health care provider who consulted the patient

Number

%

Number

%

Pearson X 2

Head nurse

40

15.4

14

10.4

2.4544

0.293

Other provider (auxiliary nurse, auxiliary midwife, etc.)

219

84.2

121

89.6

Don’t know

1

0.4

0

0.0

Cost of care (FCFA b )

Mean

SD

Mean

SD

T-test

Cost of service fee

119.4

102.6

0.0

0.0

13.464

<0.001

Cost of medication/drugs

1029.4

1065.7

18.1

148.8

10.964

<0.001

Other (parking, etc.)

6.5

13.9

3.7

10.8

2.065

0.0395

Total cost

1149.4

1089.2

9.6

111.9

12.118

<0.001

Consultation and diagnostic care (yes = 1, no = 0)

Number

%

Number

%

Z-test

 

Did the provider weigh the patient

41

15.8%

34

25.0%

2.596

0.009

Did the provider take the temperature of the patient

205

78.1%

65

48.3%

3.087

0.002

Did the provider use a stethoscope

104

39.6%

59

44.0%

2.725

0.007

Did the provider examine the patient (touch stomach, ears, throat, etc.)

125

47.7%

65

48.5%

2.029

0.043

Did the provider ask to see the patient’s health card

210

80.0%

30

22.3%

−3.986

<0.001

Did the provider ask the patient about the history of the illness

249

94.6%

26

19.0%

−0.739

0.460

Did the provider ask about the patient’s symptoms

249

94.6%

20

14.8%

−1.469

0.143

Did the provider ask if treatment was taken before arrival at the facility

167

63.5%

62

46.2%

−1.223

0.222

Did the provider explain to the patient their illness

57

21.5%

44

32.4%

2.376

0.018

Did the provider inform the patient about CBI enrollment/renewal

21

8.1%

23

17.0%

1.985

0.048

  1. a CBI: Community-based health insurance.
  2. b FCFA: Franc Communauté Financière Africaine, the local currency used in Burkina Faso. 500 FCFA = $1 USD.
  3. SD: Standard deviation. For each indicator, a two-group variance test for equal variance was conducted.